BACKGROUND: Although fever has been reported in several case series of acute pulmonary embolism (PE), the extent to which fever may be caused by PE, and not associated disease, has not been adequately sorted out. Clarification of the frequency and severity of fever in acute PE may assist in achieving an accurate clinical impression, and perhaps avoid an inadvertent exclusion of the diagnosis. PURPOSE: The purpose of this investigation is to evaluate the extent to which fever is caused by acute PE. METHODS:Patients participated in the Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED). Temperature was evaluated among patients with angiographically proven PE. A determination of whether other causes of fever were present was based on a retrospective analysis of discharge summaries, PIOPED summaries, and a computerized list of all discharge diagnoses. RESULTS: Among patients with PE and no other source of fever, fever was present in 43 of 311 patients (14%). Fever in patients with pulmonary hemorrhage or infarction was not more frequent than among those with no pulmonary hemorrhage or infarction, 39 of 267 patients (15%) vs 4 of 44 patients (9%; not significant). Clinical evidence of deep venous thrombosis was often present in patients with PE and otherwise unexplained fever. CONCLUSION: Low-grade fever is not uncommon in PE, and high fever, although rare, may occur. Fever need not be accompanied by pulmonary hemorrhage or infarction.
RCT Entities:
BACKGROUND: Although fever has been reported in several case series of acute pulmonary embolism (PE), the extent to which fever may be caused by PE, and not associated disease, has not been adequately sorted out. Clarification of the frequency and severity of fever in acute PE may assist in achieving an accurate clinical impression, and perhaps avoid an inadvertent exclusion of the diagnosis. PURPOSE: The purpose of this investigation is to evaluate the extent to which fever is caused by acute PE. METHODS:Patients participated in the Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED). Temperature was evaluated among patients with angiographically proven PE. A determination of whether other causes of fever were present was based on a retrospective analysis of discharge summaries, PIOPED summaries, and a computerized list of all discharge diagnoses. RESULTS: Among patients with PE and no other source of fever, fever was present in 43 of 311 patients (14%). Fever in patients with pulmonary hemorrhage or infarction was not more frequent than among those with no pulmonary hemorrhage or infarction, 39 of 267 patients (15%) vs 4 of 44 patients (9%; not significant). Clinical evidence of deep venous thrombosis was often present in patients with PE and otherwise unexplained fever. CONCLUSION: Low-grade fever is not uncommon in PE, and high fever, although rare, may occur. Fever need not be accompanied by pulmonary hemorrhage or infarction.
Authors: Raquel Barba; Pierpaolo Di Micco; Angeles Blanco-Molina; Cristina Delgado; Elena Cisneros; Jaume Villalta; María V Morales; Alessandra Bura-Riviere; Philippe Debourdeau; Manuel Monreal Journal: J Thromb Thrombolysis Date: 2011-10 Impact factor: 2.300
Authors: Paul D Stein; H Dirk Sostman; Russell D Hull; Lawrence R Goodman; Kenneth V Leeper; Alexander Gottschalk; Victor F Tapson; Pamela K Woodard Journal: Am J Cardiol Date: 2009-01-24 Impact factor: 2.778
Authors: Sangun Nah; Sangsoo Han; Han Bit Kim; Sohyeon Chun; Sechan Kim; Seungho Woo; Ji Eun Moon; Young Soon Cho Journal: PLoS One Date: 2021-12-07 Impact factor: 3.240