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Infected tracheal diverticulum: a rare association with alpha-1 antitrypsin deficiency
Tracheal diverticulum, defined as a benign outpouching of the tracheal wall, is rarely diagnosed in clinical practice. It can be congenital or acquired in origin, and most cases are asymptomatic, typically being diagnosed postmortem. We report a case of a 69-year-old woman who was hospitalized after...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Pneumologia e Tisiologia
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4301252/ https://www.ncbi.nlm.nih.gov/pubmed/25610508 http://dx.doi.org/10.1590/S1806-37132014000600011 |
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author | Amaral, Cecília Beatriz Alves Silva, Sónia Feijó, Salvato |
author_facet | Amaral, Cecília Beatriz Alves Silva, Sónia Feijó, Salvato |
author_sort | Amaral, Cecília Beatriz Alves |
collection | PubMed |
description | Tracheal diverticulum, defined as a benign outpouching of the tracheal wall, is rarely diagnosed in clinical practice. It can be congenital or acquired in origin, and most cases are asymptomatic, typically being diagnosed postmortem. We report a case of a 69-year-old woman who was hospitalized after presenting with fever, fatigue, pleuritic chest pain, and a right neck mass complicated by dysphagia. Her medical history was significant: pulmonary emphysema (alpha-1 antitrypsin deficiency); bronchiectasis; and thyroidectomy. On physical examination, she presented diminished breath sounds and muffled heart sounds, with a systolic murmur. Laboratory tests revealed elevated inflammatory markers, a CT scan showed an air-filled, multilocular mass in the right tracheal wall, and magnetic resonance imaging confirmed the CT findings. Fiberoptic bronchoscopy failed to reveal any abnormalities. Nevertheless, the patient was diagnosed with tracheal diverticulum. The treatment approach was conservative, consisting mainly of antibiotics. After showing clinical improvement, the patient was discharged. |
format | Online Article Text |
id | pubmed-4301252 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Sociedade Brasileira de Pneumologia e Tisiologia |
record_format | MEDLINE/PubMed |
spelling | pubmed-43012522015-01-21 Infected tracheal diverticulum: a rare association with alpha-1 antitrypsin deficiency Amaral, Cecília Beatriz Alves Silva, Sónia Feijó, Salvato J Bras Pneumol Case Report Tracheal diverticulum, defined as a benign outpouching of the tracheal wall, is rarely diagnosed in clinical practice. It can be congenital or acquired in origin, and most cases are asymptomatic, typically being diagnosed postmortem. We report a case of a 69-year-old woman who was hospitalized after presenting with fever, fatigue, pleuritic chest pain, and a right neck mass complicated by dysphagia. Her medical history was significant: pulmonary emphysema (alpha-1 antitrypsin deficiency); bronchiectasis; and thyroidectomy. On physical examination, she presented diminished breath sounds and muffled heart sounds, with a systolic murmur. Laboratory tests revealed elevated inflammatory markers, a CT scan showed an air-filled, multilocular mass in the right tracheal wall, and magnetic resonance imaging confirmed the CT findings. Fiberoptic bronchoscopy failed to reveal any abnormalities. Nevertheless, the patient was diagnosed with tracheal diverticulum. The treatment approach was conservative, consisting mainly of antibiotics. After showing clinical improvement, the patient was discharged. Sociedade Brasileira de Pneumologia e Tisiologia 2014 /pmc/articles/PMC4301252/ /pubmed/25610508 http://dx.doi.org/10.1590/S1806-37132014000600011 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Amaral, Cecília Beatriz Alves Silva, Sónia Feijó, Salvato Infected tracheal diverticulum: a rare association with alpha-1 antitrypsin deficiency |
title | Infected tracheal diverticulum: a rare association with alpha-1 antitrypsin deficiency
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title_full | Infected tracheal diverticulum: a rare association with alpha-1 antitrypsin deficiency
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title_fullStr | Infected tracheal diverticulum: a rare association with alpha-1 antitrypsin deficiency
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title_full_unstemmed | Infected tracheal diverticulum: a rare association with alpha-1 antitrypsin deficiency
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title_short | Infected tracheal diverticulum: a rare association with alpha-1 antitrypsin deficiency
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title_sort | infected tracheal diverticulum: a rare association with alpha-1 antitrypsin deficiency |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4301252/ https://www.ncbi.nlm.nih.gov/pubmed/25610508 http://dx.doi.org/10.1590/S1806-37132014000600011 |
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