Bilateral Rasmüssen aneurysm in a patient with pulmonary tuberculosis: A case report

We report the case of a 53-year-old male patient with Down syndrome and multiple comorbidities who presented with chest pain, dyspnea, hemoptysis, and fever. He had a history of type 2 diabetes, hypothyroidism, a nondocumented cardiopathy, and treated pulmonary tuberculosis. Radiological findings, including a chest CT scan, revealed bilateral apical cavitary lesions associated with bronchiolitis, consistent with active postprimary pulmonary tuberculosis, and a Rasmussen aneurysm in the both upper lobes. Unfortunately, the patient died from massive hemoptysis. This case highlights the importance of early recognition of vascular complications such as Rasmussen aneurysms in the setting of active tuberculosis.