[Economy class syndrome after long duration bus travel].
A 65 year-old man with heart failure due to hypertensive and ischemic heart disease was admitted to the hospital with dyspnea, bloody sputum and pleuritic chest pain after a 52-hour bus trip. Clinical and laboratory evaluation included chest helical tomography that demonstrated a filling defect of the right main branch of the pulmonary artery and a regular peripheral opacity of triangular shape in the inferior lobe of the lower lung. The diagnosis of pulmonary thromboembolism was made and therapy with heparin, followed by warfarin was introduced. The patient was discharged from the hospital. The diagnosis of pulmonary embolism should be considered in patients with complaints like this patient after long-distance bus travel.
de Oliveira
Múcio Tavares
MT
Instituto do Coração, Hospital das Clínicas, FMUSP, São Paulo, SP.
de Faveri
Marcelo
M
Farias
Cíntia Mara Rodrigues
CM
Mansur
Alfredo José
AJ
Pereira-Barretto
Antonio Carlos
AC
D000368:Aged; D006801:Humans; D008297:Male; D018986:Motor Vehicles; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000209:etiology*; D013577:Syndrome; D014195:Travel; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology*