A case of pulmonary tuberculosis with hemoptysis from a peripheral pulmonary aneurysm

Authors

  • Kodai Furuyama Respiratory Medicine, Okitama Public General Hospital, 2000, Nishi-Otsuka, Kawanishi, Yamagata, Japan; Department of Cardiology, Pulmonology, and Nephrology, Yamagata University Faculty of Medicine, 2-2-2 Iida-Nishi, Yamagata 990-9585, Japan
  • Noriyuki Hirama Respiratory Medicine, Okitama Public General Hospital, 2000, Nishi-Otsuka, Kawanishi, Yamagata, Japan https://orcid.org/0000-0002-1831-8768
  • Shigeyuki Fukushima Respiratory Medicine, Okitama Public General Hospital, 2000, Nishi-Otsuka, Kawanishi, Yamagata, Japan
  • Minoru Inage Respiratory Medicine, Okitama Public General Hospital, 2000, Nishi-Otsuka, Kawanishi, Yamagata, Japan https://orcid.org/0000-0002-8420-4857
  • Hiroki Ota Department of Cardiology, Pulmonology, and Nephrology, Yamagata University Faculty of Medicine, 2-2-2 Iida-Nishi, Yamagata 990-9585, Japan
  • Kento Sato Department of Cardiology, Pulmonology, and Nephrology, Yamagata University Faculty of Medicine, 2-2-2 Iida-Nishi, Yamagata 990-9585, Japan
  • Keiko Yamauchi Department of Cardiology, Pulmonology, and Nephrology, Yamagata University Faculty of Medicine, 2-2-2 Iida-Nishi, Yamagata 990-9585, Japan
  • Masamichi Sato Department of Cardiology, Pulmonology, and Nephrology, Yamagata University Faculty of Medicine, 2-2-2 Iida-Nishi, Yamagata 990-9585, Japan
  • Akira Igarashi Department of Cardiology, Pulmonology, and Nephrology, Yamagata University Faculty of Medicine, 2-2-2 Iida-Nishi, Yamagata 990-9585, Japan
  • Sumito Inoue Department of Cardiology, Pulmonology, and Nephrology, Yamagata University Faculty of Medicine, 2-2-2 Iida-Nishi, Yamagata 990-9585, Japan. Tel: +81-23-628-5302, Fax: +81-23-628-5305, E-mail: sinoue@med.id.yamagata-u.ac.jp https://orcid.org/0000-0002-1817-9761
  • Masafumi Watanabe Department of Cardiology, Pulmonology, and Nephrology, Yamagata University Faculty of Medicine, 2-2-2 Iida-Nishi, Yamagata 990-9585, Japan https://orcid.org/0000-0002-8672-7483

DOI:

https://doi.org/10.17179/excli2021-4279

Keywords:

pulmonary tuberculosis, pulmonary aneurysm, hemoptysis

Abstract

An 88-year-old woman visited our hospital for hemoptysis due to ruptured peripheral pulmonary aneurysm diagnosed by contrast computed tomography (CT) and angiography. Her bleeding was stopped by interventional radiology vascular embolization. She was diagnosed with pulmonary tuberculosis due to a positive acid-fast bacillus (AFB) smear test following admission and the positive polymerase chain reaction for tuberculosis, despite no obvious cavity lesions or scatter shadows on CT. The causes of hemoptysis due to pulmonary tuberculosis are known to be Rasmussen aneurysm, in which the blood vessel wall adjacent to the lung cavity is thinned to form an aneurysm, or bleeding from the bronchial artery. In this case, it was considered that the inflammation caused by pulmonary tuberculosis spread directly to the pulmonary artery and formed a pulmonary aneurysm without forming a cavity. Similar cases have been rarely reported. Clinicians need to consider pulmonary tuberculosis as the cause of pulmonary aneurysm, even without cavity lesions in the lungs. It is important to perform AFB examination to diagnose pulmonary tuberculosis.

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Published

2021-10-04

How to Cite

Furuyama, K., Hirama, N., Fukushima, S., Inage, M., Ota, H., Sato, K., … Watanabe, M. (2021). A case of pulmonary tuberculosis with hemoptysis from a peripheral pulmonary aneurysm. EXCLI Journal, 20, 1482–1485. https://doi.org/10.17179/excli2021-4279

Issue

Vol. 20 (2021)

Section

Case reports

License

Copyright (c) 2021 Kodai Furuyama, Noriyuki Hirama, Shigeyuki Fukushima, Minoru Inage, Hiroki Ota, Kento Sato, Keiko Yamauchi, Masamichi Sato, Akira Igarashi, Sumito Inoue, Masafumi Watanabe

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