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Overlooked diagnosis of infected paratracheal air cysts in patients with respiratory symptoms: Case report.

Abstract Infected paratracheal air cysts as the focus of respiratory symptoms can be overlooked in practice because of nonspecific symptoms and physician's scant knowledge for this entity. We report 2 cases of infected paratracheal air cyst diagnosed at chest computed tomography (CT) and bronchoscopy/endobronchial ultrasound.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28723769
OWN - NLM
STAT- MEDLINE
DA  - 20170720
DCOM- 20170728
LR  - 20170728
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 29
DP  - 2017 Jul
TI  - Overlooked diagnosis of infected paratracheal air cysts in patients with
      respiratory symptoms: Case report.
PG  - e7536
LID - 10.1097/MD.0000000000007536 [doi]
AB  - RATIONALE: Infected paratracheal air cysts as the focus of respiratory symptoms
      can be overlooked in practice because of nonspecific symptoms and physician's
      scant knowledge for this entity. We report 2 cases of infected paratracheal air
      cyst diagnosed at chest computed tomography (CT) and bronchoscopy/endobronchial
      ultrasound. PATIENT CONCERN: Two patients visited our hospital with respiratory
      symptoms, including cough, sputum, and fever. DIAGNOSES: Chest CT showed
      paratracheal cystic lesions with air-fluid level in the thoracic inlet. In the
      first patient, endobronchial ultrasound revealed a right paratracheal hypoechoic 
      mass corresponding to the lesion on CT scan. In the second patient, bronchoscopy 
      revealed purulent discharge from a dimpling at posterolateral wall of trachea,
      which was the opening of communication between the trachea and infected
      paratracheal air cyst. INTERVENTIONS: Both patients received antibiotic
      treatment. OUTCOME: After medical treatment, the patients' symptoms were
      improved. Follow-up chest CT scans showed air-filled paratracheal air cysts
      without internal fluid or rim enhancement. LESSONS: A physician should pay
      attention to paratracheal air cyst in patients with respiratory symptoms when
      their lungs are clear on CT scan.
FAU - Bae, Kyungsoo
AU  - Bae K
AD  - aDepartment of Radiology bDepartment of Internal Medicine, Gyeongsang National
      University School of Medicine, Jinju, and Gyeongsang National University Changwon
      Hospital, Changwon, Korea cDepartment of Internal Medicine, Kyungpook National
      University School of Medicine, Daegu dDepartment of Thoracic Surgery, Gyeongsang 
      National University School of Medicine, Jinju, and Gyeongsang National University
      Changwon Hospital, Changwon, Korea.
FAU - Jeon, Kyung N
AU  - Jeon KN
FAU - Park, Mi J
AU  - Park MJ
FAU - Lee, Seung J
AU  - Lee SJ
FAU - Kim, Ho C
AU  - Kim HC
FAU - Cha, Seung I
AU  - Cha SI
FAU - Byun, Joung H
AU  - Byun JH
FAU - Kim, Jong W
AU  - Kim JW
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Anti-Bacterial Agents)
SB  - AIM
SB  - IM
MH  - Aged
MH  - Air
MH  - Anti-Bacterial Agents/therapeutic use
MH  - Diagnosis, Differential
MH  - Diagnostic Errors
MH  - Female
MH  - Humans
MH  - Male
MH  - Mediastinal Cyst/*diagnostic imaging/drug therapy
MH  - Middle Aged
MH  - Respiratory Tract Infections/*diagnostic imaging/drug therapy
EDAT- 2017/07/21 06:00
MHDA- 2017/07/29 06:00
CRDT- 2017/07/21 06:00
AID - 10.1097/MD.0000000000007536 [doi]
AID - 00005792-201707210-00034 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jul;96(29):e7536. doi: 10.1097/MD.0000000000007536.