Archive of Old Cases
- 페이지 경로
Case No : 159 Date 2000-11-11
- Courtesy of Kyung Soo Lee, MD / Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea
- Age/Sex 61 / M
- Chief ComplaintAcute onset of fever, cough, and dyspnea after recent radiation therapy of squamous cell lung cancer
Discussion
Diagnosis With Brief Discussion
- Diagnosis
- Aspiration Pneumonia from Radiation-induced BronchoEsophageal Fistula
- Radiologic Findings
- Chest CT scans show subcarinal lymphadenopathy (arrow), small bilateral pleural effusions, and radiation pneumonitis in the medial portion of left upper lung zone.
Two weeks later, acute onset of symptoms suggestive of pneumonia have developed in this patient on a course of radiation therapy.
Chest radiograph shows consolidation in right upper lobe and left perihilar area.
Follow-up CT scans show complete necrosis and cavitation of the subcarinal lymph node (arrow), resulting in bronchoesophageal fistula and aspiration pneumonia in both upper lobes.
- Brief Review
- References
- Keywords
- Lung, Infection, Radiation complication,
No. of Applicants : 15
- ▶ Correct Answer : 3/15, 20.0%
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- - 留 臾멸린
- - Dong-A University Hospital Ki-Nam Lee
- - Gachon Medical School Gil Medical Center Seo Joon Beom
- ▶ Semi-Correct Answer : 5/15, 33.3%
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- - Hospital Marina Baixa, Villajoyosa, Spain Carlos F. Munoz-Nunez
- - Ospedale di Fabriano, Italy Giancarlo Passarini
- - Stedelijk OLV Ziekenhuis Mechelen, Belgium Ivan Pilate
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Current Editor : Sang Young Oh, M.D., Ph.D Email : sangyoung.oh@gmail.com
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