Massive hemoptysis in pregnancy due to invasive pulmonary aspergillosis with pulmonary tuberculosis co-infection.
Nurul Aisyah Abd RahmanBoon Hau NgNik Nuratiqah Nik AbeedMuhammad Ishamuddin IsmailMohamed Faisal Abdul HamidAndrea Yu-Lin BanPublished in: Respirology case reports (2024)
A 37-year-old woman, 25 weeks pregnant, experienced sudden massive hemoptysis. She had a background history of systemic lupus erythematosus (SLE) and past pulmonary tuberculosis (PTB). Emergency intubation was necessary, and bronchoscopy revealed blood pooling in both main bronchi, with active bleeding from the right upper lobe bronchus. Urgent computed tomography (CT) angiography of the bronchial artery identified a bleeding source and was successfully embolized. Antifungal and anti-tuberculous therapy was initiated based on bronchoalveolar lavage results. Despite initial improvement, hemoptysis recurred after the third week, leading to repeat embolization, followed by a caesarean section and right upper lobectomy. Both mother and baby survived, remaining well at a 6-week follow-up, emphasizing the complexities of managing recurrent hemoptysis during pregnancy and potential drug interactions.
Keyphrases
- pulmonary tuberculosis
- systemic lupus erythematosus
- mycobacterium tuberculosis
- computed tomography
- disease activity
- atrial fibrillation
- emergency department
- public health
- healthcare
- pulmonary hypertension
- pregnant women
- cardiac arrest
- positron emission tomography
- magnetic resonance imaging
- preterm birth
- candida albicans
- randomized controlled trial
- placebo controlled
- rheumatoid arthritis
- gestational age
- pregnancy outcomes
- climate change
- mesenchymal stem cells
- image quality
- bone marrow
- contrast enhanced
- dual energy