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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2012; 02(03): 36-38
DOI: 10.1055/s-0040-1703588
Case Report

HYPERHOMOCYSTEINEMIA AND PULMONARY EMBOLISM WITHOUT DEEP VEIN THROMBOSIS IN A YOUNG PATIENT PRESENTING AS PNEUMONIA - A RARE CASE REPORT

Akshatha Rao Aroor
1   Assistant Professor, Department of Medicine, K.S. Hegde Medical Academy, Nitte University, Deralkatte, Mangalore - 575 018, Karnataka, India.
,
Nazir Rahim Attar
2   Professor, Department of Medicine, K.S. Hegde Medical Academy, Nitte University, Deralkatte, Mangalore - 575 018, Karnataka, India.
,
Rama Prakasha S.
3   Assistant Professor, Department of Medicine, K.S. Hegde Medical Academy, Nitte University, Deralkatte, Mangalore - 575 018, Karnataka, India.
,
Dileep K. S.
4   Assistant Professor, Department of Orthopaedics, K.S. Hegde Medical Academy, Nitte University, Deralkatte, Mangalore - 575 018, Karnataka, India.
,
Raghav Sharma
5   Professor, Department of Medicine, K.S. Hegde Medical Academy, Nitte University, Deralkatte, Mangalore - 575 018, Karnataka, India.
,
P. S. Prakash
6   Professor and HOD, Department of Medicine,K.S. Hegde Medical Academy, Nitte University, Deralkatte, Mangalore - 575 018, Karnataka, India.
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Abstract

We report a 40 year old male who presented with fever, dyspnoea, right sided pleuritic chest pain and hemoptysis. His physical examination and chest X-ray revealed features of right sided consolidation with pleural effusion. Worsening of his condition despite adequate antibiotic therapy prompted us to consider an alternative cause. Repeat ECG after 3 days showed S1q3T3 pattern. CT angiogram evidenced thrombus in right pulmonary artery and doppler study of both the lowerlimbs showed normal superficial and deep venous system. Hypercoagulation workup revealed high levels of homocysteine. This is a rare case report of hyperhomocysteinemia presenting as pulmonary embolism without documented deep vein thrombosis, and the patient presented with classical clinical and radiological findings of pneumonia.

Keywords

Pulmonary embolism - homocysteine - pneumonia - deep venous thrombosis


Publication History

Article published online:
04 May 2020

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