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Spalding SJ, Cambria M, Arkachaisri T. Distinguishing Wegener's granulomatosis from necrotizing community acquired pneumonia: A case report and comparison of radiographic findings. Pediatr Pulmonol. 2009; 44(2): 195-197.

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Article

A Case of Pulmonary Alveolar Hemorrhage Mimicking Community Acquired Pneumonia

1Northwell Lenox Hill Hospital, New York, NY. 100 E 77th St, New York, NY 10075, USA


American Journal of Medical Case Reports. 2021, Vol. 9 No. 11, 535-537
DOI: 10.12691/ajmcr-9-11-4
Copyright © 2021 Science and Education Publishing

Cite this paper:
Caleb V Wutawunashe, Kourosh Shargani, Anu Menon. A Case of Pulmonary Alveolar Hemorrhage Mimicking Community Acquired Pneumonia. American Journal of Medical Case Reports. 2021; 9(11):535-537. doi: 10.12691/ajmcr-9-11-4.

Correspondence to: Kourosh  Shargani, Northwell Lenox Hill Hospital, New York, NY. 100 E 77th St, New York, NY 10075, USA. Email: Kshargani@northwell.edu

Abstract

Granulomatosis with polyangiitis is a vasculitis that affects small to medium sized blood vessels in the lungs and kidneys. Alveolar hemorrhage is often initially misdiagnosed as pneumonia and treated incorrectly, leading to higher adverse outcomes in patients with undiagnosed vasculitis. We describe a case of a 68-year-old female who presented to our institution and was initially diagnosed and treated for community acquired pneumonia, however, after a protracted clinical course with no improvement in her respiratory status, she underwent a bronchoscopy that revealed pulmonary alveolar hemorrhage, a manifestation of underlying granulomatosis with polyangiitis.

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