RT Journal Article
SR Electronic
T1 Coexisting pulmonary haemorrhage and venous thrombosis: a tricky but novel case
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr2016217168
DO 10.1136/bcr-2016-217168
VO 2016
A1 Alexandra Fielding
A1 Mira Pecheva
A1 Aser Farghal
A1 Russell Phillips
YR 2016
UL http://casereports.bmj.com/content/2016/bcr-2016-217168.abstract
AB 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.