A Case of Acute Respiratory Failure Presenting Lobar Consolidation.
10.4046/trd.1998.45.3.654
- Author:
Tae Rim SHIN
1
;
Sun Hee MAENG
;
Hyun Kyung LEE
;
Hae Young KIM
;
Jung Hyun CHANG
Author Information
1. Department of Internal Medicine College of Medicine, Ewha Womans University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Pulmonary Embolism;
Lobar Consolidation
- MeSH:
Adult;
Diagnosis;
Female;
Hospitals, General;
Humans;
Infarction;
Lung Diseases;
Middle Aged;
Numismatics;
Pleural Effusion;
Pneumonia;
Pulmonary Embolism;
Radiography;
Respiratory Insufficiency*;
Stockings, Compression;
Thorax;
Venous Thrombosis
- From:Tuberculosis and Respiratory Diseases
1998;45(3):654-660
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pulmonary embolism is one of the most common acute pulmonary disease in the adult general hospital populalion. However, the disease is still frequenfly unsuspected and underdiagnosed due to the nonspecifieity of both clinical findings and laboratory tests. The chest radiography in a patient suspected acute pulmonary embolism do not provide adequate information to establish or exclude the diagnosis of pulmonary embolism. Even in the case of infarction, there is no pathognomonic clues on the chest film. Rarely infarction presents unusual roentgenologic manifestation such as lobar consolidation, coin lesion, multinodular opacity, or massive pleural effusion. Especially, lobar consolidation in pulmonary embolism might mislead into the diagnosis of pneumonia. We experienced a case of pulmonary embolism presenting lobar consolidation in a 62 years old woman, originated from deep vein thrombosis. She took a compression stocking and underwent anticoagulant therapy with excellent outcome.
