Amir Duaa, Inam Hina, Irfani Muhammad Mehdi
Jinnah Sindh Medical University, Pakistan.
Department of Cardiothoracic Surgery, Aga Khan University Hospital, Pakistan.
Respir Med Case Rep. 2024 Nov 13;52:102137. doi: 10.1016/j.rmcr.2024.102137. eCollection 2024.
Tuberculosis is endemic in Pakistan and other countries in South Asia despite various treatment programs being introduced for its elimination. It leads to a number of serious consequences which involve different organ systems of the body and Rasmussen Aneurysm is one such serious complication. It is the pseudo-aneurysmal dilatation of the pulmonary artery adjacent to a tubercular cavity and manifests as massive hemoptysis, like in the case of our patient. It is important to note that our patient was not diagnosed with TB and also denied any common symptoms and contact with persons with TB. This signifies that the progression to Rasmussen Aneurysm is not linear and anyone with TB may present with life-threatening hemoptysis, therefore this case report proves to be essential in raising awareness of such instances. This further highlights the need for nationwide screening programs and designated management plans.
尽管巴基斯坦和南亚其他国家已推行各种消除结核病的治疗方案,但结核病在这些地区仍呈地方流行态势。它会引发一系列严重后果,累及身体的不同器官系统,而拉斯穆森动脉瘤就是其中一种严重并发症。它是结核空洞附近肺动脉的假性动脉瘤样扩张,表现为大量咯血,就像我们这位患者的情况一样。需要注意的是,我们的患者未被诊断出患有结核病,也否认有任何常见症状以及与结核病患者有过接触。这表明发展为拉斯穆森动脉瘤并非呈线性过程,任何结核病患者都可能出现危及生命的咯血情况,因此本病例报告对于提高对此类情况的认识至关重要。这进一步凸显了全国性筛查项目和指定管理计划的必要性。