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Toni M. Petrillo, MD; James D. Fortenberry, MD; C. Robert Chambliss, MD; Kenny C. Nall, MD
From the Department of Pediatrics, Division of Critical Care, Emory University School of Medicine, Atlanta, Ga (Dr Petrillo); Division of Pediatric Critical Care, Children's Healthcare of Atlanta at Egleston (Drs Fortenberry and Chambliss); and Division of Pulmonary Medicine, Columbus Clinic, Columbus, Ga (Dr Nall).

Arch Pediatr Adolesc Med. 2001;155:847-848.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 15-YEAR-OLD African American girl was obtunded after being found in a pool of blood. No history was obtained. Discussion with her family revealed a history of hemoptysis. Evaluation of the hemoptysis included bronchoscopy and computed tomography (CT) of the thorax (Figure 1 and Figure 2). On this presentation she had respiratory distress and decerebrate posturing. Findings from a toxicology screening, coagulation panel, serum electrolyte levels, and complete blood cell count with differential were normal. A brain CT scan was obtained (Figure 3), and the patient was given mannitol, dexamethasone, and treated with hyperventilation. She was transported to a pediatric facility and admitted to the pediatric intensive care unit. She remained comatose with flexion posturing to deep pain. The pupils were initially equal and reactive to light, but she developed . . . [Full Text of this Article]

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