DVT of upper extremities due to reactive thrombocytosis in s
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Case
A 37-year-old man referred to our ICU with acute respiratory distress syndrome (ARDS) and septic shock on the 23rd day of his illness. He had H1N1 influenza viral infection, confirmed by reverse transcription polymerase chain reaction method. At admission, vitals were: Heart rate 140/min, blood pressure (mean) 70 mmHg on noradrenaline infusion (20 ?g/min). Arterial blood gas was pH 7.23, pO2110 mmHg and pCO252 mmHg. His ventilatory requirement was positive end-expiratory pressure (PEEP) of 14 cm H2O and FiO2 of 0.70 with PaO2/FiO2(P/F) ratio 160. His laboratory parameters on admission was hemoglobin 12 g/dl, total leukocyte count (TLC) 18,000 and platelet count of 165 (×109/L). Before? admission, he had platelet count ranging from 83 to 163 (×109/L). Lung protective ventilation was continued and prone position ventilation sessions were given to improve P/F ratios. By day 7 of ICU stay his hemodynamics improved with no further need of vasopressor. During follow-up, he had thrombocytosis during 2nd week (622-707 × 109/L).....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4134631/
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