id author title date pages extension mime words sentences flesch summary cache txt cord-305139-851v2qr3 Peys, Elise Haemoptysis as the first presentation of COVID-19: a case report 2020-10-22 .txt text/plain 2555 172 53 This case emphasises the added value of bronchoscopy with BAL in the diagnostic work-up in case of high clinical suspicion and negative serial NPS in patients presenting with severe symptoms. Here, we report an unusual case of a man who presented with life-threatening haemoptysis as the first and unique symptom of COVID-19. According to the institutional guidelines during the current COVID-19 pandemic, nasopharyngeal swab (NPS) samples on two consecutive days were obtained and tested for SARS-CoV-2 using real-time polymerase chain reaction (RT-PCR), which repeatedly returned negative. Unusually, in this case, haemoptysis was the initial and unique symptom of SARS-CoV-2 infection in a patient with underlying emphysema. [7] , haemoptysis was the only clinical symptom during the first ten days of the disease course, whereas Casey and co-workers presented a case of COVID-19 associated with acute segmental pulmonary emboli which eventually caused haemoptysis [8] . ./cache/cord-305139-851v2qr3.txt ./txt/cord-305139-851v2qr3.txt