J 2015

Death due to Behcet's disease? Malpractice?

FEDAKAR, Recep, Bülent EREN, Murat Serdar GÜRSES, Ertuğrul GÖK, Tomáš VOJTÍŠEK et. al.

Základní údaje

Originální název

Death due to Behcet's disease? Malpractice?

Autoři

FEDAKAR, Recep (792 Turecko), Bülent EREN (792 Turecko), Murat Serdar GÜRSES (792 Turecko), Ertuğrul GÖK (792 Turecko) a Tomáš VOJTÍŠEK (203 Česká republika, garant, domácí)

Vydání

Romanian Journal of Legal Medicine, Bucharest, Romanian Legal Medicine Society, 2015, 1221-8618

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Rumunsko

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 0.144

Kód RIV

RIV/00216224:14110/15:00086061

Organizační jednotka

Lékařská fakulta

UT WoS

000366959900005

Klíčová slova anglicky

Behcet's Syndrome; autopsy; anticoagulants; pulmonary embolism

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 25. 1. 2016 12:03, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Behcet's syndrome (BS) is a chronic disease characterized by the presence oral and genital ulcers, skin, eye, gastrointestinal, vascular, and central nervous system involvement; the etiology of the disease is not fully understood. While it is known to be frequent in Mediterranean countries, the highest prevalence is in Turkey. In BS, various types of vascular involvement are identifiable. BS generally leads to venous thrombosis with more frequent involvement at lower extremities, and majority of cases are men. While thrombophlebitis is often observed, thromboembolic diseases are rarely found, because the venous thrombi adhere to the walls of the veins tightly. Our case is a 19-year-old male who developed massive hemoptysis in his sister's house where he was visiting for vacation and was brought to the hospital by emergency service. Despite aggressive cardiopulmonary resuscitation the patient deceased. His was classified as suspicious and the patient transferred to our service for autopsy. Upon reviewing the hospital documents we found that he was followed up for BS for about two years, and was treated with anticoagulants for pulmonary embolism in the last 5 months after being admitted in a chest clinic for hemoptysis. During external examination in bloody foams were detected in the mouth and nose. During the internal examination we found a pulmonary artery aneurism of 6 cm in diameter with a thrombus inside, a 20 cm long thrombus that was blocking almost the whole lumen of the popliteal vein and a macroscopic infarct and blood aspiration areas in the left lung. We discuss the autopsy findings of this case along with the literature in this field.