Case 52-1993

Presentation of CaseA 17-year-old girl was admitted to the hospital because of massive hemoptysis and renal failure.The patient had been well until about three days earlier, when she began to have symptoms of an upper respiratory tract infection, with headache and anorexia. Thirty-six hours before entry she became nauseated and vomited. On the evening before admission chest pain developed, and she began to cough up blood-tinged sputum; dyspnea occurred, with intermittent nausea and vomiting. During the night dyspnea persisted, and the next morning she began to cough up large quantities of blood and experienced diffuse weakness.The patient . . .