{
    "abstract": "A 37-year-old woman, 25\u2009weeks pregnant, experienced sudden massive hemoptysis. She had a background history of systemic lupus erythematosus (SLE) and past pulmonary tuberculosis (PTB). Emergency intubation was necessary, and bronchoscopy revealed blood pooling in both main bronchi, with active bleeding from the right upper lobe bronchus. Urgent computed tomography (CT) angiography of the bronchial artery identified a bleeding source and was successfully embolized. Antifungal and anti-tuberculous therapy was initiated based on bronchoalveolar lavage results. Despite initial improvement, hemoptysis recurred after the third week, leading to repeat embolization, followed by a caesarean section and right upper lobectomy. Both mother and baby survived, remaining well at a 6-week follow-up, emphasizing the complexities of managing recurrent hemoptysis during pregnancy and potential drug interactions.",
    "authors": [
        {
            "affiliation": "Respiratory Unit, Department of Medicine, Faculty of Medicine Universiti Kebangsaan Malaysia, Hospital Canselor Tuanku Muhriz Kuala Lumpur Malaysia.",
            "firstname": "Nurul Aisyah",
            "initials": "NA",
            "lastname": "Abd Rahman"
        },
        {
            "affiliation": "Respiratory Unit, Department of Medicine, Faculty of Medicine Universiti Kebangsaan Malaysia, Hospital Canselor Tuanku Muhriz Kuala Lumpur Malaysia.",
            "firstname": "Boon Hau",
            "initials": "BH",
            "lastname": "Ng"
        },
        {
            "affiliation": "Respiratory Unit, Department of Medicine, Faculty of Medicine Universiti Kebangsaan Malaysia, Hospital Canselor Tuanku Muhriz Kuala Lumpur Malaysia.",
            "firstname": "Nik Nuratiqah",
            "initials": "NN",
            "lastname": "Nik Abeed"
        },
        {
            "affiliation": "Cardiothoracic Unit, Department of Surgery, Faculty of Medicine Universiti Kebangsaan Malaysia, Hospital Canselor Tuanku Muhriz Kuala Lumpur Malaysia.",
            "firstname": "Muhammad Ishamuddin",
            "initials": "MI",
            "lastname": "Ismail"
        },
        {
            "affiliation": "Respiratory Unit, Department of Medicine, Faculty of Medicine Universiti Kebangsaan Malaysia, Hospital Canselor Tuanku Muhriz Kuala Lumpur Malaysia.",
            "firstname": "Mohamed Faisal",
            "initials": "MF",
            "lastname": "Abdul Hamid"
        },
        {
            "affiliation": "Respiratory Unit, Department of Medicine, Faculty of Medicine Universiti Kebangsaan Malaysia, Hospital Canselor Tuanku Muhriz Kuala Lumpur Malaysia.",
            "firstname": "Andrea",
            "initials": "A",
            "lastname": "Ban Yu-Lin"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2024 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology.",
    "doi": "10.1002/rcr2.1315",
    "journal": "Respirology case reports",
    "keywords": [
        "aspergillosis",
        "co\u2010infection",
        "hemoptysis",
        "pregnancy",
        "tuberculosis"
    ],
    "methods": null,
    "publication_date": "2024-03-08",
    "pubmed_id": "38455505\n33148350\n28043539\n35503614\n25624495\n27078259\n24012425\n33123556\n29214066\n35924192\n29544767\n36450372\n27365388\n17606672\n19361301\n9298722\n26343800\n35402331\n31384555\n37637367\n28947041",
    "results": null,
    "title": "Massive hemoptysis in pregnancy due to invasive pulmonary aspergillosis with pulmonary tuberculosis co-infection.",
    "xml": "<Element 'PubmedArticle' at 0x788503e0a3e0>"
}