Diffuse alveolar hemorrhage - Goodpasture syndrome

Case contributed by Sajoscha A. Sorrentino
Diagnosis almost certain

Presentation

Patient presenting with cough, dyspnea, hemoptysis, and hypoxia.

Patient Data

Age: 45 years
Gender: Male

Chest radiograph

x-ray

Acute diffuse alveolar hemorrhage with a diffuse infiltrative opacification pattern in a patient with Goodpasture syndrome.

Right internal jugular venous catheter, appropriate position without complication.

Case Discussion

This patient has a known diagnosis of Goodpasture syndrome and did not have any septic markers at the presentation. Therefore, the lungs bilateral opacifications were presumed to represent alveolar hemorrhage.  

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