{"id":"https://openalex.org/W7220946328","doi":"https://doi.org/10.3389/fmed.2026.1909309","title":"Case Report: Pediatric deep vein thrombosis: when pain in the leg becomes a telltale sign","display_name":"Case Report: Pediatric deep vein thrombosis: when pain in the leg becomes a telltale sign","publication_year":2026,"publication_date":"2026-10-08","ids":{"openalex":"https://openalex.org/W7220946328","doi":"https://doi.org/10.3389/fmed.2026.1909309","pmid":"https://pubmed.ncbi.nlm.nih.gov/42923316","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13687315"},"language":"en","primary_location":{"id":"doi:10.3389/fmed.2026.1909309","doi":"https://doi.org/10.3389/fmed.2026.1909309","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1909309","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1909309/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1909309/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5043585303","display_name":"Georgina G. Balyorugulu","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Georgina G. Balyorugulu","raw_affiliation_strings":["Department of Pediatric and Child Health, Kamanga Medics Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric and Child Health, Kamanga Medics Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157954383","display_name":"Eunice Barnabas","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Eunice Barnabas","raw_affiliation_strings":["Department of Pediatric and Child Health, Kamanga Medics Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric and Child Health, Kamanga Medics Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157919503","display_name":"Nshoma Malole","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nshoma Malole","raw_affiliation_strings":["Department of Pediatric and Child Health, Kamanga Medics Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric and Child Health, Kamanga Medics Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157903554","display_name":"Haniye Almasi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Haniye Almasi","raw_affiliation_strings":["Department of Orthopedic, Kamanga Medics Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic, Kamanga Medics Hospital","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5157894352","display_name":"James Makorere","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"James Makorere","raw_affiliation_strings":["Department of Radiology, Sekou Toure Regional Zonal Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, Sekou Toure Regional Zonal Hospital","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5043585303"],"corresponding_institution_ids":[],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.77554348,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":"1909309","last_page":"1909309"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10285","display_name":"Venous Thromboembolism Diagnosis and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2724","display_name":"Internal Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10285","display_name":"Venous Thromboembolism Diagnosis and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2724","display_name":"Internal Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11929","display_name":"Cerebral Venous Sinus Thrombosis","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12342","display_name":"Vascular anomalies and interventions","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/femoral-vein-thrombosis","display_name":"femoral vein thrombosis","score":0.8220000267028809},{"id":"https://openalex.org/keywords/anemia","display_name":"anemia","score":0.8399999737739563},{"id":"https://openalex.org/keywords/d-dimer","display_name":"D-dimer","score":0.7710000276565552},{"id":"https://openalex.org/keywords/doppler-ultrasound","display_name":"Doppler ultrasound","score":0.8709999918937683},{"id":"https://openalex.org/keywords/anticoagulation","display_name":"anticoagulation","score":0.9440000057220459},{"id":"https://openalex.org/keywords/trauma-physical-injury","display_name":"trauma (physical injury)","score":0.328000009059906},{"id":"https://openalex.org/keywords/delayed-diagnosis","display_name":"delayed diagnosis","score":0.7059999704360962},{"id":"https://openalex.org/keywords/pulmonary-embolism-risk","display_name":"pulmonary embolism risk","score":0.7480000257492065}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9577000141143799},{"id":"https://openalex.org/C2778959117","wikidata":"https://www.wikidata.org/wiki/Q430892","display_name":"Deep vein","level":3,"score":0.7980999946594238},{"id":"https://openalex.org/C2780868729","wikidata":"https://www.wikidata.org/wiki/Q261327","display_name":"Thrombosis","level":2,"score":0.6924999952316284},{"id":"https://openalex.org/C2776265017","wikidata":"https://www.wikidata.org/wiki/Q220570","display_name":"Pulmonary embolism","level":2,"score":0.6276000142097473},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5993000268936157},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.5910000205039978},{"id":"https://openalex.org/C2780011451","wikidata":"https://www.wikidata.org/wiki/Q2751330","display_name":"Venous thrombosis","level":3,"score":0.38670000433921814},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.38600000739097595},{"id":"https://openalex.org/C2778269268","wikidata":"https://www.wikidata.org/wiki/Q1363390","display_name":"Venography","level":3,"score":0.3718999922275543},{"id":"https://openalex.org/C2779788118","wikidata":"https://www.wikidata.org/wiki/Q1542410","display_name":"Thrombocytosis","level":3,"score":0.36250001192092896},{"id":"https://openalex.org/C2780138493","wikidata":"https://www.wikidata.org/wiki/Q682122","display_name":"Axillary vein","level":3,"score":0.3497999906539917},{"id":"https://openalex.org/C3019796121","wikidata":"https://www.wikidata.org/wiki/Q5048356","display_name":"Case