When the Diagnosis is a Victim of the Circumstances
  • João Afonso Rodrigues
    Internal Medicine, Centro Hospitalar de Lisboa Central, Lisbon, Portugal
  • Pedro Brogueira
    Infectious Disease, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal
  • Sara Rodrigues
    Internal Medicine, Centro Hospitalar de Lisboa Norte, Lisbon, Portugal
  • Margarida Cardoso
    Infectious Disease, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal
  • Tiago Pack
    Internal Medicine, Centro Hospitalar de Lisboa Central, Lisbon, Portugal

Keywords

Tubercolosis, haemoptysis, haematemesis

Abstract

Introduction: Haemoptysis is a common symptom which can sometimes mimic gastrointestinal bleeding.

Case description: We describe the case of a 31-year-old man who presented to the emergency department after an episode of sudden nausea and presumed massive haematemesis. The situation was interpreted as gastrointestinal bleeding but clinical evolution and greater attention to the anamnesis resulted in a diagnosis of pulmonary tuberculosis and the provision of appropriate care.

Discussion: This report emphasizes the difficulty of differentiating between haemoptysis and haematemesis and the importance of a careful anamnesis and attention to all clinical circumstances for an accurate diagnosis.

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References

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  • Prasad R, Garg R, Singhal S, Srivastava P. Lessons from patients with hemoptysis attending a chest clinic in India. Ann Thorac Med 2009;4:10–12.
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    Published: 2018-03-20
    Issue: Vol. 5 No. 6 (view)


    How to cite:
    1.
    Rodrigues JA, Brogueira P, Rodrigues S, Cardoso M, Pack T. When the Diagnosis is a Victim of the Circumstances. EJCRIM 2018;5 doi:10.12890/2018_000862.