DEEP VEIN THROMBOSIS-AN ATYPICAL PRESENTATION OF PULMONARY TUBERCULOSIS-A CASE REPORT

Abstract

Tuberculosis is remarkably the most preventable yet harrowing disorder known to mankind. It remains a worldwide public health problem although the causative organism was discovered more than 100 years ago and highly effective drugs and vaccines are available making Tuberculosis both preventable and curable. The association of an inordinate amount of complications have been proven with Tuberculosis but not much has been confirmed regarding its thrombogenic potential. Even though some recent studies demonstrate prothrombotic activation of pulmonary arterial endothelial cells in TB patients which may further account for thromboembolic events such as deep vein thrombosis but such an occurrence is both rare and undocumented.

This report is about a case of a 34-year-old male with, a known case of Pulmonary Tuberculosis(for 3 weeks)currently on 1st-line ATT(for the past 1 week) along with raised blood sugar and BUN levels with Moderate Anemia(Hb-9.2). The patient presented to the Medicine OPD with swelling and tenderness in his right foot and was diagnosed with DVT of the Right superficial femoral vein and popliteal vein upon investigation. Antithrombotics Tab Warfarin and Inj Enoxaparin have been added to his current treatment plan and kept under investigation.