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Occult fatal pulmonary embolism with disseminated intravascular coagulation. An unusual case masquerading as miliary tuberculosis.
Wong, C K; Lau, C P; Cheng, C H; Ng, W F.
Afiliação
  • Wong CK; Department of Medicine, University of Hong Kong, Queen Mary Hospital.
Chest ; 98(5): 1288-90, 1990 Nov.
Article em En | MEDLINE | ID: mdl-2225985
We report a fatal case of occult pulmonary embolism complicating bronchogenic carcinoma which presented with rapidly progressive pulmonary miliary shadows and respiratory failure. A clotting profile abnormality compatible with disseminated intravascular coagulation was noted. Postmortem examination showed extensive clots occluding the major pulmonary vessels and areas of pulmonary infarcts. Histologic examination revealed fibrin deposition in the microvasculature compatible with DIC. Cases of pulmonary embolism with DIC have previously been reported, but this is the first case with pathologic confirmation. Thus, unusual presentation with diffuse lung shadow and DIC should not deter the clinician from correct diagnosis so that appropriate treatment can be promptly started.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Embolia Pulmonar / Tuberculose Miliar / Coagulação Intravascular Disseminada Tipo de estudo: Diagnostic_studies Limite: Adult / Female / Humans Idioma: En Ano de publicação: 1990 Tipo de documento: Article
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Embolia Pulmonar / Tuberculose Miliar / Coagulação Intravascular Disseminada Tipo de estudo: Diagnostic_studies Limite: Adult / Female / Humans Idioma: En Ano de publicação: 1990 Tipo de documento: Article