A rare etiology of diffuse pulmonary hemorrhage

Adv Respir Med. 2021;89(2):223-224. doi: 10.5603/ARM.a2020.0194. Epub 2021 Feb 9.

Abstract

We describe the case of a 36-year-old male who presented to hospital with acute respiratory distress, and hemoptysis after intravenously injecting 20 milliliters of pure gasoline. Despite maximum supportive care he died without a definitive diagnosis 4 hours after presentation to the hospital. Postmortem examination confirmed diffuse pulmonary hemorrhage as a cause of death. Our case highlights the key clinical, and pathological features of this very rare poisoning with a volatile substance and reminds clinicians to consider it as a potential cause of hemoptysis and pulmonary hemorrhage.

Keywords: autopsy; gasoline; hemoptysis; pulmonary hemorrhage.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Fatal Outcome
  • Gasoline / poisoning*
  • Hemorrhage / chemically induced*
  • Hemorrhage / pathology
  • Humans
  • Injections, Intravenous
  • Lung Injury / chemically induced*
  • Lung Injury / pathology
  • Male
  • Multiple Organ Failure / chemically induced*
  • Multiple Organ Failure / pathology
  • Pulmonary Alveoli / drug effects

Substances

  • Gasoline