open access

Vol 89, No 4 (2021)
Case report
Submitted: 2020-11-13
Accepted: 2021-03-21
Published online: 2021-07-15
Get Citation

Vanishing lung syndrome with community-acquired pneumonia and infection of bullae

Andra Pekša1, Madara Tirzīte1, Sergejs Daņilovs1
DOI: 10.5603/ARM.a2021.0066
·
Pubmed: 34269404
·
Adv Respir Med 2021;89(4):451-455.
Affiliations
  1. Riga East University Hospital, Riga Stradins University, Latvia

open access

Vol 89, No 4 (2021)
CASE REPORTS
Submitted: 2020-11-13
Accepted: 2021-03-21
Published online: 2021-07-15

Abstract

We present a case of a 36-year old male who was a long-term smoker and was found to have giant bullous emphysema on chest imaging as an accidental finding. At the time, when his first chest CT was obtained, he was asymptomatic and was recommended to consult a pulmonologist but was lost to follow-up for a year until he presented to the emergency department with fever, dyspnea, and chest pain. He was admitted to a pulmonology department. Chest CT was performed and it revealed infected bullae containing air-fluid levels as a complication of community-acquired pneumonia. After successful antibacterial treatment, the patient was discharged and recommended to consult with a thoracic surgeon. A few months later, he had video-assisted thoracoscopic surgery and left upper lobectomy as part of definitive treatment.

Abstract

We present a case of a 36-year old male who was a long-term smoker and was found to have giant bullous emphysema on chest imaging as an accidental finding. At the time, when his first chest CT was obtained, he was asymptomatic and was recommended to consult a pulmonologist but was lost to follow-up for a year until he presented to the emergency department with fever, dyspnea, and chest pain. He was admitted to a pulmonology department. Chest CT was performed and it revealed infected bullae containing air-fluid levels as a complication of community-acquired pneumonia. After successful antibacterial treatment, the patient was discharged and recommended to consult with a thoracic surgeon. A few months later, he had video-assisted thoracoscopic surgery and left upper lobectomy as part of definitive treatment.

Get Citation

Keywords

giant bullous emphysema; vanishing lung syndrome, infected bullae, pneumonia

About this article
Title

Vanishing lung syndrome with community-acquired pneumonia and infection of bullae

Journal

Advances in Respiratory Medicine

Issue

Vol 89, No 4 (2021)

Article type

Case report

Pages

451-455

Published online

2021-07-15

DOI

10.5603/ARM.a2021.0066

Pubmed

34269404

Bibliographic record

Adv Respir Med 2021;89(4):451-455.

Keywords

giant bullous emphysema
vanishing lung syndrome
infected bullae
pneumonia

Authors

Andra Pekša
Madara Tirzīte
Sergejs Daņilovs

References (9)
  1. Roberts L, Putman CE, Chen JT. Vanishing lung syndrome: upper lobe bullous pneumopathy. Rev Interam Radiol. 1987; 12: 249–255.
  2. Klingman RR, Angelillo VA, DeMeester TR. Cystic and bullous lung disease. Ann Thorac Surg. 1991; 52(3): 576–580.
  3. Deslauriers J, Leblanc P. Management of bullous disease. Chest Surg Clin N Am. 1994; 4(3): 539–559.
  4. Hii SW, Tam JDC, Thompson BR, et al. Bullous lung disease due to marijuana. Respirology. 2008; 13(1): 122–127.
  5. Stern EJ, Frank MS. CT of the lung in patients with pulmonary emphysema: diagnosis, quantification, and correlation with pathologic and physiologic findings. AJR Am J Roentgenol. 1994; 162(4): 791–798.
  6. Im Y, Farooqi S, Mora A. Vanishing lung syndrome. Proc (Bayl Univ Med Cent). 2016; 29(4): 399–401.
  7. Blanco I, de Serres FJ, Fernandez-Bustillo E, et al. Estimated numbers and prevalence of PI*S and PI*Z alleles of alpha1-antitrypsin deficiency in European countries. Eur Respir J. 2006; 27(1): 77–84.
  8. Tay CK, Ng YL. A breath from Houdini - a case of giant bullous emphysema. Respir Med Case Rep. 2014; 14: 30–33.
  9. Palla A, Desideri M, Rossi G, et al. Elective surgery for giant bullous emphysema: a 5-year clinical and functional follow-up. Chest. 2005; 128(4): 2043–2050.

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