Bilateral Rasmüssen aneurysm in a patient with pulmonary tuberculosis: A case report.

Publication date: May 01, 2025

We report the case of a 53-year-old male patient with Down syndrome and multiple comorbidities who presented with chest pain, dyspnea, hemoptysis, and fever. He had a history of type 2 diabetes, hypothyroidism, a nondocumented cardiopathy, and treated pulmonary tuberculosis. Radiological findings, including a chest CT scan, revealed bilateral apical cavitary lesions associated with bronchiolitis, consistent with active postprimary pulmonary tuberculosis, and a Rasmussen aneurysm in the both upper lobes. Unfortunately, the patient died from massive hemoptysis. This case highlights the importance of early recognition of vascular complications such as Rasmussen aneurysms in the setting of active tuberculosis.

Concepts Keywords
Diabetes Case report
Hemoptysis Cavitary lesions
Postprimary Chest pain
Radiological Hemoptysis
Rasmussen aneurysm
Tuberculosis

Semantics

Type Source Name
disease MESH aneurysm
disease MESH pulmonary tuberculosis
disease MESH Down syndrome
disease MESH chest pain
disease MESH dyspnea
disease IDO history
disease MESH type 2 diabetes
disease MESH hypothyroidism
disease MESH bronchiolitis
disease MESH complications
disease MESH tuberculosis
pathway KEGG Tuberculosis

Original Article

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