A 39 year old female with progressive dyspnea, dry cough and hypoxia: a case report

Southwest Journal of Pulmonary and Critical Care

关键词: GM-CSF;    crazy paving;    mycophenolate;    pulmonary alveolar proteinosis;    whole lung lavage;   

DOI  :  

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated at 150 words. Case Presentation A previously healthy 39 year old female presented with progressive shortness of breath on exertion, dry cough, fatigue, fevers and hypoxia for the last four months. Her symptoms worsened despite being on several courses of antibiotics. Her past medical history is significant for hypertension and diabetes and medications include metoprolol and fosinopril. There is no previous history of cigarette smoking, drugs or alcohol abuse. She denied any weight loss. She was evaluated by a pulmonologist at an outside facility before being transported to our facility. Workup included chest x-ray and CT scan which showed patchy areas of consolidation. A bronchoscopy with bronchial alveolar lavage (BAL) was also performed but she became profoundly hypoxic and was transferred to the ICU intubated.Physical ExamAn obese female who was intubated and sedated on pressure targeted ventilation with delta P 28, rate 15, FiO2 60% peep 8. Her vitals revealed a …

【 授权许可】

Unknown