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Massive hemoptysis in an immunocompromised pregnant woman with human immunodeficiency virus disease and active pulmonary tuberculosis.

Blyth DF, Soni MA, Moran NF

Department of Cardiothoracic Surgery, Wentworth Hospital, Nelson R. Mandela School of Medicine, Durban, South Africa. blyth@worldonline.co.za

Massive hemoptysis during pregnancy has been infrequently reported. The management of massive hemoptysis in an immunocompromised 22-year-old woman positive for human immunodeficiency virus undergoing treatment for cavitating pulmonary tuberculosis in the last trimester of pregnancy is reported. The difficulties encountered in applying our standard protocol for massive hemoptysis in this instance are described. The patient was managed by emergency cesarean section and lobectomy.

Published 26 November 2007 in Ann Thorac Surg, 84(6): 2085-6.
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