Saboo Keyur, Daiya Varun, Acharya Sourya, Kumar Sunil, Shukla Samarth
Internal Medicine, Jawaharlal Nehru Medical College, Wardha, IND.
Department of Medicine, Jawaharlal Nehru Medical College, Wardha, IND.
Cureus. 2023 Jun 26;15(6):e40975. doi: 10.7759/cureus.40975. eCollection 2023 Jun.
Pulmonary embolism is a life-threatening emergency and, if not identified and treated, can cause catastrophic consequences. The most common cause of pulmonary embolism is deep vein thrombosis (DVT). There are established criteria to diagnose pulmonary embolism. One of the rare causes of pulmonary embolism is exposure to high altitude (HA). We present a case of a 51-year-old male without any co-morbidities, who, after traveling to an HA destination, developed acute onset dyspnea and was labeled as a case of HA pulmonary edema (HAPE). Further investigations in our hospital revealed a massive pulmonary embolism. Post thrombolysis, the patient was comfortable. After 48 hours, the patient started to walk at a normal pace without any symptoms and was discharged after seven days. This case report emphasizes the importance of keeping rare possibilities, such as pulmonary embolism, in such rare scenarios.
肺栓塞是一种危及生命的急症，若未被识别和治疗，可导致灾难性后果。肺栓塞最常见的病因是深静脉血栓形成（DVT）。已有诊断肺栓塞的既定标准。肺栓塞的罕见病因之一是暴露于高海拔地区（HA）。我们报告一例51岁男性，无任何合并症，前往高海拔目的地旅行后出现急性呼吸困难，最初被诊断为高海拔肺水肿（HAPE）。我院进一步检查发现为大面积肺栓塞。溶栓治疗后，患者症状缓解。48小时后，患者开始正常行走且无症状，7天后出院。本病例报告强调了在这种罕见情况下考虑到诸如肺栓塞等罕见可能性的重要性。
