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Prehospital Thrombolysis: A Manual from Berlin
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Post thrombolytic alveolar hemorrhage: a case report
Mahmoud Mardenli1, Mike Ghabally2, Barkhodan Horo2
1Department of Internal Medicine, University of Aleppo, Aleppo, Syria.
Oxford Medical Case Reports
|January 25, 2023
Summary
Alveolar hemorrhage is a rare complication of thrombolytic therapy. This case report details a patient who developed acute alveolar hemorrhage after receiving Streptokinase for myocardial infarction.
Area of Science:
- Cardiology
- Pulmonology
- Internal Medicine
Background:
- Alveolar hemorrhage is an extremely rare complication following thrombolytic agent administration.
- Only twenty-two cases have been reported in the medical literature prior to this report.
Observation:
- A 60-year-old male with acute ST-elevation myocardial infarction received Streptokinase.
- Twelve hours post-administration, the patient presented with severe hemoptysis and dyspnea.
- Radiological studies indicated acute alveolar hemorrhage.
Findings:
- The patient's history included severe chest trauma ten months earlier.
- Conservative management and withdrawal of anticoagulants led to gradual improvement over six days.
Implications:
- This case adds to the limited literature on post-thrombolytic alveolar hemorrhage.
- Highlights the importance of considering this rare complication in patients presenting with hemoptysis after thrombolysis.
- Emphasizes the potential role of prior chest trauma in the pathogenesis.
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