Recurrent Pneumonia? A Case of Availability Bias and Anchoring.
| Autor: | Rentas CM; Department of Medicine, The University of Alabama School of Medicine, Birmingham, USA., Goetz R; Department of Medicine, The University of Alabama School of Medicine, Birmingham, USA., Mkorombindo T; Department of Medicine, The University of Alabama School of Medicine, Birmingham, USA., Bajaj S; Department of Radiology, Birmingham Veterans Affairs Medical Center, Birmingham, USA., Centor R; Department of Medicine, The University of Alabama School of Medicine, Birmingham, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2020 Oct 22; Vol. 12 (10), pp. e11088. Date of Electronic Publication: 2020 Oct 22. |
| DOI: | 10.7759/cureus.11088 |
| Abstrakt: | Invasive mucinous adenocarcinoma is a multi-centric adenocarcinoma that accounts for less than 5% of all lung cancer diagnoses. The most common presenting symptoms (cough, sputum production, and chest pain) in conjunction with its radiographic findings (patchy, multi-lobar infiltrates) make invasive mucinous adenocarcinoma challenging to distinguish from both infectious and inflammatory pneumonia. However, due to its aggressive nature, invasive mucinous adenocarcinoma should be considered if a presumed case of pneumonia lacks symptoms of infection (e.g., fever, leukocytosis) and/or does not respond to antibiotics. We report the case of a 75-year-old male who was admitted in the setting of a presumed case of recurrent pneumonia, which had failed to respond to prior antibiotic therapy. Further workup, including trans-bronchial biopsy, confirmed mucinous adenocarcinoma with a lepidic pattern. This case highlights the importance of establishing a broad differential in the setting of unresolved pneumonia following appropriate antibiotic coverage. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2020, Rentas et al.) |
| Databáze: | MEDLINE |
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