Night Sweats as a Prominent Symptom of a Patient Presenting with Pulmonary Embolism

Pulmonary embolism is a common, potentially fatal disease. Making the correct diagnosis early can significantly reduce mortality and morbidity. We report the first case of drenching night sweats as one of the presenting symptoms of submassive pulmonary embolism. One week after undergoing laparotomic...

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Main Authors: Attila Feher, Saif A. Muhsin, Anna M. Maw
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2015/841272
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author Attila Feher
Saif A. Muhsin
Anna M. Maw
author_facet Attila Feher
Saif A. Muhsin
Anna M. Maw
author_sort Attila Feher
collection DOAJ
description Pulmonary embolism is a common, potentially fatal disease. Making the correct diagnosis early can significantly reduce mortality and morbidity. We report the first case of drenching night sweats as one of the presenting symptoms of submassive pulmonary embolism. One week after undergoing laparotomic sigmoidectomy for diverticulitis, our patient started to experience drenching night sweats and pleuritic back pain. CT identified bilateral main stem pulmonary artery emboli, and treatment was initiated with subcutaneous enoxaparin injections. Imaging and laboratory workup failed to reveal any other explanation for the night sweats. Patient was discharged on rivaroxaban, and he reported complete resolution of symptoms upon the 3-month follow-up visit and 9-month follow-up call. Based on our case we propose night sweats to be a potential presenting symptom of pulmonary embolism. Our observation can help make an earlier diagnosis of pulmonary embolism.
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spelling doaj-art-e721f52a8fec47cf8db47867a30970ba2025-08-20T02:21:10ZengWileyCase Reports in Pulmonology2090-68462090-68542015-01-01201510.1155/2015/841272841272Night Sweats as a Prominent Symptom of a Patient Presenting with Pulmonary EmbolismAttila Feher0Saif A. Muhsin1Anna M. Maw2Department of Medicine, Weill Cornell Medical College, New York, NY 10065, USADepartment of Medicine, Weill Cornell Medical College, New York, NY 10065, USADepartment of Medicine, Weill Cornell Medical College, New York, NY 10065, USAPulmonary embolism is a common, potentially fatal disease. Making the correct diagnosis early can significantly reduce mortality and morbidity. We report the first case of drenching night sweats as one of the presenting symptoms of submassive pulmonary embolism. One week after undergoing laparotomic sigmoidectomy for diverticulitis, our patient started to experience drenching night sweats and pleuritic back pain. CT identified bilateral main stem pulmonary artery emboli, and treatment was initiated with subcutaneous enoxaparin injections. Imaging and laboratory workup failed to reveal any other explanation for the night sweats. Patient was discharged on rivaroxaban, and he reported complete resolution of symptoms upon the 3-month follow-up visit and 9-month follow-up call. Based on our case we propose night sweats to be a potential presenting symptom of pulmonary embolism. Our observation can help make an earlier diagnosis of pulmonary embolism.http://dx.doi.org/10.1155/2015/841272
spellingShingle Attila Feher
Saif A. Muhsin
Anna M. Maw
Night Sweats as a Prominent Symptom of a Patient Presenting with Pulmonary Embolism
Case Reports in Pulmonology
title Night Sweats as a Prominent Symptom of a Patient Presenting with Pulmonary Embolism
title_full Night Sweats as a Prominent Symptom of a Patient Presenting with Pulmonary Embolism
title_fullStr Night Sweats as a Prominent Symptom of a Patient Presenting with Pulmonary Embolism
title_full_unstemmed Night Sweats as a Prominent Symptom of a Patient Presenting with Pulmonary Embolism
title_short Night Sweats as a Prominent Symptom of a Patient Presenting with Pulmonary Embolism
title_sort night sweats as a prominent symptom of a patient presenting with pulmonary embolism
url http://dx.doi.org/10.1155/2015/841272
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