Pulmonary embolism masquerading as severe pneumonia: A case report

Alvin Oliver Payus, Rathika Rajah, Dayang Corieza Febriany, Norlaila Mustafa

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

BACKGROUND: De novo pulmonary embolism (DNPE) is a term used when pulmonary embolism (PE) occur in the absence of deep vein thrombosis (DVT). Most DNPE cases occur in a patient who had a recent injury to the chest. CASE PRESENTATION: However, here we report a case of DNPE with a slightly different presentation where there is no preceding trauma and has symptoms that mimic severe pneumonia. He presented with high fever, dyspnoea and pleuritic chest pain. Despite on 10 L of oxygen supplementation via high flow mask and already given bolus intravenous antibiotic, the patient still tachypnoeic and was persistently in type I respiratory failure. His chest X-ray showed consolidative changes. Upon further investigation revealed no evidence of DVT on Doppler ultrasound and normal D-dimer level. Due to the high index of suspicion by the attending physician, PE was suspected and later confirmed with computed tomography pulmonary angiography scan. He was successfully treated with anticoagulation therapy. The objective of this case report is to share the difficult experience of diagnosing PE when the presentation highly atypical and mimics severe pneumonia. CONCLUSION: And with such a masquerading presentation, one can easily miss the diagnosis. To the best of our knowledge, there are very few similar cases reported.

Original languageEnglish
Pages (from-to)396-399
Number of pages4
JournalOpen Access Macedonian Journal of Medical Sciences
Volume7
Issue number3
DOIs
Publication statusPublished - 15 Feb 2019

Fingerprint

Pulmonary Embolism
Pneumonia
Venous Thrombosis
Doppler Ultrasonography
Thoracic Injuries
Masks
Chest Pain
Respiratory Insufficiency
Dyspnea
Fever
Thorax
X-Rays
Oxygen
Anti-Bacterial Agents
Physicians
Lung
Wounds and Injuries

Keywords

  • Computed tomography of pulmonary angiography
  • De novo pulmonary embolism
  • Deep vein thrombosis
  • Severe pneumonia

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Pulmonary embolism masquerading as severe pneumonia : A case report. / Payus, Alvin Oliver; Rajah, Rathika; Febriany, Dayang Corieza; Mustafa, Norlaila.

In: Open Access Macedonian Journal of Medical Sciences, Vol. 7, No. 3, 15.02.2019, p. 396-399.

Research output: Contribution to journalArticle

Payus, Alvin Oliver ; Rajah, Rathika ; Febriany, Dayang Corieza ; Mustafa, Norlaila. / Pulmonary embolism masquerading as severe pneumonia : A case report. In: Open Access Macedonian Journal of Medical Sciences. 2019 ; Vol. 7, No. 3. pp. 396-399.
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