Medical image of the month: late-onset Pompe disease

Autor: Tammer El-Aini, Kelly Wickstrom, Zachary Hernandez
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Southwest Journal of Pulmonary and Critical Care, Vol 20, Iss 4, Pp 124-125 (2020)
ISSN: 2160-6773
Popis: No abstract available. Article truncated after 150 words. Clinical Presentation: A 63-year-old lady with a past medical history significant for late-onset Pompe disease complicated by chronic hypoxemic and hypercarbic respiratory requiring continuous mechanical ventilation via a tracheostomy tube presented to the emergency room from her care facility with worsening hypoxemia. She had been feeling poorly for three days prior to her presentation with fevers, chills, and thicker secretions from her tracheostomy tube with routine suctioning. On arrival, she was febrile with a temperature of 39 °C and had diminished breath sounds on the left. Her lab work demonstrated a leukocytosis along with an increase in her creatinine consistent with acute kidney injury. CT scans of the chest, abdomen, and pelvis (Figure 1) demonstrated collapse of the left lung secondary to a large mucous plug in the left mainstem bronchus and fatty replacement of most of her visualized skeletal musculature consistent with her diagnosis of Pompe disease. Sputum cultures …
Databáze: OpenAIRE