Síndrome de Dressler secundario a embolia de pulmón

Salazar, Vladimir Rosa; Contreras, María Encarnación Hernández; Méndez, M.M. García; Pérez, Bartolomé García

doi:10.1016/j.rce.2011.04.003

Cited by 1 publication

(1 citation statement)

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“… 4 , 5 Autoimmune diseases should always be ruled out, despite being a relatively uncommon cause of acute pericarditis. 1 Dressler syndrome after acute pulmonary embolism should also be considered, 6 , 7 despite the decreased incidence rates of the syndrome. 8 , 9 Pericarditis is relatively common among SLE patients, even if it does not necessarily associate with clinical symptoms.…”

Section: Discussionmentioning

confidence: 99%

All That Glitters is not Gold! A Case of Concomitant Acute Pericarditis and Subsegmental Pulmonary Embolism

Patoulias

Papachristou

Vitos

et al. 2021

MJR

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Concomitance of acute pericarditis and pulmonary embolism is extremely rare, with only a few case reports published so far. Herein we present a case of a 50-year-old man that presented to the Emergency Department, complaining of fever up to 38.5°C, pleuritic chest pain, nausea, arthralgias, and general symptoms during the previous two weeks. Thorough diagnostic work-up revealed the diagnosis of concomitant acute pericarditis and pulmonary embolism, which raised high index of clinical suspicion for systemic lupus erythematosus (SLE). Indeed, the patient did not marginally meet the diagnostic criteria for SLE (total score=8), according to the updated 2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria. Since then, the patient remains asymptomatic, while he is under close monitoring for potential manifestation of other SLE clinical features. Our case highlights the need for long-term follow-up in such patients, especially when the first episode is attributed as idiopathic.

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