{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:06:36Z","timestamp":1756339596629,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,11,27]]},"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>We present a case of new-onset haemoptysis and associated lung lesion on chest imaging in the setting of the COVID-19 pandemic. This was believed to be due to dental care avoidance after tooth fracture and long-term use of temporary dental filler, with subsequent aspiration and bronchial injury. Our patient underwent bronchoscopy due to persistent haemoptysis with findings of mild traumatic injury. She responded to conservative management with no pharmacologic intervention. With time, there was resolution of symptoms and radiographic improvement of the lung lesion. We include a brief discussion on the influence of the COVID-19 pandemic on healthcare avoidance, complications of tooth fracture and the differential diagnosis of a new solitary lung lesion on chest imaging.<\/jats:p>","DOI":"10.1136\/bcr-2021-242850","type":"journal-article","created":{"date-parts":[[2021,12,30]],"date-time":"2021-12-30T08:26:56Z","timestamp":1640852816000},"page":"e242850","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["New-onset haemoptysis and associated lung mass in the setting of dental care avoidance during the COVID-19 pandemic"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5119-910X","authenticated-orcid":false,"given":"Geralyn","family":"Palmer","sequence":"first","affiliation":[{"name":"Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fady","family":"Jamous","sequence":"additional","affiliation":[{"name":"Pulmonary & Sleep Medicine, Avera McKennan Hospital and University Health Center, Sioux Falls, South Dakota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,12,30]]},"reference":[{"key":"2025082712163287000_14.12.e242850.1","doi-asserted-by":"crossref","DOI":"10.1001\/jamainternmed.2020.3982","article-title":"Hospital volumes of 5 medical emergencies in the COVID-19 pandemic in 2 US medical centers","volume":"181","author":"Bhambhvani","year":"2021","journal-title":"JAMA Intern Med"},{"key":"2025082712163287000_14.12.e242850.2","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.ajem.2020.05.097","article-title":"Emergency department operations in a large health system during COVID-19","volume":"41","author":"Cohen","year":"2021","journal-title":"Am J Emerg Med"},{"doi-asserted-by":"publisher","key":"2025082712163287000_14.12.e242850.3","DOI":"10.15585\/mmwr.mm6925e2"},{"key":"2025082712163287000_14.12.e242850.4","first-page":"8","article-title":"Characteristics of US adults delaying dental care due to the COVID-19 pandemic","volume":"6","author":"Kranz","year":"2021","journal-title":"JDR Clin Trans Res"},{"key":"2025082712163287000_14.12.e242850.5","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1016\/j.jds.2020.02.002","article-title":"The impact of the COVID-19 epidemic on the utilization of emergency dental services","volume":"15","author":"Guo","year":"2020","journal-title":"J Dent Sci"},{"key":"2025082712163287000_14.12.e242850.6","first-page":"275","article-title":"The cracked tooth conundrum: terminology, classification, diagnosis, and management","volume":"21","author":"Kahler","year":"2008","journal-title":"Am J Dent"},{"doi-asserted-by":"publisher","key":"2025082712163287000_14.12.e242850.7","DOI":"10.1378\/chest.12-2351"},{"doi-asserted-by":"publisher","key":"2025082712163287000_14.12.e242850.8","DOI":"10.15585\/mmwr.mm6936a4"},{"unstructured":"ADA . ADA recommending dentists postpone elective procedures [press release]. 2020. American Dental Association, 2020.","key":"2025082712163287000_14.12.e242850.9"},{"key":"2025082712163287000_14.12.e242850.10","first-page":"43","article-title":"Radiopacity of dental cements","volume":"6","author":"Matsumura","year":"1993","journal-title":"Am J Dent"},{"doi-asserted-by":"publisher","key":"2025082712163287000_14.12.e242850.11","DOI":"10.1590\/S1678-77572004000400007"},{"key":"2025082712163287000_14.12.e242850.12","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.14219\/jada.archive.2004.0404","article-title":"Aspiration and ingestion in dental practice: a 10-year institutional review","volume":"135","author":"Tiwana","year":"2004","journal-title":"J Am Dent Assoc"},{"unstructured":"American College of Radiology Committee on Lung-RADS\u00ae . Lung-RADS assessment categories version1.1. Available: https:\/\/www.acr.org\/-\/media\/ACR\/Files\/RADS\/Lung-RADS\/LungRADSAssessmentCategoriesv1-1.pdf [Accessed 1 Jan 2020].","key":"2025082712163287000_14.12.e242850.13"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-242850","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:16:41Z","timestamp":1756322201000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-242850"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":13,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2021,12,30]]},"published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1136\/bcr-2021-242850"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-242850","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,12]]}}}