Diffuse alveolar hemorrhage secondary to superwarfarin ingestion.
A 27-year-old woman with severe vitamin K deficiency presented with hemoptysis and diffuse pulmonary infiltrates. She rapidly developed respiratory failure requiring ventilatory support. Surreptitious ingestion of brodifacoum, a long-acting warfarin derivative, was ultimately found to be the cause of her coagulopathy and DAH.
Barnett
V T
VT
Department of Medicine, Michael Reese Medical Center, Chicago.
Bergmann
F
F
Humphrey
H
H
Chediak
J
J
D015110:4-Hydroxycoumarins / Q000506:poisoning*; D000328:Adult; D005162:Factitious Disorders / Q000175:diagnosis; D005260:Female; D006470:Hemorrhage / Q000139:chemically induced*; D006801:Humans; D008171:Lung Diseases / Q000139:chemically induced*; D011041:Poisoning / Q000175:diagnosis / Q000628:therapy; D012378:Rodenticides / Q000506:poisoning*
D015110:4-Hydroxycoumarins; D012378:Rodenticides; C013418:bromfenacoum