RESUMO
Dyspnea and hypoxemia in a patient with cancer may have several causes, including infections, thromboembolism, metastases, and pulmonary injuries by drugs. We report a 47-year-old female with breast cancer and a 70-year-old male with urinary bladder cancer who were admitted for dyspnea, hypoxemia and pulmonary hypertension. Chest X rays and CT scans were normal. The ventilation-perfusion scintigram was highly suspicions of thromboembolism in the female. The male died 16 hours after admission and the post mortem examination revealed the presence of tumor cells in the pulmonary vasculature.
Assuntos
Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adenocarcinoma/complicações , Neoplasias da Mama/complicações , Células Neoplásicas Circulantes , Neoplasias da Próstata/complicações , Embolia Pulmonar/etiologia , Neoplasias da Bexiga Urinária/complicações , Adenocarcinoma/patologia , Neoplasias da Mama/patologia , Carcinoma Ductal de Mama/complicações , Carcinoma Ductal de Mama/patologia , Evolução Fatal , Células Neoplásicas Circulantes/patologia , Neoplasias da Próstata/patologia , Embolia Pulmonar/patologia , Neoplasias da Bexiga Urinária/patologiaRESUMO
Dyspnea and hypoxemia in a patient with cancer may have several causes, including infections, thromboembolism, metastases, and pulmonary injuries by drugs. We report a 47-year-old female with breast cancer and a 70-year-old male with urinary bladder cancer who were admitted for dyspnea, hypoxemia and pulmonary hypertension. Chest X rays and CT scans were normal. The ventilation-perfusion scintigram was highly suspicions of thromboembolism in the female. The male died 16 hours after admission and the post mortem examination revealed the presence of tumor cells in the pulmonary vasculature.
Assuntos
Adenocarcinoma/complicações , Neoplasias da Mama/complicações , Células Neoplásicas Circulantes , Neoplasias da Próstata/complicações , Embolia Pulmonar/etiologia , Neoplasias da Bexiga Urinária/complicações , Adenocarcinoma/patologia , Idoso , Neoplasias da Mama/patologia , Carcinoma Ductal de Mama/complicações , Carcinoma Ductal de Mama/patologia , Evolução Fatal , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Células Neoplásicas Circulantes/patologia , Neoplasias da Próstata/patologia , Embolia Pulmonar/patologia , Neoplasias da Bexiga Urinária/patologiaAssuntos
Humanos , Angioplastia , Eletrocardiografia , Reperfusão Miocárdica , Doença Aguda , FibrinolíticosAssuntos
Humanos , Reperfusão Miocárdica , Eletrocardiografia , Angioplastia , Fibrinolíticos , Doença AgudaRESUMO
La enfermedad de Rendu-Osler-Weber es una enfermedad autosómica dominante que se manifiesta por telangiectasias en piel y mucosas y malformaciones arteriovenosas en diversos órganos. El compromiso neurológico puede ocurrir por la presencia de malformaciones arterio-venosas cerebrales, hemorragia intracraneal, y más habitualmente por accidentes cerebrovasculares isquémicos y abscesos cerebrales secundarios a embolia paradojal, en pacientes con malformaciones arteriovenosas pulmonares. El absceso intramedular es una entidad rara, inusual como complicación de la enfermedad de Rendu-Osler-Weber. Presentamos el caso de una mujer de 56 años de edad, con antecedentes familiares de enfermedad de Rendu-Osler- Weber, que ingresó a Terapia Intensiva con cuadriplejia aguda e hipoxemia, en quien se diagnosticó fístulas arteriovenosas pulmonares y un absceso intramedular cervical.
Rendu-Osler-Weber syndrome is an autosomal dominant disorder characterized by multiple skin and mucosal telangiectasis and multiorgan arteriovenous malformations. Neurological manifestations may occur because of cerebral arteriovenous malformations, intracranial hemorrhage, and most commonly by ischemic stroke and brain abscess secondary to paradoxical embolization in patients with pulmonary arteriovenous malformations. Intramedullary abscess is a rare, unusual condition, in Rendu-Osler-Weber syndrome. We report the case of a 56 years old woman, with a familial history of Rendu-Osler-Weber syndrome, admitted to intensive care with acute quadriplegia and hypoxemia. Our diagnosis was pulmonary arteriovenous malformations and intramedullary abscess.
Assuntos
Feminino , Humanos , Pessoa de Meia-Idade , Abscesso/complicações , Fístula Arteriovenosa/diagnóstico , Doenças da Coluna Vertebral/complicações , Telangiectasia Hemorrágica Hereditária/complicações , Abscesso/diagnóstico , Fístula Arteriovenosa/cirurgia , Evolução Fatal , Espectroscopia de Ressonância Magnética , Artéria Pulmonar/anormalidades , Veias Pulmonares/anormalidades , Tomografia Computadorizada por Raios XRESUMO
Rendu-Osler-Weber syndrome is an autosomal dominant disorder characterized by multiple skin and mucosal telangiectasis and multiorgan arteriovenous malformations. Neurological manifestations may occur because of cerebral arteriovenous malformations, intracranial hemorrhage, and most commonly by ischemic stroke and brain abscess secondary to paradoxical embolization in patients with pulmonary arteriovenous malformations. Intramedullary abscess is a rare, unusual condition, in Rendu-Osler-Weber syndrome. We report the case of a 56 years old woman, with a familial history of Rendu-Osler-Weber syndrome, admitted to intensive care with acute quadriplegia and hypoxemia. Our diagnosis was pulmonary arteriovenous malformations and intramedullary abscess.