An Unusual Case of Hemoptysis in a Child

A 10 year old male child, first time presented in December 2017, came to us with chief complaints of cough, since 10 days along with hemoptysis since 2 days (2 episodes). Child had no history of fever, weight loss, breathlessness, loss of appetite, family history of asthma/ tuberculosis or any contact. On investigations mantoux test was positive. Chest X-Ray was done which shows cavitory lesion in right lower lobe. Induced Sputum was sent for AFB staining and CBNAAT study, both were reported negative. High-resolution computed tomography (HRCT) Chest was done, s/o mass like consolidation in right lower lobe with surrounding ground glass opacity patches and multifocal tree-in-bud opacities s/o infective etiology. Repeated samples of Induced sputum were sent for CBNAAT, patient was continued on cough medications. None of the sample was reported positive. Patient was started on AKT, category 1 and was discharged.