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Open Access Highly Accessed Case Report

Massive hemoptysis and complete unilateral lung collapse in pregnancy due to pulmonary tuberculosis with good maternal and fetal outcome: a case report

Gwinyai Masukume1*, Elton Sengurayi1, Phinot Moyo2, Julio Feliu2, Danboy Gandanhamo3, Wedu Ndebele24, Solwayo Ngwenya1 and Rudo Gwini25

Author Affiliations

1 Department of Obstetrics and Gynaecology, Mpilo Central Hospital, Bulawayo, Zimbabwe

2 Faculty of Medicine, National University of Science and Technology, Bulawayo, Zimbabwe

3 Diagnostic X-Ray Centre, 101 Lancet House, P.O. Box 2428, Bulawayo, Zimbabwe

4 Department of Peadiatrics, Mpilo Central Hospital, Bulawayo, Zimbabwe

5 Department of Medicine, Mpilo Central Hospital, Bulawayo, Zimbabwe

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BMC Research Notes 2013, 6:335  doi:10.1186/1756-0500-6-335

Published: 22 August 2013

Abstract

Background

We report an extremely rare case of massive hemoptysis and complete left-sided lung collapse in pregnancy due to pulmonary tuberculosis in a health care worker with good maternal and fetal outcome.

Case presentation

A 33-year-old human immuno deficiency virus seronegative African health care worker in her fourth pregnancy with two previous second trimester miscarriages and an apparently healthy daughter from her third pregnancy presented coughing up copious amounts of blood at 18 weeks and two days of gestation. She had a cervical suture in situ for presumed cervical weakness.

Computed tomography of her chest showed complete collapse of the left lung; subsequent bronchoscopy was apparently normal. Her serum β-human chorionic gonadotropin, tests for autoimmune disease and echocardiography were all normal.

Her lung re-inflated spontaneously.

Sputum for acid alcohol fast bacilli was positive; our patient was commenced on anti-tuberculosis medication and pyridoxine.

At 41 weeks and three days of pregnancy our patient went into spontaneous labor and delivered a live born female baby weighing 2.6 kg with APGAR scores of nine and 10 at one and five minutes respectively. She and her baby are apparently doing well about 10 months after delivery.

Conclusion

It is possible to have massive hemoptysis and complete unilateral lung collapse with spontaneous resolution in pregnancy due to pulmonary tuberculosis with good maternal and fetal outcome.

Keywords:
Tuberculosis; Pregnancy; Hemoptysis; Lung collapse; Health care worker