Title: Eaton Embolism - Coexistent Pneumonia and Pulmonary Embolism
Authors: Dr Sahana K, Prof Dr Meenakshi.N, Prof Dr Aruna Shanmuganathan, Dr Nisha Ganga
DOI: https://dx.doi.org/10.18535/jmscr/v8i9.10
Abstract
The coexistence of pulmonary embolism (PE) and pneumonia is known as infarction pneumonia. This condition is relatively rare in adults in comparison to children. The diagnosis of coexistent pneumonia with embolism is challenging as clinical features of fever, pleuritic chest pain and breathlessness maybe common in both conditions. Hence, the presence of coexisting embolism in pneumonia needs a high degree of clinical suspicion .We hereby report a case of a young woman who presented with Mycoplasma pneumonia and ARDS with early diagnosis of concommittant pulmonary embolism. Early recognition and management of both the conditions resulted in a favourable outcome.
Keywords: Pulmonary embolism, Mycoplasma, Pneumonia , Infarction.
References
- Graw-Panzer KD, Verma S, Rao S, Miller ST, Lee H. Venous thrombosis and pulmonary embolism in a child with pneumonia due to Mycoplasma pneumoniae. Journal of the National Medical Association. 2009 Sep 1;101(9):956.
- Chan ED, Welsh CH. Fulminant Mycoplasma pneumoniae pneumonia. Western journal of medicine. 1995 Feb;162(2):133.
- Venkatesan P, Gladman J, Macfarlane JT, Barer D, Berman P, Kinnear W, Finch RG. A hospital study of community acquired pneumonia in the elderly. Thorax. 1990 Apr 1;45(4):254-8.
- Narita M. Pathogenesis of extrapulmonary manifestations of Mycoplasma pneumoniae infection with special reference to pneumonia. Journal of infection and chemotherapy. 2010 Jun 1;16(3):162-9.
- Morichika K, Nakachi S, Tomoyose T, Masuzaki H. Thromboembolism supervened on Eosinophilia induced by Mycoplasma Pneumonia. Internal Medicine. 2016 Sep 15;55(18):2741-2.
- Su HY, Jin WJ, Zhang HL, Li CC. Clinical analysis of pulmonary embolism in a child with Mycoplasma pneumoniae pneumonia. Chinese journal of pediatrics. 2012 Feb;50(2):151-4.
- Flateau C, Asfalou I, Deman AL, Ficko C, Andriamanantena D, Fontan E, Viant E, Bonnevie L, Rapp C. Aortic thrombus and multiple embolisms during a Mycoplasma pneumoniae infection. Infection. 2013 Aug 1;41(4):867-73.
- Paparoupa M, Spineli L, Framke T, Ho H, Schuppert F, Gillissen A. Pulmonary embolism in pneumonia: still a diagnostic challenge? Results of a case-control study in 100 patients. Disease markers. 2016 Jan 1;2016.