Bilateral multifocal muscular hemorrhage in the triceps surae during antiplatelet therapy: a case report
Hemorrhagic complications are often reported following antiplatelet therapy; however, simultaneous multifocal hemorrhages in both legs are uncommon. The patient was a 75-year-old man diagnosed with ST elevation myocardial infarction who underwent percutaneous coronary intervention in the right coron...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-12-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605211064391 |
| _version_ | 1818360660478656512 |
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| author | Young-In Go Gi-Wook Kim |
| author_facet | Young-In Go Gi-Wook Kim |
| author_sort | Young-In Go |
| collection | DOAJ |
| description | Hemorrhagic complications are often reported following antiplatelet therapy; however, simultaneous multifocal hemorrhages in both legs are uncommon. The patient was a 75-year-old man diagnosed with ST elevation myocardial infarction who underwent percutaneous coronary intervention in the right coronary artery. He was prescribed oral acetylsalicylic acid and ticagrelor. Three days after initial drug treatment, he complained of bilateral leg pain that was aggravated by walking and moving his ankle across a broad range of motion. No deep vein thrombosis was detected on Doppler ultrasonography; however, muscular hemorrhage was suspected according to musculoskeletal ultrasonography. Multifocal muscular hemorrhage was confirmed in the soleus and gastrocnemius muscles on magnetic resonance imaging. To reduce the risk of bleeding, we changed the medication from ticagrelor to clopidogrel. The patient performed leg elevation exercises, compression, and applied an ice pack. He also performed range of motion exercises and gait training in addition to receiving drug treatment. With these therapies, his pain score improved from 5 to 3 on a visual analog scale, without further complications. Multifocal muscular hemorrhage rarely occurs bilaterally; however, when it does occur, an appropriate treatment plan can be developed based on musculoskeletal ultrasonography. |
| first_indexed | 2024-12-13T21:04:19Z |
| format | Article |
| id | doaj.art-0be2d788b91b44709ee258f5132e0638 |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-12-13T21:04:19Z |
| publishDate | 2021-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-0be2d788b91b44709ee258f5132e06382022-12-21T23:31:30ZengSAGE PublishingJournal of International Medical Research1473-23002021-12-014910.1177/03000605211064391Bilateral multifocal muscular hemorrhage in the triceps surae during antiplatelet therapy: a case reportYoung-In GoGi-Wook KimHemorrhagic complications are often reported following antiplatelet therapy; however, simultaneous multifocal hemorrhages in both legs are uncommon. The patient was a 75-year-old man diagnosed with ST elevation myocardial infarction who underwent percutaneous coronary intervention in the right coronary artery. He was prescribed oral acetylsalicylic acid and ticagrelor. Three days after initial drug treatment, he complained of bilateral leg pain that was aggravated by walking and moving his ankle across a broad range of motion. No deep vein thrombosis was detected on Doppler ultrasonography; however, muscular hemorrhage was suspected according to musculoskeletal ultrasonography. Multifocal muscular hemorrhage was confirmed in the soleus and gastrocnemius muscles on magnetic resonance imaging. To reduce the risk of bleeding, we changed the medication from ticagrelor to clopidogrel. The patient performed leg elevation exercises, compression, and applied an ice pack. He also performed range of motion exercises and gait training in addition to receiving drug treatment. With these therapies, his pain score improved from 5 to 3 on a visual analog scale, without further complications. Multifocal muscular hemorrhage rarely occurs bilaterally; however, when it does occur, an appropriate treatment plan can be developed based on musculoskeletal ultrasonography.https://doi.org/10.1177/03000605211064391 |
| spellingShingle | Young-In Go Gi-Wook Kim Bilateral multifocal muscular hemorrhage in the triceps surae during antiplatelet therapy: a case report Journal of International Medical Research |
| title | Bilateral multifocal muscular hemorrhage in the triceps surae during antiplatelet therapy: a case report |
| title_full | Bilateral multifocal muscular hemorrhage in the triceps surae during antiplatelet therapy: a case report |
| title_fullStr | Bilateral multifocal muscular hemorrhage in the triceps surae during antiplatelet therapy: a case report |
| title_full_unstemmed | Bilateral multifocal muscular hemorrhage in the triceps surae during antiplatelet therapy: a case report |
| title_short | Bilateral multifocal muscular hemorrhage in the triceps surae during antiplatelet therapy: a case report |
| title_sort | bilateral multifocal muscular hemorrhage in the triceps surae during antiplatelet therapy a case report |
| url | https://doi.org/10.1177/03000605211064391 |
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