Pulmonary embolism and fever: an indication for urgent echocardiography not reported in clinical guidelines?
J Cardiovasc Med (Hagerstown)
; 8(10): 846-9, 2007 Oct.
Article
en En
| MEDLINE
| ID: mdl-17885525
ABSTRACT
We report the case of a 39-year-old woman who developed worsening dyspnea and abdominal pain 4 days after subtotal gastroresection. She underwent thoracic computed tomography scan and lung scintigraphy and was diagnosed with pulmonary embolism. Despite the fact that she was feverish, she was treated by the insertion of a vena cava filter and transferred to our Emergency Department. Twelve hours later, a beta-haemolytic Streptococcus agalactiae was reported to be growing in both bottles of blood cultures that had been taken. The patient underwent transthoracic two- and three-dimensional echocardiography, which showed a large pulmonary valve vegetation prolapsing into the main and right pulmonary artery during systole.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Embolia Pulmonar
/
Infecciones Estreptocócicas
/
Streptococcus agalactiae
/
Ecocardiografía
/
Fiebre
Tipo de estudio:
Guideline
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
J Cardiovasc Med (Hagerstown)
Asunto de la revista:
ANGIOLOGIA
/
CARDIOLOGIA
Año:
2007
Tipo del documento:
Article
País de afiliación:
Italia