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Ir J Med Sci. 2010 Mar;179(1):137-9. doi: 10.1007/s11845-009-0326-4. Epub 2009 Jun 30.

Playing saxophone induced diffuse alveolar hemorrhage: a case report.

Author information

1
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, St Martin De Porres Hospital, Chiayi, Taiwan.

Abstract

INTRODUCTION:

The blood-gas barrier must be very thin to allow gas exchange and it is therefore subjected to high mechanical stresses when the capillary pressure rises. Exercise-induced pulmonary hemorrhage (EIPH) occurs frequently in horses and there is evidence that EIPH can also occur in humans.

MATERIALS AND METHODS:

We reported on a healthy 65-year-old male who developed a diffuse alveolar hemorrhage (DAH), like an EIPH, after playing saxophone for 6 h continuously. There were hemoptysis, crackles breathing sounds on exam, and bilateral radiographic infiltrates. A high-resolution computed tomographic study of the thorax disclosed DAH, the presence of which was proved by a gross appearance of bilateral bronchus on bronchoscopy and histopathological study of bronchoalveolar lavage material.

CONCLUSION:

This is the first report of alveolar hemorrhage caused by playing saxophone. In our case, he presented with a benign course and regressed spontaneously without any medical intervention.

PMID:
19565318
DOI:
10.1007/s11845-009-0326-4
[Indexed for MEDLINE]

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