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Mounier-Kuhn syndrome
Version 2 2020-01-19, 08:35
Version 1 2019-12-08, 07:15
journal contribution
posted on 2020-01-19, 08:35 authored by PETRU EMIL MUNTEANPETRU EMIL MUNTEANA 65 year old male, nonsmoker was admitted into the Pneumology Department
with the complaints of productive cough, dyspnea, chest pain and fatigue. He is a
known patient, under treatment for chronic obstructive pulmonary disease. Over
the years he had multiple lower respiratory tract infections. Physical examination
showed bilateral inspiratory crackles and turgid jugular veins. Purulent sputum
was analyzed and Pseudomonas aeruginosa was isolated. Blood analysis came
normal. Spirometry test showed forced expiratory volume in the first second 35%,
forced vital capacity 44% and tiffeneau index of 79. Arterial blood gases showed
hypoxemia and hypercapnia with respiratory acidosis. The patient received nasal
oxygen at 1.5 liters/minute, bronchodilators, antibiotics associated with mucolytic
treatment and physical rehabilitation therapy1. Pneumococcal + flu vaccination,
regular follow-up visits were suggested. After 14 days, the patient was discharged
and has been doing well since.
with the complaints of productive cough, dyspnea, chest pain and fatigue. He is a
known patient, under treatment for chronic obstructive pulmonary disease. Over
the years he had multiple lower respiratory tract infections. Physical examination
showed bilateral inspiratory crackles and turgid jugular veins. Purulent sputum
was analyzed and Pseudomonas aeruginosa was isolated. Blood analysis came
normal. Spirometry test showed forced expiratory volume in the first second 35%,
forced vital capacity 44% and tiffeneau index of 79. Arterial blood gases showed
hypoxemia and hypercapnia with respiratory acidosis. The patient received nasal
oxygen at 1.5 liters/minute, bronchodilators, antibiotics associated with mucolytic
treatment and physical rehabilitation therapy1. Pneumococcal + flu vaccination,
regular follow-up visits were suggested. After 14 days, the patient was discharged
and has been doing well since.
