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'Diffuse Alveolar Haemorrhage : A Rare but Life-Threatening Pulmonary Complication of Infective Endocarditis' - a new poster published #OpenAccess on #ScienceOpen:
https://www.scienceopen.com/hosted-document?doi=10.14293/P2199-8442.1.SOP-.P0ZQYU.v1
ScienceOpenDIFFUSE ALVEOLAR HAEMORRHAGE : A RARE BUT LIFE-THREATENING PULMONARY COMPLICATION OF INFECTIVE ENDOCARDITIS<p xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" class="first" dir="auto" id="d1335651e108"/><p xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" dir="auto" id="d1335651e109">Infective endocarditis (IE) is a life-threatening condition that may lead to systemic
complications, including diffuse alveolar hemorrhage (DAH), a rare but serious pulmonary
manifestation. We present a case of a 37-year-old male with a history of heavy smoking,
alcohol consumption, and prolonged occupational exposure to cotton dust, who developed
prolonged fever, cough, hemoptysis, and dyspnea. Clinical examination revealed clubbing,
pedal edema, raised JVP, bilateral lung crepitations, and a holosystolic murmur. Blood
cultures confirmed Streptococcus viridans, and echocardiography demonstrated vegetations
consistent with IE. Bronchoalveolar lavage showed sequentially hemorrhagic return
with hemosiderin-laden macrophages, confirming DAH. The patient was managed with intravenous
antibiotics, supportive therapy, and close hemodynamic monitoring. This case highlights
the importance of early recognition and multidisciplinary management of DAH complicating
IE to improve patient outcomes.
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