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Difficult Treatment of Recurrent Haemoptysis in Polymorbid Lungs – a Case Study

Abdul Shah, Valentina Dimova, Bilal Hejazi


Introduction: This is the case of a 48-year-old female patient presenting with recurrent haemoptysis with an extensive history of pulmonary disease such as tuberculosis and aspergilloma. Comorbidities present in the respective patient have made this scenario much more difficult to understand and treat.

Materials and Methods: In 1993 she contracted tuberculosis, which was treated conservatively. Later in 2002, she developed a relapse of the tuberculosis and a lobectomy of the upper left lobe was performed.

In 2013, she was diagnosed with aspergilloma and empyema of the left lung and underwent decortication pneumolysis. Apart from this, the patient has visited hospitals regarding haemoptysis on 3 other occasions, where surgical treatment was refused due to it not being technically possible as the bleeding vessel could not be determined.

Most recently, she was admitted to the Clinic on the occasion of complaints for one month with recurrent haemoptysis (200 – 300 ml), which worsened in the last two days. She received 5 infusions of blood and 2 infusions of plasma, showed a better general condition. The haemoglobin value after this was 100g/l and there was no haemoptysis observed in 7 days after her hospital stay.

Results: The final decision and course of action for the recurrent haemoptysis is to keep the patient in stable condition via a pharmaceutical route and via infusions because a surgery can cause further complications.

Conclusion: In her most recent admission into hospital her situation drastically improved after symptomatic treatment and prophylaxis of infection with antibiotics. The case has presented the importance of symptomatic treatment in a patient with multiple morbidities. This case underlines the fact that not all diseases are curable and we should work on the improvement in quality of life.


aspergilloma, heamoptysis, polymorbidity, pulmonology


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