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dc.contributor.authorLobo, Ronstan
dc.contributor.authorMulloy, Eithne M T
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
html.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.


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