Document Type: Case Report
Nephrology and Radiology Department of Pediatric Medical Center, Tehran University of Medical Sciences, Tehran, Iran
Nuclear Medicine Department, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
A known case of nephrotic syndrome aged 32 months was admitted to ICU because of loss of consciousness. In physical exam he had tachycardia, tachypnea and hypotension. Lab data showed metabolic alkalosis and hypoxia. In CXR, vascular cut off was seen in right lung and perfusion lung scan showed absence of perfusion in the right lung.Treatment was started with heparin and streptokinase, but unfortunately the patient died 48 hrs after admission.