Document Detail


Bilateral pulmonary emboli in a collegiate gymnast: a case report.
MedLine Citation:
PMID:  19911095     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To characterize the diagnosis of pulmonary embolism in collegiate student-athletes and to raise awareness among sports medicine providers of the possibility of this potentially fatal disease in the student-athlete population.
BACKGROUND: An 18-year-old, previously healthy National Collegiate Athletic Association Division I female gymnast complained of intense pain, bilaterally, deep in her chest. The athlete was referred to her team physician, who identified normal vital signs but referred her to the emergency room because of significant pain. The student-athlete was diagnosed with bilateral pulmonary emboli in the emergency room.
DIFFERENTIAL DIAGNOSIS: Pneumonia, renal calculi, upper urinary tract infection, intercostal muscle strain or rib fracture, pancreatitis, gall bladder disease, gastritis, ulceration, esophagitis, infection, tumor, pulmonary embolism.
TREATMENT: The student-athlete was immediately placed on anticoagulants for 6 months. During that time, she was unable to participate in gymnastics and was limited to light conditioning.
UNIQUENESS: Documented cases of female student-athletes developing a pulmonary embolism are lacking in the literature. Two cases of pulmonary embolism in male high school student-athletes have been documented, in addition to many cases in elderly and sedentary populations.
CONCLUSIONS: All health care providers, including sports medicine professionals, should be aware that this condition may be present among student-athletes. During the initial evaluation, prescreening should include questions about any previous or family history of pulmonary embolism or other blood clots. Athletes who answer positively to these questions may have a higher likelihood of pulmonary embolism and should be referred for testing.
Authors:
Leamor Kahanov; Tarah Daly
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of athletic training     Volume:  44     ISSN:  1938-162X     ISO Abbreviation:  J Athl Train     Publication Date:    2009 Nov-Dec
Date Detail:
Created Date:  2009-11-13     Completed Date:  2010-04-05     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  9301647     Medline TA:  J Athl Train     Country:  United States    
Other Details:
Languages:  eng     Pagination:  666-71     Citation Subset:  IM    
Affiliation:
Indiana State University, Athletic Training Department, C-06, Terre Haute, IN 47809, USA. leamor.kahanov@indstate.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Angiography / methods
Anticoagulants / therapeutic use
Chest Pain / diagnosis
Diagnosis, Differential
Enoxaparin / therapeutic use
Female
Fibrinolytic Agents / therapeutic use
Gymnastics*
Humans
Pulmonary Embolism / diagnosis*,  drug therapy,  physiopathology
Tomography, X-Ray Computed
Universities
Warfarin / therapeutic use
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Enoxaparin; 0/Fibrinolytic Agents; 81-81-2/Warfarin
Comments/Corrections

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