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KMID : 0604020150300010031
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Korean Journal of Critical Care Medicine
2015 Volume.30 No. 1 p.31 ~ p.33
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Diffuse Alveolar Hemorrhage Confirmed by Bronchoalveolar Lavage in a Patient with Hemoptysis after Sildenafil Use for Erectile Dysfunction
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Moon Kyoung-Min
Jung Sun-Young
Han Min-Soo
Cho Yong-Seon
Rah Young-Min
Kim Jong-Woo
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Abstract
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A 81-year-old man was referred for respiratory failure by emergency medical technicians. He admitted at intensive care unit for ventilator treatment. Several hours before admission, he took sildenafil 100 mg for erectile dysfunction without prescription. The episodes of hemoptysis occurred several hours later. Computed tomography revealed multifocal diffuse ground-glass attenuation in both lungs. And the more we performed bronchoalveolar lavage, the more the color of it was turned into red. We treated him with empirical antibiotics and tranexamic acid, and hemoptysis was stopped in one day after admission. But in the 5th admission day, he died from sepsis combined with pneumonia caused by Acinetobacter baumannii abruptly.
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KEYWORD
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bronchoalveolar lavage, hemoptysis, pulmonary hemorrhage, sildenafil
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