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Can I read Haemoptysis as the first presentation of COVID-19: a case report on EtoBox?
Haemoptysis as the first presentation of COVID-19: a case report by Peys, Elise; Stevens, Dieter; Weygaerde, Yannick Vande; Malfait, Thomas; Hermie, Laurens; Rogiers, Philippe; Depuydt, Pieter; Van Braeckel, Eva is a Medicine article available to read on EtoBox.
What is Haemoptysis as the first presentation of COVID-19: a case report about?
## Abstract ## Background Coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is an ongoing pandemic that profoundly challenges healthcare systems all over the world. Fever, cough and fatigue are the most commonly reported clinical symptoms. ## Case presentation A 58-year-old man presented at the emergency department with acute onset haemoptysis. On the fifth day after admission, he developed massive haemoptysis. Computed tomography (CT) angiography of the chest revealed alveolar haemorrhage, more prominent in the left lung. Flexible bronchoscopy confirmed bleeding from the left upper lobe, confirmed by a bronchial arteriography, which was successfully embolized. Nasopharyngeal swabs (NPS) tested for SARS-CoV-2 using real-time polymerase chain reaction (RT-PCR) repeatedly returned negative. Surprisingly, SARS-CoV-2 was eventually detected in bronchoalveolar lavage (BAL) fluid. ## Conclusions Life-threatening haemoptysis is an unusual presentation of COVID-19, reflecting alveolar bleeding as a rare but possible complication. This case emphasises the added value of bronchoscopy with BAL in the diagnostic work-up in case of
Who reads Haemoptysis as the first presentation of COVID-19: a case report?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Peys, Elise; Stevens, Dieter; Weygaerde, Yannick Vande; Malfait, Thomas; Hermie, Laurens; Rogiers, Philippe; Depuydt, Pieter; Van Braeckel, Eva
- Publisher
- BioMed Central; Springer (Biomed Central Ltd.); London: BioMed Central, 2001-; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 1471-2466)
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)