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    An unusual cause for recurrent chest infections.

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    Authors
    Lobo, Ronstan
    Mulloy, Eithne M T
    Affiliation
    Department of Medicine, St. John's Hospital, Limerick City, Limerick, Ireland. doctorrlobo@gmail.com
    Issue Date
    2012-10
    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
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    Citation
    An unusual cause for recurrent chest infections. 2012, 2012: BMJ Case Rep
    Publisher
    BMJ case reports
    Journal
    BMJ case reports
    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
    ISSN
    1757-790X
    ae974a485f413a2113503eed53cd6c53
    10.1136/bcr-2012-006910
    Scopus Count
    Collections
    St. John's Hospital Limerick

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