Citation

Nakamura T, Watari T, Tokuda Y. BMJ Case Rep. 2018; 2018: e226626.

Affiliation

Tsukuba University, General Internal Medicine, Mito, Ibaraki, Japan.

Copyright

(Copyright © 2018, BMJ Publishing Group)

DOI

10.1136/bcr-2018-226626

PMID

30249739

Abstract

A 41-year-old Japanese man with no underlying disease was admitted to our hospital with haemoptysis and dyspnoea. Two weeks prior to admission, he had caught a cold and took an over-the-counter drug (topikku GX), subsequently general fatigue and cough were worsening progressively. Hence, he presented to another hospital, owing to acute onset of dyspnoea on effort and haemoptysis, where chest X-ray was taken and revealed bilateral abnormal shadow in the middle lung fields, after that he was referred to our hospital.

On examination, his general appearance was moderately ill; blood pressure was 126/72 mm Hg, heart rate was 90 beats/min, oxygen saturation was 90% under ambient air, respiratory rate was 20 breath/min and body temperature was 38.2°. Chest auscultation revealed bilateral inspiratory mid to late crackles. Laboratory blood test showed mild elevation of …

Language: en

Keywords

drugs and medicines; respiratory system