The authors present the case of an older patient with cystic fibrosis (CF) and recurrent haemoptysis complicated by acute pulmonary embolism. The patient was treated successfully with a combination of anticoagulation and bronchial artery embolisation. The management of CF-related haemoptysis, the impact of an ageing CF population and the incidence of thromboembolic disease in CF are discussed.

In this issue of Thorax (see page 854), Thirumaran and colleagues describe their experience with a consecutive group of patients evaluated for haemoptysis who had a normal chest radiograph. Over a 4year period these investigators identified 270 patients who were evaluated for this problem. They made two important observations. First, they found that 26 of the 270 patients (9.6%) had respiratory...

To cite: Sharma S, Dubey SK, Kumar N, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-200936 DESCRIPTION A 62-year-old male patient presented with a symptom of haemoptysis for 15 days. There was history of pulmonary Koch’s for which he took complete treatment 11 years ago. In the CT scan of the chest, there was an irregular-shaped cavity in the right ...

BACKGROUND Limited data are available concerning patients admitted to the intensive care unit (ICU) for severe haemoptysis. We reviewed a large series of patients managed in a uniform way to describe the clinical spectrum and outcome of haemoptysis in this setting, and better define the indications for bronchial artery embolisation (BAE). METHODS A retrospective chart review of 196 patients r...

Pulmonary amyloidosis can be classified into tracheobronchial diffuse alveolar-septal and nodular parenchymal forms. Tracheobronchial amyloidosis can be further subdivided into diffuse and focal varieties. The latter is rare. We report a patient with a focal intrabronchial deposit of amyloid who presented with haemoptysis. The haemoptysis ceased following bronchoscopic removal of this deposit.

Citrobacter infections are often nosocomially acquired, seen in patients with significant underlying diseasesand isolates commonly drug-resistant.A rare clinical syndrome of haemoptysis underlyingpneumonia caused by Citrobactor freundii a immunocompetent young male is presented.

Minimally invasive treatment modalities for life-threatening haemoptysis in patients unresponsive to medical interventions and/or in patients deemed functionally inoperable are limited. We describe the implantation of endobronchial valves in a patient with recurrent haemoptysis, which presents both a novel indication for the use of these devices and a novel intervention for haemoptysis. Our pat...

OBJECTIVE To examine the efficacy and safety of bronchial artery embolisation in patients with acute major haemoptysis and those with chronic recurrent haemoptysis. DESIGN Retrospective review of clinical records. SETTING Regional hospital, Hong Kong. PATIENTS Clinical records of 70 consecutive patients who had undergone bronchial artery embolisation in Queen Elizabeth Hospital from 1998 ...