A Case of Pulmonary Infarction Caused by Diffuse Alveolar Damage Confirmed by Open-Lung Biopsy
- Author:
Eunjung KIM
1
;
Jungok KIM
;
Sin Young MIN
;
Yun Gyoung PARK
;
Hana PARK
;
Gee Young SUH
;
Kyung Soo LEE
Author Information
1. Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. eunjung817.kim@samsung.com
- Publication Type:Case Report
- Keywords:
Pulmonary infarction;
Diffuse alveolar damage;
Adult respiratory distress syndrome;
Open-lung biopsy
- MeSH:
Biopsy;
Blood Coagulation;
Chest Pain;
Dyspnea;
Fever;
Humans;
Middle Aged;
Pulmonary Infarction;
Respiration, Artificial;
Respiratory Distress Syndrome, Adult;
Respiratory Insufficiency;
Thrombosis
- From:Korean Journal of Medicine
2012;82(4):487-491
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of a 63-year-old man with adult respiratory distress syndrome and pulmonary infarction. The patient presented with fever, dyspnea, pleuritic chest pain, and acute respiratory failure, and we applied mechanical ventilation and steroid therapy. Pulmonary infarction and diffuse alveolar damage were confirmed by open-lung biopsy. Diffuse alveolar damage activated the blood coagulation system, resulting in thrombosis in the pulmonary vasculature. After anticoagulation therapy, the patient improved rapidly. We report a rare pulmonary infarction caused by diffuse alveolar damage confirmed by open-lung biopsy.
