Orthopnea and fever in an elderly woman

Orthopnea is a sensation of shortness of breath, which occurs in recumbent position and is usually improved by standing or sitting. The authors report a case of an 81-year-old woman presented to the Emergency Department with a two-week history of orthopnea, fever and low back pain resistant to analg...

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Bibliographic Details
Main Authors: Claudio Tana, Silvio di Carlo, Mauro Silingardi, Maria Adele Giamberardino, Francesco Cipollone, Tiziana Meschi
Format: Article
Language:English
Published: PAGEPress Publications 2017-11-01
Series:Italian Journal of Medicine
Subjects:
Online Access:http://www.italjmed.org/index.php/ijm/article/view/922
Description
Summary:Orthopnea is a sensation of shortness of breath, which occurs in recumbent position and is usually improved by standing or sitting. The authors report a case of an 81-year-old woman presented to the Emergency Department with a two-week history of orthopnea, fever and low back pain resistant to analgesics. Radiological findings confirm the presence of a diafragmatic hernia, and clinicians should pay attention to any history of trauma, because their absence in symptomatic adult patients directs towards a congenital cause. A surgical repair should be promptly obtained to avoid further general and respiratory deterioration.
ISSN:1877-9344
1877-9352