Diffuse Alveolar Hemorrhage Confirmed by Bronchoalveolar Lavage in a Patient with Hemoptysis after Sildenafil Use for Erectile Dysfunction
10.4266/kjccm.2015.30.1.31
- Author:
Kyoung Min MOON
1
;
Sun Young JUNG
;
Min Soo HAN
;
Yongseon CHO
;
Young Min RAH
;
Jong Woo KIM
Author Information
1. Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea. say2j@eulji.ac.kr
- Publication Type:Case Report
- Keywords:
bronchoalveolar lavage;
hemoptysis;
pulmonary hemorrhage;
sildenafil
- MeSH:
Acinetobacter baumannii;
Aged, 80 and over;
Anti-Bacterial Agents;
Bronchoalveolar Lavage;
Emergency Medical Technicians;
Erectile Dysfunction;
Hemoptysis;
Hemorrhage;
Humans;
Intensive Care Units;
Lung;
Male;
Pneumonia;
Prescriptions;
Respiratory Insufficiency;
Sepsis;
Tranexamic Acid;
Ventilators, Mechanical;
Sildenafil Citrate
- From:The Korean Journal of Critical Care Medicine
2015;30(1):31-33
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 81-year-old man was referred for respiratory failure by emergency medical technicians. He admitted at intensive care unit for ventilator treatment. Several hours before admission, he took sildenafil 100 mg for erectile dysfunction without prescription. The episodes of hemoptysis occurred several hours later. Computed tomography revealed multifocal diffuse ground-glass attenuation in both lungs. And the more we performed bronchoalveolar lavage, the more the color of it was turned into red. We treated him with empirical antibiotics and tranexamic acid, and hemoptysis was stopped in one day after admission. But in the 5th admission day, he died from sepsis combined with pneumonia caused by Acinetobacter baumannii abruptly.
