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Abstract

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Article in Japanese

Case Report

Prolonged pneumonia and secondary Aspergillus infection changed the ventilatory impairment from obstructive to restrictive in a patient with pulmonary emphysema

Naoki Tashiro  Makoto Tanaka  Taishi Harada  Hiroshi Ishii  Masaki Fujita  Kentaro Watanabe 

Department of Respiratory Medicine, Fukuoka University Hospital

ABSTRACT

A 70-year-old male with an 8-year treatment history of chronic obstructive pulmonary disease presented marked pulmonary emphysema predominantly in both upper lungs on chest images, concurrently with progressive obstructive ventilatory impairment on spirometry. The patient had received antimicrobial therapy for bacterial pneumonia three months earlier, but was admitted to our hospital because of remaining chest infiltrates. Pulmonary function tests on admission did not reveal obstructive but restrictive ventilatory. The chest images showed contractive changes with fibrosis in both upper lung lobes. A diagnosis of prolonged pneumonia with pulmonary aspergillosis was made, and this may have been responsible for a shift of the obstructive ventilatory impairment to the restrictive one.

KEYWORDS

Chronic obstructive pulmonary disease  Pulmonary emphysema  Organizing pneumonia  Obstructive ventilatory impairment  Restrictive ventilatory impairment 

Received 13 May 2013 / Accepted 11 Jul 2013

AJRS, 2(6): 828-831, 2013

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