Pulmonary embolism in a patient complaining of a cough symptoms

A thirty-six-year-old female, who complained of dry cough symptoms, was treated based on a diagnosis of flu or asthma. However, the cough did not improve. She subsequently developed dyspnea and felled into both a hypoxic state and shock and she was transferred to this department. Electrocardiograms revealed incomplete right bundle block with ST depression on the right precordial leads and a blood examination indicated high value of d-dimmer. Enhanced computed tomography showed pulmonary embolism. Thrombolytic therapy led to favorable outcome. Pulmonary embolism can be a lethal disease with various symptoms so physicians should consider pulmonary embolism when patients present with a refractory cough.