| Syncope: a rare presentation of massive pulmonary embolism in a previously healthy girl. | |
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MedLine Citation:
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PMID: 20386413 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Ricardo Ronco; Javiera Catalan; Carmen Salgado; Andrea Vogel |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Pediatric emergency care Volume: 26 ISSN: 1535-1815 ISO Abbreviation: Pediatr Emerg Care Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-13 Completed Date: 2010-07-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8507560 Medline TA: Pediatr Emerg Care Country: United States |
Other Details:
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Languages: eng Pagination: 287-9 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Pediatric Intensive Care, Escuela de Medicina Universidad del Desarrollo-Clínica Alemana, Santiago, Chile. rronco@alemana.cl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anticoagulants
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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:
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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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