PMC4915958_01
Progression of chest X-ray in a patient with S. maltophilia hemorrhagic pneumonia. a. Portable chest X-ray on admission. b. Post-intubation portable chest X-ray, 36 hours after admission to the hospital c. Portable chest X-ray 72 hours after hospital admission.
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A chest-X ray showed a left lung base infiltrate suggestive of pneumonia (Fig. 1a). Care Unit (ICU) with frank hemoptysis, respiratory failure and refractory shock. Chest X-ray at the time showed progression of the pulmonary infiltrates on the left upper and middle lobes (Fig. 1b). Despite aggressive support, the patient continued to deteriorate and died within 24 h of ICU admission (Fig. 1c).
Evidence of active bleeding during bronchoscopy from posterior basal segment of the left lower lobe.
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A bronchoscopy performed to further asses the source of bleeding revealed no endobronchial lesions, but there was evidence of profuse hemorrhage from the posterior basal segment of the left lower lobe (Fig. 2).