Diffuse alveolar hemorrhage secondary to plastic fume exposure: A case report

  • Omkar K. Choudhari | OMKARCHOUDHARI@YAHOO.COM Department of Clinical Biochemistry, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi , India. https://orcid.org/0000-0001-9993-090X
  • Umesh Chandra Ojha Institute of Occupational Health and Environmental Research, Basaidarapur; Department of Respiratory Medicine, ESIC Post Graduate Institute Medical Science and Research, New Delhi, India.
  • Dipti Gothi Department of Respiratory Medicine, ESIC Post Graduate Institute Medical Science and Research, New Delhi, India.
  • Sonam Spalgais Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, New Delhi , India.
  • Pratap Singh Department of Respiratory Medicine, Mayo Institute of Medical Sciences, Barabanki, India.
  • Anita Rani Department of Clinical Biochemistry, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi , India.

Abstract

A 31-year non-smoker man, working in plastic making industry for 12 years presented with cough and streaking hemoptysis for 2 days. Computed tomography (CT) of chest showed patchy ground glass opacities with interlobular septal thickening in bilateral lung parenchyma. Fiber optic bronchoscopy (FOB) was done. Sequential lavage was taken which showed progressively increasing hemorrhagic fluid. His diffusion capacity for carbon monoxide (DLCO) was 38.08 mL/mmHg/Mi (126%) predicted on day 2 of admission, 32.36 ml/mmHg/Mi (106%) predicted on discharge and 39.63 mL/mmHg/Mi (130%) predicted on going back to work. He was diagnosed with plastic fume exposure related pulmonary alveolar hemorrhage.

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Published
2020-07-22
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Issue
Section
Pneumology - Case Reports
Keywords:
Alveolar hemorrhage, plastic, diffusion capacity for carbon monoxide (DLCO)
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How to Cite
Choudhari, O. K., Ojha, U. C., Gothi, D., Spalgais, S., Singh, P., & Rani, A. (2020). Diffuse alveolar hemorrhage secondary to plastic fume exposure: A case report. Monaldi Archives for Chest Disease, 90(3). https://doi.org/10.4081/monaldi.2020.1304