ID 110366
Title Transcription
プロテインC カッセイ テイカ オ ハイケイ トシ オートマチックシャ エノ ヘンコウ オ ケイキ ニ ハイケッセン ソクセンショウ オ ハッショウ シタ タクシー ウンテンシュ ノ イチレイ
Title Alternative
Pulmonary embolism in a taxi driver with deficiency of activated protein C due to changing the car from manual transmission to automatic transmission
Author
Matsumoto, Kazuhisa The Post-graduate Education Center, Tokushima University Hospital
Niki, Toshiyuki Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
Ogasawara, Kozue Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
Bando, Mika Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Bando, Sachiko Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
Ise, Takayuki Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Hocchi, Junko Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
Ueda, Yuka Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
Yamaguchi, Koji Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Taketani, Yoshio Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school KAKEN Search Researchers
Iwase, Takashi Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school KAKEN Search Researchers
Tomita, Noriko Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
Yamada, Hirotsugu Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Soegi, Takeshi Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Wakatsuki, Tetsuzo Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Sata, Masataka Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Sawa, Yasuhiko Sawa Clinic
Keywords
deep venous thrombosis
taxi-driver
automatic transmission
Content Type
Journal Article
Description
A 62-year-old man, who was a taxi-driver, presented to our hospital for further examination and treatment of deep venous thrombosis(DVT)suspected in another clinic. Before 3 months of consultation, he had changed his taxi from manual transmission car to automatic transmission car. Around the same time, he had complained progressively worsening left pedal edema and pain. When he consulted our hospital, blood examination showed elevated D-dimer and deficiency of protein C. A venous ultrasound showed an occlusive DVT in left lower extremity through an external iliac vein. A contrast-enhanced computed tomography showed bilateral pulmonary embolism(PE) and extensive thrombus in the left lower extremity. Following hospitalization, an inferior vena cava (IVC)filter was placed in an infrarenal IVC position, and anticoagulant therapy was initiated with heparin and warfarin. His DVT and PE were managed successfully with anticoagulant therapy, and pedal edema was improved. Besides some risk factors of thrombogenicity such as age and deficiency of protein C, sitting position for long hours and decreased motion of left leg might have triggered off the thrombus formation in the left lower extremity. This report demonstrates the importance of careful follow-ups to long-distance drivers with risk factors of thrombus formation, especially about clutch operation.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
68
Issue
5-6
Start Page
257
End Page
262
Sort Key
257
Published Date
2012-12-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital
Medical Sciences