“Popcorn” Cavitary Pneumonia: A Case Report

N. Bethuel, L. Edmonds
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Abstract

Upper lobe cavitation carries a broad differential. No review, to our knowledge, includes foreign body in the differential diagnosis. Similarly, reviews of foreign body aspiration do not report lung cavitation. Herein, we report a case of an alert 58-year-old man who presented with sepsis secondary to presumed right upper lobe pneumonia. Computed tomography of the chest was significant for multiple loculated cavitary lesions. Subsequent bronchoscopy revealed a single kernel of popcorn impacted in the bronchus. Our case report highlights the importance of recognizing atypical presentations of foreign body aspiration.
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“爆米花”空洞性肺炎1例报告
上叶空化具有较大的差异。据我们所知,没有任何综述将异物纳入鉴别诊断。同样,异物抽吸的综述也没有报道肺部空洞。在此,我们报告了一例58岁的警觉男子,他出现了继发于假定的右上叶肺炎的败血症。胸部计算机断层扫描对多腔空洞性病变具有重要意义。随后的支气管镜检查显示支气管内有一粒爆米花。我们的病例报告强调了识别异物抽吸非典型表现的重要性。
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Clinical Pulmonary Medicine
Clinical Pulmonary Medicine Medicine-Critical Care and Intensive Care Medicine
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期刊介绍: Clinical Pulmonary Medicine provides a forum for the discussion of important new knowledge in the field of pulmonary medicine that is of interest and relevance to the practitioner. This goal is achieved through mini-reviews on focused sub-specialty topics in areas covered within the journal. These areas include: Obstructive Airways Disease; Respiratory Infections; Interstitial, Inflammatory, and Occupational Diseases; Clinical Practice Management; Critical Care/Respiratory Care; Colleagues in Respiratory Medicine; and Topics in Respiratory Medicine.
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