A 65-Year-Old Woman With Massive Hemoptysis After COVID-19 Infection

Case Presentation: A 65-year-old woman presented with a 7-day history of generalized weakness, cough, and hemoptysis described as streaks of blood during the first 2 days, and as half a cup to a cup of bright red blood with clots thereafter. Seven weeks earlier she was hospitalized with COVID-19 pne...

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Main Authors: Lissette Orozco, MD, Bruno DiGiovine, MD
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:CHEST Pulmonary
Online Access:http://www.sciencedirect.com/science/article/pii/S2949789225000194
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author Lissette Orozco, MD
Bruno DiGiovine, MD
author_facet Lissette Orozco, MD
Bruno DiGiovine, MD
author_sort Lissette Orozco, MD
collection DOAJ
description Case Presentation: A 65-year-old woman presented with a 7-day history of generalized weakness, cough, and hemoptysis described as streaks of blood during the first 2 days, and as half a cup to a cup of bright red blood with clots thereafter. Seven weeks earlier she was hospitalized with COVID-19 pneumonia for which she received supplemental oxygen with high flow nasal cannula, remdesivir, dexamethasone, and tocilizumab.Her medical history included stage 3a chronic kidney disease, multinodular goiter, hypertension, and type II diabetes mellitus. She denied recent use of anticoagulants or nonsteroidal antiinflammatory drugs. She denied any recent trauma including pulmonary contusion. The patient did not have any history of rash, hematuria, or known autoimmune disease preceding this episode of hemoptysis.The patient had previous tobacco use with a 20 pack-year history and quit 7 years ago. She did not use alcohol or other recreational drugs. Family history was notable for breast cancer in her mother. She had no history of recent travel or exposure to sick contacts.
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spelling doaj-art-d6a2f96df3c54d598bf571505a21b6142025-08-20T02:03:25ZengElsevierCHEST Pulmonary2949-78922025-06-013210015210.1016/j.chpulm.2025.100152A 65-Year-Old Woman With Massive Hemoptysis After COVID-19 InfectionLissette Orozco, MD0Bruno DiGiovine, MD1Trinity Health Ann Arbor Hospital, Internal Medicine Resident; CORRESPONDENCE TO: Lissette Orozco, MDDepartment of Pulmonary and Critical Care, Trinity Health Ann Arbor Hospital, Ypsilanti, MICase Presentation: A 65-year-old woman presented with a 7-day history of generalized weakness, cough, and hemoptysis described as streaks of blood during the first 2 days, and as half a cup to a cup of bright red blood with clots thereafter. Seven weeks earlier she was hospitalized with COVID-19 pneumonia for which she received supplemental oxygen with high flow nasal cannula, remdesivir, dexamethasone, and tocilizumab.Her medical history included stage 3a chronic kidney disease, multinodular goiter, hypertension, and type II diabetes mellitus. She denied recent use of anticoagulants or nonsteroidal antiinflammatory drugs. She denied any recent trauma including pulmonary contusion. The patient did not have any history of rash, hematuria, or known autoimmune disease preceding this episode of hemoptysis.The patient had previous tobacco use with a 20 pack-year history and quit 7 years ago. She did not use alcohol or other recreational drugs. Family history was notable for breast cancer in her mother. She had no history of recent travel or exposure to sick contacts.http://www.sciencedirect.com/science/article/pii/S2949789225000194
spellingShingle Lissette Orozco, MD
Bruno DiGiovine, MD
A 65-Year-Old Woman With Massive Hemoptysis After COVID-19 Infection
CHEST Pulmonary
title A 65-Year-Old Woman With Massive Hemoptysis After COVID-19 Infection
title_full A 65-Year-Old Woman With Massive Hemoptysis After COVID-19 Infection
title_fullStr A 65-Year-Old Woman With Massive Hemoptysis After COVID-19 Infection
title_full_unstemmed A 65-Year-Old Woman With Massive Hemoptysis After COVID-19 Infection
title_short A 65-Year-Old Woman With Massive Hemoptysis After COVID-19 Infection
title_sort 65 year old woman with massive hemoptysis after covid 19 infection
url http://www.sciencedirect.com/science/article/pii/S2949789225000194
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