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Peer-reviewedCC BY 4.0CHEST Pulmonary

A 57-Year-Old With a History of Pulmonary TB Presents With Chronic Hemoptysis and Cavitary Lung Lesion

  • Jack Tomen1
  • Subramanya Shyam Ganti2
  • Natalie Aulicino3
  • Michael Aulicino3
  • Frank Baciewicz1
  • Ayman O. Soubani1
  • Amina Pervaiz1
  1. 1Department of Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Wayne State University School of Medicine, Detroit, MI
  2. 2Department of Internal Medicine, Division of Pulmonary Critical Care Appalachian Regional Health Care Hospital, Harlan, KY
  3. 3Department of Pathology, Detroit Medical Center, Wayne State University School of Medicine, Detroit, MI
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Abstract

Case Presentation: A 57-year-old man with a history significant for Mycobacterium tuberculosis infection presented to the emergency department for a 5-month history of low-volume hemoptysis, fatigue, and unintentional weight loss of 12 lb. He was treated twice in the past for pan-sensitive TB with a standard regimen of isoniazid, rifampin, pyrazinamide, and ethambutol for 12 months.

Over the past 5 months, his hemoptysis had progressively worsened, reaching approximately one-quarter of a cup per day. However, on the day before presentation, he experienced an episode of massive hemoptysis amounting to one-half of a cup of bright red blood, prompting him to present to the emergency department.

His history included post-TB bronchiectasis diagnosed after the completion of his most recent TB treatment. He had worked as a seasonal landscaper for nearly 30 years with frequent soil exposure and reported daily marijuana smoking for approximately 20 years. He denied prior incarceration or travel to TB-endemic regions and had lived in a metropolitan area throughout his life.

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Cite

BibTeXRIS
BibTeX
@article{tomen202657yearold,
  title = {{A 57-Year-Old With a History of Pulmonary TB Presents With Chronic Hemoptysis and Cavitary Lung Lesion}},
  author = {Jack Tomen and Subramanya Shyam Ganti and Natalie Aulicino and Michael Aulicino and Frank Baciewicz and Ayman O. Soubani and Amina Pervaiz},
  journal = {CHEST Pulmonary},
  year = {2026},
  month = jul,
  doi = {10.1016/j.chpulm.2026.100283},
  url = {https://doi.org/10.1016/j.chpulm.2026.100283},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - A 57-Year-Old With a History of Pulmonary TB Presents With Chronic Hemoptysis and Cavitary Lung Lesion
AU  - Jack Tomen
AU  - Subramanya Shyam Ganti
AU  - Natalie Aulicino
AU  - Michael Aulicino
AU  - Frank Baciewicz
AU  - Ayman O. Soubani
AU  - Amina Pervaiz
PY  - 2026
DA  - 2026/07/14
JO  - CHEST Pulmonary
DO  - 10.1016/j.chpulm.2026.100283
UR  - https://doi.org/10.1016/j.chpulm.2026.100283
AB  - Case Presentation: A 57-year-old man with a history significant for Mycobacterium tuberculosis infection presented to the emergency department for a 5-month history of low-volume hemoptysis, fatigue, and unintentional weight loss of 12 lb. He was treated twice in the past for pan-sensitive TB with a standard regimen of isoniazid, rifampin, pyrazinamide, and ethambutol for 12 months.  Over the past 5 months, his hemoptysis had progressively worsened, reaching approximately one-quarter of a cup per day. However, on the day before presentation, he experienced an episode of massive hemoptysis amounting to one-half of a cup of bright red blood, prompting him to present to the emergency department.  His history included post-TB bronchiectasis diagnosed after the completion of his most recent TB treatment. He had worked as a seasonal landscaper for nearly 30 years with frequent soil exposure and reported daily marijuana smoking for approximately 20 years. He denied prior incarceration or travel to TB-endemic regions and had lived in a metropolitan area throughout his life.
SN  - 2949-7892
ER  -