presentation","level":2,"score":0.33489999175071716},{"id":"https://openalex.org/C19801646","wikidata":"https://www.wikidata.org/wiki/Q6693952","display_name":"Lower limbs venous ultrasonography","level":3,"score":0.32019999623298645},{"id":"https://openalex.org/C2775836813","wikidata":"https://www.wikidata.org/wiki/Q493430","display_name":"Subclavian vein","level":3,"score":0.3147999942302704},{"id":"https://openalex.org/C2777202286","wikidata":"https://www.wikidata.org/wiki/Q9609","display_name":"Vein","level":2,"score":0.26840001344680786},{"id":"https://openalex.org/C2777466421","wikidata":"https://www.wikidata.org/wiki/Q1266890","display_name":"Vascular disease","level":2,"score":0.2630000114440918}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fmed.2026.1909309","doi":"https://doi.org/10.3389/fmed.2026.1909309","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1909309","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1909309/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13687315","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13687315/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13687315/pdf/fmed-13-1909309.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Med (Lausanne)","raw_type":"Text"},{"id":"pmid:42923316","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42923316","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in medicine","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:b40789e2c8844b80a2b0ace393ef976f","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/b40789e2c8844b80a2b0ace393ef976f","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Medicine, Vol 13 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fmed.2026.1909309","doi":"https://doi.org/10.3389/fmed.2026.1909309","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1909309","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1909309/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220946328.pdf","grobid_xml":"https://content.openalex.org/works/W7220946328.grobid-xml"},"referenced_works_count":36,"referenced_works":["https://openalex.org/W1906568980","https://openalex.org/W1997384342","https://openalex.org/W2000822319","https://openalex.org/W2050965072","https://openalex.org/W2057415381","https://openalex.org/W2139747150","https://openalex.org/W2508519110","https://openalex.org/W2790131754","https://openalex.org/W2792903071","https://openalex.org/W2902418274","https://openalex.org/W2942590736","https://openalex.org/W3014334390","https://openalex.org/W3041527680","https://openalex.org/W3090209681","https://openalex.org/W4200049169","https://openalex.org/W4206478280","https://openalex.org/W4212920404","https://openalex.org/W4289130633","https://openalex.org/W4294225957","https://openalex.org/W4295520083","https://openalex.org/W4362582534","https://openalex.org/W4380869546","https://openalex.org/W4382657540","https://openalex.org/W4386160162","https://openalex.org/W4388699840","https://openalex.org/W4388702000","https://openalex.org/W4392863778","https://openalex.org/W4400035360","https://openalex.org/W4402590252","https://openalex.org/W4403307338","https://openalex.org/W4410528291","https://openalex.org/W4410773604","https://openalex.org/W4415346033","https://openalex.org/W7135220532","https://openalex.org/W7160561436","https://openalex.org/W7161723504"],"related_works":["https://openalex.org/W2126094112","https://openalex.org/W7100720329","https://openalex.org/W6987683964","https://openalex.org/W4408339689","https://openalex.org/W7212318285","https://openalex.org/W2990153252","https://openalex.org/W3106961007","https://openalex.org/W2045235477","https://openalex.org/W2605025900","https://openalex.org/W2082878930"],"abstract_inverted_index":{"Introduction:":[0],"Deep":[1,158],"vein":[2,53,74,127,159],"thrombosis":[3,54,75,128],"is":[4],"rare":[5,162],"in":[6,163,173,186],"the":[7,109,130,164],"pediatric":[8,165],"population.":[9],"It":[10],"carries":[11],"severe":[12],"complications":[13,192],"such":[14,182,193],"as":[15,183,194],"pulmonary":[16,195],"embolism":[17,196],"with":[18,25,41,66,72,92,99,114,149,176],"high":[19,169],"mortality.":[20],"Since":[21],"it":[22],"shares":[23],"presentation":[24],"other":[26],"causes":[27],"of":[28,38,63,87,108,129,171],"acute":[29],"limb":[30,177],"pain,":[31],"diagnosis":[32],"might":[33],"be":[34],"delayed.":[35],"Early":[36],"detection":[37],"leg":[39,94,110],"pain":[40,95,178],"immobility,":[42],"fever,":[43],"and":[44,55,69,121,139,154,179,197],"swelling":[45],"should":[46],"raise":[47],"an":[48,78],"alarm":[49],"for":[50,96,146],"investigating":[51],"deep":[52,73,126],"prompt":[56],"immediate":[57],"management.":[58],"We":[59],"report":[60,84],"a":[61,64,85,88,103,118,122,168],"case":[62,86],"child":[65],"chronic":[67],"thrombocytosis":[68],"anemia":[70],"diagnosed":[71],"after":[76,101],"sustaining":[77,102],"injury.":[79],"Case":[80],"presentation:":[81],"Here":[82],"we":[83],"two-year-old":[89],"boy":[90],"presenting":[91,175],"right":[93,131],"two":[97],"days":[98],"fever":[100],"fall":[104],"while":[105],"playing.":[106],"x-ray":[107],"ruled":[111],"out":[112],"fracture,":[113],"further":[115],"investigation":[116],"showing":[117],"raised":[119],"D-dimer,":[120],"Doppler":[123],"ultrasound":[124],"confirming":[125],"common":[132],"femoral":[133],"vein.":[134],"Standard-of-care":[135],"anticoagulants":[136,145],"were":[137],"initiated":[138],"later":[140],"discharged":[141],"on":[142],"daily":[143],"oral":[144],"six":[147],"weeks,":[148],"scheduled":[150],"biweekly":[151],"follow-up":[152],"clinics":[153],"hematologist":[155],"review.":[156],"Conclusion:":[157],"thrombosis,":[160],"though":[161],"population,":[166],"requires":[167],"index":[170],"suspicion":[172],"those":[174],"risk":[180],"factors":[181],"trauma.":[184],"Delay":[185],"recognition":[187],"can":[188],"lead":[189],"to":[190],"catastrophic":[191],"death.":[198]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-09T00:00:00"}
