https://doi.org/10.4081/monaldi.2021.1613

Exertional dyspnea and hemoptysis in an adolescent: is it tuberculosis only?

Vol. 91 No. 1 (2021)
Submitted: September 17, 2020
Accepted: November 21, 2020
Published: February 2, 2021
Pulmonary atresia, pulmonary hypertension, computed tomography angiography
Abstract Views: 853
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Authors

Nitin Goel
drnitingoel@gmail.com
https://orcid.org/0000-0001-5155-8985
Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of New Delhi, India.
Nitesh Goyal
https://orcid.org/0000-0003-1301-0526
Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of New Delhi, India.
Raj Kumar
Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of New Delhi, India.

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.

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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.
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