Key result
A 62-year-old male on warfarin for atrial fibrillation developed a fatal lobar pulmonary hemorrhage that was initially misdiagnosed as community-acquired pneumonia.
Case Report (n=1)
No
Anticoagulant-induced alveolar hemorrhage is a rare but fatal complication that can be misdiagnosed as pneumonia.
Alerts ED clinicians to consider alveolar hemorrhage in anticoagulated patients with nonspecific symptoms; leaves open need for systematic diagnostic studies.
Alveolar hemorrhage is a rare yet devastating clinical entity if not identified and treated aggressively. Exceedingly rare are the cases of anticoagulant-induced alveolar hemorrhage with very few cases described in the current literature. The nonspecific presentation of an alveolar hemorrhage makes its diagnosis and appropriate treatment difficult in the emergency department. We report a case of a patient on warfarin for atrial fibrillation who was initially misdiagnosed as having community-acquired pneumonia, but subsequently was identified to have a fatal alveolar hemorrhage.
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D’Amore et al. (2017) conducted a case report in Lobar Pulmonary Hemorrhage (n=1). Warfarin was evaluated. A 62-year-old male on warfarin for atrial fibrillation developed a fatal lobar pulmonary hemorrhage that was initially misdiagnosed as community-acquired pneumonia.
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