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Pulmonary Embolism in Children: A Case Series

Sonam Agrawal1, Yash Shrivastava1, Rishi Bolia1

  • 1Department of Paediatrics, All India Institute of Medical Sciences Rishikesh, Uttarakhand, India.

Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine
|January 15, 2021
PubMed

Insights

Pulmonary embolism (PE) in children is rare and often presents nonspecifically. Early recognition and treatment in pediatric patients with risk factors are crucial for survival.

Area of Science:

  • Pediatric Critical Care Medicine
  • Cardiology
  • Pulmonology

Background:

  • Pulmonary embolism (PE) is a significant cause of mortality in adults, but its presentation and diagnosis in children are less understood.
  • Literature on pediatric PE is sparse, and clinical manifestations often differ from adults, presenting nonspecifically.

Observation:

  • A case series of four pediatric patients diagnosed with PE between December 2019 and March 2020.
  • All patients presented with tachycardia and dyspnea.
  • Identified risk factors included deep vein thrombosis, nephrotic syndrome, soft tissue infection, and infective endocarditis.

Findings:

  • Three out of four pediatric patients diagnosed with PE survived after anticoagulation therapy.
  • One child with PE unfortunately died.

Implications:

  • Highlights the importance of considering PE in children, especially those with identified risk factors.
  • Emphasizes that early diagnosis and prompt treatment of pediatric PE can be life-saving.
Abstract

Keywords:
ChildrenDyspneaPulmonary embolismTachycardia

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