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Chest, Vol 79, 358-359, Copyright © 1981 by American College of Chest Physicians

ARTICLES

Lethal occult pulmonary hemorrhage in drug-induced thrombocytopenia

Z Fireman, I Yust and AL Abramov

A patient with drug-induced thrombocytopenia who died because of massive pulmonary hemorrhage is described. The patient had a clinical picture of acute respiratory distress resembling pulmonary edema, but there was no hemoptysis. Chest x-ray films showed granular density in the pulmonary fields, and the electrocardiograms revealed a pattern of acute biatrial enlargement. The diagnosis was confirmed at autopsy.


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