T. Singh, Ricardo Franco, B. Kakarala, Andres Yepes Hurtado
{"title":"COVID-19 induced pulmonary artery aneurysm","authors":"T. Singh, Ricardo Franco, B. Kakarala, Andres Yepes Hurtado","doi":"10.12746/swrccc.v10i45.1097","DOIUrl":null,"url":null,"abstract":"A 56-year-old man with a recent COVID 19 pneumonia presented to the emergency center with cough, hemoptysis, and increasing dyspnea. The patient deteriorated rapidly and was intubated for respiratory failure. Vital signs showed a temperature of 97.8°F, a heart rate of 113 beats/minute, and blood pressure of 107/85 mmHg while on mechanical ventilation. The endotracheal tube was filled with blood. A bedside bronchoscopy showed blood clots in and fresh blood oozing from the right mainstem bronchus. Based on the clinical feature of hemoptysis and a chest radiograph showing right lower and middle lobe consolidation with pleural effusion, the differential diagnosis includes necrotizing pneumonia and alveolar hemorrhage. His history of COVID 19 made pulmonary artery embolism a possibility.","PeriodicalId":22976,"journal":{"name":"The Southwest Respiratory and Critical Care Chronicles","volume":"1 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Southwest Respiratory and Critical Care Chronicles","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12746/swrccc.v10i45.1097","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
A 56-year-old man with a recent COVID 19 pneumonia presented to the emergency center with cough, hemoptysis, and increasing dyspnea. The patient deteriorated rapidly and was intubated for respiratory failure. Vital signs showed a temperature of 97.8°F, a heart rate of 113 beats/minute, and blood pressure of 107/85 mmHg while on mechanical ventilation. The endotracheal tube was filled with blood. A bedside bronchoscopy showed blood clots in and fresh blood oozing from the right mainstem bronchus. Based on the clinical feature of hemoptysis and a chest radiograph showing right lower and middle lobe consolidation with pleural effusion, the differential diagnosis includes necrotizing pneumonia and alveolar hemorrhage. His history of COVID 19 made pulmonary artery embolism a possibility.
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