Postoperatively increased oxygen demand and hemoptysis after extubation

A 22-year-old man on postoperative day 1 after open reduction with internal fixation of a distal fibula fracture presented with hemoptysis and increased oxygen demand. X-ray and contrast-enhanced computed tomography revealed bilateral patchy opacities and mediastinal emphysema. After bronchoscopy an...

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Bibliographic Details
Published in:Medizinische Klinik, Intensivmedizin und Notfallmedizin Intensivmedizin und Notfallmedizin, 2012-03, Vol.107 (2), p.147
Main Authors: Kloth, J K, Wiebel, M, Weber, M-A
Format: Article
Language:ger
Subjects:
Airway Extubation
Cocaine - toxicity
Cocaine-Related Disorders - complications
Diagnosis, Differential
Fibula - injuries
Fracture Fixation, Internal
Hemoptysis - chemically induced
Hemoptysis - diagnostic imaging
Hemoptysis - therapy
Humans
Hypoxia - chemically induced
Hypoxia - diagnostic imaging
Hypoxia - therapy
Male
Mediastinal Emphysema - chemically induced
Mediastinal Emphysema - complications
Mediastinal Emphysema - diagnostic imaging
Oxygen Inhalation Therapy
Postoperative Hemorrhage - chemically induced
Postoperative Hemorrhage - diagnostic imaging
Postoperative Hemorrhage - therapy
Pulmonary Alveoli - diagnostic imaging
Pulmonary Alveoli - drug effects
Street Drugs - toxicity
Syndrome
Tomography, X-Ray Computed
Young Adult
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Summary:A 22-year-old man on postoperative day 1 after open reduction with internal fixation of a distal fibula fracture presented with hemoptysis and increased oxygen demand. X-ray and contrast-enhanced computed tomography revealed bilateral patchy opacities and mediastinal emphysema. After bronchoscopy and bronchoalveolar lavage, a diagnosis of alveolar hemorrhage was made. The medical history revealed regular abuse of marihuana and cocaine.
ISSN:2193-6226
DOI:10.1007/s00063-011-0043-4