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CASE REPORT
Deep vein thrombosis of the left arm revealing an asymptomatic pulmonary tuberculosis
  1. Anis Hariz1,2,3,
  2. Mouna Guermazi2,
  3. Mohamed Salah Hamdi1,2 and
  4. Imen Boukhris2
  1. 1 Universite de Tunis El Manar Faculte de Medecine de Tunis, Tunis, Tunisia
  2. 2 Internal Medicine, Charles Nicolle Hospital, Tunis, Tunisia
  3. 3 Research Laboratory of Kidney Diseases (LR00SP01), Charles Nicolle Hospital, Tunis, Tunisia
  1. Correspondence to Dr Anis Hariz, anis_hariz{at}yahoo.fr

Abstract

Although not frequent, thromboembolic events occurring in patient presenting tuberculosis may be observed. Frequency of such thromboembolic events seems correlated with the severity of tuberculosis. We herein report a case of venous thrombosis revealing an asymptomatic tuberculosis. A man aged 32 years was admitted for deep and superficial vein thrombosis of the left arm. Chest CT angiography ruled out pulmonary embolism and showed a mediastinal and pulmonary heterogeneous necrotic mass at the apical segment of the left lung. Histological study of a CT scan-guided pulmonary biopsy showed signs of caseating granuloma compatible with tuberculosis. Diagnosis of venous thrombosis due to pulmonary tuberculosis with lymph nodes involvement was made. Antituberculosis treatment was initiated and required an adjustment of anticoagulant therapy. Our observation highlights the possibility of causative effect between tuberculosis and venous thrombosis.

  • TB and other respiratory infections
  • venous thromboembolism
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Footnotes

  • Contributors AH: data interpretation/manuscript preparation/literature search. MG: data collection/manuscript preparation/literature search. MSH: data interpretation/manuscript preparation/literature search. IB: data interpretation/manuscript preparation.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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