Vargatu-Dinica Lorena B, Sava Mihai, Bereanu Alina S, Achim David L, Bancila Stefan A, Seceleanu Corina R, Vintila Bogdan I
Medical School, Faculty of Medicine, Lucian Blaga University, Sibiu, ROU.
Anesthesia and Critical Care, County Clinical Emergency Hospital/Faculty of Medicine, Lucian Blaga University, Sibiu, ROU.
Cureus. 2024 Nov 4;16(11):e73017. doi: 10.7759/cureus.73017. eCollection 2024 Nov.
Pulmonary aspergillosis is a life-threatening condition, especially for individuals with predisposing factors such as prior tuberculosis, smoking, and immune impairment. This case report describes the management of a 33-year-old male with a history of cured tuberculosis and active pulmonary aspergillosis who developed hemorrhagic shock following severe hemoptysis. Initial management included blood transfusion and the administration of tranexamic acid. Surgical prehabilitation was performed, and the patient underwent bilobectomy. Post-surgery, the patient developed respiratory failure due to a bronchopleural fistula, which was surgically repaired. The patient was managed in the intensive care unit (ICU) and subsequently discharged in good health. This case highlights the complexity of managing severe hemoptysis and its complications, and the importance of early multidisciplinary intervention and preoperative optimization.
肺曲霉病是一种危及生命的疾病，尤其对于有诸如既往肺结核、吸烟和免疫功能受损等易感因素的个体。本病例报告描述了一名33岁男性的治疗过程，该男性有肺结核治愈史且患有活动性肺曲霉病，在严重咯血后发生了失血性休克。初始治疗包括输血和给予氨甲环酸。进行了手术术前康复治疗，患者接受了双叶切除术。术后，患者因支气管胸膜瘘出现呼吸衰竭，通过手术进行了修复。患者在重症监护病房（ICU）接受治疗，随后康复出院。本病例凸显了严重咯血及其并发症管理的复杂性，以及早期多学科干预和术前优化的重要性。
