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Case Report
A patient with insidious onset of exertional dyspnoea
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  1. P Eller1,
  2. M Lechleitner1,
  3. A Gschwendtner2,
  4. A Kreczy2,
  5. L Müller3,
  6. N Kaneider1,
  7. J R Patsch1
  1. 1Department of Internal Medicine, Innsbruck University Hospital, Austria
  2. 2Institute of Pathology, Innsbruck University Hospital, Austria
  3. 3Department of Cardiac Surgery, Innsbruck University Hospital, Austria
  1. Correspondence to:
    Dr M Lechleitner
    Department of Internal Medicine, Innsbruck University Hospital, Anichstrasse 35, 6020 Innsbruck, Austria; monika.lechleitneruibk.ac.at

Abstract

The case history is presented of a 42 year old woman with pulmonary artery occlusion due to tuberculous vasculitis that masqueraded as chronic pulmonary artery embolism and led to severe life threatening haemoptysis necessitating emergency pneumonectomy. It is concluded that obliterative tuberculous endarteritis of the pulmonary arteries should be considered in the differential diagnosis of any acquired obstruction of pulmonary arteries.

  • obliterative tuberculous endarteritis
  • insidious exertional dyspnoea
  • pulmonary artery obstruction

https://doi.org/10.1136/thx.2004.023622

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