A rare case report of a saddle pulmonary embolism presenting with high grade fevers, responsive to anticoagulation.

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

Medicine

authors

Saad M,Shaikh DH,Adrish M

doi

10.1097/MD.0000000000010002

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

e0002

issue

9

eissn

0025-7974

issn

1536-5964

pii

00005792-201803020-00001

journal_volume

97

pub_type

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