Recurrent Aspiration Pneumonia due to Anterior Cervical Osteophyte / 대한중환자의학회지
Korean Journal of Critical Care Medicine
;
: 74-78, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-194697
ABSTRACT
A 74-year-old man presented with recurrent vomiting and aspiration pneumonia in the left lower lobe. He entered the intensive care unit to manage the pneumonia and septic shock. Although a percutaneous endoscopic gastrostomy tube was implanted for recurrent vomiting, vomiting and aspiration recurred frequently during admission. Subsequently, he complained of neck pain when in an upright position. A videofluoroscopic swallowing study showed compression of the esophagus by cervical osteophytes and tracheal aspiration caused by an abnormality at the laryngeal inlet. Cervical spine X-rays and computed tomography showed anterior cervical osteophytes at the C3-6 levels. Surgical decompression was scheduled, but was cancelled due to his frailty. Unfortunately, further recurrent vomiting and aspiration resulted in respiratory arrest leading to hypoxic brain damage and death. Physicians should consider cervical spine disease, such as diffuse skeletal hyperostosis as an uncommon cause of recurrent aspiration pneumonia.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pneumonia
/
Pneumonia Aspirativa
/
Choque Séptico
/
Coluna Vertebral
/
Vômito
/
Gastrostomia
/
Hiperostose
/
Hipóxia Encefálica
/
Baías
/
Cervicalgia
Limite:
Idoso
/
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Critical Care Medicine
Ano de publicação:
2017
Tipo de documento:
Artigo
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