Case reports
Disseminated fungal infection complicated with pulmonary
haemorrhage in a case of acute myeloid leukaemia
S Thulkara, S Sharmaa, P K Dasb, L Kumarb
a Institute Rotary
Cancer Hospital, All India Institute of Medical Sciences, New Delhi
110029, India: Department of Radio-diagnosis, b Department of Medical Oncology
Correspondence to: Dr Thulkar (thulkar{at}medinst.ernet.in)
Submitted 18 June 1999;
Accepted 9 May 2000
Pulmonary haemorrhage is a common necropsy finding in acute
leukaemia, however, it is rarely diagnosed during life. A man with
acute myeloid leukaemia is reported who presented with disseminated fungal infection, anaemia, thrombocytopenia, and subconjuctival and
petechial haemorrhages. During the course of the patient's illness,
the chest infection was complicated with bilateral pulmonary haemorrhage. The diagnosis of pulmonary haemorrhage was based on
characteristic clinical and radiological findings. The patient improved
on treatment.
Keywords: leukaemia; pulmonary infiltrate; haemorrhage
© 2000 by The Fellowship of Postgraduate Medicine
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