Intralobar pulmonary sequestration: diagnostic expertise

An obese 22-year-old man with a history of recurrent respiratory infections presented to the emergency room with left pleuritic chest pain, productive cough with mucupurulent sputum and an axillary temperature of 37.7°C. Blood work showed elevated inflammatory parameters and chest X-ray was relevant...

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Bibliographic Details
Published in:BMJ case reports 2015-11, Vol.2015, p.bcr2015212384
Main Authors: Sotto Mayor, Joana, Rocha, Diogo, Esperança, Sofia, Oliveira e Silva, Antonio
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Antibiotics
Bronchopulmonary Sequestration - complications
Bronchopulmonary Sequestration - diagnosis
Chest Pain - etiology
Community-Acquired Infections - complications
Community-Acquired Infections - drug therapy
Coronary vessels
Cough - etiology
Dyspnea
Europe (West)
Fever - etiology
Humans
Male
Medical imaging
Pneumonia
Pneumonia - complications
Pneumonia - drug therapy
Rare Disease
White
Young Adult
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Summary:An obese 22-year-old man with a history of recurrent respiratory infections presented to the emergency room with left pleuritic chest pain, productive cough with mucupurulent sputum and an axillary temperature of 37.7°C. Blood work showed elevated inflammatory parameters and chest X-ray was relevant for heterogeneous infiltration in the left base and opacity of the left costophrenic angle. An angio-CT scan revealed areas of bilateral consolidation with presence of an arterial branch originating from the aorta to the collected area of the left lower lobe, consistent with a respiratory infection grafted on a intralobar pulmonary sequestration of the left lung base. The infectious process was treated and the patient was planned for a lower left lobectomy.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2015-212384