Spinal subdural haematoma: a rare complication of low-molecular-weight heparin therapy.
A 52-year-old man presented with chest pain, diarrhoea, rash, and arthritis. The use of low-molecular-weight heparin for suspected pulmonary embolism or angina led to a spinal subdural haematoma 3 days later. He was retrospectively confirmed to have Salmonella paratyphi infection. The clinical presentation and management of spinal subdural haematomas, and the incidence and manifestations of reactive arthritis related to Salmonella infections are briefly discussed.
Chau
S Y
SY
Department of Medicine, Queen Elizabeth Hospital, 30 Gascoigne Road, Hong Kong. luciacsy@yahoo.com.hk
Tiu
S C
SC
D016918:Arthritis, Reactive / Q000209:etiology; D017984:Enoxaparin / Q000009:adverse effects*; D005343:Fibrinolytic Agents / Q000009:adverse effects*; D046649:Hematoma, Subdural, Spinal / Q000139:chemically induced*; D006495:Heparin, Low-Molecular-Weight / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010284:Paratyphoid Fever / Q000150:complications*; D012482:Salmonella paratyphi A / Q000472:pathogenicity*; D018366:Vasculitis, Leukocytoclastic, Cutaneous / Q000209:etiology
D017984:Enoxaparin; D005343:Fibrinolytic Agents; D006495:Heparin, Low-Molecular-Weight