Persistent tachypnea in children: Keep pulmonary embolism in mind

C. Heleen Van Ommen*, Harriet Heyboer, Jaap W. Groothoff, Rian Teeuw, Daniël C. Aronson, Marjolein Peters

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

32 Citations (Scopus)

Abstract

Purpose: Tachypnea in children is associated with respiratory disorders and nonrespiratory disorders such as cardiac disease, metabolic acidosis, fever, pain, and anxiety. Pulmonary embolism is seldom considered by pediatricians as a cause of tachypnea. Patients and Methods: Three children of various ages with persistent tachypnea are described: a girl after orthopedic surgery for kyphoscoliosis, a boy with nephrotic syndrome, and a neonate with Hirschsprung disease. Other causes of tachypnea were diagnosed and treated before pulmonary embolism was considered. Results: Ventilation- perfusion scanning appeared to be highly probable for pulmonary embolism in these patients. Anticoagulant therapy was started. Conclusion: Pulmonary embolism should be kept in mind in children with tachypnea, especially when other risk factors for venous thromboembolism are present, to avoid delay in anticoagulant treatment and a fatal outcome.

Original languageEnglish
Pages (from-to)570-573
Number of pages4
JournalJournal of Pediatric Hematology/Oncology
Volume20
Issue number6
DOIs
Publication statusPublished - 1998
Externally publishedYes

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