Untreated pulmonary sequestration with recurrent superinfection ­supporting COPD development in a 42 year old male patient

Author:

Leitner Maximilian1ORCID,Kühnle Jeannine L.1,Ecker Petra2,Khrystenko Tetiana3,Tränkenschuh Wolfgang3,Bals Robert1,Lepper Philipp M.1,Langer Frank2

Affiliation:

1. Dept. of Internal Medicine V – Pneumology, Allergology, and Intensive Care Medicine; University Hospital and University of Saarland, Homburg, Germany

2. Dept. of Thoracic and Cardiovascular Surgery, Saarland University Medical Center, Homburg/Saar, Germany

3. Dept. of Pathology, University of Saarland, Homburg/Saar, Germany

Abstract

Background: Pulmonary sequestration is a congenital malformation in which nonfunctional lung tissue develops without connection to the bronchial system. The main complication is the occurrence of recurrent pneumonia. Case presentation: We describe the case of a patient who was incidentally diagnosed with PS as part of the diagnostic algorithm for community-acquired pneumonia. Due to the relatively late diagnosis, the recurrent bronchopulmonary was conducive to the development of COPD and pulmonary emphysema. For prognostic reasons, surgical resection was performed by posterolateral thoracotomy. Conclusions: Although cigarette smoking is the main risk factor for developing COPD, recurring lung infections may have a synergistic effect. Sometimes recurrent infections are caused by a congenital malformation. Especially in adults who have had recurrent pneumonia since childhood.

Publisher

Mattioli1885

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