Clinical and paraclinical characteristics in patients with pulmonary thromboembolism

Abstract

Background. Deep vein thrombosis is the most common cause of acute cor pulmonale and pulmonary thromboembolism that is a life -threatening situation. Objective of the study. The objective of this study was to investigate the clinical presentation, diagnostic findings and treatment of a 59-year-old male patient. Material and methods. The case was examined clinically and investigated using complete blood count, D-dimer test, chest x ray imaging and echocardiography. Results. Patient age 59 years old male, weight 130kg, height 160cm, BMI of 50.8 obese, clinical presentation revealed deep vein thrombosis with presence of eggs edema, hypertension of grade 2 (160/100), SpO2 was 96% and temperature - 36.6°C. Erythrocyte count 3.46 low, mean erythrocyte volume 118.2 elevated, mean erythrocyte hemoglobin 39.6, platelets count 159 low, width of the red blood cell 87.6 elevated, with of the distribution curve and the mean cell 20.1 elevated, immature granulocytes 0.3 elevated, also increase D-Dimer. On chest x ray imaging he had triangle pulmonary infiltrate. Echocardiography study showed signs of pulmonary hypertension, considerable dilatation of the right cavities, moderate concentric left ventricular hypertrophy and preserved left ventricular systolic function - 53%. The treatment included anticoagulants, vasodilators, antibiotics and antiplatelets. Conclusion. The case study highlights the clinical and diagnostic manifestation of deep vein thrombosis in a 59-year-old male patient with pulmonary thromboembolism diagnosis, where proper treatment is required.