Dressler-like syndrome after pulmonary embolism and infarction

Among 195 patients with pulmonary embolism admitted to our hospital, three men and three women, 16 to 65 years old, developed a pericardial syndrome five to 15 days after the onset of pulmonary embolism and infarction. Other known causes of pericarditis were ruled out by clinical history and ancilla...

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Bibliographic Details
Published inChest Vol. 92; no. 1; p. 115
Main Authors Jerjes-Sanchez, C, Ibarra-Perez, C, Ramirez-Rivera, A, Padua-Gabriel, A, Gonzalez-Carmona, V M
Format Journal Article
LanguageEnglish
Published United States 01.07.1987
Subjects
Adolescent
Adult
Aged
Female
Humans
Male
Middle Aged
Pericarditis - diagnosis
Pericarditis - etiology
Pulmonary Embolism - complications
Pulmonary Embolism - diagnosis
Syndrome
Time Factors
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Summary:Among 195 patients with pulmonary embolism admitted to our hospital, three men and three women, 16 to 65 years old, developed a pericardial syndrome five to 15 days after the onset of pulmonary embolism and infarction. Other known causes of pericarditis were ruled out by clinical history and ancillary methods. The six patients had a pericardial rub, fever, anemia, leukocytosis, and increasing sedimentation rate; four had a pericardial effusion; two had a pleural effusion. One patient, with coexisting heart disease, died after another episode of pulmonary embolism; in the other five, oral corticosteroids induced complete remission of the pericardial syndrome. This type of pericarditis deserves wider recognition.
ISSN:0012-3692
DOI:10.1378/chest.92.1.115