M pneumoniae infection, pulmonary thromboembolism and antiphospholipid antibodies
Identifieur interne : 001543 ( Main/Exploration ); précédent : 001542; suivant : 001544M pneumoniae infection, pulmonary thromboembolism and antiphospholipid antibodies
Auteurs : Elia Ascer [Brésil] ; Marcus Marques [Brésil] ; Magnus Gidlund [Brésil]Source :
- BMJ Case Reports [ 1757-790X ] ; 2011.
English descriptors
- Teeft :
- Antinuclear factor, Antiphospholipid, Antiphospholipid antibodies, Antiphospholipid syndrome, Body temperature, Case reports, Emergency unit, Further permission, Gure, Hydroxychloroquine sulphate, Inferior portion, Intensive care unit, Laboratory examinations, Paulo, Pharmacological therapy, Pneumoniae, Pneumoniae infection, Positive lupic anticoagulant factor, Productive cough, Pulmonary embolism, Pulmonary scintigraphy, Pulmonary thromboembolism, Reactive protein, Right lung, Severe evolution, Syndrome, Thoracic, Thoracic pain, Thoracic tomography, Thromboembolism.
Abstract
A 28-year-old, hypertensive and hypercholesterolaemic patient, was referred to our emergency unit with a mild thoracic pain, productive cough and a body temperature of 37.3°C. Laboratory examinations showed normal white cell count and moderate elevation of C reactive protein (CRP). Later, the thoracic pain increased accompanied by shortness of breath. High D-dimer was detected. Positive lupic anticoagulant factor and anticardiolipin and antibodies anti-Mycoplasma pneumoniae were present and high titres of antinuclear factor. Recombinant tissue-type plasminogen activator plus heparin and vancomycin were administered due the high possibility of mycoplasma pneumonia associated with pulmonary thromboembolism. CRP increased to very high levels with very mild modification of white blood cells during the evolution. Thoracic tomography and pulmonary scintigraphy of the lungs confirmed the diagnosis. The patient responded well and he was discharged after 25 days medicated with hydroxychloroquine sulphate, warfarin and aspirin. At present date he is well (150 days).
Url:
DOI: 10.1136/bcr.12.2010.3561
Affiliations:
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Laboratory examinations showed normal white cell count and moderate elevation of C reactive protein (CRP). Later, the thoracic pain increased accompanied by shortness of breath. High D-dimer was detected. Positive lupic anticoagulant factor and anticardiolipin and antibodies anti-Mycoplasma pneumoniae were present and high titres of antinuclear factor. Recombinant tissue-type plasminogen activator plus heparin and vancomycin were administered due the high possibility of mycoplasma pneumonia associated with pulmonary thromboembolism. CRP increased to very high levels with very mild modification of white blood cells during the evolution. Thoracic tomography and pulmonary scintigraphy of the lungs confirmed the diagnosis. The patient responded well and he was discharged after 25 days medicated with hydroxychloroquine sulphate, warfarin and aspirin. At present date he is well (150 days).</div></front></TEI><affiliations><list><country><li>Brésil</li></country><region><li>État de São Paulo</li></region><settlement><li>São Paulo</li></settlement><orgName><li>Université de São Paulo</li></orgName></list><tree><country name="Brésil"><region name="État de São Paulo"><name sortKey="Ascer, Elia" sort="Ascer, Elia" uniqKey="Ascer E" first="Elia" last="Ascer">Elia Ascer</name></region><name sortKey="Gidlund, Magnus" sort="Gidlund, Magnus" uniqKey="Gidlund M" first="Magnus" last="Gidlund">Magnus Gidlund</name><name sortKey="Marques, Marcus" sort="Marques, Marcus" uniqKey="Marques M" first="Marcus" last="Marques">Marcus Marques</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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