Case of the Month #21 - pulmonary haemorrhage

Published 01/02/2022

Key Take Home Messages

  • Pulmonary haemorrhage can be life threatening and can be associated with high mortality
  • Clinical presentation may mimic multiple pathologies.
  • Initial aetiology may not be clear and treatment for potential underlying causes with resuscitation should be initiated early
  • CT thorax angiogram is the initial investigation of choice and can guide diagnosis, differentiate between diffuse alevolar and focal haemorrhage and also guide embolisation if appropriate.
  • Suspect pulmonary haemorrhage as a differential diagnosis in a patient with new anaemia, haemoptysis and hypoxic respiratory failure