RESUMO
ABSTRACT: Epipericardial fat necrosis is a rare cause of acute pleuritic chest pain reported in approximately 40 cases. This diagnosis mimics a myocardial infarction, pulmonary embolism, or pericarditis; however, the cardiac enzymes and electrocardiogram are usually normal. We present the first reported case of epipericardial fat necrosis in an adolescent.
Assuntos
Necrose Gordurosa , Embolia Pulmonar , Tecido Adiposo , Adolescente , Dor no Peito/diagnóstico , Dor no Peito/etiologia , Diagnóstico Diferencial , Necrose Gordurosa/complicações , Necrose Gordurosa/diagnóstico , Humanos , Pericárdio , Tomografia Computadorizada por Raios XRESUMO
A 7-month-old infant with cutaneous anthrax developed severe systemic illness despite early treatment with antibiotics. The infant displayed severe microangiopathic hemolytic anemia with renal involvement, coagulopathy, and hyponatremia. These findings are unusual with cutaneous anthrax, but have been described in illness resulting from spider toxin and may delay correct diagnosis. The systemic manifestations of the disease persisted for nearly a month despite corticosteroid therapy, but resolved.