Document Detail

Fatal haemoptysis in a young man with tuberculous mediastinal lymphadenitis. A case report and review of the literature.
MedLine Citation:
PMID:  18219195     Owner:  NLM     Status:  MEDLINE    
A young man presented with a short febrile illness associated with signs of cough, sputum and haemoptysis (>200 ml/24 h) to his local hospital. The chest radiograph revealed a small cavity in the upper zone with patchy consolidation. He was kept in isolation awaiting a bronchoscopy for tuberculosis (TB). He developed sudden, severe haemoptysis and died as a result of exsanguination within a short space of time and could not be resuscitated. Post-mortem examination revealed dehiscence of the aortic wall from necrotising tubercular lymphadenitis. This illustrates the importance of recognising that patients with TB and haemoptysis have a high risk of massive haemoptysis and need to be closely monitored as early arterial embolisation and cardiothoracic surgical intervention back-up may be necessary to save lives.
B Krishnan; A Shaukat; I Chakravorty
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2008-01-25
Journal Detail:
Title:  Respiration; international review of thoracic diseases     Volume:  77     ISSN:  1423-0356     ISO Abbreviation:  Respiration     Publication Date:  2009  
Date Detail:
Created Date:  2009-04-06     Completed Date:  2009-07-17     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0137356     Medline TA:  Respiration     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  333-6     Citation Subset:  IM    
Copyright Information:
Copyright 2008 S. Karger AG, Basel.
Department of Thoracic Medicine, Lister Hospital, Stevenage, UK.
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MeSH Terms
Fatal Outcome
Hemoptysis / etiology*
Mediastinal Diseases / complications*
Tuberculosis, Lymph Node / complications*

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