Medical image of the week: secondary pneumonia presenting as hemoptysis
No abstract available. Article truncated at 150 words. A 44 year-old man with a history of asthma presented to the hospital with encephalopathy, severe hypoxia and what was reported to be hematemesis. The patient was intubated in the Emergency Department and mechanical ventilation was instituted. Up...
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Arizona Thoracic Society
2014-09-01
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doaj-4e4441272dcf4849ba498faa3d90aaba2020-11-24T22:39:13ZengArizona Thoracic SocietySouthwest Journal of Pulmonary and Critical Care2160-67732014-09-019317717810.13175/swjpcc116-14Medical image of the week: secondary pneumonia presenting as hemoptysisHypes C 0Bime C 1Sun K 2Ulliman E3University of Arizona, Tucson, AZUniversity of Arizona, Tucson, AZUniversity of Arizona, Tucson, AZUniversity of Arizona, Tucson, AZNo abstract available. Article truncated at 150 words. A 44 year-old man with a history of asthma presented to the hospital with encephalopathy, severe hypoxia and what was reported to be hematemesis. The patient was intubated in the Emergency Department and mechanical ventilation was instituted. Upper endoscopy was performed but source of bleeding could not be identified. Imaging of the chest showed pulmonary consolidation on both plain radiograph (D) and computed tomography (A-C). Bronchoscopy revealed a very friable mucosa with sloughing of the respiratory epithelium from the main carina (F) to at least the subsegmental level. Bronchoalveolar lavage (BAL) returned bloody fluid (E) but without any increase in blood with subsequent aliquots of fluid. The patient had progressively worsening hypoxia consistent with the acute respiratory distress syndrome (ARDS) requiring rescue maneuvers including paralysis, airway pressure release ventilation, and inhaled nitric oxide but we were unable to implement proning or transfer for extracorporeal life support due to profound cardiovascular ...http://www.swjpcc.com/imaging/2014/9/10/medical-image-of-the-week-secondary-pneumonia-presenting-as.htmlinfluenzabacterial pneumoniapneumoniasecondary infectionStaphylococcus aureusinfluenza BhemoptysisCT scanchest x-raybronchoalveolar lavage |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hypes C Bime C Sun K Ulliman E |
spellingShingle |
Hypes C Bime C Sun K Ulliman E Medical image of the week: secondary pneumonia presenting as hemoptysis Southwest Journal of Pulmonary and Critical Care influenza bacterial pneumonia pneumonia secondary infection Staphylococcus aureus influenza B hemoptysis CT scan chest x-ray bronchoalveolar lavage |
author_facet |
Hypes C Bime C Sun K Ulliman E |
author_sort |
Hypes C |
title |
Medical image of the week: secondary pneumonia presenting as hemoptysis |
title_short |
Medical image of the week: secondary pneumonia presenting as hemoptysis |
title_full |
Medical image of the week: secondary pneumonia presenting as hemoptysis |
title_fullStr |
Medical image of the week: secondary pneumonia presenting as hemoptysis |
title_full_unstemmed |
Medical image of the week: secondary pneumonia presenting as hemoptysis |
title_sort |
medical image of the week: secondary pneumonia presenting as hemoptysis |
publisher |
Arizona Thoracic Society |
series |
Southwest Journal of Pulmonary and Critical Care |
issn |
2160-6773 |
publishDate |
2014-09-01 |
description |
No abstract available. Article truncated at 150 words. A 44 year-old man with a history of asthma presented to the hospital with encephalopathy, severe hypoxia and what was reported to be hematemesis. The patient was intubated in the Emergency Department and mechanical ventilation was instituted. Upper endoscopy was performed but source of bleeding could not be identified. Imaging of the chest showed pulmonary consolidation on both plain radiograph (D) and computed tomography (A-C). Bronchoscopy revealed a very friable mucosa with sloughing of the respiratory epithelium from the main carina (F) to at least the subsegmental level. Bronchoalveolar lavage (BAL) returned bloody fluid (E) but without any increase in blood with subsequent aliquots of fluid. The patient had progressively worsening hypoxia consistent with the acute respiratory distress syndrome (ARDS) requiring rescue maneuvers including paralysis, airway pressure release ventilation, and inhaled nitric oxide but we were unable to implement proning or transfer for extracorporeal life support due to profound cardiovascular ... |
topic |
influenza bacterial pneumonia pneumonia secondary infection Staphylococcus aureus influenza B hemoptysis CT scan chest x-ray bronchoalveolar lavage |
url |
http://www.swjpcc.com/imaging/2014/9/10/medical-image-of-the-week-secondary-pneumonia-presenting-as.html |
work_keys_str_mv |
AT hypesc medicalimageoftheweeksecondarypneumoniapresentingashemoptysis AT bimec medicalimageoftheweeksecondarypneumoniapresentingashemoptysis AT sunk medicalimageoftheweeksecondarypneumoniapresentingashemoptysis AT ullimane medicalimageoftheweeksecondarypneumoniapresentingashemoptysis |
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