Ortegon CEN, Cardona CDP, Londoño P, Rozo OEJ, Jiménez WJP

Language: Spanish
References: 10
Page: 159-163
PDF size: 210.33 Kb.

ABSTRACT

Background: The diagnosis of pulmonary embolism is based primarily on clinical findings and is confirmed by the detection of an embolism on computed tomography pulmonary angiography.
Clinical case: A 30-year-old male patient, previously healthy, who was admitted to the emergency department after having been impacted by a lightning strike. The patient presented symptoms compatible with the impact of lightning, after the suspected diagnosis of pulmonary embolism, computed tomography pulmonary angiography was performed, confirming thromboembolism near the site of lightning impact. Heparin anticoagulation was started for clinical management, oral anticoagulants were subsequently indicated and discharge was given.
Conclusions: Despite of no cases of pulmonary thromboembolism related to the impact of lightning have been described in the literature, it should be considered when approaching this type of patients, with unclear symptoms that have to be identified to establish the diagnosis and to treat them in a timely manner.

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