December 2014 pulmonary case of the month: bronchiolitis in adults

• Main Authors: Yaqub K, Wesselius LJ
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2014-12-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: bronchiolitis; Mycoplasma; adult; tree-in-bud; CT scan; PCR; nasopharyngeal swab; bronchoscopy; bronchoalveolar lavage; treatment
• Online Access: http://www.swjpcc.com/pulmonary/2014/12/1/december-2014-pulmonary-case-of-the-month-bronchiolitis-in-a.html

No abstract available. Article truncated at 150 words. History of Present Illness: A 61-year-old man was admitted to the hospital with cough, dyspnea and hypoxemia. He had some prior respiratory symptoms about a month prior to admission, but his symptoms worsened recently. He was seen in Family Medicine Clinic on the day of admission and noted to have saturations of 88 – 89%. A thoracic CT scan was done shortly after his initial symptoms but was negative for lung consolidation or pulmonary embolus. He currently was having fever with temperatures of 99 to 103 degrees and cough that was only slightly productive. PMH, FH, SH: He had a history of hypertension and obstructive sleep apnea although he was not using continuous positive airway pressure (CPAP). Medications: nifedipine, lisinopril/hydrochlorothiazide, cough medication. Physical Examination: General: SpO2 95% on 2l/min by nasal cannula Chest: his breath sounds were coarse, but there were no wheezes or crackles. Cardiovascular: regular rate and rhythm with ...