Coughing up blood in tuberculosis: What three cases reveal about diagnosis and care
Hemoptysis, or coughing blood, is a significant and potentially life-threatening symptom of pulmonary tuberculosis (PTB). The severity of hemoptysis can vary from mild to life-threatening, with massive hemoptysis posing severe risks due to hemodynamic instability and airway compromise. The diagnosti...
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| Format: | Article |
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Manipal College of Medical Sciences, Pokhara
2025-07-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://ajmsjournal.info/index.php/AJMS/article/view/4561 |
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| author | Ancila P Pugazhendhi S Maria Jose |
| author_facet | Ancila P Pugazhendhi S Maria Jose |
| author_sort | Ancila P |
| collection | DOAJ |
| description | Hemoptysis, or coughing blood, is a significant and potentially life-threatening symptom of pulmonary tuberculosis (PTB). The severity of hemoptysis can vary from mild to life-threatening, with massive hemoptysis posing severe risks due to hemodynamic instability and airway compromise. The diagnostic process is complicated by the multiple etiologies of hemoptysis in post-PTB patients, necessitating the use of comprehensive imaging techniques such as computed tomography angiography. Treatment options include arterial embolization, which is preferred over surgical intervention because of the poor respiratory reserve observed in most PTB cases. This case series highlights three distinct presentations of hemoptysis in patients with PTB, including Rasmussen’s aneurysm, tuberculosis-associated malignancy, and PTB in a genetically predisposed individual, illustrating the spectrum of complications, including Rasmussen’s aneurysm, malignancy, and active infection in a genetically predisposed patient. This report emphasises the importance of a comprehensive diagnostic approach and individualised treatment strategies for optimal patient outcomes. |
| format | Article |
| id | doaj-art-b8c0d93b6a18441b92a38a4d43a80c6f |
| institution | Matheson Library |
| issn | 2467-9100 2091-0576 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj-art-b8c0d93b6a18441b92a38a4d43a80c6f2025-07-01T21:55:00ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762025-07-01167193198https://doi.org/10.71152/ajms.v16i7.4561Coughing up blood in tuberculosis: What three cases reveal about diagnosis and careAncila P 0https://orcid.org/0009-0000-1549-8655Pugazhendhi S 1https://orcid.org/0000-0002-2370-0726Maria Jose 2https://orcid.org/0009-0004-2285-1575Postgraduate Resident, Department of Respiratory Medicine, SRM Medical College Hospital and Research Centre, Chennai, Tamil Nadu, India Assistant Professor, Department of Respiratory Medicine, SRM Medical College Hospital and Research Centre, Chennai, Tamil Nadu, India Postgraduate Resident, Department of Respiratory Medicine, SRM Medical College Hospital and Research Centre, Chennai, Tamil Nadu, India Hemoptysis, or coughing blood, is a significant and potentially life-threatening symptom of pulmonary tuberculosis (PTB). The severity of hemoptysis can vary from mild to life-threatening, with massive hemoptysis posing severe risks due to hemodynamic instability and airway compromise. The diagnostic process is complicated by the multiple etiologies of hemoptysis in post-PTB patients, necessitating the use of comprehensive imaging techniques such as computed tomography angiography. Treatment options include arterial embolization, which is preferred over surgical intervention because of the poor respiratory reserve observed in most PTB cases. This case series highlights three distinct presentations of hemoptysis in patients with PTB, including Rasmussen’s aneurysm, tuberculosis-associated malignancy, and PTB in a genetically predisposed individual, illustrating the spectrum of complications, including Rasmussen’s aneurysm, malignancy, and active infection in a genetically predisposed patient. This report emphasises the importance of a comprehensive diagnostic approach and individualised treatment strategies for optimal patient outcomes.https://ajmsjournal.info/index.php/AJMS/article/view/4561hemoptysis; pulmonary tuberculosis; rasmussen’s aneurysm; lung cancer |
| spellingShingle | Ancila P Pugazhendhi S Maria Jose Coughing up blood in tuberculosis: What three cases reveal about diagnosis and care Asian Journal of Medical Sciences hemoptysis; pulmonary tuberculosis; rasmussen’s aneurysm; lung cancer |
| title | Coughing up blood in tuberculosis: What three cases reveal about diagnosis and care |
| title_full | Coughing up blood in tuberculosis: What three cases reveal about diagnosis and care |
| title_fullStr | Coughing up blood in tuberculosis: What three cases reveal about diagnosis and care |
| title_full_unstemmed | Coughing up blood in tuberculosis: What three cases reveal about diagnosis and care |
| title_short | Coughing up blood in tuberculosis: What three cases reveal about diagnosis and care |
| title_sort | coughing up blood in tuberculosis what three cases reveal about diagnosis and care |
| topic | hemoptysis; pulmonary tuberculosis; rasmussen’s aneurysm; lung cancer |
| url | https://ajmsjournal.info/index.php/AJMS/article/view/4561 |
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