一个病例呈现出由心脏听觉照亮的发烧:瘤起源于肺动脉
Yavuz Fatih Yavuz1, Nazmi Toprak1, Cemil Kavalci1
1Department of Emergency Medicine, University of Health Sciences, Antalya Education and Research Hospital, Antalya, Turkey.
Turkish journal of emergency medicine
|February 12, 2024
概括
发烧可能是罕见癌症的唯一症状. 这一案例突出了肺动脉内脏肉瘤,经常被误诊为肺栓塞,强调了在持续发烧中需要更广泛的诊断考虑.
科学领域:
- 在瘤学瘤学.
- 心血管医学 心血管医学
- 紧急医疗 紧急医疗
背景情况:
- 发烧是急诊室常见的症状,有不同的病因.
- 恶性瘤,包括罕见的癌症,可以出现发烧作为主要或唯一的症状.
- 肺动脉内脏肉瘤是一种罕见且具有攻击性的恶性瘤,通常表现为非特异性症状.
研究的目的:
- 为了呈现一个肺动脉内脏肉瘤病例.
- 突出发烧作为这种罕见癌症的潜在症状之一.
- 提高对这种致命疾病的认识和改善诊断考虑.
主要方法:
- 案例报告的呈现方式.
- 对临床表现和诊断工作的审查.
- 不明原因发烧和肺部症状的差异诊断考虑因素.
主要成果:
- 一名28岁的男性出现了3周的发烧史.
- 这名患者被诊断为肺血栓栓塞的误诊.
- 最终的诊断是肺动脉内脏肉瘤.
结论:
- 肺动脉内脏肉瘤可以呈现与孤立的发烧,模仿更常见的条件.
- 早期和准确的诊断对于改善这种罕见癌症患者的治疗结果至关重要.
- 在长期,不明原因的发烧的情况下,对恶性瘤的临床怀疑增加是合理的.
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