Abstract:
RATIONALE:Pulmonary embolism can manifest by a myriad of clinical symptoms. High grade fever is a rare presentation of thromboembolic phenomenon. PATIENT CONCERNS:A middle aged woman presented with high grade fevers. DIAGNOSES:Patient remained febrile despite broad spectrum antibiotics. All cultures were negative. CT angiogram of the chest was done, eliciting a large saddle embolus. INTERVENTIONS:Intravenous tissue plasminogen activator (t-PA) was administered and subsequently started on anticoagulation. Patient became afebrile 3 days after initiation of anticoagulation and all antibiotics were discontinued. OUTCOMES:We demonstrate a case of a saddle pulmonary embolism presenting with high grade fevers that responded to anticoagulation. LESSONS:It is imperative to include pulmonary embolism in the differential diagnosis, when presented with high-grade fever in patients with unclear diagnosis.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Saad M,Shaikh DH,Adrish Mdoi
10.1097/MD.0000000000010002subject
Has Abstractpub_date
2018-03-01 00:00:00pages
e0002issue
9eissn
0025-7974issn
1536-5964pii
00005792-201803020-00001journal_volume
97pub_type
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