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.