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Medical Symbols: Part 5.
1Professor and HOD Medicine (Retd.), T.N. Medical College & Nair Hospital, Mumbai, Maharashtra.
The Journal of the Association of Physicians of India
|July 19, 2019
Summary
Pulmonary embolism can cause wheezing, mimicking asthma. This case highlights the importance of considering pulmonary embolism in patients with severe, unexplained wheezing unresponsive to asthma treatment.
Area of Science:
- Pulmonology
- Critical Care Medicine
Background:
- Wheezing is a common respiratory symptom often associated with asthma.
- Pulmonary embolism (PE) is typically characterized by symptoms like dyspnea and chest pain, not primarily wheezing.
Observation:
- A case of sub-massive pulmonary embolism presented with predominant wheezing.
- The patient had no prior history of cardiopulmonary diseases.
Findings:
- The patient was initially treated for acute severe asthma.
- Pulmonary embolism was suspected due to poor treatment response and confirmed via investigations.
- This case demonstrates PE's potential to mimic acute severe asthma.
Implications:
- Clinicians should consider pulmonary embolism in the differential diagnosis of acute severe asthma, especially with atypical presentations or poor treatment response.
- Early and accurate diagnosis of PE is crucial for appropriate management and improved patient outcomes.
- This case underscores the importance of considering less common causes of wheezing in respiratory medicine.
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