Source: Annual Congress 2002 - Important lung infections worldwide
Disease area: Respiratory infections

Abstract

In developed countries the major cause of haemoptysis is bronchitis, however the infectious pulmonary diseases (or tuberculosis) is mostly considered as the major cause of haemoptysis in developing countries.
Between February 2001 and February 2002 we evaluated 68 patients with haemoptysis in our clinic. Five of these patients were female and 63 male, mean age was 46±]18 years (range, 17 to 76 years). 58 (85,3 %) of the patients had mild, six (8,8 %) had moderate, and four (5,9 %) had severe haemoptysis. Radiological examination of chest X-rays showed 29 patients (42,6 %) with right-sided, 14 (23,5 %) with left-sided and 19
(28 %) with bilateral lesions, and four patients (5,9%) had no pathological finding. It was found that the cause of haemoptysis was pulmonary tuberculosis in 24 of the cases (35,3 %), lung cancer in 12 (17,65 %), bronchiectasy in 8 (11,7 %), pneumonia in 8 (11,7 %), and inactive pulmonary tuberculosis in 5 cases (7.3 %). The other reasons of haemoptysis were COPD (n=2), cardiac causes (n=2), acute bronchitis (n=2), pulmonary embolism (n= 1), hidatyd cyst (n= 1), aspergilloma ( n=1), and lung abcess (n=1).
As a conclusion, tuberculosis was the major cause of haemoptysis in our series. We strongly believe that effective tuberculosis community control programs can help to change the place of tuberculosis from being the leading cause of haemoptysis in developing countries.

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F. Z. Ozseker, A. Baran, A. Mihmanli, U. Bayram, I. Dilek, E. Akkaya (Maltepe, Turkey). Haemoptysis: etiology and evaluation. Eur Respir J 2002; 20: Suppl. 38, 3804

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