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Related Experiment Videos

Fever and pulmonary thromboembolism.

H W Murray, G C Ellis, D S Blumenthal

    The American Journal of Medicine
    |August 1, 1979
    PubMed
    Summary

    Fever is common in pulmonary thromboembolism (PTE), often presenting as high initial temperatures or prolonged low-grade fever. High fever should not prevent a PTE diagnosis if clinical signs are present.

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    Area of Science:

    • Medicine
    • Cardiology
    • Pulmonology

    Background:

    • Fever patterns in pulmonary thromboembolism (PTE) are not well-understood.
    • PTE is a significant cause of morbidity and mortality.
    • Accurate diagnosis of PTE is crucial for timely treatment.

    Purpose of the Study:

    • To characterize the fever patterns associated with PTE.
    • To determine the diagnostic implications of fever in PTE.
    • To guide clinical decision-making in suspected PTE cases.

    Main Methods:

    • Retrospective review of 35 consecutive patients with angiographically confirmed PTE.
    • Analysis of patient temperature records and attribution of fever causes.
    • Correlation of fever characteristics with PTE diagnosis and clinical presentation.

    Main Results:

    • Fever was present in 24 of 35 patients (68.6%).
    • In 20 patients, fever was solely attributed to PTE.
    • High fever (>39°C) can occur early in PTE; low-grade fever may persist for over a week.

    Conclusions:

    • High fever does not exclude a diagnosis of PTE.
    • Fever persisting beyond six days (>38.5°C) warrants exclusion of other causes.
    • Clinical suspicion should guide PTE diagnosis and treatment initiation despite fever.

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