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Case report
New-onset haemoptysis and associated lung mass in the setting of dental care avoidance during the COVID-19 pandemic
  1. Geralyn Palmer1 and
  2. Fady Jamous2
  1. 1Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA
  2. 2Pulmonary & Sleep Medicine, Avera McKennan Hospital and University Health Center, Sioux Falls, South Dakota, USA
  1. Correspondence to Ms Geralyn Palmer; Geralyn.Palmer{at}coyotes.usd.edu

Abstract

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.

  • dentistry and oral medicine
  • respiratory medicine
  • radiology
  • COVID-19

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2021-242850

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    Footnotes

    • Contributors GP was responsible for data collection, literature review and manuscript development. FJ was responsible for the care of this patient and assisted with manuscript development.

    • 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.