Hemorrhagic pulmonary infarctions (2)

Hemorrhagic pulmonary infarctions (2)Diagnosis: 44 year old male patient, partially organized hemorrhagic pulmonary infarctions.Description: Two hemorrhagic infarctions of the lung parenchyma. On the base of the infarctions, bracnches of the pulmonary arteries clogged by emboli are visible. The parenchyma near the vessels is colored lighter because of the advanced organization.compare Figure 1 (overview)Additional finding: Organizing paracentral pulmonary embolisms. Multiple fresh peripheral pulmonary embolisms, and multiple hemorrhagic pulmonary infarctions in all lobes. Severe pulmonary edema. Ischemic necroses in the distal colon. Shock kidneys. ARDS.Clinical history:

Dilatative cardiomyopathy with left ventricular ejection fraction of 11-22% coronary arteries without stenosis. Elevated D-Dimers.

3 months later: Repeated hospitalization due to increasing cough and fever. Elevated CRP. Diagnosis of pulmonary noduls, antibiosis with Rocephin/Rulid.

2 days later: Strong dyspnea, intermittent cyanosis and cold sweat, tachycardia and tachypnea. Transfer to medical intensive care with cardial instability. Death.