TY - JOUR PY - 2018// TI - Over-the-counter drug-induced lung injuries with both diffuse alveolar haemorrhage and diffuse alveolar damage JO - BMJ case reports A1 - Nakamura, Takahito A1 - Watari, Takashi A1 - Tokuda, Yasuharu SP - e226626 EP - e226626 VL - 2018 IS - N2 -

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

LA - en SN - 1757-790X UR - http://dx.doi.org/10.1136/bcr-2018-226626 ID - ref1 ER -