Death producing hemoptysis in tuberculosis

J. R. Middleton, P. Sen, M. Lange, J. Salaki, R. Kapila, D. B. Louria

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Massive hemoptysis in patients with tuberculosis is reported infrequently and then virtually always in association with cavitary disease or aspergilloma. In contrast, we describe herein five cases characterized by hemoptysis on admission, bilateral pulmonary disease, samples of sputum positive for acid fast bacilli by Ziehl Neelsen stain, and no obvious cavitary disease. In each, hemoptysis subsided and then suddenly recurred in prodigious amounts, leading to death, probably from asphyxiation. In patients hospitalized with tuberculous hemoptysis of any amount, with or without an obvious cavity, aggressive diagnostic evaluation, including bronchoscopic examination, may define the site of bleeding, thus permitting rapid surgical intervention if the hemoptysis increases.

Original languageEnglish (US)
Pages (from-to)601-604
Number of pages4
JournalUnknown Journal
Issue number5
StatePublished - 1977

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine


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