Abstract

Case Report

Unveiling the Impostor: Pulmonary Embolism Presenting as Pneumonia: A Case Report and Literature Review

Saahil Kumar, Karuna Sree Alwa*, Mahesh Babu Vemuri, Anumola Gandhi Ganesh Gupta, Nuthan Vallapudasu and Sunitha Geddada

Published: 05 February, 2025 | Volume 9 - Issue 1 | Pages: 001-005

Pulmonary Embolism (PE) can present with symptoms resembling pneumonia, creating a diagnostic challenge, particularly in patients with comorbidities. We report the case of a 67-year-old male who presented with cough, hemoptysis, shortness of breath, fever, and pedal edema. Initially diagnosed with consolidation based on chest X-ray findings, he was treated with antibiotics. However, persistent symptoms prompted further evaluation, leading to the diagnosis of PE with pulmonary infarction and deep vein thrombosis on computed tomography pulmonary angiography and Doppler ultrasound. This case highlights the need to consider PE in the differential diagnosis of consolidation, particularly in high-risk individuals, to avoid delays in appropriate management.

Read Full Article HTML DOI: 10.29328/journal.jprr.1001065 Cite this Article Read Full Article PDF

Keywords:

Pulmonary embolism (PE); Severe pneumonia; Lower respiratory tract infection; Differential diagnosis

References

  1. Sadeq AH, Farooqui MK, Sadiq Y. Pneumonia and concealed pulmonary embolism: A case report and literature review. J R Coll Physicians Edinb. 2022;52(2):142-146. Available from: https://doi.org/10.1177/14782715221103670
  2. Stein PD, Beemath A, Matta F, Weg JG, Yusen RD, Hales CA, et al. Clinical characteristics of patients with acute pulmonary embolism: data from PIOPED II. Am J Med. 2007;120(10):871-9. Available from: https://doi.org/10.1016/j.amjmed.2007.03.024
  3. Rahman KK, Durgeshwar G, Mohapatra PR, Panigrahi MK, Mahanty S. Pulmonary infarct masquerading as community-acquired pneumonia in the COVID-19 scenario: A case report. World J Respirol. 2024;13(1):1-6. Available from: http://dx.doi.org/10.5320/wjr.v13.i1.1
  4. Goldhaber SZ, Hennekens CH, Evans DA, Newton EC, Godleski JJ. Factors associated with correct antemortem diagnosis of major pulmonary embolism. Am J Med. 1982;73:822-826. Available from: https://doi.org/10.1016/0002-9343(82)90764-1
  5. Anderson DR, Kahn SR, Rodger MA, Kovacs MJ, Morris T, Hirsch A, et al. Computed tomographic pulmonary angiography vs ventilation-perfusion lung scanning in patients with suspected pulmonary embolism: a randomized controlled trial. JAMA. 2007;298:2743. Available from: https://doi.org/10.1001/jama.298.23.2743
  6. Gibson NS, Sohne M, Gerdes VE, Nijkeuter M, Buller HR. The importance of clinical probability assessment in interpreting a normal d-dimer in patients with suspected pulmonary embolism. Chest. 2008;134(4):789–93. Available from: https://doi.org/10.1378/chest.08-0344
  7. Payus AO, Rajah R, Febriany DC, Mustafa N. Pulmonary Embolism Masquerading as Severe Pneumonia: A Case Report. Open Access Maced J Med Sci. 2019;7(3):396-399. Available from: https://doi.org/10.3889/oamjms.2019.114
  8. Evren H, Evren EÜ, Coşkun U. Pulmonary Embolism Mimicking Community-Acquired Pneumonia: A Case Series. Cyprus J Med Sci. 2019;4(1):60-62. Available from: https://cyprusjmedsci.com/articles/pulmonary-embolism-mimicking-community-acquired-pneumonia-a-case-series/doi/cjms.2019.752

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