Internal jugular vein thrombosis complicating disseminated tuberculosis in a 2-year-old child

Das, Saubhik; Srinivasaraghavan, Rangan; Krishnamurthy, Sriram; Mahadevan, Subramanian

doi:10.1136/bcr-2014-206861

Cited by 6 publications

(8 citation statements)

References 10 publications

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“…[1] In pediatric age group it is an unusual disease, a very few IJVT cases have been reported till date, related to acute mastoiditis, head injury, disseminated tuberculosis, and Lemierre's syndrome. [234] In our case, retrospective history from child's mother revealed no previous history of any of the diseases to the child. The clinical symptoms may be absent or vague and misleading with varying clinical manifestations.…”

mentioning

confidence: 64%

Incidental detection of idiopathic internal jugular vein thrombus in pediatric patient-lessons learnt!

Thangaswamy

2018

J Anaesthesiol Clin Pharmacol

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confidence: 64%

Incidental detection of idiopathic internal jugular vein thrombus in pediatric patient-lessons learnt!

Thangaswamy

2018

J Anaesthesiol Clin Pharmacol

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“…There were several common clinical signs ( Table 1 ). The most frequent were neck swelling and erythema [ 2 , 3 , 5 , 6 , 11 , 12 , 13 , 14 , 15 , 17 , 23 , 24 , 25 , 26 , 27 ] and the palpable cord beneath the sternocleidomastoid muscle [ 2 , 3 , 6 , 28 ], frequently associated with fever [ 3 , 14 , 18 , 28 ]. Oedematous swelling of the face/scalp [ 17 , 18 , 26 , 29 , 30 ], papilledema [ 12 , 14 , 17 , 22 ] and intracranial hypertension [ 9 , 12 , 14 , 22 , 28 ] were also reported in several papers.…”

Section: Resultsmentioning

confidence: 99%

Internal Jugular Vein Thrombosis: Etiology, Symptomatology, Diagnosis and Current Treatment

et al. 2021

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(1) Background: internal jugular vein thrombosis (IJVthr) is a potentially life-threating disease but no comprehensive reviews on etiology, symptomatology, diagnosis and current treatment guidelines are yet available; (2) Methods: we prospectively developed a protocol that defined objectives, search strategy for study identification, criteria for study selection, data extraction, study outcomes, and statistical methodology, according to the PRISMA standard. We performed a computerized search of English-language publications listed in the various electronic databases. We also retrieved relevant reports from other sources, especially by the means of hand search in the Glauco Bassi Library of the University of Ferrara; (3) Results: using the predefined search strategy, we retrieved and screened 1490 titles. Data from randomized control trials were few and limited to the central vein catheterization and to the IJVthr anticoagulation treatment. Systematic reviews were found just for Lemierre syndrome, the risk of pulmonary embolism, and the IJVthr following catheterization. The majority of the information required in our pre-defined objectives comes from perspectives observational studies and case reports. The methodological quality of the included studies was from moderate to good. After title and abstract evaluation, 1251 papers were excluded, leaving 239 manuscripts available. Finally, just 123 studies were eligible for inclusion. We found out the description of 30 different signs, symptoms, and blood biomarkers related to this condition, as well as 24 different reported causes of IJVthr. (4) Conclusions: IJVthr is often an underestimated clinical problem despite being one of the major sources of pulmonary embolism as well as a potential cause of stroke in the case of the upward propagation of the thrombus. More common symptoms are neck pain and headache, whereas swelling, erythema and the palpable cord sign beneath the sternocleidomastoid muscle, frequently associated with fever, are the most reported clinical signs. An ultrasound of the neck, even limited to the simple and rapid assessment of the compression maneuver, is a quick, economic, cost-effective, noninvasive tool. High quality studies are currently lacking.

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“…Stasis due to the mechanical effect of cervical ganglion masses, vascular injury and its known effect on the tuberculosis bacillus to generate a state of hypercoagulability that seems to develop secondary to the acute phase response. [ 3 ]…”

Section: Discussionmentioning

confidence: 99%

Intracranial hypertension syndrome secondary to internal jugular vein thrombosis due to miliary cervical tuberculosis: A case report

Vega-Moreno

Avilés-Aguilar

la-Torre

et al. 2021

Surgical Neurology International

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Background: Thrombosis of the internal jugular vein (IJV) is extremely rare, being central catheterization the most common cause. We present a case of a patient with an unusual appearance of neurological symptoms as a consequence of thrombosis of the IJV secondary to miliary tuberculosis. Case Description: A 30-year-old woman with disseminated tuberculosis, with multiple lymphadenopathy, axillary, cervical, mesenteric, retroperitoneal, and inguinal, presented with clinical evidence of intracranial hypertension. A diagnostic cerebral angiography was performed, which revealed an occluded left internal jugular and venous stasis in the entire cerebral venous system. The patient was treated with low-molecular-weight heparin, with which she had an adequate evolution. Conclusion: Tuberculosis is capable of generating a state of hypercoagulability, in addition to a mechanical compression effect due to cervical lymphadenopathy. We report an unusual clinical presentation, with intracranial involvement due to IJV thrombosis secondary to miliary tuberculosis. So far, there are no cases with a similar presentation described above.

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Internal jugular vein thrombosis complicating disseminated tuberculosis in a 2-year-old child

Cited by 6 publications

References 10 publications

Incidental detection of idiopathic internal jugular vein thrombus in pediatric patient-lessons learnt!

Incidental detection of idiopathic internal jugular vein thrombus in pediatric patient-lessons learnt!

Internal Jugular Vein Thrombosis: Etiology, Symptomatology, Diagnosis and Current Treatment

Intracranial hypertension syndrome secondary to internal jugular vein thrombosis due to miliary cervical tuberculosis: A case report

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