Acute Pulmonary Thromboembolism as a diagnostic challenge: Case report
DOI:
https://doi.org/10.55204/trc.v3i2.e240Keywords:
Thromboembolism, Respiratory Insufficiency, Echocardiography, Diabetic KetoacidosisAbstract
Introduction: Pulmonary thromboembolism is considered a cardiovascular emergency that entails high morbidity and mortality in hospitalized patients. Its incidence is high, approximately 100 to 200 cases per 100 thousand inhabitants. The clinical presentation of the patient is generally the presence of dyspnea. For its diagnosis, clinical prediction scales are used, among them, the most used is the Wells scale.
Case presentation: We present the case of an elderly patient, bedridden, with inadequate control of his underlying diseases who was admitted due to decompensation of type 2 diabetes mellitus and who quickly evolved into respiratory failure and hemodynamic instability without apparent cause. Based on his clinical symptoms and together with the complementary tests that were performed, in addition to the use of the Wells scale with a high score, a fulminant pulmonary thromboembolism was diagnosed. Despite all the measures available that could be used to stabilize the patient, a satisfactory result was not achieved, resulting in his death.
Conclusions: The primary risk factor for PE is the presence of deep vein thrombosis. A timely diagnosis and adequate treatment, as well as the individualization of each case to provide the most appropriate therapy to safeguard the patient's life.
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