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日本呼吸器学会英文誌 Respiratory Investigation
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Abstract

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Article in Japanese

Case Report

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

ABSTRACT

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.

KEYWORDS

Pneumonia  Hemoptysis  Alveolar hemorrhage  Essential thrombocytosis 

Received 26 Feb 2019 / Accepted 23 Aug 2019

AJRS, 8(6): 396-400, 2019

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