https://doi.org/10.4081/monaldi.2021.1613
Exertional dyspnea and hemoptysis in an adolescent: is it tuberculosis only?
Submitted: September 17, 2020
Accepted: November 21, 2020
Published: February 2, 2021
Accepted: November 21, 2020
Abstract Views: 853
PDF: 485
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Unilateral pulmonary artery atresia (UPAA), commonly detected in childhood, can occasionally present in adulthood with typical symptoms of recurrent pulmonary infections, dyspnoea on exertion and hemoptysis. An 18-year-old girl presented with complaints of cough, dyspnea on exertion and hemoptysis. Chest radiograph revealed dilated pulmonary trunk, signs of left sided volume loss and cavitating lesion in left lower zone. Pulmonary CT angiography found left pulmonary artery atresia. Endobronchial lung biopsy revealed granulomatous inflammation. Diagnosis of left sided UPAA with pulmonary tuberculosis was established. She responded well to the anti-tubercular therapy. This case highlights the importance of awareness about UPAA as a possible differential for exertional dyspnea, recurrent chest infections, hemoptysis and pulmonary hypertension in adults.
Pfefferkorn JR, Löser H, Pech G, et al. Absent pulmonary artery. A hint to its embryogenesis. Pediatr Cardiol 1982;3:283-6.
DOI: https://doi.org/10.1007/BF02427028
Ten Harkel ADJ, Blom NA, Ottenkamp J. Isolated unilateral absence of a pulmonary artery: a case report and review of the literature. Chest 2002;122:1471-7.
DOI: https://doi.org/10.1378/chest.122.4.1471
Steiropoulos P, Archontogeorgis K, Tzouvelekis A, et al. Unilateral pulmonary artery agenesis: a case series. Hippokratia 2013;17:73-6.
Smith NE, Fabian T, Nabagiez J. Unilateral pulmonary artery atresia in an adult: A case report. Respir Med Case Rep 2019;26:105-7.
DOI: https://doi.org/10.1016/j.rmcr.2018.11.012
Bouros D, Pare P, Panagou P, et al. The varied manifestation of pulmonary artery agenesis in adulthood. Chest 1995;8:670-6.
DOI: https://doi.org/10.1378/chest.108.3.670
Vyas P, Oswal N, Patel I. Burden of congenital heart diseases in a tertiary cardiac care institute in Western India: Need for a national registry. Heart India 2018;6:45.
DOI: https://doi.org/10.4103/heartindia.heartindia_3_18
Zhang LZ, Ma WG, Gao SG, He J. Unilateral absence of pulmonary artery associated with contralateral lung cancer. J Thorac Di. 2016; 8:E942-6.
DOI: https://doi.org/10.21037/jtd.2016.08.97
Moosavi SAJ, Iranpour A. Unilateral pulmonary artery agenesis in an adult patient with cough and hemoptysis: A case report. Tanaffos 2014;13:58-60.
Bockeria LA, Makhachev OA, Khiriev TKh, Abramyan MA. Congenital isolated unilateral absence of pulmonary artery and variants of collateral blood supply of the ipsilateral lung. Interact CardioVasc Thorac Surg 2011;12:509-10.
DOI: https://doi.org/10.1510/icvts.2010.250795A
Wang P, Yuan L, Shi J, Xu Z. Isolated unilateral absence of pulmonary artery in adulthood: clinical analysis of 65 cases from a case series and systematic review. J Thorac Dis 2017;9:4988-96.
DOI: https://doi.org/10.21037/jtd.2017.11.49
Seedat F, Kalla IS, Feldman C. Unilateral absent pulmonary artery in an adult - A diagnostic and therapeutic challenge. Respir Med Case Rep 2017;22:23-42.
DOI: https://doi.org/10.1016/j.rmcr.2017.09.004
van der Merwe PL, Kalis N, Schaaf HS, et al. Risk of pulmonary tuberculosis in children with congenital heart disease. Pediatr Cardiol 1995;16:172-5.
DOI: https://doi.org/10.1007/BF00794188
Harris KM, Lloyd DC, Morrissey B, Adams H. The computed tomographic appearances in pulmonary artery atresia. Clin Radiol 1992;45:382-6.
