Massive Hemoptysis in Previously Treated Pulmonary Tuberculosis: A Case Series.

Autor: Iqbal S; Internal Medicine, Icahn School of Medicine at Mount Sinai/New York City Health and Hospitals Queens Hospital Center, New York, USA., Nassar M; Internal Medicine, Icahn School of Medicine at Mount Sinai/New York City Health and Hospitals Queens Hospital Center, New York, USA., Kondaveeti R; Internal Medicine, Icahn school of Medicine at Mount Sinai/New York City Health and Hospitals Queens Hospital Center, New York, USA., O'Brien T; Internal Medicine, Icahn School of Medicine at Mount Sinai/New York City Health and Hospitals Queens Hospital Center, New York, USA., Siddiqui RS; Internal Medicine, Icahn School of Medicine at Mount Sinai/New York City Health and Hospitals Queens Hospital Center, New York, USA., Lopez R; Internal Medicine, Icahn School of Medicine at Mount Sinai/New York City Health and Hospitals Queens Hospital Center, New York, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2022 Aug 11; Vol. 14 (8), pp. e27882. Date of Electronic Publication: 2022 Aug 11 (Print Publication: 2022).
DOI: 10.7759/cureus.27882
Abstrakt: Hemoptysis in tuberculosis (TB) is associated with parenchymal distortion and vascular complications linked to prior pulmonary TB. Massive hemoptysis is defined as the expectoration of large volumes of blood. Massive hemoptysis can lead to high morbidity and mortality rates due to hemodynamic instability and airway compromise. In this case series, we present two cases with massive hemoptysis caused by the rupture of the bronchial artery, which achieved hemostasis after fluoroscopy-guided arterial embolization. This series highlights the multiple etiologies of hemoptysis in patients with post-pulmonary TB destruction and the need for various diagnostic and therapeutic modalities. Hemoptysis in patients with prior pulmonary TB can be massive and life-threatening. Timely diagnosis, accurate modality to isolate the source, and appropriate intervention could potentially prevent further lethal complications.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Iqbal et al.)
Databáze: MEDLINE