DISSEMINATED INTRAVASCULAR COAGULATION, PULMONARY TUBERCULOSIS AND ACUTE RENAL FAILURE: THREE PATHOLOGIES IN ONE PATIENT· A CASE REPORT
Dr Nwagu Marcellinus Uchechukwu (Published 2018)
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Background: Disseminated intravascular coagulation is an acquired acute, subacute or chronic
coagulation or thrombohaemorrhagic disorder characterized by formation of microthrombi, consumption
of coagulation factors/platelets, activation of fibrinolytic system and haemorrhage. It occurs as a
secondary complication to a variety of disorders and infectious diseases but its occurrence in tuberculosis
is rare and has not been reported.
Objective: The aims of this paper are to present a case of Disseminated Intravascular Coagulation
complicated by Acute Renal Failure in a patient with underlying pulmonary tuberculosis and also to review
the available literature.
Method: Acase report.
Result: I present a 26-year old student being treated for puimonery Tuberculosis with history of gum
fever, difficulty with breathing, cough, weight loss, seizures, passage of coca-cola coloured urine,
reduced urinary output and bleeding from the mouth and gums. His laboratory results showed prolonged
coagulation profiles and thrombocytopenia in keeping with Disseminated intravascular coagulation. His
Creatinine and Urea estimation results were elevated supportive of Acute Renal Failure.
Conclusion: There has been a resurgence of Tuberculosis in developing countries because of HIV/AIDS
pandemic; therefore many unusual complications of the disease such as Disseminated Intravascular
Coagulation would be expected in our hospitals. Modern laboratory equipments such as coagulometer is
needed for full assessment of patients with bleeding disorders. Enlightenment campaign needs to be
carried out on the percularities of a teaching hospital to enable the people embrace special procedures.
|Item Type:||Journal article(non-copyrighted)|
|Format:||PDF document, 5.39 MB|
|Department:||Medicine and Surgery|
|Field of Study:||Medicine|
|Uploaded By:||Uwaifo Ferdinand|
|Date Added:||15 Mar 2019 2:30pm|
|Last Modified:||15 Mar 2019|
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