clove and Hemoptysis

Topics: Adult; Cough; Delayed Diagnosis; Dyspnea; Female; Hemoptysis; Hospitals, University; Humans; Lung Neoplasms; Madagascar; Male; Middle Aged; Retrospective Studies; Time Factors

A prospective study of patients presenting hemoptysis was carried out over a 12-month period in Madagascar. A total of 114 cases were recorded during the study period. Mean patient age was 37 years. Patients were predominantly male. Pulmonary tuberculosis with positive bacilloscopy was the most common etiology (66.66%). Bronchopulmonary cancer accounted for only a small number of cases (1.75%). Etiology was undetermined in a significant number of cases (15.78%).

Topics: Adolescent; Adult; Aged; Female; Hemoptysis; Humans; Madagascar; Male; Middle Aged; Prospective Studies; Young Adult

In 1980, a 32 years-old Madagascan female developed a pulmonary tuberculosis, bacteriologically confirmed. She cured with right apical cavitary sequellae. In 1989, she presented haemoptysis again. Antituberculous treatment was adopted without bacteriological confirmation and did not improve clinical symptoms. In 1991 and 1992 cultures from sputa and bronchi aspiration yielded acid-fast bacilli identified as Mycobacterium shimoïdei. M. tuberculosis could not be detected. The patient died during treatment. This case is the fourth one in the literature. Whereas previous cases have been reported in Europe, Australia, Asia, this new case shows M. shimoïdei is also present in Africa.

Topics: Adult; Australia; Bronchi; Europe; Fatal Outcome; Female; Hemoptysis; Humans; Japan; Madagascar; Mycobacterium Infections, Nontuberculous; Nontuberculous Mycobacteria; Sputum; Tuberculosis, Pulmonary