Kesieme Emeka B, Okonkwo Browne C, Okokhere Peter O, Prisadov Georgi, Aigbe Eghosa, Affusim Christopher
Department of Surgery, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, Nigeria.
Case Rep Med. 2013;2013:189326. doi: 10.1155/2013/189326. Epub 2013 May 8.
Haemoptysis is rarely reported following coitus, and cardiac decompensation has been mostly implicated in the aetiology. We present a 53-year-old Nigerian, known hypertensive diabetic woman with background ischaemic heart disease who presented with postcoital haemoptysis of one-year duration. Echocardiography revealed combined ischaemic and mitral valvular heart disease, probably of rheumatic aetiology. There has been no previous report in an African population. This case illustrates the need to rule out coitus as a rare but potential cause of haemoptysis in middle aged patients with underlying cardiac pathologies and the need for an extensive cardiac workup in a population with predominantly pulmonary causes of haemoptysis.
性交后咯血鲜有报道，病因大多与心功能不全有关。我们报告一例53岁的尼日利亚女性，患有高血压、糖尿病，有缺血性心脏病史，出现性交后咯血1年。超声心动图显示合并缺血性和二尖瓣心脏病，可能病因是风湿性。此前非洲人群中尚无此类报告。该病例说明，对于有潜在心脏疾病的中年患者，需要排除性交作为咯血罕见但潜在病因的可能性，同时对于以肺部疾病为主要咯血病因的人群，需要进行全面的心脏检查。
