Article Text

Download PDFPDF

Massive haemoptysis: an unusual connection
Free
  1. Aimee Leadbetter1,
  2. Quentin Jones1,
  3. Paul Foley2,
  4. Andy Beale3
  1. 1Department of Respiratory Medicine, Great Western Hospitals NHS Foundation Trust, Swindon, UK
  2. 2Wiltshire Cardiac Centre, Great Western Hospitals NHS Foundation Trust, Swindon, UK
  3. 3Department of Radiology, Great Western Hospitals NHS Foundation Trust, Swindon, UK
  1. Correspondence to Dr Aimee Leadbetter, Department of Respiratory Medicine, Great Western Hospitals NHS Foundation Trust, Swindon SN3 6BB, UK; aimee.leadbetter{at}nhs.net

Statistics from Altmetric.com

Description

A 60-year-old man presented with a 4-day history of small volume haemoptysis. His medical history revealed a pericardiectomy with pericardial window creation for severe constrictive pericarditis secondary to seropositive rheumatoid arthritis in 1997 and pulmonary tuberculosis aged 7, with a treated recurrence in 2005. He was a lifelong smoker of 20 cigarettes per day. He lived independently. His regular medication included prednisolone 10 mg and meloxicam.

On examination, he looked unwell. His heart rate was 140, respiratory rate 22 and oxygen saturations 96% on air. Auscultation revealed crepitations at the left lung base. He had 500 mL of brisk haemoptysis. His haemoglobin fell from 85 to 73 g/L. Inflammatory markers were raised (C reactive protein 169 mg/L, white cell count 14.7×109/L, neutrophil count 12.9×109/L), prothrombin time ratio was mildly raised (1.4), platelet count …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.