A young male with massive haemoptysis and fever

Extract

An 18-year-old male presented with recurrent episodes of massive haemoptysis. He expectorated three cups of bright red blood over a 24-hour period without haemodynamic failure. He also complained of shaking fever, left chest pain more prominent on breathing, fatigue and malaise. He had experienced a weight loss of 3 kg over a 2-week period. He denied dyspnoea, sputum production, tobacco smoking and any contact with tuberculosis patients.