DOI: 10.12890/2025_005492

Early recognition and management of acute life-threatening haemoptysis in a patient with newly diagnosed tuberculosis

Authors

  • Dáire Pryal Victorian Infectious Diseases Service, The Royal Melbourne Hospital, Melbourne, Australia
  • Samuel Thorburn Victorian Infectious Diseases Service, The Royal Melbourne Hospital, Melbourne, Australia; Department of Infectious Diseases, Melbourne Medical School, University of Melbourne, Melbourne, Australia
  • Annabelle Skelley Department of Interventional Radiology, The Royal Melbourne Hospital, Melbourne, Australia
  • Belinda Liu Department of Respiratory and Sleep Medicine, The Royal Melbourne Hospital, Melbourne, Australia; Department of General Medicine, The Royal Melbourne Hospital, Melbourne, Australia
  • Douglas Johnson Victorian Infectious Diseases Service, The Royal Melbourne Hospital, Melbourne, Australia; Department of General Medicine, The Royal Melbourne Hospital, Melbourne, Australia; Department of Medicine, The Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia

dairepryal5@gmail.com

Keywords

Tuberculosis, haemoptysis, bronchial artery embolization

Abstract

Haemoptysis is a common complication in tuberculosis and can lead to significant mortality if not appropriately assessed and treated. Despite this significance, there is no clear consensus on severity scoring, which can make clinical decision making difficult, especially in haemodynamically stable patients with good physiological reserve, where clinicians are often reluctant to hastily pursue invasive treatments. The following case report describes the early recognition and management of acute life-threatening haemoptysis in a 22-year-old male with newly diagnosed tuberculosis. Following prompt evaluation by the multidisciplinary team, he proceeded to successful bronchial artery embolization to a branch of the right bronchial artery. A literature review on treatment recommendations for haemoptysis in tuberculosis was conducted.

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References

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Published

2025-10-22

Issue

Vol. 12 No. 11 (2025)

Categories

How to Cite

1.
Pryal D, Thorburn S, Skelley A, Liu B, Johnson D. Early recognition and management of acute life-threatening haemoptysis in a patient with newly diagnosed tuberculosis. EJCRIM [Internet]. 2025 Oct. 22 [cited 2026 Nov. 3];12(11). Available from: https://ejcrim.com/index.php/ejcrim/article/view/5492