Bilaterale pneumonia after myocardial infarction

A 63-year-old man was admitted with fever and bilateral pulmonary infiltrates accompanied by pleural effusion a few days after ST-segment elevation myocardial infarction treated with primary angioplasty and stent implantation. The diagnosis of early postmyocardial infarction syndrome (Dressler'...

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Veröffentlicht in:Praxis (Bern. 1994) 2012-08, Vol.101 (16), p.1045-1049
Hauptverfasser: Schwarz, E I, Giambarba, C
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description A 63-year-old man was admitted with fever and bilateral pulmonary infiltrates accompanied by pleural effusion a few days after ST-segment elevation myocardial infarction treated with primary angioplasty and stent implantation. The diagnosis of early postmyocardial infarction syndrome (Dressler's syndrome) with pulmonary infiltrates was made after ruling out possible differential diagnosis such as pneumonia and congestive heart failure. Infiltrates and markers of inflammation resolved rapidly with systemic steroid therapy. Etiology, diagnosis and treatment of this immunological reaction with inflammation of pericardium, pleura and often pulmonary parenchyma are discussed.
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The diagnosis of early postmyocardial infarction syndrome (Dressler's syndrome) with pulmonary infiltrates was made after ruling out possible differential diagnosis such as pneumonia and congestive heart failure. Infiltrates and markers of inflammation resolved rapidly with systemic steroid therapy. 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Etiology, diagnosis and treatment of this immunological reaction with inflammation of pericardium, pleura and often pulmonary parenchyma are discussed.</description><subject>Angioplasty, Balloon, Coronary</subject><subject>Anterior Wall Myocardial Infarction - complications</subject><subject>Anterior Wall Myocardial Infarction - diagnosis</subject><subject>Anterior Wall Myocardial Infarction - therapy</subject><subject>Critical Care</subject><subject>Diagnosis, Differential</subject><subject>Drug-Eluting Stents</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pleural Effusion - diagnosis</subject><subject>Pleural Effusion - etiology</subject><subject>Pneumonia - diagnosis</subject><subject>Pneumonia - etiology</subject><subject>Syndrome</subject><subject>Ventricular Dysfunction, Left - complications</subject><subject>Ventricular Dysfunction, Left - diagnosis</subject><issn>1661-8157</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9j7FOwzAURT2AaCl8AAvKyBL67MSOPUJFAakSS_foObElI8cJdjL07zGiMF3p6OheXULuKDxSYPWWCkFLSXmzRYAfckHW_2xFrlP6BBC1YvyKrBiTjVS1XBN4dh5nE9GbYgpmGcbgsECbUTGcxg5j79AXLliM3ezGcEMuLfpkbs-5Icf9y3H3Vh4-Xt93T4dy4kLmUS2gAoPItAXWIweFmmqWV5VghgHl1qLQTS-U1bTiHdYghGRWWkuh2pCH39opjl-LSXM7uNQZ7zGYcUltVqp8rFE8q_dnddGD6dspugHjqf07WX0D7tlRQQ</recordid><startdate>20120808</startdate><enddate>20120808</enddate><creator>Schwarz, E I</creator><creator>Giambarba, C</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20120808</creationdate><title>Bilaterale pneumonia after myocardial infarction</title><author>Schwarz, E I ; Giambarba, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p568-81b6030eaa2bf02da509ab1b2894962e2015ffa6b7d69fb135ca406682f8ff103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>ger</language><creationdate>2012</creationdate><topic>Angioplasty, Balloon, Coronary</topic><topic>Anterior Wall Myocardial Infarction - complications</topic><topic>Anterior Wall Myocardial Infarction - diagnosis</topic><topic>Anterior Wall Myocardial Infarction - therapy</topic><topic>Critical Care</topic><topic>Diagnosis, Differential</topic><topic>Drug-Eluting Stents</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pleural Effusion - diagnosis</topic><topic>Pleural Effusion - etiology</topic><topic>Pneumonia - diagnosis</topic><topic>Pneumonia - etiology</topic><topic>Syndrome</topic><topic>Ventricular Dysfunction, Left - complications</topic><topic>Ventricular Dysfunction, Left - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schwarz, E I</creatorcontrib><creatorcontrib>Giambarba, C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Praxis (Bern. 1994)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schwarz, E I</au><au>Giambarba, C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilaterale pneumonia after myocardial infarction</atitle><jtitle>Praxis (Bern. 1994)</jtitle><addtitle>Praxis (Bern 1994)</addtitle><date>2012-08-08</date><risdate>2012</risdate><volume>101</volume><issue>16</issue><spage>1045</spage><epage>1049</epage><pages>1045-1049</pages><issn>1661-8157</issn><abstract>A 63-year-old man was admitted with fever and bilateral pulmonary infiltrates accompanied by pleural effusion a few days after ST-segment elevation myocardial infarction treated with primary angioplasty and stent implantation. 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subjects Angioplasty, Balloon, Coronary
Anterior Wall Myocardial Infarction - complications
Anterior Wall Myocardial Infarction - diagnosis
Anterior Wall Myocardial Infarction - therapy
Critical Care
Diagnosis, Differential
Drug-Eluting Stents
Humans
Male
Middle Aged
Pleural Effusion - diagnosis
Pleural Effusion - etiology
Pneumonia - diagnosis
Pneumonia - etiology
Syndrome
Ventricular Dysfunction, Left - complications
Ventricular Dysfunction, Left - diagnosis
title Bilaterale pneumonia after myocardial infarction
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