{
  "abstract": "The development of worsening haemoptysis in a patient with pulmonary embolism presents a significant treatment challenge, especially in a low-resource setting where advanced interventions such as bronchial artery embolization may not be readily available. We present the case of a 40-year-old morbidly obese woman who was transferred to our facility with recurrent lower-limb deep vein thrombosis and a new diagnosis of bilateral pulmonary embolism. Following initiation of oral anticoagulation with apixaban, she developed worsening haemoptysis that persisted despite dose adjustments. She was subsequently stabilized and discharged on a vitamin K antagonist (warfarin). This case highlights the clinical challenges encountered in managing anticoagulation in the setting of significant bleeding and underscores the importance of individualized anticoagulation therapies.",
  "abstract_shown": true,
  "affiliations": [
    "Adult Cardiology, Uganda Heart Institute, Kampala, UGA."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Isaac Mugwano"
    },
    {
      "affs": [
        0
      ],
      "name": "Faith Atim Emilly"
    },
    {
      "affs": [
        0
      ],
      "name": "Isaac Ssinabulya"
    },
    {
      "affs": [
        0
      ],
      "name": "David Salama Kaishusha"
    },
    {
      "affs": [
        0
      ],
      "name": "Joanita Nalyazi"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/b85f1x7fkkw71.bib",
  "cited_by": 0,
  "doi": "10.7759/cureus.116889",
  "fulltext_url": "https://europepmc.org/articles/PMC13696008",
  "id": "b85f1x7fkkw71",
  "issns": [
    "2168-8184"
  ],
  "landing_url": "https://europepmc.org/article/MED/42928820",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2724|Venous Thromboembolism Diagnosis and Management"
    ]
  ],
  "openalex": "W7214354150",
  "pdf_url": "https://europepmc.org/articles/PMC13696008?pdf=render",
  "pmcid": "PMC13696008",
  "pmid": "42928820",
  "published": "2026-09-25",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/b85f1x7fkkw71.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:21:18Z",
      "native_id": "MED:42928820",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42928820"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2724|Venous Thromboembolism Diagnosis and Management",
      "subfield": "general"
    }
  ],
  "title": "Anticoagulation Dilemma in a Patient With Pulmonary Embolism and Massive Haemoptysis.",
  "title_text": "Anticoagulation Dilemma in a Patient With Pulmonary Embolism and Massive Haemoptysis.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:18Z",
  "url": "https://research.draconitic.com/paper/b85f1x7fkkw71",
  "venue": "Cureus",
  "versions": []
}