Pulmonary thrombo-embolism in nephrotic syndrome treated with tissue plasminogen activator.
We describe the case of a boy with steroid sensitive nephrotic syndrome and left pulmonary artery thrombo-embolism. clinical presentation initially suggested sepsis and respiratory signs were minor. Treatment with tissue plasminogen activator infused into the pulmonary artery was successful.


CONCLUSIONS
Pulmonary thrombo-embolism should be considered in unwell children with nephrotic syndrome.
Reid
C J
CJ
Department of Paediatric Nephrology and Urology, Guy's Hospital, London, UK. c.reid@umds.ac.uk
Segal
T
T
D002675:Child, Preschool; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D009404:Nephrotic Syndrome / Q000150:complications*; D010960:Plasminogen Activators / Q000627:therapeutic use*; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology*; D011859:Radiography; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*
D010960:Plasminogen Activators; D010959:Tissue Plasminogen Activator