Massive Pulmonary Thromboembolism and Stroke
Author(s) -
Poobalan Naidoo,
Richard Hift
Publication year - 2011
Publication title -
case reports in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.2
H-Index - 20
eISSN - 1687-9627
pISSN - 1687-9635
DOI - 10.1155/2011/398571
Subject(s) - medicine , streptokinase , pulmonary embolism , stroke (engine) , venous thrombosis , thrombosis , cardiomyopathy , human immunodeficiency virus (hiv) , cardiology , heart failure , myocardial infarction , mechanical engineering , family medicine , engineering
A 38-year-old HIV-positive female, recently started on antiretroviral therapy, presented in extremis. She had features suggestive of an HIV-associated cardiomyopathy complicated by the following problems: a four-day-old stroke, extensive deep venous thrombosis, and massive pulmonary embolism. She received intravenous streptokinase with rapid improvement, both haemodynamically and, unexpectedly, neurologically. Our case illustrates that a positive outcome is potentially possible where the two conditions coincide.
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