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Abstract
Case Report
An elderly case of recurrent negative pressure pulmonary hemorrhage induced by dysphagia
Yoshitaka Tomodaa Shunsuke Yokoia Seiji Yoshimitsu b Hakubun Hiramotoc Naoki Okamotoa
aDepartment of Internal Medicine, Kitakyushu General Hospital
bDepartment of Pulmonary Medicine, Higashihiroshima Medical Center
cDepartment of Pulmonary Medicine, Tadanoumi Brunch Hospital, Kure Kyosai Hospital
ABSTRACT
A 91-year-old man was brought by ambulance because of dyspnea after choking while he was eating a meal. Chest computed tomography (CT) scans showed bilateral ground-glass opacities. He required mechanical ventilation and airway bleeding was revealed, but his symptoms and hypoxemia rapidly improved. Three months later, he choked again and was readmitted to our hospital. Chest CT scan revealed lesion similar to that of the first admission. A bronchoscopy examination showed a bloody bronchoalveolar lavage fluid. We diagnosed negative pressure pulmonary hemorrhage (NPPH) caused by upper airway obstruction, and it improved without any specific treatment. This case is the first one of repeated NPPH.
KEYWORDS
Negative pressure pulmonary hemorrhage Upper airway obstruction Elderly people
Received 23 Apr 2013 ／ Accepted 4 Jul 2013
AJRS, 2(6): 814-817, 2013
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