An unusual case of refractory wheeze

*, Venkat Ramesh and Acharya, Vishak K. and Pai , Narasimha and *, Ananda Krishnan (2015) An unusual case of refractory wheeze. BMJ Case Report. pp. 1-3. ISSN 1757-790X

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A 37-year-old man presented with a history of episodic wheeze and breathlessness of 3 years’ duration refractory to treatment. Physical examination revealed diffuse expiratory polyphonic rhonchi while the remainder of the examination including the cardiac examination was reported as normal. Pulmonary function testing revealed mild obstruction with bronchodilator reversibility. The patient was discharged on a 6-month course of antitubercular treatment (ATT) as bronchial brush cytology (obtained via bronchoscopy) was positive for acid-fast bacilli. The patient presented after completing 6 months of ATT with persistent symptoms, a loud S1 and a mid-diastolic murmur at the apex. High-resolution CT of the chest showed bilateral dependent ground glass opacities. An echocardiogram revealed a left atrial myxoma, and normal RV size and pressures. The patient underwent successful surgical removal of the same, and made a complete recovery. Refractory wheeze is a very unusual presentation of a left atrial myxoma.

Item Type: Article
Additional Information: Case Report
Subjects: Medicine > KMC Mangalore > Pulmonary Medicine
Medicine > KMC Mangalore > Medicine
Depositing User: KMCMLR User
Date Deposited: 07 Mar 2015 06:22
Last Modified: 07 Mar 2015 06:22

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