Journal article

Coughing up clues: 16-year-old girl with acute haemoptysis

Daryl R Cheng, Earl D Silverman, Romy Cho

BMJ CASE REPORTS | BMJ PUBLISHING GROUP | Published : 2020

Abstract

A 16-year-old previously well girl presented with bilateral painful lower leg swelling and non-pruritic blanching rash across her torso and upper and lower limbs. These symptoms started after commencing amoxicillin for presumed tonsillitis. She was diagnosed with serum sickness-like illness and started on non-steroidal agents. The rash and painful leg swelling improved over the next 48 hours. However, she subsequently developed fevers, cough and new-onset haemoptysis.She continued to deteriorate with increasing amounts of haemoptysis, work of breathing and escalating respiratory support requirements. Serial chest radiographs showed worsening lung consolidation and enlarging pleural effusion...

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