Video Experimental Relacionado

Updated: Feb 21, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

Published on: February 10, 2023

Tromboembolismo venoso en infecciones musculoesqueléticas pediátricas: desafíos de diagnóstico en un entorno de

Benedict Kusi Ampofo¹, Augustine Kwame Afful¹, Priscilla Konadu Sakyi¹

¹Directorate of Child Health Komfo Anokye Teaching Hospital Kumasi Ghana.

Clinical case reports

|February 20, 2026

Resumen

La trombosis venosa profunda pediátrica y la embolia pulmonar pueden ocurrir con infecciones musculoesqueléticas, especialmente en áreas de bajos recursos. El diagnóstico precoz con la ecografía Doppler es crucial para el tratamiento oportuno y mejores resultados.

Área de la Ciencia:

Medicina Pediátrica La medicina pediátrica es una especialidad de la medicina pediátrica.
Enfermedades infecciosas Enfermedades infecciosas.
Hematología Hematología.

Sus antecedentes:

El tromboembolismo venoso (TEV) es una complicación subdiagnosticada de las infecciones musculoesqueléticas pediátricas.
El acceso limitado a imágenes avanzadas (IRM, CTPA) en entornos de bajos recursos complica el diagnóstico de TEV.
Las infecciones musculoesqueléticas pueden provocar dolor severo en las extremidades, hinchazón y comprometimiento respiratorio.

Objetivo del estudio:

Para describir dos casos de TEV pediátrico secundario a una infección musculoesquelética.
Para resaltar los desafíos de diagnóstico en entornos de recursos limitados.
Para enfatizar el papel de la ultrasonografía Doppler en la detección temprana de TEV.

Principales métodos:

Informe de caso de dos niños previamente sanos con infecciones musculoesqueléticas y TEV.
Se revisaron la presentación clínica, las imágenes de diagnóstico (ultrasonografía Doppler, CTPA) y las estrategias de manejo.
El diagnóstico de embolia pulmonar fue clínico en un caso debido a limitaciones de imágenes.

Principales resultados:

Ambos pacientes presentaron fiebre, dolor en las extremidades, hinchazón, taquipnea y dificultad respiratoria.
La ecografía Doppler confirmó la trombosis venosa profunda en ambos casos.
Un paciente había confirmado una embolia pulmonar e infarto a través de CTPA; el otro fue diagnosticado clínicamente.

Conclusiones:

La TEV es una complicación significativa de las infecciones musculoesqueléticas pediátricas, particularmente en entornos con recursos limitados.
Un alto índice de sospecha es vital cuando la inflamación de las extremidades o los síntomas respiratorios empeoran.
La ultrasonografía Doppler junto a la cama y la derivación inmediata son esenciales para el manejo de la TEV cuando no se dispone de imágenes avanzadas.

Palabras clave:

La trombosis venosa profunda es una trombosis venosa profunda.Infecciones musculoesqueléticas infecciones musculoesqueléticas.La osteomielitis también se conoce como osteomielitis.trombosis pediátrica en niños y niñas.embolia pulmonar por embolia pulmonar, es decir, por embolia pulmonar.ajustes de recursos limitados con recursos limitados.La artritis séptica es una artritis séptica.

Más Videos Relacionados

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis

Published on: June 2, 2015

High Spatial Resolution Chemical Imaging of Implant-Associated Infections with X-ray Excited Luminescence Chemical Imaging Through Tissue

High Spatial Resolution Chemical Imaging of Implant-Associated Infections with X-ray Excited Luminescence Chemical Imaging Through Tissue

Published on: September 30, 2022

Videos de Conceptos Relacionados

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...

Venous Thrombosis III: Interprofessional Care

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...

Acute Pyelonephritis II: Diagnostic Studies and Management

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...

Venous Thrombosis IV: Nursing Management

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...