Case 48-1983

Presentation of CaseA 14-year-old boy was admitted to the hospital because of recurrent hemoptysis.He was well and active until six months earlier, when he began to cough up flecks of blood that progressed to frank hemoptysis. At about the same time he was struck in the chest while playing football. He was seen at another hospital, where an x-ray film of the chest showed an infiltrate in the right lower lobe. A diagnosis of pneumonia was made, and erythromycin was administered. During the next three months he was less active than usual. Three months before admission he abruptly . . .