Document Detail


Syncope: a rare presentation of massive pulmonary embolism in a previously healthy girl.
MedLine Citation:
PMID:  20386413     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pulmonary embolism is a very infrequent event in previously healthy children, particularly in the outpatient scenario. This report involves a 7-year-old girl who presented to the emergency room after syncope. A prompt diagnostic workup showed a massive pulmonary embolism. A timely treatment initiation permitted a good and rapid response. She represented a diagnostic and treatment challenge, mainly because of the atypical presentation and the absence of known risk factors. Finally, a thorough study uncovered a nephrotic-range urine protein loss. At the beginning, the patient did not meet the whole nephrotic syndrome diagnostic requirements. The complete thombophilic study was normal. The clinical presentation, epidemiology, diagnostic tools and the treatment of pulmonary embolism are reviewed. We also discuss a recently described risk factor, present in our patient, as a potential role in the development of pulmonary embolism.
Authors:
Ricardo Ronco; Javiera Catalan; Carmen Salgado; Andrea Vogel
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric emergency care     Volume:  26     ISSN:  1535-1815     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-13     Completed Date:  2010-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  287-9     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Pediatric Intensive Care, Escuela de Medicina Universidad del Desarrollo-Clínica Alemana, Santiago, Chile. rronco@alemana.cl
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MeSH Terms
Descriptor/Qualifier:
Anticoagulants / therapeutic use
Child
Female
Fibrin Fibrinogen Degradation Products / analysis
Fibrinogen / analysis
Fibrinolytic Agents / therapeutic use
Heparin / therapeutic use
Humans
Hypertension, Pulmonary / diagnosis
Nephrotic Syndrome / diagnosis
Plasma
Pulmonary Embolism / diagnosis*,  therapy
Syncope / etiology*
Tissue Plasminogen Activator / therapeutic use
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Fibrin Fibrinogen Degradation Products; 0/Fibrinolytic Agents; 0/fibrin fragment D; 9001-32-5/Fibrinogen; 9005-49-6/Heparin; EC 3.4.21.68/Tissue Plasminogen Activator

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