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KMID : 1084220160230020118
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Journal of Rheumatic Diseases
2016 Volume.23 No. 2 p.118 ~ p.121
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A Case of Azygos Vein Thombosis Associated with Transient Antiphospholipid Syndrome in Urinary Tract Infection with Escherichia coli
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Lee Hong-Joo
Kang Young-Mo
Lee Eun
Jeong Byum-Jin
Jo Young-Jun
Seong Ji-Seok
Woo Yong-Moon
Jeong Kyung-Hwan
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Abstract
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A 73-year-old female with diabetes admitted for treatment of an intertrochanter fracture of the femur and a urinary tract infection (UTI) with Escherichia coli developed thrombosis in her right azygos vein, which was thought to be associated with antiphospholipid and immunoglobulin M anticardiolipin antibodies. After antibiotic therapy, antiphospholipid antibody was undetectable, and a repeat chest computed tomography showed complete resolution of the azygos vein thrombosis. A wide variety of infections can be associated with thrombotic events in patients with transient antiphospholipid syndrome (APS), and this case serves as a reminder that the possibility of transient APS should be considered in patients with venous thrombosis in the setting of a UTI.
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KEYWORD
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Antiphospholipid syndrome, Urinary tract infections, Escherichia coli
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