Work

Early recognition and management of acute life-threatening haemoptysis in a patient with newly diagnosed tuberculosis

Year: 2025

Type: article

Abstract: Haemoptysis is a common complication in tuberculosis and can lead to significant mortality if not appropriately assessed and treated. Despite this significance, there is no clear consensus on severity scoring, which can make clinical decision making difficult, especially in haemodynamically stable patients with good physiological reserve, where clinicians are often reluctant to hastily pursue invasive treatments. The following case report describes the early recognition and management of acute life-threatening haemoptysis in a 22-year-old male with newly diagnosed tuberculosis. Following prompt evaluation by the multidisciplinary team, he proceeded to successful bronchial artery embolization to a branch of the right bronchial artery. A literature review on treatment recommendations for haemoptysis in tuberculosis was conducted. LEARNING POINTS: There is no clear consensus on haemoptysis severity grading, which subsequently impacts clinical decision making.Bronchial artery embolization offers a safe, efficacious treatment modality for haemoptysis, and clinicians should be familiar with its indications and potential complications.

Source: European Journal of Case Reports in Internal Medicine

DOI: 10.12890/2025_005492

Authors: Dáire Pryal, Samuel Thorburn, Annabelle Skelley, Belinda Liu, Douglas Johnson

Institutions: The Royal Melbourne Hospital, The University of Melbourne

Language: English

Topic: Tuberculosis Research and Epidemiology

Subfield: Infectious Diseases

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $323