Rare but life-threatening cause of massive haemoptysis in an adolscent with tuberculosis: Rasmussen's aneurysm.
Michelle Wai Ling YuAlbert M LiMing Hei LaiKate Ching-Ching ChanPublished in: BMJ case reports (2023)
Rasmussen's aneurysm is a rare yet fatal cause of massive haemoptysis in pulmonary tuberculosis. Early identification and timely intervention are of utmost importance to reduce the associated mortality. A girl in early adolescence presented with persistent fever and massive haemoptysis who required intubation and was subsequently confirmed to have tuberculosis. CT pulmonary angiogram showed the presence of pseudoaneurysms in the left upper and lower lobes. The haemoptysis resolved following the embolisation of the culprit's vessel. Residual lung destruction was evident on CT after a 12-month course of antituberculosis therapy. Rasmussen's aneurysm is a significant vascular complication of cavitary tuberculosis and needs to be considered in patients presenting with massive haemoptysis.
Keyphrases
- pulmonary tuberculosis
- mycobacterium tuberculosis
- coronary artery
- computed tomography
- image quality
- randomized controlled trial
- dual energy
- contrast enhanced
- hiv aids
- abdominal aortic aneurysm
- cardiac arrest
- pulmonary hypertension
- risk factors
- magnetic resonance
- positron emission tomography
- cardiovascular events
- stem cells
- coronary artery disease
- human immunodeficiency virus
- hepatitis c virus
- replacement therapy
- bone marrow
- smoking cessation