Dyspnea and Wheezing after Adenosine Injection in a Patient with Eosinophilic Bronchitis

A 58-year-old nonsmoker female was referred for evaluation of chronic cough of 13 months duration. After an initial work-up, the patient was diagnosed to have chronic cough due to eosinophilic bronchitis. The diagnostic work-up for eosinophilic bronchitis and bronchial biopsy is discussed. Eosinophi...

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Main Authors: Rodrigo Cartin-Ceba, Marie Christine Aubry, Kaiser Lim
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2009/356462
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author Rodrigo Cartin-Ceba
Marie Christine Aubry
Kaiser Lim
author_facet Rodrigo Cartin-Ceba
Marie Christine Aubry
Kaiser Lim
author_sort Rodrigo Cartin-Ceba
collection DOAJ
description A 58-year-old nonsmoker female was referred for evaluation of chronic cough of 13 months duration. After an initial work-up, the patient was diagnosed to have chronic cough due to eosinophilic bronchitis. The diagnostic work-up for eosinophilic bronchitis and bronchial biopsy is discussed. Eosinophilic bronchitis is differentiated from asthma. In addition, the patient developed dyspnea, flushing, and wheezing after the administration of adenosine during a cardiac stress test in spite of a negative methacholine challenge. This indirect stimulus of airway hyperresponsiveness suggests the possible involvement of mast cells in eosinophilic bronchitis.
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spelling doaj-art-5fa8263a20b548659da36b8709774eb22025-02-03T05:58:33ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/356462356462Dyspnea and Wheezing after Adenosine Injection in a Patient with Eosinophilic BronchitisRodrigo Cartin-Ceba0Marie Christine Aubry1Kaiser Lim2Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USADivision of Anatomic Pathology, Department of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USADivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USAA 58-year-old nonsmoker female was referred for evaluation of chronic cough of 13 months duration. After an initial work-up, the patient was diagnosed to have chronic cough due to eosinophilic bronchitis. The diagnostic work-up for eosinophilic bronchitis and bronchial biopsy is discussed. Eosinophilic bronchitis is differentiated from asthma. In addition, the patient developed dyspnea, flushing, and wheezing after the administration of adenosine during a cardiac stress test in spite of a negative methacholine challenge. This indirect stimulus of airway hyperresponsiveness suggests the possible involvement of mast cells in eosinophilic bronchitis.http://dx.doi.org/10.1155/2009/356462
spellingShingle Rodrigo Cartin-Ceba
Marie Christine Aubry
Kaiser Lim
Dyspnea and Wheezing after Adenosine Injection in a Patient with Eosinophilic Bronchitis
Case Reports in Medicine
title Dyspnea and Wheezing after Adenosine Injection in a Patient with Eosinophilic Bronchitis
title_full Dyspnea and Wheezing after Adenosine Injection in a Patient with Eosinophilic Bronchitis
title_fullStr Dyspnea and Wheezing after Adenosine Injection in a Patient with Eosinophilic Bronchitis
title_full_unstemmed Dyspnea and Wheezing after Adenosine Injection in a Patient with Eosinophilic Bronchitis
title_short Dyspnea and Wheezing after Adenosine Injection in a Patient with Eosinophilic Bronchitis
title_sort dyspnea and wheezing after adenosine injection in a patient with eosinophilic bronchitis
url http://dx.doi.org/10.1155/2009/356462
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