I was diagnosed with a non traumatic splenic infarction in
Patient :I was diagnosed with a non traumatic splenic infarction in an ER and told to follow up with a hematologist/ oncologist as soon as possible. First appointment I could get was in 1 week. The pain is severe in my left abdomen and shoulder and I have micro cystic anemia, Shortness of breath and heart rate of 110. I have been running a low grade fever of 100.5 for a few days. No signs of internal bleeding in the CT scan. I am I ok to wait for 5 days to see the doctor, or at what point do I need to seek emergency care before then?
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Splenic infarction that is non-traumatic is serious issue. Since you know there are many causes behind it and most common being Malginancies like Lymphoma or Leukemia, this becomes am emergency , if you start having chest pain and breathlessness as the infarction might have occurred in pulmonary vasculature leading to breathlessness.
I suppose, you should go to ER. They will examine you and will perform a CT Chest and ECHO to rule out Pulmonary infarction.
ECHO is required as emboli can also travel to heart valves causes infective endocarditis and that can cause fever. So, a definitive workup is required. You can't wait for an appointment with an oncologist as he would be assessing you for Leukemia and Lymphoma only.
This is very common to have Pulmonary infarction and infective endocarditis in a person who has splenic infarction, whatever the cause might be behind that.
See, evaluation of cause is important here but at present you need evaluation for cause of this fever, breathlessness. If any infective endocarditis is found, you would require blood cultures and antibiotics for that.
So, this is the point where you should go to ER as probably you have got further complications due to the underlying disease.
Go to ER, Share my opinion and let them evaluate.
If you have any further query, feel comfortable to ask me.
I hope it helps.
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