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Diffuse pulmonary hemorrhage after fibrinolytic therapy for acute myocardial infarction in a cocaine abuser patient
Author(s) -
Mohammad Parsa Mahjoob,
Isa Khaheshi,
Koosha Paydary
Publication year - 2014
Publication title -
heart views
Language(s) - English
Resource type - Journals
eISSN - 0976-5123
pISSN - 1995-705X
DOI - 10.4103/1995-705x.144797
Subject(s) - medicine , streptokinase , diffuse alveolar hemorrhage , myocardial infarction , fibrinolytic therapy , complication , pulmonary hemorrhage , pulmonary infarction , cardiology , surgery , lung
We report a 45-year-old man with antroseptal myocardial infarction who developed bilateral basal alveolar infiltrates after initiating the fibrinolytic therapy. Although thrombolytic therapy with streptokinase is generally used in the course of acute myocardial infarction and has diminished morbidity and mortality, pulmonary hemorrhage is an uncommon, but a potentially life-threatening complication that should be regarded as one of the differential diagnoses of pulmonary infiltrates or dropping hemoglobin with no apparent bleeding site.

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