Pulmonary haemorrhage from therapeutic rivaroxaban use: Chest radiograph consolidation is not always infection!

摘要

A 71-year-old man presented to our ED complaining of dyspnoea and haemoptysis (multiple clots, five episodes) during the previous 3 days. Past medical history included atrial fibrillation, previous stroke, and he was a previous smoker. Regular medications included amiodarone started 2 weeks prior, rivaroxaban and telmisartan. He was referred from his general practitioner with a provisional diagnosis of pneumonia based partly on a chest radiograph demonstrating right lower lobe consolidation (Fig. 1).