Presumed paradoxical embolus in a patient with diabetic ketoacidosis
Catherine Langevin, Caroline Lamarche, Robert Z Bell, Michel Vallée Department of Nephrology, Maisonneuve-Rosement Hospital, Montreal, QC, CanadaAbstract: Thrombotic complications figure among the most frequent causes of mortality in diabetic ketoacidosis (DKA) and hyperosmolar state. We...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2015-09-01
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| Series: | International Journal of General Medicine |
| Online Access: | https://www.dovepress.com/presumed-paradoxical-embolus-in-a-patient-with-diabetic-ketoacidosis-peer-reviewed-article-IJGM |
| _version_ | 1819132938808197120 |
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| author | Langevin C Lamarche C Bell RZ Vallée M |
| author_facet | Langevin C Lamarche C Bell RZ Vallée M |
| author_sort | Langevin C |
| collection | DOAJ |
| description | Catherine Langevin, Caroline Lamarche, Robert Z Bell, Michel Vallée Department of Nephrology, Maisonneuve-Rosement Hospital, Montreal, QC, CanadaAbstract: Thrombotic complications figure among the most frequent causes of mortality in diabetic ketoacidosis (DKA) and hyperosmolar state. We report the case of a 55-year-old woman presenting with DKA whereby a newly discovered patent foramen ovale was found due in part to the observation of bilateral deep vein thrombosis in legs, bilateral multiple pulmonary embolisms, and left subclavian acute artery thrombosis. Diabetes is known as a hypercoagulability state, and DKA is rising as a risk factor for vascular events. The importance of prophylactic anticoagulation should be emphasized in this setting.Keywords: thrombosis, hypercoagulability, prophylactic anticoagulation, pulmonary embolism |
| first_indexed | 2024-12-22T09:39:21Z |
| format | Article |
| id | doaj.art-4cbb1c55599a41dcad55c19c16422c79 |
| institution | Directory Open Access Journal |
| issn | 1178-7074 |
| language | English |
| last_indexed | 2024-12-22T09:39:21Z |
| publishDate | 2015-09-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of General Medicine |
| spelling | doaj.art-4cbb1c55599a41dcad55c19c16422c792022-12-21T18:30:43ZengDove Medical PressInternational Journal of General Medicine1178-70742015-09-012015default29730123784Presumed paradoxical embolus in a patient with diabetic ketoacidosisLangevin CLamarche CBell RZVallée MCatherine Langevin, Caroline Lamarche, Robert Z Bell, Michel Vallée Department of Nephrology, Maisonneuve-Rosement Hospital, Montreal, QC, CanadaAbstract: Thrombotic complications figure among the most frequent causes of mortality in diabetic ketoacidosis (DKA) and hyperosmolar state. We report the case of a 55-year-old woman presenting with DKA whereby a newly discovered patent foramen ovale was found due in part to the observation of bilateral deep vein thrombosis in legs, bilateral multiple pulmonary embolisms, and left subclavian acute artery thrombosis. Diabetes is known as a hypercoagulability state, and DKA is rising as a risk factor for vascular events. The importance of prophylactic anticoagulation should be emphasized in this setting.Keywords: thrombosis, hypercoagulability, prophylactic anticoagulation, pulmonary embolismhttps://www.dovepress.com/presumed-paradoxical-embolus-in-a-patient-with-diabetic-ketoacidosis-peer-reviewed-article-IJGM |
| spellingShingle | Langevin C Lamarche C Bell RZ Vallée M Presumed paradoxical embolus in a patient with diabetic ketoacidosis International Journal of General Medicine |
| title | Presumed paradoxical embolus in a patient with diabetic ketoacidosis |
| title_full | Presumed paradoxical embolus in a patient with diabetic ketoacidosis |
| title_fullStr | Presumed paradoxical embolus in a patient with diabetic ketoacidosis |
| title_full_unstemmed | Presumed paradoxical embolus in a patient with diabetic ketoacidosis |
| title_short | Presumed paradoxical embolus in a patient with diabetic ketoacidosis |
| title_sort | presumed paradoxical embolus in a patient with diabetic ketoacidosis |
| url | https://www.dovepress.com/presumed-paradoxical-embolus-in-a-patient-with-diabetic-ketoacidosis-peer-reviewed-article-IJGM |
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