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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
Journals - Article | |
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Česky / Czech version | Vnitřní lékařství, 50, 2004, č. 10, s. 793 - 798 |
Pulmonary Embolism, Prolonged
Diagnosis in Young Man Belicová M., Kňazeje M., Lojdlová M., Mokáň M. I. interná klinika Jeseniovej Lekárskej fakulty UK a Martinskej fakultnej nemocnice, Martin, Slovenská republika, prednosta prof. MUDr. Marián Mokáň, DrSc. |
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Summary: Despite progress in early detection and treatment, the rates of mortality and recurrences of
pulmonary embolism remain high. Cardiovascular specialists must keep pulmonary embolism in
mind when they evaluate patients with unexplained substernal or pleuritic chest pain, dyspnea
and syncope because these symptoms constitute the cardinal clinical presentation of pulmonary
embolism. Authors are presenting a case report of a patient with repeating pleuritic chest pain
with pleural effusion. The patient was treated as suspected tuberculous pleuritis. Authors diagnosed
pulmonary embolism as a cause of pleural effusion by elevated plasmatic D-dimer and perfusion
lung scan. Thrombosis in left subclavian vein established by angiography was source of
embolus. Patient was evaluated regarding primary risk factors for venous thromboembolism and
Prothrombin 20210A mutation was detected. Subsequent adequate medical treatment led to significant
clinical upturn in this patient.
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