Massive Haemoptysis due to Obscure Aetiology: Perils and Management Dilemmas

Author:

Shreenivasa A.1ORCID,Vishak K. A.2,Sindhu K.1,Sahu Kauslya3,Chaithra G. V.4

Affiliation:

1. Senior Resident, Department of Pulmonary Medicine, KMC Mangalore, MAHE University, Udupi, India

2. Professor, Department of Pulmonary Medicine, KMC Mangalore, MAHE University, Udupi, India

3. Professor, Department of Pathology, KMC Mangalore, MAHE University, Udupi, India

4. Assistant Professor, Department of Pathology, KMC Mangalore, MAHE University, Udupi, India

Abstract

Pulmonary actinomycosis is an important differential diagnosis in patients with long-standing pulmonary infiltrates related to poor oral hygiene or compromised immune function. Up to a quarter of cases of thoracic actinomycosis are misdiagnosed as lung malignancy. Here, we report a 56-year-old man with a hypodense lesion in the left lower lobe presenting with recurrent massive haemoptysis for about one year. He underwent left lower lobe lobectomy due to intractable haemoptysis. Histopathological examination demonstrated actinomycosis infiltrating the left lower lobe. Rarity of the case was the presence of actinomycosis in an immunocompetent individual and without underlying preexisting lung disease. Also, intractable massive haemoptysis necessitating surgical excision which proved to be both diagnostic and curative due to actinomycosis is an unusual occurrence.

Publisher

Hindawi Limited

Subject

General Medicine

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. A rare bug and recurrent bleed;Journal of Global Infectious Diseases;2021

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