Acute thrombotic vascular events complicating influenza-associated pneumonia

Acute thrombotic vascular events complicating influenza-associated pneumonia

A 58-year-old man with previous myocardial infarction presented to our hospital with fever, cough, and dyspnea. PCR testing with nasopharyngeal swabs confirmed influenza virus infection, and enhanced computed tomography and transthoracic echocardiography revealed bilateral ground-glass opacities and...

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Main Authors: Takashi Ishiguro, Keisuke Matsuo, Shinya Fujii, Noboru Takayanagi
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:Respiratory Medicine Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007119301066
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spelling doaj-23b54b53549d4b6d98f55b3d60c70cc52020-11-24T23:59:38ZengElsevierRespiratory Medicine Case Reports2213-00712019-01-0128Acute thrombotic vascular events complicating influenza-associated pneumoniaTakashi Ishiguro0Keisuke Matsuo1Shinya Fujii2Noboru Takayanagi3Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center, Saitama, Japan; Corresponding author. Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center, 1696 Itai, Kumagaya, Saitama 360-0105, Japan.Department of Cardiology, Saitama Cardiovascular and Respiratory Center, Saitama, JapanDepartment of Cardiology, Saitama Cardiovascular and Respiratory Center, Saitama, JapanDepartment of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center, Saitama, JapanA 58-year-old man with previous myocardial infarction presented to our hospital with fever, cough, and dyspnea. PCR testing with nasopharyngeal swabs confirmed influenza virus infection, and enhanced computed tomography and transthoracic echocardiography revealed bilateral ground-glass opacities and consolidation, deep venous thrombosis, acute pulmonary artery embolism, and acute arterial embolism that appeared to originate from thrombus in the left ventricle. Combination of a neuraminidase inhibitor, antibiotics, an anticoagulant, and anti-platelet agent improved these complications; however, amputation of the patient's right foot was required. Because influenza can cause vascular events, physicians should pay attention to this complication in patients with influenza-associated pneumonia. Keywords: Influenza, Pneumonia, Acute arterial embolism, Deep venous thrombosis, Gangrenehttp://www.sciencedirect.com/science/article/pii/S2213007119301066
collection DOAJ
language English
format Article
sources DOAJ
author Takashi Ishiguro
Keisuke Matsuo
Shinya Fujii
Noboru Takayanagi
spellingShingle Takashi Ishiguro
Keisuke Matsuo
Shinya Fujii
Noboru Takayanagi
Acute thrombotic vascular events complicating influenza-associated pneumonia
Respiratory Medicine Case Reports
author_facet Takashi Ishiguro
Keisuke Matsuo
Shinya Fujii
Noboru Takayanagi
author_sort Takashi Ishiguro
title Acute thrombotic vascular events complicating influenza-associated pneumonia
title_short Acute thrombotic vascular events complicating influenza-associated pneumonia
title_full Acute thrombotic vascular events complicating influenza-associated pneumonia
title_fullStr Acute thrombotic vascular events complicating influenza-associated pneumonia
title_full_unstemmed Acute thrombotic vascular events complicating influenza-associated pneumonia
title_sort acute thrombotic vascular events complicating influenza-associated pneumonia
publisher Elsevier
series Respiratory Medicine Case Reports
issn 2213-0071
publishDate 2019-01-01
description A 58-year-old man with previous myocardial infarction presented to our hospital with fever, cough, and dyspnea. PCR testing with nasopharyngeal swabs confirmed influenza virus infection, and enhanced computed tomography and transthoracic echocardiography revealed bilateral ground-glass opacities and consolidation, deep venous thrombosis, acute pulmonary artery embolism, and acute arterial embolism that appeared to originate from thrombus in the left ventricle. Combination of a neuraminidase inhibitor, antibiotics, an anticoagulant, and anti-platelet agent improved these complications; however, amputation of the patient's right foot was required. Because influenza can cause vascular events, physicians should pay attention to this complication in patients with influenza-associated pneumonia. Keywords: Influenza, Pneumonia, Acute arterial embolism, Deep venous thrombosis, Gangrene
url http://www.sciencedirect.com/science/article/pii/S2213007119301066
work_keys_str_mv AT takashiishiguro acutethromboticvasculareventscomplicatinginfluenzaassociatedpneumonia
AT keisukematsuo acutethromboticvasculareventscomplicatinginfluenzaassociatedpneumonia
AT shinyafujii acutethromboticvasculareventscomplicatinginfluenzaassociatedpneumonia
AT noborutakayanagi acutethromboticvasculareventscomplicatinginfluenzaassociatedpneumonia
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