Rapidly progressive Aeromonas pneumonia and extensive alveolar hemorrhage with essential thrombocytosis: a case report
Hideyuki Itoigawaa Koichiro Shimaa Hironori Kobayashib Kenta Satoc Yuka Shinoharaa Masashi Yamamotoa
aDepartment of Respiratory Medicine, Nagoya Ekisaikai Hospital
bDepartment of Respirology, Nagoya University Hospital
cDepartment of Respiratory Medicine, Tokoname City Hospital
An 83-year-old man was admitted to our emergency department with the chief complaints of fever and hemoptysis. He presented with severe hemorrhage from both lungs and eventually died approximately 7 hours after admission. Pathological autopsy revealed right lower and middle lobe pneumonia with profuse lung hemorrhage. Aeromonas hydrophila was isolated on culture of blood, sputum, and lung specimens. The pathological autopsy results showed bilateral lobar pneumonia with profuse lung hemorrhage. The patient had a fulminant disease course with rapid progression. We suspected essential thrombocytosis based on the blood examination findings. Here, we report our findings on this rare case of A. hydrophila pneumonia with extensive alveolar hemorrhage and essential thrombocytosis and provide a short literature review.
Pneumonia Hemoptysis Alveolar hemorrhage Essential thrombocytosis
Received 26 Feb 2019 / Accepted 23 Aug 2019
AJRS, 8(6): 396-400, 2019