Massive hemoptysis and complete unilateral lung collapse in pregnancy due to pulmonary tuberculosis with good maternal and fetal outcome: a case report.
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Date
2013-08-22
Journal Title
Journal ISSN
Volume Title
Publisher
BioMed central.
Abstract
Background: We report an extremely rare case of massive hemoptysis and complete left-sided lung collapse in
pregnancy due to pulmonary tuberculosis in a health care worker with good maternal and fetal outcome.
Case presentation: A 33-year-old human immuno deficiency virus seronegative African health care worker in her
fourth pregnancy with two previous second trimester miscarriages and an apparently healthy daughter from her
third pregnancy presented coughing up copious amounts of blood at 18 weeks and two days of gestation. She
had a cervical suture in situ for presumed cervical weakness.
Computed tomography of her chest showed complete collapse of the left lung; subsequent bronchoscopy was
apparently normal. Her serum รข-human chorionic gonadotropin, tests for autoimmune disease and
echocardiography were all normal.
Her lung re-inflated spontaneously.
Sputum for acid alcohol fast bacilli was positive; our patient was commenced on anti-tuberculosis medication and
pyridoxine.
At 41 weeks and three days of pregnancy our patient went into spontaneous labor and delivered a live born
female baby weighing 2.6 kg with APGAR scores of nine and 10 at one and five minutes respectively. She and her
baby are apparently doing well about 10 months after delivery.
Conclusion: It is possible to have massive hemoptysis and complete unilateral lung collapse with spontaneous
resolution in pregnancy due to pulmonary tuberculosis with good maternal and fetal outcome.
Description
Open Access Article.
Keywords
Tuberculosis, Pregnancy, Hemoptysis, Lung collapse,, Health care worker
Citation
Gwinyai, M . . .et al. (2013). Massive hemoptysis and complete unilateral lung collapse in pregnancy due to pulmonary tuberculosis with good maternal and fetal outcome: a case report. BioMed central.