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- Title
An unusual case of thrombotic storm in an amateur cricketer—a case report.
- Authors
Shankar, Takshak; Vempalli, Nagasubramanyam; Bairwa, Archana
- Abstract
Background: Thrombotic storm is a series of acute to subacute thrombotic events that evolve over a few days to weeks and result in progressive thromboses at multiple sites. There is often a predisposing event to thromboses, such as trauma or infections. Prompt initiation of anti-coagulation can prove life-saving in such patients. Case report: We describe a previously healthy young male who developed thromboses of the right axillary, brachial, radial, and ulnar arteries while bowling in a cricket match. A few hours later, he developed a stroke involving the right anterior and middle cerebral arteries. His thrombophilia workup was significant for elevated homocysteine levels. Although he had a delayed presentation to our hospital, he was treated with anticoagulation and given a trial of thromboembolectomy, which failed and he had to ultimately undergo a right below-elbow guillotine amputation. Conclusion: Thrombotic storm should be recognized promptly in the Emergency Department and timely anticoagulation should be initiated.
- Subjects
THROMBOSIS diagnosis; AXILLARY artery; HOMOCYSTEINE; BRACHIAL artery; STROKE; HOSPITAL emergency services; ANTICOAGULANTS; INFECTION; ULNAR artery; CEREBRAL arteries; EMBOLISMS; VASCULAR surgery; BLOOD diseases; RADIAL artery; THROMBECTOMY; GLASGOW Coma Scale; WOUNDS &; injuries; AMPUTATION; AMATEUR sports; CRICKET injuries; HYPERHOMOCYSTEINEMIA; DISEASE complications
- Publication
International Journal of Emergency Medicine, 2023, Vol 16, Issue 1, p1
- ISSN
1865-1372
- Publication type
Article
- DOI
10.1186/s12245-023-00539-4