J Rheum Dis.  2016 Apr;23(2):118-121. 10.4078/jrd.2016.23.2.118.

A Case of Azygos Vein Thombosis Associated with Transient Antiphospholipid Syndrome in Urinary Tract Infection with Escherichia coli

• Lee HJ
• Kang YM
• Lee E
• Jeong BJ
• Jo YJ
• Seong JS
• Woo YM
• Jeong KH

• KMID: 2222788
• DOI: http://doi.org/10.4078/jrd.2016.23.2.118

Abstract

A 73-year-old female with diabetes admitted for treatment of an intertrochanter fracture of the femur and a urinary tract infection (UTI) with Escherichia coli developed thrombosis in her right azygos vein, which was thought to be associated with antiphospholipid and immunoglobulin M anticardiolipin antibodies. After antibiotic therapy, antiphospholipid antibody was undetectable, and a repeat chest computed tomography showed complete resolution of the azygos vein thrombosis. A wide variety of infections can be associated with thrombotic events in patients with transient antiphospholipid syndrome (APS), and this case serves as a reminder that the possibility of transient APS should be considered in patients with venous thrombosis in the setting of a UTI.

Keyword

Antiphospholipid syndrome; Urinary tract infections; Escherichia coli

MeSH Terms

Aged
Antibodies, Anticardiolipin
Antibodies, Antiphospholipid
Antiphospholipid Syndrome*
Azygos Vein*
Escherichia coli*
Escherichia*
Female
Femur
Humans
Immunoglobulin M
Thorax
Thrombosis
Urinary Tract Infections*
Urinary Tract*
Venous Thrombosis
Antibodies, Anticardiolipin
Antibodies, Antiphospholipid
Immunoglobulin M