title: [A case report of idiopathic thrombocytosis in 27-year-old man treated for myocardial infarction].
abstract: We present the case of 27-year-old male, physical training teacher in whom the first clinical sign of idiopathic thrombocytosis was myocardial infarction. The infarct was complicated by heart arrest caused by ventricular fibrillation. Streptolysis (streptokinase) was used in treatment. Thrombocytosis 842 G/l was observed in blood tests at admission. To estimate its cause the bone marrow biopsy and trepanobiopsy of hip bone were performed. Tests were performed to exclude the secondary cause of thrombocytosis. The coronarography did not show relevant stenoses of coronary arteries. The results let diagnose myocardial infarction in a patient with essential thrombocytosis.
authors.affiliation: II Oddziału Chorób Wewnetrznych, Hematologii i Endokrynologii Wojewódzkiego Szpitala Specjalistycznego, Słupsku. wojhom@sl.home.pl
authors.forename: Wojciech
authors.initials: W
authors.lastname: Homenda
authors.forename: Aneta
authors.initials: A
authors.lastname: Kochanowska-Demczyna
authors.forename: Michalina
authors.initials: M
authors.lastname: Pejska
mesh_terms: D000328:Adult; D017023:Coronary Angiography; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000188:drug therapy*; D013300:Streptokinase / Q000627:therapeutic use; D013920:Thrombocythemia, Essential / Q000150:complications* / Q000188:drug therapy; D016896:Treatment Outcome
chemical_list: D005343:Fibrinolytic Agents; D013300:Streptokinase