Deep vein thrombosis of upper extremities due to reactive thrombocytosis in septic patients

Anupam Verma; Mohan Gurjar; Nabeel Muzaffar; Jashwini Bhoyer

doi:10.4103/0972-5229.138162

SEARCH WITHIN CONTENT

Online First

Deep vein thrombosis of upper extremities due to reactive thrombocytosis in septic patients

Anupam Verma, Mohan Gurjar, Nabeel Muzaffar, Jashwini Bhoyer

Keywords : Central venous catheter, deep venous thrombosis, thrombocytosis

Citation Information : Verma A, Gurjar M, Muzaffar N, Bhoyer J. Deep vein thrombosis of upper extremities due to reactive thrombocytosis in septic patients. Indian J Crit Care Med 2014; 18 (8):540-542.

DOI: 10.4103/0972-5229.138162

License: CC BY-ND 3.0

Published Online: 01-08-2014

ARTICLE
REFERENCES

Abstract

Deep venous thrombosis (DVT) is not an uncommon condition in the intensive care unit (ICU), and having high morbidity and mortality. Upper limb DVT also is increasingly being recognized as a clinical entity. The presence of the indwelling catheter in neck veins is a risk for developing venous thrombus, which may be further aggravated by presence of thrombocytosis. In ICU patients with sepsis, reactive thrombocytosis has been found during the recovery phase. Here, we are presenting two cases, having thrombocytosis and central venous catheter who developed upper limb DVT.

PDF Share

Fowkes FJ, Price JF, Fowkes FG. Incidence of diagnosed deep vein thrombosis in the general population: Systematic review. Eur J Vasc Endovasc Surg 2003;25:1-5.
Sharma SK, Gupta V, Kadhiravan T, Banga A, Seith A, Kumar A, et al. A prospective study of risk factor profile and amp; incidence of deep venous thrombosis among medically-ill hospitalized patients at a tertiary care hospital in northern India. Indian J Med Res 2009;130:726-30.
Hirsch DR, Ingenito EP, Goldhaber SZ. Prevalence of deep venous thrombosis among patients in medical intensive care. JAMA 1995;274:335-7.
Joffe HV, Goldhaber SZ. Upper-extremity deep vein thrombosis. Circulation 2002;106:1874-80.
Kaushansky K. Reactive thrombocytosis. In: Lichtman MA, Kipps TJ, Seligsohn U, Kaushansky K, Prchal JT, editors. Williams Hematology. 8 th ed., Ch. 120. New York: McGraw-Hill; 2010.
Gurung AM, Carr B, Smith I. Thrombocytosis in intensive care. Br J Anaesth 2001;87:926-8.
Kucher N. Clinical practice. Deep-vein thrombosis of the upper extremities. N Engl J Med 2011;364:861-9.
Kujur R, Rao SM, Badwaik G, Paraswani R. Thrombosis associated with right internal jugular central venous catheters: A prospective observational study. Indian J Crit Care Med 2012;16:17-21.

PDF Share