title: [Postoperatively increased oxygen demand and hemoptysis after extubation].
abstract: A 22-year-old man on postoperative day 1 after open reduction with internal fixation of a distal fibula fracture presented with hemoptysis and increased oxygen demand. X-ray and contrast-enhanced computed tomography revealed bilateral patchy opacities and mediastinal emphysema. After bronchoscopy and bronchoalveolar lavage, a diagnosis of alveolar hemorrhage was made. The medical history revealed regular abuse of marihuana and cocaine.
authors.affiliation: Diagnostische und Interventionelle Radiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland. jost.kloth@med.uni-heidelberg.de
authors.forename: J K
authors.initials: JK
authors.lastname: Kloth
authors.forename: M
authors.initials: M
authors.lastname: Wiebel
authors.forename: M-A
authors.initials: MA
authors.lastname: Weber
mesh_terms: D060666:Airway Extubation; D003042:Cocaine / Q000633:toxicity; D019970:Cocaine-Related Disorders / Q000150:complications*; D003937:Diagnosis, Differential; D005360:Fibula / Q000293:injuries*; D005593:Fracture Fixation, Internal; D006469:Hemoptysis / Q000139:chemically induced / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D000860:Hypoxia / Q000139:chemically induced / Q000000981:diagnostic imaging* / Q000628:therapy; D013287:Illicit Drugs / Q000633:toxicity; D008297:Male; D008478:Mediastinal Emphysema / Q000139:chemically induced / Q000150:complications* / Q000000981:diagnostic imaging; D010102:Oxygen Inhalation Therapy; D019106:Postoperative Hemorrhage / Q000139:chemically induced / Q000000981:diagnostic imaging* / Q000628:therapy; D011650:Pulmonary Alveoli / Q000000981:diagnostic imaging* / Q000187:drug effects; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D055815:Young Adult
chemical_list: D013287:Illicit Drugs; D003042:Cocaine