title: Severe epistaxis--an unusual complication of lacrimal probing.
abstract: Severe epistaxis after combined nasolacrimal duct probing and cardiac catheterisation in a one-year-old child is reported. The epistaxis followed streptokinase infusion given as treatment for femoral artery thrombosis secondary to cardiac catheterisation and necessitated nasal packing and blood transfusion. The authors recommend that probing not be undertaken in conjunction with another procedure if anticoagulant and/or thrombolytic agents are likely to be required.
authors.affiliation: Royal Victorian Eye and Ear Hospital, East Melbourne, Australia.
authors.forename: F
authors.initials: F
authors.lastname: McCurrach
authors.forename: J E
authors.initials: JE
authors.lastname: Elder
mesh_terms: D004844:Epistaxis / Q000209:etiology*; D005263:Femoral Artery; D006801:Humans; D007223:Infant; D007440:Intubation / Q000009:adverse effects*; D007767:Lacrimal Duct Obstruction / Q000628:therapy*; D008297:Male; D009301:Nasolacrimal Duct; D013300:Streptokinase / Q000009:adverse effects; D013927:Thrombosis / Q000188:drug therapy
chemical_list: D013300:Streptokinase