Massive Alveolar Hemorrhage During Wegener Granulomatosis: a Case Report

• Main Authors: Gökhan Perincek, Erhan Tabakoğlu, Ömer Nuri Pamuk
• Format: Article
• Language: English
• Published: Galenos Publishing House 2011-11-01
• Series: Balkan Medical Journal
• Subjects: Wegener Granulomatosis; massive alveolar hemorrhage
• Online Access: http://balkanmedicaljournal.org/text.php3?id=816

This is a presentation of Wegener Granulomatosis (WG) disease. Even though the lungs are rarely affected. massive alveolar hemorrhage is seen which leads to mortality. The patient was a 28 year old man. His illness was diagnosed as WG and glomerulonephritis a year previously and he was treated by administration of methylprednisolone orally. He had been treated irregularly. He applied to the emergency service with hemoptysis and asthma complaints two days earlier. After the results of his examination Hb: 3.6 gr/dl, Htc:10.3%, Üre:131 mg /dl, kreatini: 7.7 mg/dl, pH: 7.41, pO2: 55 mmHg, pCO2:33 mmHg, and being diagnosed as alveolar consolidation on lung X-ray, he was taken to the intensive care unit with a diagnosis of a massive alveolar hemorrhagei. He was intubated and attached to mechanical ventilation. He was treated with parenteral 1 mg/kg/day methylprednisolone and, siklofosfamid 2 mg/kg/day. He was extubated on the 21st day. He was taken to the chest service department on 24th day. He is still being treated.