title: [A diffuse pulmonary hemorrhage following thrombolytic therapy in an acute myocardial infarct].
abstract: A sixty-years-old man was admitted to the hospital because of acute myocardial infarction of anterior location. He had four episodes of ventricular fibrillation each requiring defibrillation and short-term cardiopulmonary resuscitation (less than 10 minutes). He was then managed with thrombolytic therapy, therapeutic doses of heparin and aspirin. He had persistent haemoptysis, chest X-ray revealing a diffuse bilateral alveolar infiltration. There was a continuous decrease in hemoglobin and hematocrit levels, with an evident clinical-radiographic dissociation. Right cardiac catheterisation showed a normal left ventricular function. The single breath carbon monoxide diffusing capacity (DLCOsb) was high, indicative of a diffuse intrapulmonary haemorrhage causing the alveolar infiltration.
authors.affiliation: Servicio de Medicina Intensiva, Hospital Regional Carlos Haya, Málaga.
authors.forename: E
authors.initials: E
authors.lastname: Cuéllar Obispo
authors.forename: E
authors.initials: E
authors.lastname: Torrado González
authors.forename: M
authors.initials: M
authors.lastname: Alvarez Bueno
authors.forename: J A
authors.initials: JA
authors.lastname: Ferriz Martín
authors.forename: A
authors.initials: A
authors.lastname: Vera Almazán
authors.forename: J J
authors.initials: JJ
authors.lastname: Rodríguez García
mesh_terms: D000075202:Contraindications; D004359:Drug Therapy, Combination; D004630:Emergencies; D006469:Hemoptysis / Q000139:chemically induced / Q000175:diagnosis; D006470:Hemorrhage / Q000139:chemically induced* / Q000175:diagnosis; D006801:Humans; D008171:Lung Diseases / Q000139:chemically induced* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000188:drug therapy; D013300:Streptokinase / Q000009:adverse effects*; D015912:Thrombolytic Therapy / Q000009:adverse effects*
chemical_list: D013300:Streptokinase
vernacular_title: Hemorragia pulmonar difusa tras terapia trombolítica en infarto agudo de miocardio.