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Rasmussen's Aneurysm in Active Pulmonary Tuberculosis: A Case Report.
Khalid Y Fadul1, Ahmed Alsayed2, ELMustafa Abdalla2
1Emergency Medicine, Hamad Medical Corporation, Doha, QAT.
Cureus
|September 30, 2024
Summary
Rasmussen aneurysm, a pulmonary artery condition, can cause severe hemoptysis in tuberculosis patients. Early diagnosis via CT angiography and prompt treatment are crucial for preventing fatal bleeding.
Area of Science:
- Pulmonology
- Radiology
- Infectious Diseases
Background:
- Pulmonary tuberculosis (TB) commonly presents with hemoptysis.
- Rasmussen aneurysm, a false aneurysm of the pulmonary artery, is a rare but serious complication associated with pulmonary cavitation, often seen in chronic TB.
Observation:
- A 29-year-old woman with a cavitary lesion on chest X-ray was diagnosed with Rasmussen aneurysm during a workup for Mycobacterium tuberculosis infection.
- The patient presented with hemoptysis, a predominant symptom in chronic cavitary tuberculosis with Rasmussen aneurysm.
Findings:
- Computed tomography (CT) angiography, specifically CT pulmonary angiogram (CTPA), is the gold standard for diagnosing Rasmussen aneurysm.
- The case highlights the association between Rasmussen aneurysm and active tuberculosis, emphasizing hemoptysis as a key indicator.
Implications:
- Prompt diagnosis and intervention, such as angiography or surgery with embolization, are vital to prevent life-threatening hemoptysis.
- This case underscores the importance of considering Rasmussen aneurysm in patients with hemoptysis and pulmonary cavitation, particularly those with TB.
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