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Vol. 15. Issue 5.
Pages 923-927 (September - October 2009)
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Vol. 15. Issue 5.
Pages 923-927 (September - October 2009)
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DPOC agudizada ou algo mais? Caso clínico
COPD exacerbation or something else? Clinical case
Visits
895
Paulo Gouveia1,
Corresponding author
paulofgouveia@netcabo.pt

Correspondência/Correspondence to: Av Mestre José Veiga, n.° 30, 1.° DTF, 4715-330 Braga, Telef.: 915303716.
, Arnaldo Pires1, Frederica Coimbra1, Isabel Trindade1, Carlos Capela1, Guilherme Gomes2, Abel Rua3,4
1 Interno complementar de Medicina Interna
2 Assistente Hospitalar Graduado de Medicina Interna
3 Chefe de Serviço de Medicina Interna, Director do Serviço de Medicina I do HS Marcos – Braga
4 Serviço de Medicina I, Hospital de S. Marcos – Braga, Largo Carlos Amarante, 4701-965 Braga
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Abstract
Bibliography
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Resumo

Os autores apresentam o caso de uma doente de 45 anos, portadora de síndroma de Down, com antecedentes conhecidos de DPOC e múltiplos internamentos hospitalares, no contexto de agudização da sua doença pulmonar de base. Os factos reportam-se ao seu último internamento, cujo motivo, interpretado a priori como mais um episódio de agudização, depois da reavaliação clínica cuidadosa e da utilização de meios complementares de diagnóstico apropriados, se revelou ficar a dever-se a causa pouco usual. Com a apresentação deste caso, os autores pretendem alertar para a dificuldade diagnóstica posta por situações particulares, bem como para os riscos da aceitação acrítica de diagnósticos comuns.

Palavras-chave:
DPOC
síndroma de Down
aspiração de corpo estranho
broncofibroscopia
Abstract

The authors present the case of a 45-year-old female patient with Down syndrome, and known past medical history of COPD with multiple hospital admissions in the context of exacerbation of his lung disease. The facts refer to his latest hospitalization, whose motive, prior interpreted as a further exacerbation episode, after careful clinical reassessment and use of appropriate additional means of diagnosis, appeared to be due to an unusual cause. By presenting this case, the authors call the attention to the difficulty presented by particular situations, as well as to the risks of uncritical acceptance of common diagnoses.

Key-words:
COPD
Down syndrome
foreign body aspiration
fiberoptic bronchoscopy
Full text is only aviable in PDF
Bibliografia
[1.]
G. Killian.
Removal of a bone splinter from right main bronchus by direct laryngoscopy.
Munch Med Wschr, 4 (1897), pp. 44-86
[2.]
A.L. Rafanan, A.C. Mehta.
Adult airway foreign body removal. What's new?.
Clin Chest Med, 22 (2001), pp. 319
[3.]
J.A. Nakhosteen.
Tracheobronchial foreign bodies.
Eur Respir J, 7 (1994), pp. 429-430
[4.]
D. Shure.
Foreign body retrieval.
Pulm Perspect, 10 (1993), pp. 5-7
Copyright © 2009. Sociedade Portuguesa de Pneumologia
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