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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
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Disseminated Tuberculosis Presenting as Venous Thromboembolism
Ujjawal K Shriwastav1, Mayank Agarwal1, Bishal Shah1
1Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Cureus
|April 3, 2023
Summary
Tuberculosis (TB) can rarely cause deep vein thrombosis (DVT), a serious condition. This case highlights the importance of considering TB in patients with unexplained DVT, especially in endemic regions.
Area of Science:
- Internal Medicine
- Infectious Diseases
- Cardiology
Background:
- Tuberculosis (TB) is a global health concern with diverse clinical presentations.
- Extrapulmonary TB manifestations are less common than pulmonary disease.
- Deep vein thrombosis (DVT) is a rare complication of TB.
Observation:
- A 25-year-old woman presented with left upper limb swelling, fever, and diagnosed DVT with pulmonary embolism.
- Further investigations revealed bilateral pleural effusion, constrictive pericarditis, and Mycobacterium tuberculosis infection.
- The patient experienced significant clinical improvement with anti-tubercular therapy and anticoagulation.
Findings:
- This case demonstrates a rare association between tuberculosis and venous thromboembolism.
- Mycobacterium tuberculosis infection can manifest with serious thrombotic events.
- Early diagnosis and comprehensive treatment are crucial for managing complex TB cases.
Implications:
- Clinicians should consider TB as a potential underlying cause of DVT, particularly in high-prevalence areas.
- This case underscores the multifaceted nature of TB and its potential to affect multiple organ systems.
- Recognizing rare TB complications like DVT is vital for effective patient management and improved outcomes.
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