June 2025 Pulmonary/Critical Care Case of the Month: Hemoptysis from a Very Unusual Cause

By: Raschke RA, Kayani A, Gotway MB

Abstract: 

No abstract available. Article truncated after 150 words. A 23-year-old man presented to our hospital emergency room (ER) with one week of non-productive cough and mild pleuritic chest pain followed by 24 hours of hemoptysis, producing about a teaspoon of bright red blood every 15 mins. His blood pressure was 146/83, HR 103, RR 16, temperature 98.6 F. and room air oxygen saturation was 96%. He was in no respiratory distress and his physical examination was unremarkable. 

Initial laboratory studies including a white blood cell count, serum electrolytes, glucose, and renal function, liver indices, a coagulation profile, a procalcitonin level, and a urinalysis were all within normal limits. A PCR for SARS-CoV-2, influenza and RSV was negative.

Which of the following are true regarding massive hemoptysis?

1. It can be defined by as little as 150ml (about a half cup) of hemoptysis per day
2. Urgent bronchoscopy is indicated to remove obstructive blood clots, and to localize and …

URL: https://www.swjpcc.com/pulmonary/2025/6/1/june-2025-pulmonarycritical-care-case-of-the-month-hemoptysi.html