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An Unusual Presentation of a Massive Pulmonary Embolism with Misleading Investigation Results Treated with Tenecteplase
Joint Authors
Migneault, David
Levine, Zachary
de Champlain, François
Source
Case Reports in Emergency Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-02-19
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
There is no foolproof strategy to identify a pulmonary embolism (PE) in the emergency department, and atypical presentations are common.
Negative test results may mislead physicians away from the diagnosis of PE.
Objectives.
The current report aims to raise awareness of an unusual presentation of massive PE and its diagnosis and management, in the face of limited evidence in the scientific literature.
Case Reports.
We report the case of a patient with a negative D-Dimer and a negative Computed Tomography contrast angiography of the chest who was diagnosed twenty-seven hours later with a massive PE, as suggested by a bedside echocardiography.
The patient was successfully treated with tenecteplase (TNK).
Conclusions/Summary.
Pulmonary embolism frequently presents atypically and is often a diagnostic challenge.
There is limited literature about the treatment of massive PE.
Further research on bedside echocardiography for diagnosing PE in unstable patients is warranted.
In addition, further study into new thrombolytic agents like tenecteplase in the context of massive and submassive PE is warranted.
American Psychological Association (APA)
Migneault, David& Levine, Zachary& de Champlain, François. 2015. An Unusual Presentation of a Massive Pulmonary Embolism with Misleading Investigation Results Treated with Tenecteplase. Case Reports in Emergency Medicine،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058490
Modern Language Association (MLA)
Migneault, David…[et al.]. An Unusual Presentation of a Massive Pulmonary Embolism with Misleading Investigation Results Treated with Tenecteplase. Case Reports in Emergency Medicine No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058490
American Medical Association (AMA)
Migneault, David& Levine, Zachary& de Champlain, François. An Unusual Presentation of a Massive Pulmonary Embolism with Misleading Investigation Results Treated with Tenecteplase. Case Reports in Emergency Medicine. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058490
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058490