A complicated case of pulmonary embolism in a patient with renal failure

A complicated case of pulmonary embolism in a patient with renal failure

Authors

  • Fulvio Pomero Dipartimento Medicina Interna. Ospedale S. Croce e Carle, Cuneo
  • Chiara Brignone I Scuola di Specializzazione in Medicina Interna, Università degli Studi di Torino
  • Giovanni Gollè Dipartimento Medicina Interna. Ospedale S. Croce e Carle, Cuneo
  • Alberto Silvestri Dipartimento Medicina Interna. Ospedale S. Croce e Carle, Cuneo
  • Elena Migliore I Scuola di Specializzazione in Medicina Interna, Università degli Studi di Torino
  • Christian Bracco I Scuola di Specializzazione in Medicina Interna, Università degli Studi di Torino
  • Cristina Serraino I Scuola di Specializzazione in Medicina Interna, Università degli Studi di Torino
  • Elisabetta Castagna I Scuola di Specializzazione in Medicina Interna, Università degli Studi di Torino
  • Sara Severini I Scuola di Specializzazione in Medicina Interna, Università degli Studi di Torino
  • Luigi M. Fenoglio Dipartimento Medicina Interna. Ospedale S. Croce e Carle, Cuneo

DOI:

https://doi.org/10.7175/cmi.v4i3S.1154

Keywords:

Pulmonary embolism, Renal failure, Heparin-induced thrombocytopenia, Fibrinolysis, Caval filter

Abstract

We describe a case of pulmonary embolism with instable hemodynamics in a patient with renal failure; the case is complicated by heparin-induced thrombocytopenia (HIT). Renal failure has a high prevalence in hospitalized patients and is a restriction on administration of low molecular weight heparins (LMWH) and fondaparinux. HIT is a potentially life-threatening complication, therefore a precocious diagnosis is essential. Therapy consists in the immediate stop of heparin’s administration and in the administration of non-heparin antithrombotic drugs.

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Published

2015-10-13

Issue

Vol. 4 No. 3S (2010)

Section

Case report

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