DOI: https://doi.org/10.1016/S0009-9260(05)80995-X
Mimura S, Kobayashi H, Shinkai M, et al. A case report of congenital isolated absence of the right pulmonary artery: bronchofibrescopic findings and chest radiological tracings over 9 years. Respirology 2005;10:250-3.
DOI: https://doi.org/10.1111/j.1440-1843.2005.00636.x
Komatsu Y, Hanaoka M, Ito M, et al. Unilateral absence of the pulmonary artery incidentally found after an episode of hemoptysis. Int Med 2007;46:1805-8.
DOI: https://doi.org/10.2169/internalmedicine.46.0257
How to Cite
Goel, Nitin, Nitesh Goyal, and Raj Kumar. 2021. “Exertional Dyspnea and Hemoptysis in an Adolescent: Is It Tuberculosis Only?”. Monaldi Archives for Chest Disease 91 (1). https://doi.org/10.4081/monaldi.2021.1613.
Copyright (c) 2021 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Paolo Ruggeri, Federica Lo Bello, Francesco Nucera, Michele Gaeta, Francesco Monaco, Gaetano Caramori, Giuseppe Girbino, Hereditary hyperhomocysteinemia associated with nephrotic syndrome complicated by artery thrombosis and chronic thromboembolic pulmonary hypertension: A case report , Monaldi Archives for Chest Disease: Vol. 87 No. 3 (2017)
- Massimiliano Polastri, Lara Pisani, Andrea Dell'Amore, Stefano Nava, Revolving door respiratory patients: A rehabilitative perspective , Monaldi Archives for Chest Disease: Vol. 87 No. 3 (2017)
- Abhishekl Agarwal, Sakshi Batra, Rajendra Prasad, Anand Verma, Abdul Q. Jilani, Surya Kant, A study on the prevalence of depression and the severity of depression in patients of chronic obstructive pulmonary disease in a semi-urban Indian population , Monaldi Archives for Chest Disease: Vol. 88 No. 1 (2018)
- Abhijeet Singh, Rajendra Prasad, Rajiv Garg, Surya Kant, Giridhar B. Hosmane, Abhisek Dubey, Abhisek Agarwal, Ram Kishun Verma, A study to estimate prevalence and risk factors of Obstructive Sleep Apnoea Syndrome in a semi-urban Indian population , Monaldi Archives for Chest Disease: Vol. 87 No. 1 (2017)
- Dimitrios Papadopoulos, Panagiotis Misthos, Maria Chorti, Vlasios Skopas, Alexandra Nakou, Napoleon Karagianidis, Achilleas Lioulias, Vasiliki Filaditaki, Unilateral pulmonary hypoplasia in an adult patient , Monaldi Archives for Chest Disease: Vol. 88 No. 1 (2018)
- Alfonso Sforza, Maria V. Carlino, Giovanni Albano, Maria I. Arnone, Giuliano De Stefano, Andrea D'Amato, Federica De Pisapia, Giovanni de Simone, Costantino Mancusi, A challenging diagnosis of dyspnea: A case report of contralateral reexpansion pulmonary edema , Monaldi Archives for Chest Disease: Vol. 88 No. 1 (2018)
- I. Hawrylkiewicz, P. Sliwinski, D. Górecka, R. Plywaczewski, J. Zielinski, Pulmonary haemodynamics in patients with OSAS or an overlap syndrome , Monaldi Archives for Chest Disease: Vol. 61 No. 3 (2004): Pulmonary series
- Z. Celebi Sözener, A. Kaya, C. Atasoy, M. Kılıckap, N. Numanoglu, I. Savas, Septic Pulmonary Embolism: three Case Reports , Monaldi Archives for Chest Disease: Vol. 69 No. 2 (2008): Pulmonary series
- Madalina Macrea, Richard ZuWallack, Linda Nici, There’s no place like home: Integrating pulmonary rehabilitation into the home setting , Monaldi Archives for Chest Disease: Vol. 87 No. 2 (2017)
- Vishal Chopra, Hardik Jain, Akhil D. Goel, Siddharth Chopra, Ashrafjit S. Chahal, Neha Garg, Vidhu Mittal, Correlation of aspergillus skin hypersensitivity with the duration and severity of asthma , Monaldi Archives for Chest Disease: Vol. 87 No. 3 (2017)
You may also start an advanced similarity search for this article.
