著者
Yuki Yoshimatsu Kazunori Tobino Takafumi Kawabata Naoki Noguchi Ryo Sato Daisuke Motomura Takuto Sueyasu Kohei Yoshimine Saori Nishizawa Yoshihiro Natori
出版者
The Japanese Society of Internal Medicine
雑誌
Internal Medicine (ISSN:09182918)
巻号頁・発行日
pp.5752-20, (Released:2020-12-07)
参考文献数
12

While aspiration pneumonia constitutes the majority of pneumonia cases in the elderly, it remains highly underdiagnosed. We experienced a case of recurrent pneumonia and chronic cough that was later diagnosed as aspiration pneumonia and diffuse aspiration bronchiolitis (DAB) due to recurrent hemorrhaging from an intramedullary cavernous malformation. The patient was finally diagnosed when life-threatening respiratory depression caused emergency attention. This is the first report of hemorrhaging from an intramedullary cavernous malformation diagnosed due to aspiration pneumonia and DAB. These findings highlight the importance of considering aspiration in cases with recurrent pneumonia or chronic chough. The underlying cause may be a life-threatening condition.

言及状況

外部データベース (DOI)

Twitter (2 users, 4 posts, 44 favorites)

@engenoharu13 ありがとうございます! リンクに不具合があったのかもしれませんね… こちらの赤ボタンからダウンロードできます↓ https://t.co/4ggfZtNtam
症例報告が無事、掲載されました◎ 慢性経過の熱や咳、繰り返す肺炎、画像所見から結核などを疑ったのですが・・・ なんと脳幹出血に伴う不顕性誤嚥による、DAB(びまん性嚥下性細気管支炎)でした。 あな恐ろしや。 内科医として、とても教訓的でした。 https://t.co/ebSd7eCZd9
New #dysphagia #aspiration paper published! A lady in her 70s was isolated for suspected tuberculosis, because of chronic fever, cough, and repetitive pneumonia. The real cause? It was Diffuse Aspiration Bronchiolitis due to a brainstem bleed! https://t.co/ebSd7eCZd9

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