[Hemoptysis in XXXX . Apropos of 6 cases including 4 with fatal outcome].

@entity1 @entity82 @entity548 @entity738 @entity75 @entity39 @entity1442 @entity358 @entity370 @entity204
Haemoptysis rarely occurs in @entity370 . Most cases usually occur in @entity1 with @entity1442 and major @entity82 . We observed 6 cases including 5 with @entity82 and 1 with inaugural unilateral lymph node involvement. Haemoptysis is a sign of gravity since it is the second most frequent cause of @entity204 described in the literature. In our series 4 of the 6 cases were fatal. Aspergillus colonization of a cavity is the most frequently found aggravating factor. Ideally, surgery is indicated but usually cannot be performed due to the @entity1 respiratory function and the extent of the lesions. Oral drugs have little effect. Certain authors have had success with local, initially intrabronchic anti-aspergillus treatment. CT-guided application is often helpful. Embolization may stop the @entity548 but in the long-term, a more or less voluminous haemoptysis often recurs. Other causes of @entity548 are rare. Systemic hypervascularization of @entity75 has been proposed as one mechanism other than infection. The cause may also be a simple @entity738 . Symptomatic initial treatment by embolization is also proposed in these cases. Finally, massive haemoptysis can occur by @entity358 due to a @entity39 . In our series, surgery was impossible in three @entity1 who died. In the three others, embolization was possible in 2 and the third underwent successful surgery.
