When the Diagnosis is a Victim of the Circumstances

  • João Afonso Rodrigues Internal Medicine, Centro Hospitalar de Lisboa Central, Lisbon, Portugal
  • Pedro Brogueira Infectious Disease, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal
  • Sara Rodrigues Internal Medicine, Centro Hospitalar de Lisboa Norte, Lisbon, Portugal
  • Margarida Cardoso Infectious Disease, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal
  • Tiago Pack Internal Medicine, Centro Hospitalar de Lisboa Central, Lisbon, Portugal

Keywords

Tubercolosis, haemoptysis, haematemesis

Abstract

Introduction: Haemoptysis is a common symptom which can sometimes mimic gastrointestinal bleeding.

Case description: We describe the case of a 31-year-old man who presented to the emergency department after an episode of sudden nausea and presumed massive haematemesis. The situation was interpreted as gastrointestinal bleeding but clinical evolution and greater attention to the anamnesis resulted in a diagnosis of pulmonary tuberculosis and the provision of appropriate care.

Discussion: This report emphasizes the difficulty of differentiating between haemoptysis and haematemesis and the importance of a careful anamnesis and attention to all clinical circumstances for an accurate diagnosis.

References

  • Dweik RA, Stoller JK. Role of bronchoscopy in massive hemoptysis. Clin Chest Med 1999;20:89–105.

  • Dheda K, Barry CE 3rd, Maartens G. Tuberculosis. Lancet 2016;387:1211–1226.

  • Storla DG, Yimer S, Bjune GA. A systematic review of delay in the diagnosis and treatment of tuberculosis. BMC Public Health 2008;8:15.

  • Prasad R, Garg R, Singhal S, Srivastava P. Lessons from patients with hemoptysis attending a chest clinic in India. Ann Thorac Med 2009;4:10–12.
  • Published: 2018-03-20

    Issue: Vol 5 No 6 (view)

    Section: Articles

    How to cite:
    Rodrigues, J., Brogueira, P., Rodrigues, S., Cardoso, M., & Pack, T. (2018). When the Diagnosis is a Victim of the Circumstances. European Journal of Case Reports in Internal Medicine, 5(6). https://doi.org/https://doi.org/10.12890/2018_000862