Case study: Idiopathic hemothorax in a patient with status asthmaticus
| Autor: | Peter A. Ricketti, Richard F. Lockey, David W Unkle, Anthony J Ricketti, Dennis J. Cleri |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Pulmonary and Respiratory Medicine medicine.medical_specialty Status Asthmaticus Thoracostomy 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine law medicine Sore throat Humans Immunology and Allergy Asthma Hemothorax Bronchial Spasm medicine.diagnostic_test business.industry medicine.disease Intensive care unit respiratory tract diseases Surgery Pneumonia Cough 030228 respiratory system Pediatrics Perinatology and Child Health Female Chills medicine.symptom Tomography X-Ray Computed business Chest radiograph |
| Zdroj: | Journal of Asthma. 53:770-773 |
| ISSN: | 1532-4303 0277-0903 |
| Popis: | Idiopathic spontaneous hemothorax has been rarely described in the literature.A case of status asthmaticus and spontaneous hemothorax is described in a 29-year-old female of African descent who presented to the emergency room after 2 days of severe cough productive of yellow sputum, otalgia, sore throat, subjective fevers, chills, headache, progressive wheezing, chest tightness and dyspnea. She had a history of 7 years of asthma and was non-adherent with her controller asthma medications. Prophylactic subcutaneous administration of enoxaparin 40 milligrams was initiated upon hospitalization. The patient initially had a normal chest radiograph but subsequently developed a large, left hemothorax that required tube thoracostomy placement followed by video-assisted thoracoscopic surgery (VATS).The patient was transferred to the Intensive Care Unit (ICU) and tube thoracostomy resulted in evacuation of 1,400 milliliters of blood-like fluid, which had a pleural fluid hematocrit greater than 50% of the serum hematocrit. A contrast-enhanced computed tomography (CT) scan of the chest did not reveal any source for the bleeding and a technetium bone scan of the chest was normal. The patient required transfusion of 5 units of packed red blood cells. She was then taken to the operating room for VATS because of continued chest tube drainage (3,200 milliliters of fluid over a 48-hour period).The etiology of the hemothorax was unknown despite surgical exploration but was felt to be secondary to cough and bronchospasm associated with status asthmaticus. |
| Databáze: | OpenAIRE |
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