Pulmonary embolism in children, a real challenge for the pediatrician: a case report and review of the literature

Alessandra Maggio, Lilia Altieri, D. Pantaleo, M. Grignani, L. Decembrino
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Abstract

Venous thromboembolism (VTE) is a coagulopathic disease that may appear with deep vein thrombosis (DVT), pulmonary embolism (PE), or both and is responsible for increased mortality and morbidity in children. We report a case of PE in a male teenager obese boy in the setting of a thrombophilic genetic disorder, infective condition, and immobility. Our experience underlines as PE in childhood is a multifactorial disease in which clinical risk factors and inherited thrombophilia contribute to the development. It is crucial to identify one or more risk factors leading to the most appropriate diagnostic workup.
儿童肺栓塞,对儿科医生的真正挑战:一个病例报告和文献回顾
静脉血栓栓塞(VTE)是一种凝血障碍疾病,可能与深静脉血栓形成(DVT)、肺栓塞(PE)或两者同时出现,是儿童死亡率和发病率增加的原因。我们报告一例PE在男性青少年肥胖男孩在设置血栓性遗传疾病,感染条件,和不动。我们的经验强调,儿童PE是一种多因素疾病,其中临床危险因素和遗传性血栓形成有助于其发展。关键是要确定一个或多个风险因素导致最适当的诊断工作。
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