You are here

Article Text

Article menu
Download PDFPDF
Rheumatology
Fever and extensive venous and intracardiac thrombus in Behçet syndrome
  1. Hana Tammam Najem1,
  2. Abdullah N AlAwadhi2,
  3. Dalal Alkhudair3 and
  4. Noura Alforaih3
  1. 1Department of Medicine, Amiri Hospital, Kuwait, Al Asimah, Kuwait
  2. 2Sabah Alahmad Cardiac Centre, Amiri Hospital, Kuwait, Al Asimah, Kuwait
  3. 3Department of Medicine, Division of Rheumatology, Amiri Hospital, Kuwait, Al Asimah, Kuwait
  1. Correspondence to Noura Alforaih; dr.noura{at}gmail.com

Abstract

We report a case of Behçet syndrome in a young male who presented with fever, oral and genital ulcerations and weight loss. Investigations revealed elevated inflammatory markers and extensive venous thrombosis of the renal vein, inferior vena cava and segmental and subsegmental pulmonary embolisms. He was found to have an intracardiac thrombus in the right atrium and pulmonary nodules. He was diagnosed with Behçet syndrome and was treated with corticosteroids, azathioprine and colchicine. He underwent right atrial thrombus extirpative surgery, and he had a patent foramen ovale, which was closed. Postoperatively, warfarin was started, and infliximab was added to his treatment. Behçet syndrome should be considered early in cases with unexplained venous thrombosis if the patient has other typical clinical features. Fever in Behçet syndrome is typically associated with vascular involvement. Vascular and cardiac involvement is associated with high morbidity and mortality. Therefore, early diagnosis can improve prognosis.

  • Vasculitis
  • Venous thromboembolism
  • Genital ulcers
  • Multiple Pulmonary Nodules

https://doi.org/10.1136/bcr-2024-264057

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors All authors contributed to writing different parts of the manuscript. NA is the guarantor.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.