RESUMO
When a patient presents with wheezing, pulmonary embolism is not usually considered as a possible cause. However bronchoconstriction can be caused by the embolism which produces wheezing that may be so obvious to make a diagnosis of bronchial asthma. Here we present a case of sub-massive pulmonary embolism presenting predominantly with wheezing without any previous history of cardio pulmonary diseases. The patient was treated for acute severe asthma in the beginning later suspected to have pulmonary embolism because of poor response to therapy and was confirmed by appropriate investigations. The present case thus emphasizes that pulmonary embolism can mimic acute severe asthma.
Assuntos
Asma , Embolia Pulmonar/diagnóstico , Estado Asmático , Doença Aguda , Humanos , Sons RespiratóriosAssuntos
Pneumopatias Parasitárias/diagnóstico , Paragonimíase/diagnóstico , Paragonimus westermani/isolamento & purificação , Idoso , Animais , Antinematódeos/uso terapêutico , Líquido da Lavagem Broncoalveolar/parasitologia , DNA de Helmintos/análise , Diagnóstico Diferencial , Humanos , Pneumopatias Parasitárias/tratamento farmacológico , Pneumopatias Parasitárias/parasitologia , Masculino , Paragonimíase/tratamento farmacológico , Paragonimíase/parasitologia , Paragonimus westermani/genética , Tomografia Computadorizada por Raios XAssuntos
Sarcoidose Pulmonar/diagnóstico , Sarcoidose Pulmonar/terapia , Feminino , Humanos , MasculinoRESUMO
The clinical spectrum of Inhalation injury can range from mild cough to a devastating ARDS. We herewith present a patient who is a goldsmith by occupation and his work consists of dissolving gold in Hydrochloric acid. He had accidentally inhaled fumes of Hydrochloric acid and presented with cough and breathlessness, later on required mechanical ventilation for ARDS and improved. This highlights the importance of not to neglect mild symptoms like cough and dyspnea in such a scenario which may have some hidden catastrophe.
Assuntos
Ácido Clorídrico/intoxicação , Respiração Artificial , Síndrome do Desconforto Respiratório/induzido quimicamente , Acidentes de Trabalho , Antibacterianos/administração & dosagem , Tosse/etiologia , Dispneia/etiologia , Humanos , Exposição por Inalação , Masculino , Pessoa de Meia-Idade , Síndrome do Desconforto Respiratório/terapia , Esteroides/administração & dosagem , Resultado do TratamentoRESUMO
Antitubercular therapy (ATT) induced hepatotoxicity, although well known to clinicians, is often over looked and underrated. Given the low threshold of starting ATT, especially empirically, the adverse manifestations can take a considerable toll. A variety of associated risk factors compound the morbidity. We throw light on one such a case where ATT was detrimental to the patient and review the literature and possible preventive strategies.
