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Pulmonary embolism following the third thoracic tuberculosis surgery: A case report and literature review
BACKGROUND: The study aimed to analyze the clinical effects of pulmonary embolism succeeding a third surgery conducted for multiple recurrences in thoracic tuberculosis (TB). CASE REPORT: A 74‐year‐old female patient developed thoracic tuberculosis and was subsequently treated in our hospital in Mar...
Autores principales: | , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8906033/ https://www.ncbi.nlm.nih.gov/pubmed/35089616 http://dx.doi.org/10.1002/jcla.24256 |
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author | Chen, Liyi Liu, Chong Liang, Tuo Ye, Zhen Huang, Shengsheng Sun, Xuhua Yi, Ming Chen, Tianyou Li, Hao Chen, Wuhua Jiang, Jie Chen, Jiarui Guo, Hao Yao, Yuanlin Liao, Shian Yu, Chaojie Fan, Binguang Wu, Shaofeng Zhan, Xinli |
author_facet | Chen, Liyi Liu, Chong Liang, Tuo Ye, Zhen Huang, Shengsheng Sun, Xuhua Yi, Ming Chen, Tianyou Li, Hao Chen, Wuhua Jiang, Jie Chen, Jiarui Guo, Hao Yao, Yuanlin Liao, Shian Yu, Chaojie Fan, Binguang Wu, Shaofeng Zhan, Xinli |
author_sort | Chen, Liyi |
collection | PubMed |
description | BACKGROUND: The study aimed to analyze the clinical effects of pulmonary embolism succeeding a third surgery conducted for multiple recurrences in thoracic tuberculosis (TB). CASE REPORT: A 74‐year‐old female patient developed thoracic tuberculosis and was subsequently treated in our hospital in March 2019, October 2020, and February 2021. The third surgical intervention included anterolateral thoracic lesion resection, internal fixation, posterior spinal tuberculous sinus resection, and debridement with suture. The operative time was 172 min resulting in a substantial intraoperative blood loss (2321 ml). Postoperative re‐examination of chest CTPA indicated a strip filling defect and pulmonary embolism in the external branch of the right middle lobe of the lung. After completing the active treatment, the D‐dimer quantification, WBC, CRP, and ESR values were 1261 ng/ml, 7.71 × 10(9)/L, 74.66 mg/L, and 63 mm, respectively. Chest CTPA re‐examination after the treatment showed no signs of pulmonary embolism. CONCLUSION: Patients with a long‐term history of multiple operations, high BMI, cerebral infarction, diabetes, and older age group were more likely to develop pulmonary embolism after spinal tuberculosis surgery. Thus, the possibility of postoperative pulmonary embolism should be thoroughly analyzed before any subsequent surgical treatment in patients with recurrent spinal tuberculosis. |
format | Online Article Text |
id | pubmed-8906033 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-89060332022-03-10 Pulmonary embolism following the third thoracic tuberculosis surgery: A case report and literature review Chen, Liyi Liu, Chong Liang, Tuo Ye, Zhen Huang, Shengsheng Sun, Xuhua Yi, Ming Chen, Tianyou Li, Hao Chen, Wuhua Jiang, Jie Chen, Jiarui Guo, Hao Yao, Yuanlin Liao, Shian Yu, Chaojie Fan, Binguang Wu, Shaofeng Zhan, Xinli J Clin Lab Anal Case Report BACKGROUND: The study aimed to analyze the clinical effects of pulmonary embolism succeeding a third surgery conducted for multiple recurrences in thoracic tuberculosis (TB). CASE REPORT: A 74‐year‐old female patient developed thoracic tuberculosis and was subsequently treated in our hospital in March 2019, October 2020, and February 2021. The third surgical intervention included anterolateral thoracic lesion resection, internal fixation, posterior spinal tuberculous sinus resection, and debridement with suture. The operative time was 172 min resulting in a substantial intraoperative blood loss (2321 ml). Postoperative re‐examination of chest CTPA indicated a strip filling defect and pulmonary embolism in the external branch of the right middle lobe of the lung. After completing the active treatment, the D‐dimer quantification, WBC, CRP, and ESR values were 1261 ng/ml, 7.71 × 10(9)/L, 74.66 mg/L, and 63 mm, respectively. Chest CTPA re‐examination after the treatment showed no signs of pulmonary embolism. CONCLUSION: Patients with a long‐term history of multiple operations, high BMI, cerebral infarction, diabetes, and older age group were more likely to develop pulmonary embolism after spinal tuberculosis surgery. Thus, the possibility of postoperative pulmonary embolism should be thoroughly analyzed before any subsequent surgical treatment in patients with recurrent spinal tuberculosis. John Wiley and Sons Inc. 2022-01-28 /pmc/articles/PMC8906033/ /pubmed/35089616 http://dx.doi.org/10.1002/jcla.24256 Text en © 2022 The Authors. Journal of Clinical Laboratory Analysis published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Case Report Chen, Liyi Liu, Chong Liang, Tuo Ye, Zhen Huang, Shengsheng Sun, Xuhua Yi, Ming Chen, Tianyou Li, Hao Chen, Wuhua Jiang, Jie Chen, Jiarui Guo, Hao Yao, Yuanlin Liao, Shian Yu, Chaojie Fan, Binguang Wu, Shaofeng Zhan, Xinli Pulmonary embolism following the third thoracic tuberculosis surgery: A case report and literature review |
title | Pulmonary embolism following the third thoracic tuberculosis surgery: A case report and literature review |
title_full | Pulmonary embolism following the third thoracic tuberculosis surgery: A case report and literature review |
title_fullStr | Pulmonary embolism following the third thoracic tuberculosis surgery: A case report and literature review |
title_full_unstemmed | Pulmonary embolism following the third thoracic tuberculosis surgery: A case report and literature review |
title_short | Pulmonary embolism following the third thoracic tuberculosis surgery: A case report and literature review |
title_sort | pulmonary embolism following the third thoracic tuberculosis surgery: a case report and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8906033/ https://www.ncbi.nlm.nih.gov/pubmed/35089616 http://dx.doi.org/10.1002/jcla.24256 |
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