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Transient haemoptysis after taking sildenafil
  1. Suheyla Karaduman1,
  2. Azmaeen Zarif2,3,
  3. Alesia Talpeka4 and
  4. Muhammed Haseeb5
  1. 1 Internal Medicine, St Mary's General Hospital, Passaic, New Jersey, USA
  2. 2 School of Clinical Medicine, University of Cambridge, Cambridge, UK
  3. 3 Gonville & Caius College, University of Cambridge, Cambridge, UK
  4. 4 Belarusian State Medical University, Minsk, Belarus
  5. 5 Allama Iqbal Unani Medical College and Hospital Garden, Uttar Pradesh, Lucknow, India
  1. Correspondence to Azmaeen Zarif; az397{at}cam.ac.uk

Abstract

We report a case of a man in his 70s who developed haemoptysis 3 days after commencing sildenafil. Before postulating a potential connection between sildenafil use and haemoptysis, it is important to rule out potential other causative factors and comorbidities. The patient suffers from multiple medical conditions and takes various medications. On examination, no abnormalities were discovered. There were no recent significant changes in his bloodwork. Cessation of sildenafil coincided with spontaneous symptom resolution. Chest CT was performed, and no abnormalities were reported. Pseudohaemoptysis or malignancy may be the main differential diagnoses of haemoptysis in elderly patients with multiple comorbidities. Concurrent anticoagulation of the patient may predispose to haemoptysis and is likely to be of greater clinical concern.

  • Drugs and medicines
  • Respiratory system
  • General practice / family medicine
  • Urology

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Footnotes

  • SK and AZ are joint first authors.

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: SK, AZ, AT and MH. Both SK and AZ contributed equally to this work as co-first authors.The following authors gave final approval of the manuscript: SK, AZ, AT and MH.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.