Bilateral Rasmüssen aneurysm in a patient with pulmonary tuberculosis: A case report

We report the case of a 53-year-old male patient with Down syndrome and multiple comorbidities who presented with chest pain, dyspnea, hemoptysis, and fever. He had a history of type 2 diabetes, hypothyroidism, a nondocumented cardiopathy, and treated pulmonary tuberculosis. Radiological findings, i...

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Main Authors: Khaoula Oukrid, MD, Chaymae Ziani, MD, Leila Haddar, Asmae Kasimi, MD, Hamid Ziani, MD, Siham Nasri, MD, Imane Kamaoui, MD, Imane Skiker, MD
Format: Article
Language:English
Published: Elsevier 2025-05-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325001074
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author Khaoula Oukrid, MD
Chaymae Ziani, MD
Leila Haddar
Asmae Kasimi, MD
Hamid Ziani, MD
Siham Nasri, MD
Imane Kamaoui, MD
Imane Skiker, MD
author_facet Khaoula Oukrid, MD
Chaymae Ziani, MD
Leila Haddar
Asmae Kasimi, MD
Hamid Ziani, MD
Siham Nasri, MD
Imane Kamaoui, MD
Imane Skiker, MD
author_sort Khaoula Oukrid, MD
collection DOAJ
description We report the case of a 53-year-old male patient with Down syndrome and multiple comorbidities who presented with chest pain, dyspnea, hemoptysis, and fever. He had a history of type 2 diabetes, hypothyroidism, a nondocumented cardiopathy, and treated pulmonary tuberculosis. Radiological findings, including a chest CT scan, revealed bilateral apical cavitary lesions associated with bronchiolitis, consistent with active postprimary pulmonary tuberculosis, and a Rasmussen aneurysm in the both upper lobes. Unfortunately, the patient died from massive hemoptysis. This case highlights the importance of early recognition of vascular complications such as Rasmussen aneurysms in the setting of active tuberculosis.
format Article
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issn 1930-0433
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publishDate 2025-05-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj-art-150b458975284afbbfccf3d7813093dd2025-08-20T01:57:40ZengElsevierRadiology Case Reports1930-04332025-05-012052376237910.1016/j.radcr.2025.02.004Bilateral Rasmüssen aneurysm in a patient with pulmonary tuberculosis: A case reportKhaoula Oukrid, MD0Chaymae Ziani, MD1Leila Haddar2Asmae Kasimi, MD3Hamid Ziani, MD4Siham Nasri, MD5Imane Kamaoui, MD6Imane Skiker, MD7Radiology Department, Mohammed VI University Hospital, Oujda, Morocco; Mohammed First University Oujda, Faculty of Medicine and Pharmacy Oujda, Oujda Morocco; Corresponding author.Radiology Department, Mohammed VI University Hospital, Oujda, Morocco; Mohammed First University Oujda, Faculty of Medicine and Pharmacy Oujda, Oujda MoroccoRadiology Department, Mohammed VI University Hospital, Oujda, Morocco; Mohammed First University Oujda, Faculty of Medicine and Pharmacy Oujda, Oujda MoroccoRadiology Department, Mohammed VI University Hospital, Oujda, Morocco; Mohammed First University Oujda, Faculty of Medicine and Pharmacy Oujda, Oujda MoroccoRadiology Department, Mohammed VI University Hospital, Oujda, Morocco; Mohammed First University Oujda, Faculty of Medicine and Pharmacy Oujda, Oujda MoroccoRadiology Department, Mohammed VI University Hospital, Oujda, Morocco; Mohammed First University Oujda, Faculty of Medicine and Pharmacy Oujda, Oujda MoroccoRadiology Department, Mohammed VI University Hospital, Oujda, Morocco; Mohammed First University Oujda, Faculty of Medicine and Pharmacy Oujda, Oujda MoroccoRadiology Department, Mohammed VI University Hospital, Oujda, Morocco; Mohammed First University Oujda, Faculty of Medicine and Pharmacy Oujda, Oujda MoroccoWe report the case of a 53-year-old male patient with Down syndrome and multiple comorbidities who presented with chest pain, dyspnea, hemoptysis, and fever. He had a history of type 2 diabetes, hypothyroidism, a nondocumented cardiopathy, and treated pulmonary tuberculosis. Radiological findings, including a chest CT scan, revealed bilateral apical cavitary lesions associated with bronchiolitis, consistent with active postprimary pulmonary tuberculosis, and a Rasmussen aneurysm in the both upper lobes. Unfortunately, the patient died from massive hemoptysis. This case highlights the importance of early recognition of vascular complications such as Rasmussen aneurysms in the setting of active tuberculosis.http://www.sciencedirect.com/science/article/pii/S1930043325001074TuberculosisRasmussen aneurysmHemoptysisChest painCavitary lesionsCase report
spellingShingle Khaoula Oukrid, MD
Chaymae Ziani, MD
Leila Haddar
Asmae Kasimi, MD
Hamid Ziani, MD
Siham Nasri, MD
Imane Kamaoui, MD
Imane Skiker, MD
Bilateral Rasmüssen aneurysm in a patient with pulmonary tuberculosis: A case report
Radiology Case Reports
Tuberculosis
Rasmussen aneurysm
Hemoptysis
Chest pain
Cavitary lesions
Case report
title Bilateral Rasmüssen aneurysm in a patient with pulmonary tuberculosis: A case report
title_full Bilateral Rasmüssen aneurysm in a patient with pulmonary tuberculosis: A case report
title_fullStr Bilateral Rasmüssen aneurysm in a patient with pulmonary tuberculosis: A case report
title_full_unstemmed Bilateral Rasmüssen aneurysm in a patient with pulmonary tuberculosis: A case report
title_short Bilateral Rasmüssen aneurysm in a patient with pulmonary tuberculosis: A case report
title_sort bilateral rasmussen aneurysm in a patient with pulmonary tuberculosis a case report
topic Tuberculosis
Rasmussen aneurysm
Hemoptysis
Chest pain
Cavitary lesions
Case report
url http://www.sciencedirect.com/science/article/pii/S1930043325001074
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