Massive hemothorax following administration of intrapleural streptokinase

Chai, Feng Yih and Kuan, Yeh Chunn (2011) Massive hemothorax following administration of intrapleural streptokinase. Annals of thoracic medicine, 6 (3). pp. 149-51. ISSN 1998-3557

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Abstract

The administration of intrapleural streptokinase (IPSK) is widely practiced in the management of loculated empyema thoracis. To our knowledge, there have been only 4 cases of hemorrhagic complications attributed to the administration of IPSK reported in the literature. In this article, we report a case of a 17-year-old girl who received IPSK and developed shock, anemia, coagulopathy and massive hemothorax. Our discussion focuses on the hemorrhagic complication of chest tube insertion and the role of IPSK in blood clot lysis and inhibition of local hemostasis.

Item Type:	Article (Journal)
Additional Information:	5950/12677
Uncontrolled Keywords:	Coagulopathy, complications, hemothorax, streptokinase, thoracic empyema
Subjects:	R Medicine > RC Internal medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Internal Medicine
Depositing User:	Dr Yeh Chunn Kuan
Date Deposited:	27 Jan 2012 08:33
Last Modified:	31 Jan 2012 08:47
URI:	http://irep.iium.edu.my/id/eprint/12677

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