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Recurrent Pneumonia? A Case of Availability Bias and Anchoring
Invasive mucinous adenocarcinoma is a multi-centric adenocarcinoma that accounts for less than 5% of all lung cancer diagnoses. The most common presenting symptoms (cough, sputum production, and chest pain) in conjunction with its radiographic findings (patchy, multi-lobar infiltrates) make invasive...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7678885/ https://www.ncbi.nlm.nih.gov/pubmed/33224680 http://dx.doi.org/10.7759/cureus.11088 |
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author | Rentas, Courtney M Goetz, Ryan Mkorombindo, Takudzwa Bajaj, Sanjiv Centor, Robert |
author_facet | Rentas, Courtney M Goetz, Ryan Mkorombindo, Takudzwa Bajaj, Sanjiv Centor, Robert |
author_sort | Rentas, Courtney M |
collection | PubMed |
description | Invasive mucinous adenocarcinoma is a multi-centric adenocarcinoma that accounts for less than 5% of all lung cancer diagnoses. The most common presenting symptoms (cough, sputum production, and chest pain) in conjunction with its radiographic findings (patchy, multi-lobar infiltrates) make invasive mucinous adenocarcinoma challenging to distinguish from both infectious and inflammatory pneumonia. However, due to its aggressive nature, invasive mucinous adenocarcinoma should be considered if a presumed case of pneumonia lacks symptoms of infection (e.g., fever, leukocytosis) and/or does not respond to antibiotics. We report the case of a 75-year-old male who was admitted in the setting of a presumed case of recurrent pneumonia, which had failed to respond to prior antibiotic therapy. Further workup, including trans-bronchial biopsy, confirmed mucinous adenocarcinoma with a lepidic pattern. This case highlights the importance of establishing a broad differential in the setting of unresolved pneumonia following appropriate antibiotic coverage. |
format | Online Article Text |
id | pubmed-7678885 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-76788852020-11-20 Recurrent Pneumonia? A Case of Availability Bias and Anchoring Rentas, Courtney M Goetz, Ryan Mkorombindo, Takudzwa Bajaj, Sanjiv Centor, Robert Cureus Internal Medicine Invasive mucinous adenocarcinoma is a multi-centric adenocarcinoma that accounts for less than 5% of all lung cancer diagnoses. The most common presenting symptoms (cough, sputum production, and chest pain) in conjunction with its radiographic findings (patchy, multi-lobar infiltrates) make invasive mucinous adenocarcinoma challenging to distinguish from both infectious and inflammatory pneumonia. However, due to its aggressive nature, invasive mucinous adenocarcinoma should be considered if a presumed case of pneumonia lacks symptoms of infection (e.g., fever, leukocytosis) and/or does not respond to antibiotics. We report the case of a 75-year-old male who was admitted in the setting of a presumed case of recurrent pneumonia, which had failed to respond to prior antibiotic therapy. Further workup, including trans-bronchial biopsy, confirmed mucinous adenocarcinoma with a lepidic pattern. This case highlights the importance of establishing a broad differential in the setting of unresolved pneumonia following appropriate antibiotic coverage. Cureus 2020-10-22 /pmc/articles/PMC7678885/ /pubmed/33224680 http://dx.doi.org/10.7759/cureus.11088 Text en Copyright © 2020, Rentas et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Rentas, Courtney M Goetz, Ryan Mkorombindo, Takudzwa Bajaj, Sanjiv Centor, Robert Recurrent Pneumonia? A Case of Availability Bias and Anchoring |
title | Recurrent Pneumonia? A Case of Availability Bias and Anchoring |
title_full | Recurrent Pneumonia? A Case of Availability Bias and Anchoring |
title_fullStr | Recurrent Pneumonia? A Case of Availability Bias and Anchoring |
title_full_unstemmed | Recurrent Pneumonia? A Case of Availability Bias and Anchoring |
title_short | Recurrent Pneumonia? A Case of Availability Bias and Anchoring |
title_sort | recurrent pneumonia? a case of availability bias and anchoring |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7678885/ https://www.ncbi.nlm.nih.gov/pubmed/33224680 http://dx.doi.org/10.7759/cureus.11088 |
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