Pulmonary thromboembolism as a complication of diabetic ketoacidosis in a paediatric intensive care unit: case report

Tromboembolismo pulmonar como complicación de la cetoacidosis diabética en una Unidad de Cuidado Intensivo Pediátrico: A propósito de un caso

##plugins.themes.bootstrap3.article.main##

Milton Molano Trujillo
Dolly Vanessa Rojas M.
Camilo Ernesto Ospino B.
Abstract

Pulmonary thromboembolism in a critically ill paediatric patient has steadily become a significant cause of morbidity and mortality, attributed to the improvement in survival rates from previously fatal diseases, the increase in the use of central venous catheters and growing availability of non-invasive diagnostic methods. This article intends to present a case of pulmonary thromboembolism in a breastfed baby suffering from diabetic ketoacidosis with a clear risk factor due to the use of a vascular device. In these patients there is a high probability of developing thromboembolic complications and therefore the use of antithrombotic prophylactic regimens is deemed reasonable.

Keywords

Downloads

Download data is not yet available.

##plugins.themes.bootstrap3.article.details##

Author Biographies / See

Milton Molano Trujillo, Universidad Surcolombiana

 MD. Pediatra, Docente, Universidad Surcolombiana, Unidad de Cuidados Intensivos Pediátrico. Hospital Universitario de Neiva, Colombia.

Dolly Vanessa Rojas M., Universidad Surcolombiana

MD. Pediatra, Universidad Surcolombiana, Hospital Universitario de Neiva, Colombia.

Camilo Ernesto Ospino B., Universidad Surcolombiana

MD. Pediatra, Universidad Surcolombiana, Hospital Universitario de Neiva, Colombia.
References

McCrory MC, Brady KM, Takemoto C, et al. Thrombotic disease in critically ill children. Pediatric Critical Care Medicine 2011;12: 80-89.

Dijk FN, Curtin J, Lord D, et al. Pulmonary Embolism in Children. Paediatric Respiratory Reviews 2012;13:112-122.

Sabharwal S, Passannante MR. Venous Thromboembolism in Children: Preliminary Results of a Survey of POSNA Members. J Pediatr Orthop 2013;33:852-856.

Carr ME. Diabetes mellitus. a hypercoagulable state. Journal of Diabetes Complications. 2001;15:44-54.

Gutierrez JA, Bagatell R, Samson MP, et al. Femoral central venous catheter-associated deep venous thrombosis in children with diabetic ketoacidosis. Critical Care Medicine 2003;3:80-83.

Andrews EJ, Fleische AC. Sonography for Deep Venous Thrombosis Current and Future Applications. Ultrasound Quarterly 2005;21:213-225.

Tay ET, Stone MB, Tsung James W. Emergency Ultrasound Diagnosis of Deep Venous Thrombosis in the Pediatric Emergency Department, A Case Series. Pediatric Emergency Care 2012;28:90-95.

Montes A, Arellano E, Elías T, León J, Rodriguez JA, Otero R. Residual thrombosis after a first episode of proximal deep venous thrombosis. Blood Coagulation and Fibrinolysis 2013;24:355-360.

Kukreja KU, Gollamudi J, Patel MN, et al. Inferior Vena Cava Filters in Children: Our Experience and Suggested Guidelines. Journal of Pediatric Hematology and Oncology 2011;33:334-338.

Sharathkumar AA, Pipe SW. Post-thrombotic Syndrome in Children: A Single Center Experience. Journal of Pediatric Hematology and Oncology 2008;30:261-266.

OJS System - Metabiblioteca |