1996
DOI: 10.1183/09031936.96.09102184
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A patient with haemoptysis, rapidly changing pulmonary infiltrates and left flank pain

Abstract: A A p pa at ti ie en nt t w wi it th h h ha ae em mo op pt ty ys si is s, , r ra ap pi id dl ly y c ch ha an ng gi in ng g p pu ul lm mo on na ar ry y i in nf fi il lt tr ra at te es s a an nd d l le ef ft t f fl la an nk k p pa ai in n Case history A 28 year old male patient sought medical advice because of a 2 week history of haemoptysis. He began to suffer from vague right chest pain 1 month earlier, followed by intermittent fever, progressive dyspnoea and cough with blood clots in the sputum. Occasional le… Show more

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Cited by 5 publications
(2 citation statements)
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“…These causes other than renal calculi include abnormalities of the gastrointestinal and gynecologic systems, as well as other abnormalities of the genitourinary system. Some very rare etiologies, such as acute pancreatitis [6], pulmonary thromboembolism [7], spleen or renal infarction [8], and carcinomas, have been reported. In our patient, the only symptom was persistent dull left flank pain, which led to a wide range of misdiagnoses, even though she was seen by many specialists who also performed several different investigations.…”
Section: Discussionmentioning
confidence: 99%
“…These causes other than renal calculi include abnormalities of the gastrointestinal and gynecologic systems, as well as other abnormalities of the genitourinary system. Some very rare etiologies, such as acute pancreatitis [6], pulmonary thromboembolism [7], spleen or renal infarction [8], and carcinomas, have been reported. In our patient, the only symptom was persistent dull left flank pain, which led to a wide range of misdiagnoses, even though she was seen by many specialists who also performed several different investigations.…”
Section: Discussionmentioning
confidence: 99%
“…Alveolar haemorrhage, apart from that associated with ARDS, can also occur in a less dramatic setting, where the patient presents with dyspnoea and large alveolar infiltrates seen on chest roentgenogram [5,6]. Even substantial alveolar haemorrhage rarely causes large haemoptysis; indeed, the patient usually reports only small amounts of blood in the sputum, despite the fact that the haemoglobin level has decreased considerably and the chest roentgenogram shows large infiltrates [3,[4][5][6][7]. Typically, the lung has the capacity to clear the alveoli of blood within a few days, with subsequent improvement of the radiograph and the dyspnoea.…”
mentioning
confidence: 99%