A new association or coincidence: Fluoxetine poisoning and idiopathic pulmonary hemosiderosis

Idiopathic pulmonary hemosiderosis is a rare disorder which cause alveolar hemorrhage. Etiology remains unknown. The classical triad of the disease is hemopty-sis, anemia and infiltration on chest x-ray. The disease generally occurs in children before 10 years of age. Most of the diagnosed cases in adults, are recognized before 30 years of age. The diagnosis is established by sputum, bronchoalveolar lavage fluid or lung biopsy specimens showing alveoli filled with hemosiderin-laden macrophages. Here we report a 15-year-old girl with idiopathic pulmonary hemosiderosis which recovered spontaneusly. The diagnosis was made incidentally while she was being followed up at the intensive care unit because of fluoxetine poisoning.