A case of uncontrolled severe asthma patient with coexisting carcinoid tumor presenting as pneumomediastinum

作者:Bicer Elif Nur; Ozturk Ayse Bilge*; Ozyigit Leyla Pur; Erus Suat; Tanju Serhan; Dilege Sukru; Tabak Levent
来源:Journal of Asthma, 2015, 52(10): 1095-1098.
DOI:10.3109/02770903.2015.1054402

摘要

Introduction: Patients with inadequately controlled or uncontrolled asthma are at a greater risk of attacks for asthma requiring emergency room visits or hospital admissions. There is a significant correlation between the severity of the disease and the severity of exacerbations. Patients with poorly controlled asthma are at a higher risk for complications. Case study: We present a 24-year-old aspirin-intolerant, uncontrolled asthma patient with the complication of pneumomediastinum. Results: Severe symptoms persisted after the resolution of the pneumomediastinum despite intense anti-inflammatory and anti-obstructive therapy. A bronchoscopy revealed an endobronchial lesion and she was diagnosed with a carcinoid tumor. Conclusion: This case is an example of the importance of re-evaluating asthma patients who do not respond to standard medical treatment. Clinicians should be aware of the complications associated with asthma attacks such as pneumomediastinum and the possibility of a differential diagnosis that worsen asthma symptoms such as a carcinoid tumor.

  • 出版日期2015-11-26