Jeffrey E. Godwin, MD; Russell A. Harley, MD; K. Scott Miller, MD; John E. Hefner, MD
To the Editor: We report a patient with recurrent massive hemoptysis and pulmonary hemorrhage temporally related to smoking "freebase" cocaine.
A 20-year-old woman presented with massive hemoptysis after smoking freebase cocaine. She denied intravenous drug abuse or previous medical problem. The patient's physical examination was normal except for decreased breath sounds in the right lung base. An admission hematocrit was 16%; platelet count, 467 000 cells/mm3; PT, 12.2 seconds; and PTT, 24.7 seconds. A chest roentgenogram showed subtle diffuse bilateral alveolar infiltrates.
Fiberoptic bronchoscopy localized brisk hemorrhage to the anterior segment of the right upper lobe. A right upper lobe
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Godwin JE, Harley RA, Miller KS, Hefner JE. Cocaine, Pulmonary Hemorrhage, and Hemoptysis. Ann Intern Med. 1989;110:843. doi: 10.7326/0003-4819-110-10-843_1
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Published: Ann Intern Med. 1989;110(10):843.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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