Affiliation:
1. Post Graduate III Year
2. Senior Resident, Department Of Respiratory Medicine
Abstract
51 year old male patient known case of Asthma for 20 years on regular
treatment came to pulmonology OPD with complaints of cough with
expectoration for one week associated with noisy breathing. Patient
had 3 episodes of loose stools for a month. His past history suggestive
repeated episodes of loose stools on and off for 3 years which was
managed symptomatically. Routine blood investigations and vitals
were normal. A chest radiography revealed nodular opacities in
bilateral lower zones. Hence, CT chest was done and showed cystic
bronchiectasis with peri bronchial thickening in the central region of
both lungs. Colonoscopy was done in view of recurrent diarrhea which
revealed nodular mucosa in terminal ileum, lymphoid hyperplasia.
Bronchoscopy with BAL was done to rule of aspergillosis and other
causes. No signicant abnormalities were seen in Bronchoscopy. The
clinical presentation, CT imaging and colonoscopy conrmed
diagnosis of IBD with bronchiectasis. Patient was managed with
intravenous antibiotics, nebulized bronchodilators and chest
physiotherapy.
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