Медицинская библиотека · Clinical laboratory · 2019

An Acute Pulmonary Embolism Patient with Negative D-dimer Masquerading as Right Pneumonia with Pleural Effusion Proven by CT Pulmonary Arteriography: a Case Report and Literature Review.

Ge Yan L, Zhuang Ya J, Zhang Qian, Wang Meng H, L Cong H, Zhang Hai F, Li Wen Q, Chen Yi, Zhang Shuang, Hao Chen, Zhang Ci, Zhu Xiao Y, Li Li Q, Fu Ai S

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Аннотация

BACKGROUND

We report an acute pulmonary embolism with negative D-dimer masquerading as right pneumonia with pleural effusion proven by CT pulmonary arteriography (CTPA).

METHODS

Appropriate laboratory tests are carried out. The application of vascular ultrasound for the cause of left lower extremity edema. CTPA were performed when vascular ultrasound suggested the existence of venous thrombosis of left lower extremity.

RESULTS

Serum D-dimer was negative. Vascular ultrasound revealed left lower extremity venous thrombosis, CTPA demonstrated large emboli in the main pulmonary artery and main pulmonary artery branches.

CONCLUSIONS

Negative serum D-dimer is not safe to rule out acute pulmonary embolism. When CT shows peripheral triangle-shaped infiltrate with pleuritis or small pleural exudate, physicians should pay attention to pulmonary infarction.

Для цитирования: Ge Yan L, Zhuang Ya J, Zhang Qian, Wang Meng H, L Cong H, Zhang Hai F, Li Wen Q, Chen Yi, Zhang Shuang, Hao Chen, Zhang Ci, Zhu Xiao Y, Li Li Q, Fu Ai S. An Acute Pulmonary Embolism Patient with Negative D-dimer Masquerading as Right Pneumonia with Pleural Effusion Proven by CT Pulmonary Arteriography: a Case Report and Literature Review.. Clinical laboratory. 2019. DOI: 10.7754/clin.lab.2019.190117.

Предметные рубрики MeSH

Acute Disease Angiography Diagnosis, Differential Fibrin Fibrinogen Degradation Products Humans Male Middle Aged Pleural Effusion Pneumonia Pulmonary Artery Pulmonary Embolism Reproducibility of Results Sensitivity and Specificity Tomography, X-Ray Computed

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