https://doi.org/10.4081/itjm.2017.922

Orthopnea and fever in an elderly woman

Vol. 11 No. 4 (2017)
Submitted: 4 September 2017
Accepted: 15 September 2017
Published: 28 November 2017
Acute respiratory failure, congenital disorders, hernia, diaphragm, computed tomography.
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Authors

Claudio Tana
ctana@ao.pr.it
Internal Medicine and Critical Subacute Care Unit, Medicine Geriatric-Rehabilitation Department, University-Hospital of Parma, Parma, Italy.
Silvio di Carlo
Geriatrics Clinic, Medicine Department, ASL Pescara, Pescara, Italy.
Mauro Silingardi
Internal Medicine Unit, Maggiore Hospital of Bologna, AUSL Bologna, Italy.
Maria Adele Giamberardino
Ce.S.I.-Met; and Geriatrics Clinic, Department of Medicine and Science of Aging, G. D'Annunzio University of Chieti, Italy.
Francesco Cipollone
Ce.S.I.-Met; and Geriatrics Clinic, Department of Medicine and Science of Aging, G. D'Annunzio University of Chieti; Regional Center for the Study of Atherosclerosis, Hypertension and Dyslipidemia, S.S. Annunziata Hospital, ASL Chieti, Italy.
Tiziana Meschi
Internal Medicine and Critical Subacute Care Unit, Medicine Geriatric-Rehabilitation Department, University-Hospital of Parma, Parma, Italy.
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.

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How to Cite

Tana, C., di Carlo, S., Silingardi, M., Giamberardino, M. A., Cipollone, F., & Meschi, T. (2017). Orthopnea and fever in an elderly woman. Italian Journal of Medicine, 11(4), 399–402. https://doi.org/10.4081/itjm.2017.922

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