@article{ref1,
title="Over-the-counter drug-induced lung injuries with both diffuse alveolar haemorrhage and diffuse alveolar damage",
journal="BMJ case reports",
year="2018",
author="Nakamura, Takahito and Watari, Takashi and Tokuda, Yasuharu",
volume="2018",
number="",
pages="e226626-e226626",
abstract="<p>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 …</p> <p>Language: en</p>",
language="en",
issn="1757-790X",
doi="10.1136/bcr-2018-226626",
url="http://dx.doi.org/10.1136/bcr-2018-226626"
}