Rare case of occupational pulmonary hemorrhage in a firefighter

Sheiphali A Gandhi; T J Welch; Kirk D Jones; Kristin J Cummings; Laura Styles; Paul D Blanc; Robert J Harrison

doi:10.1016/j.rmcr.2022.101722

Rare case of occupational pulmonary hemorrhage in a firefighter

Respir Med Case Rep. 2022 Aug 4:39:101722. doi: 10.1016/j.rmcr.2022.101722. eCollection 2022.

Authors

Sheiphali A Gandhi¹, T J Welch², Kirk D Jones³, Kristin J Cummings⁴, Laura Styles^{2

4}, Paul D Blanc¹, Robert J Harrison^{1

4}

Affiliations

¹ Department of Medicine, Division of Occupational and Environmental Medicine, University of California San Francisco, San Francisco, CA, USA.
² Public Health Institute, Oakland, CA, USA.
³ Department of Pathology, University of California San Francisco, San Francisco, CA, USA.
⁴ Occupational Health Branch, California Department of Public Health, Richmond, CA, USA.

Abstract

Alveolar hemorrhage associated with physical exertion, known as exercise-induced pulmonary hemorrhage (EIPH), is a rare condition linked to strenuous exertion. This can be an unusual form of respiratory and occupational illness. We present the case of a healthy firefighter who developed fatal pulmonary hemorrhage after participating in a strenuous physical training exercise regimen. This case represents a severe presentation of EIPH, which results from the disruption of the pulmonary blood-gas barrier as a result of strenuous exertion. Clinicians caring for those in vocations and recreation involving extremely vigorous exercise should be aware that such activities can cause EIPH.

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Case Reports

Abstract

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