Rare cause of massive haemoptysis in pulmonary tuberculosis: Rasmussen's aneurysm

Autor: Rakesh Anandarajan, Anil Kumar Swamy, Sankar Neelakantan
Rok vydání: 2016
Předmět:
Zdroj: BMJ Case Reports
ISSN: 1757-790X
Popis: A woman aged 48 years presented to the accident and emergency department with three episodes of massive haemoptysis of ∼500 mL. On examination, her vitals were stable. She had a history of pulmonary tuberculosis 2 years prior to this episode for which she had taken a complete course of antituberculous drugs for 9 months and was symptom-free and sputum culture-negative at the end of treatment. Her blood routines showed leucocytosis and raised inflammatory markers (ESR). Sputum and bronchoalveolar lavage specimens were smear positive for acid-fast bacilli, thus she was diagnosed to have a relapse with active tuberculosis. Imaging evaluation included a chest radiograph which showed cavitatory lesions with air fluid levels in bilateral lung fields with surrounding air space shadowing (figure 1). A plain multidetector CT (MDCT) was …
Databáze: OpenAIRE