Persistent Hypoxemia After Bi-Basal Pneumonia in a 77-Year-Old Man: An Unusual First Presentation of Tracheobronchopathia Osteochondroplastica
(2024) Annals of Case Reports — Vol. 9, n° 3 (2024)
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- Abstract
- Tracheobronchopathia osteochondroplastica is a rare but benign disease affecting the tracheobronchial tree. The main symptoms are productive cough, wheezing/stridor-dyspnea, and hemoptysis. We report the case of a 77-year-old man, who was admitted to our intensive care unit (ICU) for hypoxemia secondary to bi-basal-pneumonia, treated by high-flow nasal cannula alternated with non-invasive ventilation. Swabs, urine antigens, and sputum cultures were negative for viruses, bacteria, mycobacteria, and fungus. Despite antibiotics for 7 days, severe hypoxemia persisted, so a bronchoscopy was performed leading to the unexpected diagnosis of tracheobronchopathia osteochondroplastica. The evolution was favorable under respiratory physiotherapy, bronchial aspirations by fiberoptic bronchoscopy, and non-invasive ventilation. The patient was discharged from ICU after 13 days and from hospital 6 days later, thereafter the course was uneventful.
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Gillis, P., Michaux, I., Honoré, P., Evrard, P., Vornicu, O., REPER, P., & Bulpa, P. (2024). Persistent Hypoxemia After Bi-Basal Pneumonia in a 77-Year-Old Man: An Unusual First Presentation of Tracheobronchopathia Osteochondroplastica. Annals of Case Reports, 9(3). https://doi.org/10.29011/2574-7754.101791 (Original work published 2024)