A Pregnant Woman With Hemoptysis and Diffuse Pulmonary Nodules

Abstract

A 22-year-old woman who was 36 weeks pregnant presented with a 4-day history of cough, hemoptysis, and exertional dyspnea. She had no fever, night sweats, or weight loss. The review of system was otherwise negative. Her medical history was notable for a spontaneous first-trimester abortion a year ago. At that time, she had a transvaginal ultrasound scan that showed a gestational sac with no fetal movement. A post-abortion ultrasound scan revealed no residual fetal parts.

Hemoptysis during pregnancy: a comprehensive review of literature and an unprecedented case report of oropharyngeal carcinoma

“…The incidence of malignant neoplasms diagnosed during pregnancy is constantly rising with melanoma, breast and cervical cancer at the forefront [16][17][18] yet other types of malignancies cannot be excluded in pregnancy and have to be considered [19,20]. This includes a choriocarcinoma [21][22][23][24][25], which in our review proved to be the most common neoplastic process resulting in hemoptysis during pregnancy.…”

Tuberculosis in pregnancy

“…As TB disease can present as acute lower respiratory tract infection and community-acquired pneumonia with transient improvement following antibiotic treatment, the threshold for screening should be lowered in these women [ 56 , 57 ]. Other rare but important differential diagnoses of pregnant women that can mimic TB or vice versa include gestational trophoblastic disease with lung metastasis and lung cancer [ 58 , 59 ].…”