Diagnosing Pulmonary Embolism Using Point-of-Care Ultrasound in a Patient With Malingering and Coccidioidomycosis Infection
We report a case of a 41-year-old male diagnosed with pulmonary coccidioidomycosis and pulmonary embolism (PE) based on a point-of-care ultrasound (POCUS) finding who was suspected to be malingering for right-sided chest pain considering his psychiatric history. POCUS was performed and showed right...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2023-01, Vol.15 (1), p.e34288 |
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| creator | Chauhan, Uday Athwal, Pal Elhassan, Mohammed |
| description | We report a case of a 41-year-old male diagnosed with pulmonary coccidioidomycosis and pulmonary embolism (PE) based on a point-of-care ultrasound (POCUS) finding who was suspected to be malingering for right-sided chest pain considering his psychiatric history. POCUS was performed and showed right ventricular strain with a D-shaped left ventricle and B-lines with subpleural consolidations, and PE was confirmed with computed tomography pulmonary angiography. No other risk factors for PE were found except for coccidioidomycosis. The patient was treated with apixaban and fluconazole and discharged in stable condition. We discuss the usefulness of POCUS in diagnosing PE and the very rare association between coccidioidomycosis and PE. |
| doi_str_mv | 10.7759/cureus.34288 |
| format | Article |
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POCUS was performed and showed right ventricular strain with a D-shaped left ventricle and B-lines with subpleural consolidations, and PE was confirmed with computed tomography pulmonary angiography. No other risk factors for PE were found except for coccidioidomycosis. The patient was treated with apixaban and fluconazole and discharged in stable condition. We discuss the usefulness of POCUS in diagnosing PE and the very rare association between coccidioidomycosis and PE.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.34288</identifier><identifier>PMID: 36843761</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Antifungal agents ; Asymptomatic ; Blood clots ; Case reports ; Consolidation ; Electrocardiography ; Hemodynamics ; Homeless people ; Hospitals ; Infections ; Infectious Disease ; Internal Medicine ; Medical diagnosis ; Medical imaging ; Methamphetamine ; Pain ; Patients ; Pneumonia ; Point of care testing ; Pulmonary embolisms ; Pulmonology ; Severe acute respiratory syndrome coronavirus 2 ; Thromboembolism ; Tomography ; Ultrasonic imaging</subject><ispartof>Curēus (Palo Alto, CA), 2023-01, Vol.15 (1), p.e34288</ispartof><rights>Copyright © 2023, Chauhan et al.</rights><rights>Copyright © 2023, Chauhan et al. 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Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2023, Chauhan et al. 2023 Chauhan et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c266t-3077a027076c1d61a2f300782dcb851a9f5f7cfe08e27596a28709e0132660da3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957573/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957573/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36843761$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chauhan, Uday</creatorcontrib><creatorcontrib>Athwal, Pal</creatorcontrib><creatorcontrib>Elhassan, Mohammed</creatorcontrib><title>Diagnosing Pulmonary Embolism Using Point-of-Care Ultrasound in a Patient With Malingering and Coccidioidomycosis Infection</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>We report a case of a 41-year-old male diagnosed with pulmonary coccidioidomycosis and pulmonary embolism (PE) based on a point-of-care ultrasound (POCUS) finding who was suspected to be malingering for right-sided chest pain considering his psychiatric history. POCUS was performed and showed right ventricular strain with a D-shaped left ventricle and B-lines with subpleural consolidations, and PE was confirmed with computed tomography pulmonary angiography. No other risk factors for PE were found except for coccidioidomycosis. The patient was treated with apixaban and fluconazole and discharged in stable condition. We discuss the usefulness of POCUS in diagnosing PE and the very rare association between coccidioidomycosis and PE.</description><subject>Antifungal agents</subject><subject>Asymptomatic</subject><subject>Blood clots</subject><subject>Case reports</subject><subject>Consolidation</subject><subject>Electrocardiography</subject><subject>Hemodynamics</subject><subject>Homeless people</subject><subject>Hospitals</subject><subject>Infections</subject><subject>Infectious Disease</subject><subject>Internal Medicine</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Methamphetamine</subject><subject>Pain</subject><subject>Patients</subject><subject>Pneumonia</subject><subject>Point of care testing</subject><subject>Pulmonary embolisms</subject><subject>Pulmonology</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Thromboembolism</subject><subject>Tomography</subject><subject>Ultrasonic imaging</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpVUc1LBCEUlygqam-dQ-ja1FN31LkEsX0tFHVo6Siu42zGjG46E0T_fNZWbKf34P2-9IfQAYETIcrq1AzRDumEjamUG2iXEi4LSeR4c23fQaOUXgCAgKAgYBvtMC7HTHCyiz4unF74kJxf4Ieh7YLX8R1fdvPQutTh2eoQnO-L0BQTHS2etX3UKQy-xs5jjR9076zv8ZPrn_GdbjPDxi-azohJMMbVLrg6dO8m-yQ89Y01vQt-H201uk129DP30Ozq8nFyU9zeX08n57eFoZz3BQMhNFABghtSc6JpwwCEpLWZy5LoqikbYRoL0tL8J1xTKaCyQFimQ63ZHjpb6S6HeWdrk8NG3apldF1-rAraqf8X757VIrypqipFKVgWOPoRiOF1sKlXL2GIPmdWVEjgZfaCjDpeoUwMKUXb_DkQUF9tqVVb6rutDD9cT_UH_u2GfQJJA5NZ</recordid><startdate>20230127</startdate><enddate>20230127</enddate><creator>Chauhan, Uday</creator><creator>Athwal, Pal</creator><creator>Elhassan, Mohammed</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20230127</creationdate><title>Diagnosing Pulmonary Embolism Using Point-of-Care Ultrasound in a Patient With Malingering and Coccidioidomycosis Infection</title><author>Chauhan, Uday ; 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POCUS was performed and showed right ventricular strain with a D-shaped left ventricle and B-lines with subpleural consolidations, and PE was confirmed with computed tomography pulmonary angiography. No other risk factors for PE were found except for coccidioidomycosis. The patient was treated with apixaban and fluconazole and discharged in stable condition. We discuss the usefulness of POCUS in diagnosing PE and the very rare association between coccidioidomycosis and PE.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>36843761</pmid><doi>10.7759/cureus.34288</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Antifungal agents Asymptomatic Blood clots Case reports Consolidation Electrocardiography Hemodynamics Homeless people Hospitals Infections Infectious Disease Internal Medicine Medical diagnosis Medical imaging Methamphetamine Pain Patients Pneumonia Point of care testing Pulmonary embolisms Pulmonology Severe acute respiratory syndrome coronavirus 2 Thromboembolism Tomography Ultrasonic imaging |
| title | Diagnosing Pulmonary Embolism Using Point-of-Care Ultrasound in a Patient With Malingering and Coccidioidomycosis Infection |
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