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Abstract

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Article in Japanese

Case Report

An elderly case of recurrent negative pressure pulmonary hemorrhage induced by dysphagia

Yoshitaka Tomodaa  Shunsuke Yokoia  Seiji Yoshimitsu b  Hakubun Hiramotoc  Naoki Okamotoa 

aDepartment of Internal Medicine, Kitakyushu General Hospital
bDepartment of Pulmonary Medicine, Higashihiroshima Medical Center
cDepartment of Pulmonary Medicine, Tadanoumi Brunch Hospital, Kure Kyosai Hospital

ABSTRACT

A 91-year-old man was brought by ambulance because of dyspnea after choking while he was eating a meal. Chest computed tomography (CT) scans showed bilateral ground-glass opacities. He required mechanical ventilation and airway bleeding was revealed, but his symptoms and hypoxemia rapidly improved. Three months later, he choked again and was readmitted to our hospital. Chest CT scan revealed lesion similar to that of the first admission. A bronchoscopy examination showed a bloody bronchoalveolar lavage fluid. We diagnosed negative pressure pulmonary hemorrhage (NPPH) caused by upper airway obstruction, and it improved without any specific treatment. This case is the first one of repeated NPPH.

KEYWORDS

Negative pressure pulmonary hemorrhage  Upper airway obstruction  Elderly people 

Received 23 Apr 2013 / Accepted 4 Jul 2013

AJRS, 2(6): 814-817, 2013

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