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(Chest. 1999;115:1194-1197.)
© 1999 American College of Chest Physicians

Negative Pressure Pulmonary Hemorrhage*

David R. Schwartz, MD; Anjli Maroo, MD; Atul Malhotra, MD and Howard Kesselman, MD

* From the Pulmonary and Critical Care Unit (Drs. Schwartz, Malhotra, and Kesselman) and Department of Medicine (Dr. Maroo), Massachusetts General Hospital, Boston, MA.

Correspondence to: David R. Schwartz, MD, Pulmonary and Critical Care Unit, Massachusetts General Hospital, 55 Fruit Street, Bulfinch-148, Boston, MA 02114-2696; e-mail: schwartz{at}massmed.org

Negative pressure pulmonary edema, a well-recognized phenomenon, is the formation of pulmonary edema following an acute upper airway obstruction (UAO). To our knowledge, diffuse alveolar hemorrhage has not been reported previously as a complication of an UAO. We describe a case of negative pressure pulmonary hemorrhage, and we propose that its etiology is stress failure, the mechanical disruption of the alveolar-capillary membrane.

Key Words: negative pressure pulmonary edema • pulmonary hemorrhage • stress failure




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