Pulmonary Embolism and Splenic Infarction after Minocycline Infusion in a Patient with Polycythemia Vera

A 55-year-old man treated with polycythemia vera visited our hospital, complaining of left abdominal pain and dyspnea. He had received minocycline infusions three weeks earlier for mycoplasma pneumonia. Contrast-enhanced computed tomography revealed pulmonary embolism and splenic infarction. Ultraso...

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Autores principales: Takeuchi, Makoto, Okada, Takenori, Iwato, Kouji, Kawamoto, Kazuma, Ikegami, Yuki, Nakamoto, Yumiko, Idei, Naomi, Ohashi, Norihiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7872807/
https://www.ncbi.nlm.nih.gov/pubmed/32921692
http://dx.doi.org/10.2169/internalmedicine.5635-20
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author Takeuchi, Makoto
Okada, Takenori
Iwato, Kouji
Kawamoto, Kazuma
Ikegami, Yuki
Nakamoto, Yumiko
Idei, Naomi
Ohashi, Norihiko
author_facet Takeuchi, Makoto
Okada, Takenori
Iwato, Kouji
Kawamoto, Kazuma
Ikegami, Yuki
Nakamoto, Yumiko
Idei, Naomi
Ohashi, Norihiko
author_sort Takeuchi, Makoto
collection PubMed
description A 55-year-old man treated with polycythemia vera visited our hospital, complaining of left abdominal pain and dyspnea. He had received minocycline infusions three weeks earlier for mycoplasma pneumonia. Contrast-enhanced computed tomography revealed pulmonary embolism and splenic infarction. Ultrasonography of the vein in the forearm revealed a thrombus filling the distal brachial veins to the radial veins on both sides. His condition improved after anticoagulant therapy, and right and left shunts were detected on transesophageal echocardiography. This suggested that thrombus in the forearm may have been the source of the embolism.
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spelling pubmed-78728072021-02-17 Pulmonary Embolism and Splenic Infarction after Minocycline Infusion in a Patient with Polycythemia Vera Takeuchi, Makoto Okada, Takenori Iwato, Kouji Kawamoto, Kazuma Ikegami, Yuki Nakamoto, Yumiko Idei, Naomi Ohashi, Norihiko Intern Med Case Report A 55-year-old man treated with polycythemia vera visited our hospital, complaining of left abdominal pain and dyspnea. He had received minocycline infusions three weeks earlier for mycoplasma pneumonia. Contrast-enhanced computed tomography revealed pulmonary embolism and splenic infarction. Ultrasonography of the vein in the forearm revealed a thrombus filling the distal brachial veins to the radial veins on both sides. His condition improved after anticoagulant therapy, and right and left shunts were detected on transesophageal echocardiography. This suggested that thrombus in the forearm may have been the source of the embolism. The Japanese Society of Internal Medicine 2020-09-12 2021-01-15 /pmc/articles/PMC7872807/ /pubmed/32921692 http://dx.doi.org/10.2169/internalmedicine.5635-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Takeuchi, Makoto
Okada, Takenori
Iwato, Kouji
Kawamoto, Kazuma
Ikegami, Yuki
Nakamoto, Yumiko
Idei, Naomi
Ohashi, Norihiko
Pulmonary Embolism and Splenic Infarction after Minocycline Infusion in a Patient with Polycythemia Vera
title Pulmonary Embolism and Splenic Infarction after Minocycline Infusion in a Patient with Polycythemia Vera
title_full Pulmonary Embolism and Splenic Infarction after Minocycline Infusion in a Patient with Polycythemia Vera
title_fullStr Pulmonary Embolism and Splenic Infarction after Minocycline Infusion in a Patient with Polycythemia Vera
title_full_unstemmed Pulmonary Embolism and Splenic Infarction after Minocycline Infusion in a Patient with Polycythemia Vera
title_short Pulmonary Embolism and Splenic Infarction after Minocycline Infusion in a Patient with Polycythemia Vera
title_sort pulmonary embolism and splenic infarction after minocycline infusion in a patient with polycythemia vera
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7872807/
https://www.ncbi.nlm.nih.gov/pubmed/32921692
http://dx.doi.org/10.2169/internalmedicine.5635-20
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