1. An unusual case of thrombotic storm in an amateur cricketer—a case report.
- Author
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Shankar, Takshak, Vempalli, Nagasubramanyam, and Bairwa, Archana
- Subjects
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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 - 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. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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