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Case Reports in Medicine
Volume 2013 (2013), Article ID 189326, 3 pages
http://dx.doi.org/10.1155/2013/189326
Case Report

Postcoital Haemoptysis: A Case Report and a Review of the Literature

1Department of Surgery, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, Nigeria
2Department of Medicine, Central Hospital Agbor, PMB 2005, Agbor, Delta State, Nigeria
3Department of Medicine, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, Nigeria
4Department of Thoracic Surgery, Hospital Bremen-Ost, Osterholzer Landstraße 51, Bremen, Germany
5Department of Family Medicine, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, Nigeria

Received 24 July 2012; Accepted 16 April 2013

Academic Editor: Gerald S. Supinski

Copyright © 2013 Emeka B. Kesieme et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Haemoptysis is rarely reported following coitus, and cardiac decompensation has been mostly implicated in the aetiology. We present a 53-year-old Nigerian, known hypertensive diabetic woman with background ischaemic heart disease who presented with postcoital haemoptysis of one-year duration. Echocardiography revealed combined ischaemic and mitral valvular heart disease, probably of rheumatic aetiology. There has been no previous report in an African population. This case illustrates the need to rule out coitus as a rare but potential cause of haemoptysis in middle aged patients with underlying cardiac pathologies and the need for an extensive cardiac workup in a population with predominantly pulmonary causes of haemoptysis.