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Bleeding pneumonia: Diffuse alveolar hemorrhage due to human metapneumovirus
Diffuse alveolar hemorrhage is a condition with high morbidity and mortality. The majority of cases are caused by pulmonary capillaritis associated with systemic vasculitis. Infection disease has also been associated with this condition. A 62-year-old woman with a history of chronic alcohol abuse pr...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7324915/ https://www.ncbi.nlm.nih.gov/pubmed/32665889 http://dx.doi.org/10.1016/j.idcr.2020.e00894 |
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author | Rodriguez-Nava, Guillermo Shrestha, Ekta Upadhyay, Binayak Morante, Aldo Joseph, Deepa Suhail, Aimen Trelles-Garcia, Daniela Patricia Yanez-Bello, Maria Adriana |
author_facet | Rodriguez-Nava, Guillermo Shrestha, Ekta Upadhyay, Binayak Morante, Aldo Joseph, Deepa Suhail, Aimen Trelles-Garcia, Daniela Patricia Yanez-Bello, Maria Adriana |
author_sort | Rodriguez-Nava, Guillermo |
collection | PubMed |
description | Diffuse alveolar hemorrhage is a condition with high morbidity and mortality. The majority of cases are caused by pulmonary capillaritis associated with systemic vasculitis. Infection disease has also been associated with this condition. A 62-year-old woman with a history of chronic alcohol abuse presented with shortness of breath, hemoptysis, constipation, and icterus. Chest x-rays on admission showed diffuse patchy opacities concerning for diffuse alveolar hemorrhage. The patient quickly developed acute respiratory failure requiring intubation. PCR identified human metapneumovirus and bronchoalveolar lavage confirmed alveolar hemorrhage. Despite all efforts, the patient ultimately developed multi-organ failure and died. Human metapneumovirus is usually associated with mild upper and lower respiratory tract infections in young children. Nevertheless, clinicians should recognize that this virus has recently emerged as a significant pathogen, particularly in adult patients with underlying conditions and the elderly population. |
format | Online Article Text |
id | pubmed-7324915 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-73249152020-06-30 Bleeding pneumonia: Diffuse alveolar hemorrhage due to human metapneumovirus Rodriguez-Nava, Guillermo Shrestha, Ekta Upadhyay, Binayak Morante, Aldo Joseph, Deepa Suhail, Aimen Trelles-Garcia, Daniela Patricia Yanez-Bello, Maria Adriana IDCases Article Diffuse alveolar hemorrhage is a condition with high morbidity and mortality. The majority of cases are caused by pulmonary capillaritis associated with systemic vasculitis. Infection disease has also been associated with this condition. A 62-year-old woman with a history of chronic alcohol abuse presented with shortness of breath, hemoptysis, constipation, and icterus. Chest x-rays on admission showed diffuse patchy opacities concerning for diffuse alveolar hemorrhage. The patient quickly developed acute respiratory failure requiring intubation. PCR identified human metapneumovirus and bronchoalveolar lavage confirmed alveolar hemorrhage. Despite all efforts, the patient ultimately developed multi-organ failure and died. Human metapneumovirus is usually associated with mild upper and lower respiratory tract infections in young children. Nevertheless, clinicians should recognize that this virus has recently emerged as a significant pathogen, particularly in adult patients with underlying conditions and the elderly population. Elsevier 2020-06-30 /pmc/articles/PMC7324915/ /pubmed/32665889 http://dx.doi.org/10.1016/j.idcr.2020.e00894 Text en © 2020 The Author(s) 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 | Article Rodriguez-Nava, Guillermo Shrestha, Ekta Upadhyay, Binayak Morante, Aldo Joseph, Deepa Suhail, Aimen Trelles-Garcia, Daniela Patricia Yanez-Bello, Maria Adriana Bleeding pneumonia: Diffuse alveolar hemorrhage due to human metapneumovirus |
title | Bleeding pneumonia: Diffuse alveolar hemorrhage due to human metapneumovirus |
title_full | Bleeding pneumonia: Diffuse alveolar hemorrhage due to human metapneumovirus |
title_fullStr | Bleeding pneumonia: Diffuse alveolar hemorrhage due to human metapneumovirus |
title_full_unstemmed | Bleeding pneumonia: Diffuse alveolar hemorrhage due to human metapneumovirus |
title_short | Bleeding pneumonia: Diffuse alveolar hemorrhage due to human metapneumovirus |
title_sort | bleeding pneumonia: diffuse alveolar hemorrhage due to human metapneumovirus |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7324915/ https://www.ncbi.nlm.nih.gov/pubmed/32665889 http://dx.doi.org/10.1016/j.idcr.2020.e00894 |
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