A 78-Year-Old Man With Recurrent Hemoptysis and Persistent Pulmonary Nodule

Chest. 2020 Mar;157(3):e79-e84. doi: 10.1016/j.chest.2019.10.046.

Abstract

A 78-year-old Chinese man presented in March 2019 with a 2-day history of small-volume hemoptysis. He did not report any associated chronic cough, sputum production, epistaxis, night sweats, unintentional weight loss, or fever. He was an ex-smoker of 10 pack years. His medical history was significant for ischemic heart disease on aspirin, as well as hospitalizations in 2016 and 2017 for hemoptysis. The patient's evaluation for hemoptysis was only notable for a right middle lobe nodule on chest CT imaging and Klebsiella pneumoniae on sputum cultures, for which he was treated with antibiotics.

Publication types

  • Case Reports

MeSH terms

  • Actinomycosis / complications*
  • Actinomycosis / diagnosis
  • Actinomycosis / drug therapy
  • Actinomycosis / pathology
  • Aged
  • Amoxicillin / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Biopsy
  • Bronchoalveolar Lavage Fluid
  • Bronchoscopy
  • Hemoptysis / etiology*
  • Humans
  • Lung / diagnostic imaging
  • Lung / pathology
  • Lung Diseases / complications*
  • Lung Diseases / diagnosis
  • Lung Diseases / drug therapy
  • Lung Diseases / pathology
  • Male
  • Penicillin G / therapeutic use
  • Recurrence
  • Solitary Pulmonary Nodule / diagnostic imaging
  • Solitary Pulmonary Nodule / etiology*
  • Solitary Pulmonary Nodule / pathology
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents
  • Amoxicillin
  • Penicillin G