title: Pulmonary Thromboembolism Presenting as Multiple Pulmonary Cavities.
abstract: A 38 years old male patient presented to the emergency department with acute severe retrosternal chest pain and was found to have pulmonary thromboembolism. The patient developed new necrotic lung cavities each day due to the dissemination of emboli from the thrombus. The cause of thrombus was found to be protein C deficiency, which is an inherited thrombophilia. The interesting features in this case are multiple lung cavitations and high grade fever, which was attributed to pulmonary thromboembolism. The patient improved symptomatically with anticoagulants and antiplatelets.
authors.affiliation: Post Graduate.
authors.forename: Rpsp
authors.initials: R
authors.lastname: Santhakumar
authors.affiliation: Post Graduate.
authors.forename: P K
authors.initials: PK
authors.lastname: Ramalingam
authors.affiliation: Post Graduate.
authors.forename: K
authors.initials: K
authors.lastname: Gayathri
authors.affiliation: Post Graduate.
authors.forename: B V
authors.initials: BV
authors.lastname: Manjunath
authors.affiliation: Assistant Professor.
authors.forename: N
authors.initials: N
authors.lastname: Karuppusamy
authors.affiliation: Assistant Professor.
authors.forename: B
authors.initials: B
authors.lastname: Vetriveeran
authors.affiliation: Assistant Professor.
authors.forename: S
authors.initials: S
authors.lastname: Selvamani
authors.affiliation: Assistant Professor.
authors.forename: P
authors.initials: P
authors.lastname: Vishnuram
authors.affiliation: Professor and Head of Medicine, Department of General Medicine, Coimbatore Medical College Hospital, Coimbatore, Tamil Nadu.
authors.forename: Kumar
authors.initials: K
authors.lastname: Natarajan
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000008:administration & dosage / Q000627:therapeutic use; D002637:Chest Pain / Q000188:drug therapy / Q000209:etiology*; D006493:Heparin / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging*; D008297:Male; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D020151:Protein C Deficiency / Q000150:complications; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000188:drug therapy; D019851:Thrombophilia; D013927:Thrombosis / Q000000981:diagnostic imaging*; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors; D006493:Heparin