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[Pelvic and femoral vein thrombosis in childhood]
1Kinderhospital Osnabrück.
Insights
Deep venous thrombosis (DVT) in children can stem from diabetic ketoacidosis or osteomyelitis. These conditions may lead to septic pulmonary embolism, highlighting the need for thorough evaluation in pediatric cases.
Area of Science:
- Pediatric Medicine
- Hematology
- Infectious Diseases
Background:
- Deep venous thrombosis (DVT) is uncommon in children but can have serious consequences.
- Identifying underlying causes is crucial for effective management and prevention of complications.
Observation:
- Three pediatric cases of lower extremity deep venous thrombosis (DVT) in boys aged 8, 10, and 12 years are presented.
- One case was associated with circulatory depression during diabetic ketoacidosis.
- Two cases involved proximity osteomyelitis, leading to septic pulmonary embolism.
Findings:
- Diabetic ketoacidosis can precipitate DVT in children.
- Osteomyelitis is a significant risk factor for septic thromboembolism in pediatric patients.
- Septic pulmonary embolism is a serious complication in children with DVT secondary to infection.
Implications:
- Clinicians should consider diabetic ketoacidosis as a potential cause of DVT in pediatric patients.
- Active screening for osteomyelitis and septic arthritis is recommended in children presenting with septic thromboembolism.
- Early recognition and management of these conditions can prevent severe outcomes like septic pulmonary embolism.
Abstract:
Deep venous thromboses in the lower extremities were observed in three boys aged 8, 10, and 12 years. In one case, it must have originated from circulatory depression during diabetic ketoacidosis. In two children, osteomyelitis was detected in the proximity; they developed septic pulmonary embolism. Osteomyelitis and septic arthritis as possible cause or consequence should be actively looked for in septic thromboembolism.