A Case of Aortic Arch Thrombus Associated with Acute Pyelonephritis in a Patient with Thrombocythemia.
- Author:
Kye Weol KIM
1
;
Young Ok KIM
;
Min Kuk KIM
;
Seung Hee YOO
;
Young Soo KIM
;
Sun Wha SONG
;
Sang Young ROH
;
Seok Goo CHO
;
Sun Ae YOON
;
Yoon Sik CHANG
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmckyo@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Acute pyelonephritis;
Thrombocythemia;
Aortic thrombus
- MeSH:
Aged;
Aorta, Thoracic*;
Atherosclerosis;
Blood Cell Count;
Communicable Diseases;
Female;
Humans;
Platelet Count;
Pyelonephritis*;
Thrombocytosis*;
Thrombolytic Therapy;
Thrombosis*;
Tomography, X-Ray Computed
- From:Korean Journal of Nephrology
2005;24(6):987-991
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aortic thrombus is a rare but life threatening disorder. The usual causes of aortic thrombus are primary or secondary thrombocythemia, malignancy, atherosclerosis, trauma, and acute infectious disease. Here, we report a case of aortic arch thrombus associated with acute pyelonephritis in a patient with thrombocythemia. A 78-year-old woman was admitted with acute pyelonephritis. A complete blood cell count showed severe thrombocythemia with platelet count of 1, 340, 000/mm3. Chest CT scan demonstrated floating thrombus in the aortic arch. After antibiotic treatement, platelet count decreased to 770, 000/mm3 and aortic thrombus disappeared without thrombolytic therapy.
