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CASE REPORT
Coexisting pulmonary haemorrhage and venous thrombosis: a tricky but novel case
  1. Alexandra Fielding1,2,
  2. Mira Pecheva1,2,
  3. Aser Farghal1,
  4. Russell Phillips1
  1. 1Norfolk and Norwich University Hospital, Norwich, UK
  2. 2James Paget University Hospital, Great Yarmouth, UK
  1. Correspondence to Dr Alexandra Fielding, alexandra.fielding8{at}gmail.com

Summary

We present a case of Lemierre's disease complicated by pulmonary artery pseudoaneurysm. A previously well woman aged 43 years presented with a history of a sore throat and worsening dyspnoea. She was diagnosed with a severe cavitating bilateral pneumonia complicated by internal jugular vein thrombosis consistent with a diagnosis of Lemierre's disease. She had an episode of massive haemoptysis which was confirmed to be due to a pulmonary artery pseudoaneurysm which required radiologically guided embolisation. She then required surgical decortication for bilateral empyemata. Blood cultures revealed growth of Slackia exigua, an organism yet to be linked with both of these complications concurrently. We believe this to be a novel case of this bacterium causing thrombosis and haemorrhage.

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Footnotes

  • Contributors AF was the leading author of this case report and also coordinated the contributions from other authors. MP and AF contributed passages on surgical intervention and interventional radiology input to this case, respectively. AF also provided radiology images. RP wrote about the medical management of the condition and supported AF in editing the report.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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