A young male presented with acute inguinal pain, bilateral quadriceps weakness and hyperesthesia of anterior thighs post-thrombolysis for acute myocardial infarction

• Published in: Annals of Saudi medicine Vol. 34; no. 3; pp. 265 - 266
• Main Authors: Lamdhade, Shekhar, Dashti, Raja, Thussu, Anil, Alroughani, Raed
• Format: Journal Article
• Language: English
• Published: Saudi Arabia KING FAISAL SPECIALIST HOSPITAL & RESEARCH CENTRE 01.05.2014; King Faisal Specialist Hospital and Research Centre
• Subjects: Abdomen; Acute Pain - etiology; Adult; Electrocardiography; Femoral Neuropathy - diagnosis; Femoral Neuropathy - etiology; Heart attacks; Heart rate; Hematoma - diagnosis; Hematoma - etiology; Hemoglobin; Humans; Hyperesthesia - etiology; Male; Muscle Weakness - etiology; Myocardial Infarction - therapy; NMR; Nuclear magnetic resonance; Pain; Quadriceps Muscle - pathology; Thrombolytic Therapy - adverse effects; Thrombolytic Therapy - methods; What's Your Diagnosis?
• ISSN: 0256-4947; 0975-4466
• DOI: 10.5144/0256-4947.2014.265

In the emergency department, his heart rate was 40/min in sinus rhythm and BP 110/60 mm Hg. Laboratory parameters revealed the following: hemoglobin 13 g/dL, white blood cells 15.4×109, platelets 359×109, prothrombin time (PT) 11/11 s, activated partial thromboplastin time (aPTT) 29/30 s, international normalized ratio (INR) 1.0, troponin 0.05 ng/mL, Na 136 mmol/L, K 3.8 mmol/L, urea 18.1 mmol/L, and serum creatinine 398 μmol/L (GFR 19.5 mL/min). See PDF]Figure 1 Gadolinium-enhanced axial inversion time MRI sequences of abdomen revealing bilateral enlarged heterogeneous hyperintense signals in both iliopsoas muscles (arrows).