Lung Volume Reduction following Recurrent Pneumonia: An Unusual Finding in a COPD Patient
Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease. Frequent pneumonias and exacerbations are known to accelerate its progression. We present a case of severe emphysema whose lung function paradoxically improved following recurrent pneumonia, without lung volume reduction surgery...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/7176816 |
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| _version_ | 1832550921167437824 |
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| author | Yihenew Negatu Philip T. Diaz |
| author_facet | Yihenew Negatu Philip T. Diaz |
| author_sort | Yihenew Negatu |
| collection | DOAJ |
| description | Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease. Frequent pneumonias and exacerbations are known to accelerate its progression. We present a case of severe emphysema whose lung function paradoxically improved following recurrent pneumonia, without lung volume reduction surgery (LVRS). A 54-year-old female with severe COPD presented for LVRS evaluation. She was not a candidate for the surgery because of the unsuitable anatomic distribution of her emphysema. The patient experienced recurrent pneumonia over the years but her lung function and oxygen requirement showed marked improvement. Follow-up imaging studies showed decreased lung volumes and focal fibrotic changes. We believe that the improvement in her lung function overtime is the reflection of lung volume reduction as a result of parenchymal remodeling due to repeated lung infection. These findings seen in our patient contribute important information for the continued effort in developing nonsurgical lung volume reduction techniques. |
| format | Article |
| id | doaj-art-922387e9457c436a9c0bf52c90e757e9 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-922387e9457c436a9c0bf52c90e757e92025-02-03T06:05:24ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/71768167176816Lung Volume Reduction following Recurrent Pneumonia: An Unusual Finding in a COPD PatientYihenew Negatu0Philip T. Diaz1Division of Pulmonary, Critical Care and Sleep Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USADivision of Pulmonary, Critical Care and Sleep Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USAChronic Obstructive Pulmonary Disease (COPD) is a progressive disease. Frequent pneumonias and exacerbations are known to accelerate its progression. We present a case of severe emphysema whose lung function paradoxically improved following recurrent pneumonia, without lung volume reduction surgery (LVRS). A 54-year-old female with severe COPD presented for LVRS evaluation. She was not a candidate for the surgery because of the unsuitable anatomic distribution of her emphysema. The patient experienced recurrent pneumonia over the years but her lung function and oxygen requirement showed marked improvement. Follow-up imaging studies showed decreased lung volumes and focal fibrotic changes. We believe that the improvement in her lung function overtime is the reflection of lung volume reduction as a result of parenchymal remodeling due to repeated lung infection. These findings seen in our patient contribute important information for the continued effort in developing nonsurgical lung volume reduction techniques.http://dx.doi.org/10.1155/2017/7176816 |
| spellingShingle | Yihenew Negatu Philip T. Diaz Lung Volume Reduction following Recurrent Pneumonia: An Unusual Finding in a COPD Patient Case Reports in Medicine |
| title | Lung Volume Reduction following Recurrent Pneumonia: An Unusual Finding in a COPD Patient |
| title_full | Lung Volume Reduction following Recurrent Pneumonia: An Unusual Finding in a COPD Patient |
| title_fullStr | Lung Volume Reduction following Recurrent Pneumonia: An Unusual Finding in a COPD Patient |
| title_full_unstemmed | Lung Volume Reduction following Recurrent Pneumonia: An Unusual Finding in a COPD Patient |
| title_short | Lung Volume Reduction following Recurrent Pneumonia: An Unusual Finding in a COPD Patient |
| title_sort | lung volume reduction following recurrent pneumonia an unusual finding in a copd patient |
| url | http://dx.doi.org/10.1155/2017/7176816 |
| work_keys_str_mv | AT yihenewnegatu lungvolumereductionfollowingrecurrentpneumoniaanunusualfindinginacopdpatient AT philiptdiaz lungvolumereductionfollowingrecurrentpneumoniaanunusualfindinginacopdpatient |