Respiratory Medicine Case Reports (Jan 2015)

Pneumonia, lung cancer or Medlar's core?

  • Filippo Luciani,
  • Flavio Fedele,
  • Andrea Corsonello,
  • Michele Florio,
  • Salvatore De Santis,
  • Elena Guzzo,
  • Mariarita Perri,
  • Maria Cristina Caroleo,
  • Roberto Cannataro,
  • Erika Cione

DOI
https://doi.org/10.1016/j.rmcr.2015.08.009
Journal volume & issue
Vol. 16, no. C
pp. 92 – 94

Abstract

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Here, we report a case of 57-year-old previously healthy man with six-months medical history of significant chronic cough and recurring episodes of fever. Cytology, bacteria, fungi and acid fast bacilli in the sputum were negative. CT scan, initially interpreted as suspected lung cancer, detected by chest x-ray, revealed pneumonia. Bronchoscopy is frequently necessary for the diagnosis as well as the treatment as a routine practice and in this case was applied. Our patient underwent to fiberoptic rigid bronchoscopy in the right upper lobe in general anaesthesia. Unexpectedly, a vegetal FB, Medlar's core instead a tumor, was removed. After two-months follow-up the patient was found healthy without any old or other symptoms.

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