An unusual cause for recurrent chest infections.

Hdl Handle:
http://hdl.handle.net/10147/285268
Title:
An unusual cause for recurrent chest infections.
Authors:
Lobo, Ronstan; Mulloy, Eithne M T
Affiliation:
Department of Medicine, St. John's Hospital, Limerick City, Limerick, Ireland. doctorrlobo@gmail.com
Citation:
An unusual cause for recurrent chest infections. 2012, 2012: BMJ Case Rep
Publisher:
BMJ case reports
Journal:
BMJ case reports
Issue Date:
Oct-2012
URI:
http://hdl.handle.net/10147/285268
DOI:
10.1136/bcr-2012-006910
PubMed ID:
23060375
Abstract:
We present a case of an elderly non-smoking gentleman who, since 2005, had been admitted multiple times for recurrent episodes of shortness of breath, wheeze, cough and sputum. The patient was treated as exacerbations of chronic obstructive pulmonary disease (COPD) and/or lower respiratory tract infections. Bronchoscopy was done which revealed multiple hard nodules in the trachea and bronchi with posterior tracheal wall sparing. Biopsies confirmed this as tracheopathia osteochondroplastica (TO). He had increasing frequency of admission due to methicillin-resistant Staphylococcus aureus and pseudomonas infections, which failed to clear despite intravenous, prolonged oral and nebulised antibiotics. The patient developed increasing respiratory distress and respiratory failure. The patient died peacefully in 2012. This case report highlights the typical pathological and radiological findings of TO and the pitfalls of misdiagnosing patients with recurrent chest infections as COPD.
Item Type:
Article
Language:
en
Description:
We present a case of an elderly non-smoking gentleman who, since 2005, had been admitted multiple times for recurrent episodes of shortness of breath, wheeze, cough and sputum. The patient was treated as exacerbations of chronic obstructive pulmonary disease (COPD) and/or lower respiratory tract infections. Bronchoscopy was done which revealed multiple hard nodules in the trachea and bronchi with posterior tracheal wall sparing. Biopsies confirmed this as tracheopathia osteochondroplastica (TO). He had increasing frequency of admission due to methicillin-resistant Staphylococcus aureus and pseudomonas infections, which failed to clear despite intravenous, prolonged oral and nebulised antibiotics. The patient developed increasing respiratory distress and respiratory failure. The patient died peacefully in 2012. This case report highlights the typical pathological and radiological findings of TO and the pitfalls of misdiagnosing patients with recurrent chest infections as COPD.
Keywords:
RESPIRATORY DISORDER
MeSH:
Diagnosis, Differential; Fatal Outcome; Humans; Male; Methicillin-Resistant Staphylococcus aureus; Osteochondrodysplasias; Pseudomonas Infections; Pulmonary Disease, Chronic Obstructive; Recurrence; Respiratory Tract Infections; Staphylococcal Infections; Tracheal Diseases
ISSN:
1757-790X

Full metadata record

DC FieldValue Language
dc.contributor.authorLobo, Ronstanen_GB
dc.contributor.authorMulloy, Eithne M Ten_GB
dc.date.accessioned2013-04-26T15:45:11Z-
dc.date.available2013-04-26T15:45:11Z-
dc.date.issued2012-10-
dc.identifier.citationAn unusual cause for recurrent chest infections. 2012, 2012: BMJ Case Repen_GB
dc.identifier.issn1757-790X-
dc.identifier.pmid23060375-
dc.identifier.doi10.1136/bcr-2012-006910-
dc.identifier.urihttp://hdl.handle.net/10147/285268-
dc.descriptionWe present a case of an elderly non-smoking gentleman who, since 2005, had been admitted multiple times for recurrent episodes of shortness of breath, wheeze, cough and sputum. The patient was treated as exacerbations of chronic obstructive pulmonary disease (COPD) and/or lower respiratory tract infections. Bronchoscopy was done which revealed multiple hard nodules in the trachea and bronchi with posterior tracheal wall sparing. Biopsies confirmed this as tracheopathia osteochondroplastica (TO). He had increasing frequency of admission due to methicillin-resistant Staphylococcus aureus and pseudomonas infections, which failed to clear despite intravenous, prolonged oral and nebulised antibiotics. The patient developed increasing respiratory distress and respiratory failure. The patient died peacefully in 2012. This case report highlights the typical pathological and radiological findings of TO and the pitfalls of misdiagnosing patients with recurrent chest infections as COPD.en_GB
dc.description.abstractWe present a case of an elderly non-smoking gentleman who, since 2005, had been admitted multiple times for recurrent episodes of shortness of breath, wheeze, cough and sputum. The patient was treated as exacerbations of chronic obstructive pulmonary disease (COPD) and/or lower respiratory tract infections. Bronchoscopy was done which revealed multiple hard nodules in the trachea and bronchi with posterior tracheal wall sparing. Biopsies confirmed this as tracheopathia osteochondroplastica (TO). He had increasing frequency of admission due to methicillin-resistant Staphylococcus aureus and pseudomonas infections, which failed to clear despite intravenous, prolonged oral and nebulised antibiotics. The patient developed increasing respiratory distress and respiratory failure. The patient died peacefully in 2012. This case report highlights the typical pathological and radiological findings of TO and the pitfalls of misdiagnosing patients with recurrent chest infections as COPD.-
dc.language.isoenen
dc.publisherBMJ case reportsen_GB
dc.rightsArchived with thanks to BMJ case reportsen_GB
dc.subjectRESPIRATORY DISORDERen_GB
dc.subject.meshDiagnosis, Differential-
dc.subject.meshFatal Outcome-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMethicillin-Resistant Staphylococcus aureus-
dc.subject.meshOsteochondrodysplasias-
dc.subject.meshPseudomonas Infections-
dc.subject.meshPulmonary Disease, Chronic Obstructive-
dc.subject.meshRecurrence-
dc.subject.meshRespiratory Tract Infections-
dc.subject.meshStaphylococcal Infections-
dc.subject.meshTracheal Diseases-
dc.titleAn unusual cause for recurrent chest infections.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Medicine, St. John's Hospital, Limerick City, Limerick, Ireland. doctorrlobo@gmail.comen_GB
dc.identifier.journalBMJ case reportsen_GB
dc.description.provinceMunster-

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