title: Diffuse pulmonary hemorrhage after fibrinolytic therapy for acute myocardial infarction in a cocaine abuser patient.
abstract: 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.
authors.affiliation: Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Mohammad Parsa
authors.initials: MP
authors.lastname: Mahjoob
authors.affiliation: Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Isa
authors.initials: I
authors.lastname: Khaheshi
authors.affiliation: Students Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Koosha
authors.initials: K
authors.lastname: Paydary
keywords: Alveolar infiltrates; fibrinolytic therapy; myocardial infarction; pulmonary hemorrhage; streptokinase