A Pulmonary Embolism Caused by Delayed-onset Heparin-induced Thrombocytopenia in a Patient with Ischemic Stroke
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概要
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We report a case of an acute stroke patient with pulmonary embolism (PE) caused by delayed-onset heparin-induced thrombocytopenia (HIT). She was treated with heparin to prevent neurological deterioration. However, 5 days after heparin had been given for 7 days, she developed PE. Heparin was re-started, but the platelet count decreased significantly, and a right ventricular thrombus appeared. She was finally diagnosed as having PE due to delayed-onset HIT because the HIT antibody was positive. When a patient develops thrombotic events during or after heparin therapy, the possibility of HIT should be considered.
著者
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Shibazaki Kensaku
Department Of Stroke Medicine Kawasaki Medical School
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Kimura Kazumi
Department Of Cerebrovascular Disease Kumamoto City Hospital Cerebrovascular Division Department Of
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Iguchi Yasuyuki
Department Of Stroke Medicine Kawasaki Medical School
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Aoki Junya
Department Of Stroke Medicine Kawasaki Medical School
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Terasawa Yuka
Department Of Clinical Neuroscience Graduate School Of Medicine University Of Tokushima
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Yamashita Shinji
Department De Mathematique Universite Metropolitaine De Tokyo
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