The Bleeding Pneumonia – A Review of Diffuse Alveolar Hemorrhage

Endicott-Yazdani, Tiana; Gannon, Steven; Mora, Adan

doi:10.17925/usrpd.2018.13.1.33

Cited by 1 publication

(3 citation statements)

References 17 publications

(6 reference statements)

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“…Occasionally, multilobar pneumonia present along with DAH as either associative or simulative factor. 10 One clinicopathological study by autopsy of 34 patients described the association of DAH with certain conditions apart from pneumonia. Those conditions are capillaritis associated systemic autoimmune disease [30 cases] and disease of unknown origin [4 cases].…”

Section: Discussionmentioning

confidence: 99%

“…They might requires non invasive or invasive ventilation in case of severe hypoxemia and respiratory failure. 10 In case of suspected infection to be the causative factor, empirical antibiotics have to be started in ER. Once DAH has been confirmed and its causative factor has been confirmed as infections through BAL procedure, Specific antibiotic regimen should be initiated.…”

Section: Discussionmentioning

confidence: 99%

“…Once DAH has been confirmed and its causative factor has been confirmed as infections through BAL procedure, Specific antibiotic regimen should be initiated. 10 Enterobacter species are opportunistic pathogens typically found in intensive care units, with varying incubation times from a few hours up to 20 days. 16 In healthy individuals, the gastrointestinal tract represents the most important reservoir.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of massive hemoptysis with high suspicion for alveolar hemorrhage in the emergency room

Selvam

Bukkapatnam²,

Sivamani³

et al. 2023

IJIRM

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Diffuse alveolar hemorrhage is a serious life threatening condition that has to be promptly addressed during early period of presentation to emergency room. It is usually associated with some underlying causative factor. Early identification of causative factors will help in early initiation of definitive management, thereby reducing the mortality and improving the outcome. We report a case of 64-year-old male with hemoptysis who has been identified as alveolar hemorrhage in emergency room. We also evaluated its possible causative factor by clinical suspicion, laboratory investigations and contrast enhanced computed tomography imaging. Patient started showing improvement with the initiation of face mask oxygenation, empirical IV antibiotics and IV steroid which was further augmented with bronchoscopic intervention by the pulmonology team. Flexible bronchoscopy played both a diagnostic and therapeutic role in this patient. A patient presenting to emergency room with clinical triad of cough, dyspnea and massive hemoptysis has to be approached with high suspicion for diffuse alveolar hemorrhage. Rapid evaluation for its etiology and initiating empirical treatment can prevent morbidity and mortality, thereby improving survival outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%