Infective endocarditis presenting as diffuse alveolar hemorrhage: A case report

An 80-year-old man was admitted to the hospital because of fever, bloody sputum and exertional dyspnea of 3 days. Laboratory tests showed anemia and increase of the C-reactive protein level. A chest computed tomography scan revealed diffuse bilateral ground-glass opacities. Bronchoalveolar lavage co...

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Detalles Bibliográficos
Autores principales: Morita, Mitsunori, Tomioka, Hiromi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6812192/
https://www.ncbi.nlm.nih.gov/pubmed/31667068
http://dx.doi.org/10.1016/j.rmcr.2019.100931
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author Morita, Mitsunori
Tomioka, Hiromi
author_facet Morita, Mitsunori
Tomioka, Hiromi
author_sort Morita, Mitsunori
collection PubMed
description An 80-year-old man was admitted to the hospital because of fever, bloody sputum and exertional dyspnea of 3 days. Laboratory tests showed anemia and increase of the C-reactive protein level. A chest computed tomography scan revealed diffuse bilateral ground-glass opacities. Bronchoalveolar lavage confirmed the clinical diagnosis of diffuse alveolar hemorrhage (DAH). After methylprednisolone pulse therapy, Enterococcus faecalis was detected in the blood cultures. A diagnosis of infective endocarditis was made according to the Modified Duke's criteria. The causes of DAH are certainly diverse; however, we should consider infective endocarditis as one of the etiologies of DAH.
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spelling pubmed-68121922019-10-30 Infective endocarditis presenting as diffuse alveolar hemorrhage: A case report Morita, Mitsunori Tomioka, Hiromi Respir Med Case Rep Case Report An 80-year-old man was admitted to the hospital because of fever, bloody sputum and exertional dyspnea of 3 days. Laboratory tests showed anemia and increase of the C-reactive protein level. A chest computed tomography scan revealed diffuse bilateral ground-glass opacities. Bronchoalveolar lavage confirmed the clinical diagnosis of diffuse alveolar hemorrhage (DAH). After methylprednisolone pulse therapy, Enterococcus faecalis was detected in the blood cultures. A diagnosis of infective endocarditis was made according to the Modified Duke's criteria. The causes of DAH are certainly diverse; however, we should consider infective endocarditis as one of the etiologies of DAH. Elsevier 2019-09-09 /pmc/articles/PMC6812192/ /pubmed/31667068 http://dx.doi.org/10.1016/j.rmcr.2019.100931 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Morita, Mitsunori
Tomioka, Hiromi
Infective endocarditis presenting as diffuse alveolar hemorrhage: A case report
title Infective endocarditis presenting as diffuse alveolar hemorrhage: A case report
title_full Infective endocarditis presenting as diffuse alveolar hemorrhage: A case report
title_fullStr Infective endocarditis presenting as diffuse alveolar hemorrhage: A case report
title_full_unstemmed Infective endocarditis presenting as diffuse alveolar hemorrhage: A case report
title_short Infective endocarditis presenting as diffuse alveolar hemorrhage: A case report
title_sort infective endocarditis presenting as diffuse alveolar hemorrhage: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6812192/
https://www.ncbi.nlm.nih.gov/pubmed/31667068
http://dx.doi.org/10.1016/j.rmcr.2019.100931
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