Spontaneous hemothorax under rivaroxaban treatment

نویسندگان

چکیده

Rivaroxaban associated spontaneous hemothorax
 is a highly selective direct thrombin inhibitor indicated in stroke prevention, non-valvular atrial fibrilation, treatment of pulmonary embolism and deep vein thrombosis, prevention recurrent venous thromboembolism VTE after elective hip/knee replacement surgery secondary acute coronary syndrome. Hemorrhage the major concern drug use. Subdural hematoma, cerebral hemorrhage, GIS also intra-articular bleeding has been published postmarketing reports. Here, we report case hemothorax under rivaroxaban treatment.
 A 73-year-old man was consulted due to dyspnea palpitation. His x-ray images thorax computed tomography were compatible with hemothorax, consequently, performed thoracentesis, macroscopic appearance, cell count revealed hemothorax. There no sign any disease, such as low pleural fluid pH glucose, leucocytic dominance, dysplastic cell, which would indicate an another cause bleeding. He taking (15 mg Daily) chronic fibrillation. drained cessated. Hemothorax did not relapse three month-follow-up periods.
 (Xarelto) member new anticoagulant class become favorable patient carrying systemic risk nonvalvular It predictable pharmacokinetics features, fewer food interactions, risk, contrast warfarin it does need frequent INR monitoring. Despite promising serious hemorrhagic complications have reported still its challenge clinical Cases subdural (1). assumed rare complication until recently reports (2, 3). announce our keep mind that uncommonly

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ژورنال

عنوان ژورنال: Journal of health sciences and medicine

سال: 2021

ISSN: ['2636-8579']

DOI: https://doi.org/10.32322/jhsm.890511