PMC9168115_01
Non-contrast CT of the lung shows diffuse ground glass shadow and bronchoscope shows diffuse alveolar hemorrhage.
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She was intubated for acute hypoxic respiratory failure and bronchoscopy demonstrated bilateral diffuse airway hemorrhage suggesting DAH (Fig. 1), but bronchoalveolar lavage (BAL) was not performed due to her severe hypoxia.
Clinical course of treatment and oxygenation (PSL: Prednisolone; mPSL: methyl prednisolone).
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The PaO2/Fio2 ratio was 350, and VV-ECMO was discontinued, the patient was extubated on hospital day 18 and left the ICU and was discharged on hospital days 20 and 45 respectively. (Fig. 2).