{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T19:35:52Z","timestamp":1769110552797,"version":"3.49.0"},"reference-count":21,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,4,15]]},"abstract":"<jats:p>A 68-year-old man, presented with 3\u2009week history of infective symptoms and mild haemoptysis. Past medical history included severe emphysema and a chronic right upper lobe (RUL) cavity. He was discharged from follow-up a year ago in view of clinical and radiological stability; previous bronchoscopic examinations yielded no specific diagnosis. CT scan on admission confirmed complex cavitary consolidation of RUL. He developed massive haemoptysis requiring intubation and ventilation. CT pulmonary angiogram (CTPA) revealed 16\u2009mm RUL pulmonary artery (PA) aneurysm which was successfully embolized. Sputum cultures, aspergillus antigen and rapidity of clinical progression suggested a diagnosis of subacute invasive aspergillosis (SAIA), prompting treatment with Voriconazole. Bronchoscopy showed blood ooze from RUL even after embolization. Unfortunately, patient continued to deteriorate and succumbed to profound septicaemia.<\/jats:p>","DOI":"10.1136\/bcr-2017-223088","type":"journal-article","created":{"date-parts":[[2018,4,19]],"date-time":"2018-04-19T13:25:22Z","timestamp":1524144322000},"page":"bcr-2017-223088","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Massive haemoptysis secondary to mycotic pulmonary artery aneurysm in subacute invasive aspergillosis"],"prefix":"10.1136","volume":"2018","author":[{"given":"Shahbaz","family":"Piracha","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asad","family":"Mahmood","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noman","family":"Qayyum","sequence":"additional","affiliation":[{"name":"Department of Radiology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Badar","family":"Ganaie","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,4,19]]},"reference":[{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.1","doi-asserted-by":"publisher","DOI":"10.1086\/525258"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00062206"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.3","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2009.203"},{"issue":"Suppl 1","key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.4","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1080\/13693780600897989","article-title":"Interactions of Aspergillus fumigatus with vascular endothelial cells","volume":"44 Suppl 1","author":"Kamai","year":"2006","journal-title":"Med Mycol"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.5","doi-asserted-by":"publisher","DOI":"10.1378\/chest.07-1159"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.6","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2013-200019"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.7","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcm035"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.8","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1968.03640060009002"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.9","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.177.4.1770861"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.10","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.133.8.862"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.11","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-006-0576-8"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.12","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.143.5.963"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.13","first-page":"177","article-title":"[Fatal hemoptysis during bronchial aspergillosis with multiple pulmonary artery aneurysms]","volume":"10","author":"Caulet","year":"1990","journal-title":"Ann Pathol"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.14","doi-asserted-by":"publisher","DOI":"10.1378\/chest.113.4.1130"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.15","doi-asserted-by":"crossref","first-page":"105","DOI":"10.4046\/trd.2000.49.1.105","article-title":"A Case of chronic necrotizing pulmonary aspergillosis with pulmonary artery aneurysm","volume":"49","author":"Kim","year":"2000","journal-title":"Tuberc Respir Dis"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.16","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1097\/01.cpm.0000181646.50139.b2","article-title":"Invasive Aspergillosis-associated pulmonary artery pseudoaneurysm: a rare cause of hemoptysis in an hiv-infected patient","volume":"12","author":"Sabayev","year":"2005","journal-title":"Clin Pulm Med"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.17","doi-asserted-by":"crossref","first-page":"e133","DOI":"10.1016\/j.leukres.2009.11.010","article-title":"Mycotic pulmonary artery aneurysm due to Aspergillus infection in a patient with leukemia: case report and review of the literature","volume":"34","author":"Sever","year":"2010","journal-title":"Leuk Res"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.18","first-page":"1","article-title":"Fatal Hemoptysis due to Chronic Cavitary Pulmonary Aspergillosis Complicated by Nontuberculous Mycobacterial Tuberculosis","volume":"2011","author":"Kokkonouzis","year":"2011","journal-title":"Case Rep Infect Dis"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.19","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1177\/175114371301400318","article-title":"Pulmonary artery aneurysm caused by Aspergillus pneumonia presenting as an endobronchial mass lesion","volume":"14","author":"Cooper","year":"2013","journal-title":"J Intensive Care Soc"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.20","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201310-1780IM"},{"key":"2025082700053436000_2018.apr19_1.bcr-2017-223088.21","unstructured":"Reddy RS , Dykstra BL , Woodrum DA , et al . Giant pulmonary artery pseudoaneurysm with massive hemoptysis due to invasive pulmonary aspergillosis in an immunocompromised host. Poster session presented at: Case vignettes in critical care II. American Thoracic Society Annual Meeting 2014."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-223088","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:05:47Z","timestamp":1756278347000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-223088"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,19]]},"references-count":21,"alternative-id":["10.1136\/bcr-2017-223088"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-223088","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,19]]}}}