RESUMEN
Pulmonary tumor embolism as a presenting feature of hepatocellular carcinoma is rare. It has been reported only once previously. In that case, other signs and symptoms of liver disease were present. We report the case of a patient with cavoatrial hepatocellular carcinoma presenting with isolated pulmonary tumor embolism, without any clinical or laboratory evidence of liver disease. Hepatocellular carcinoma should be included in the differential diagnosis as a rare cause of pulmonary tumor embolism.
Asunto(s)
Carcinoma Hepatocelular/diagnóstico , Atrios Cardíacos/patología , Neoplasias Hepáticas/diagnóstico , Células Neoplásicas Circulantes , Vena Cava Inferior/patología , Anciano , Carcinoma Hepatocelular/complicaciones , Enfermedad Coronaria/complicaciones , Disnea/etiología , Ecocardiografía Doppler , Atrios Cardíacos/diagnóstico por imagen , Venas Hepáticas/patología , Humanos , Hipertensión Pulmonar/etiología , Neoplasias Hepáticas/complicaciones , Masculino , Vena Cava Inferior/diagnóstico por imagenRESUMEN
Since 1985, egg-associated Salmonella enteritidis has emerged as a major cause of foodborne disease. New York State has been especially affected, with 47 documented egg-associated S enteritidis outbreaks involving 2279 cases and 10 deaths. Individual case reports of salmonella have also increased 56%, and sporadic cases of S enteritidis have been shown to be associated with egg consumption. Further educational and regulatory activities are needed to control this continuing public health problem.