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Recurrent Aspiration Pneumonia due to Anterior Cervical Osteophyte

A 74-year-old man presented with recurrent vomiting and aspiration pneumonia in the left lower lobe. He entered the intensive care unit to manage the pneumonia and septic shock. Although a percutaneous endoscopic gastrostomy tube was implanted for recurrent vomiting, vomiting and aspiration recurred...

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Autores principales: Lee, Jae Jun, Hong, Ji Young, Jung, Jun Han, Yang, Jun Hyeok, Sohn, Jun-Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Critical Care Medicine 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786737/
https://www.ncbi.nlm.nih.gov/pubmed/31723619
http://dx.doi.org/10.4266/kjccm.2016.00409
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author Lee, Jae Jun
Hong, Ji Young
Jung, Jun Han
Yang, Jun Hyeok
Sohn, Jun-Young
author_facet Lee, Jae Jun
Hong, Ji Young
Jung, Jun Han
Yang, Jun Hyeok
Sohn, Jun-Young
author_sort Lee, Jae Jun
collection PubMed
description A 74-year-old man presented with recurrent vomiting and aspiration pneumonia in the left lower lobe. He entered the intensive care unit to manage the pneumonia and septic shock. Although a percutaneous endoscopic gastrostomy tube was implanted for recurrent vomiting, vomiting and aspiration recurred frequently during admission. Subsequently, he complained of neck pain when in an upright position. A videofluoroscopic swallowing study showed compression of the esophagus by cervical osteophytes and tracheal aspiration caused by an abnormality at the laryngeal inlet. Cervical spine X-rays and computed tomography showed anterior cervical osteophytes at the C3-6 levels. Surgical decompression was scheduled, but was cancelled due to his frailty. Unfortunately, further recurrent vomiting and aspiration resulted in respiratory arrest leading to hypoxic brain damage and death. Physicians should consider cervical spine disease, such as diffuse skeletal hyperostosis as an uncommon cause of recurrent aspiration pneumonia.
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spelling pubmed-67867372019-11-13 Recurrent Aspiration Pneumonia due to Anterior Cervical Osteophyte Lee, Jae Jun Hong, Ji Young Jung, Jun Han Yang, Jun Hyeok Sohn, Jun-Young Korean J Crit Care Med Case Report A 74-year-old man presented with recurrent vomiting and aspiration pneumonia in the left lower lobe. He entered the intensive care unit to manage the pneumonia and septic shock. Although a percutaneous endoscopic gastrostomy tube was implanted for recurrent vomiting, vomiting and aspiration recurred frequently during admission. Subsequently, he complained of neck pain when in an upright position. A videofluoroscopic swallowing study showed compression of the esophagus by cervical osteophytes and tracheal aspiration caused by an abnormality at the laryngeal inlet. Cervical spine X-rays and computed tomography showed anterior cervical osteophytes at the C3-6 levels. Surgical decompression was scheduled, but was cancelled due to his frailty. Unfortunately, further recurrent vomiting and aspiration resulted in respiratory arrest leading to hypoxic brain damage and death. Physicians should consider cervical spine disease, such as diffuse skeletal hyperostosis as an uncommon cause of recurrent aspiration pneumonia. Korean Society of Critical Care Medicine 2017-02 2017-02-28 /pmc/articles/PMC6786737/ /pubmed/31723619 http://dx.doi.org/10.4266/kjccm.2016.00409 Text en Copyright © 2017 The Korean Society of Critical Care Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Jae Jun
Hong, Ji Young
Jung, Jun Han
Yang, Jun Hyeok
Sohn, Jun-Young
Recurrent Aspiration Pneumonia due to Anterior Cervical Osteophyte
title Recurrent Aspiration Pneumonia due to Anterior Cervical Osteophyte
title_full Recurrent Aspiration Pneumonia due to Anterior Cervical Osteophyte
title_fullStr Recurrent Aspiration Pneumonia due to Anterior Cervical Osteophyte
title_full_unstemmed Recurrent Aspiration Pneumonia due to Anterior Cervical Osteophyte
title_short Recurrent Aspiration Pneumonia due to Anterior Cervical Osteophyte
title_sort recurrent aspiration pneumonia due to anterior cervical osteophyte
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786737/
https://www.ncbi.nlm.nih.gov/pubmed/31723619
http://dx.doi.org/10.4266/kjccm.2016.00409
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