Crohn's disease associated with colo-bronchial fistula.
An 18-year-old female patient with Crohn's disease presented with left lower lobe pneumonia and pleural effusion which were resistant to treatment with antibiotics. Colo-bronchial fistula had not been recognized until she coughed up yellow sputa with feculent odor and developed acute respiratory distress syndrome. This type of fistula is a rare complication of Crohn's disease, but the present case certainly alerts physicians to search for a fistula between the bronchus and gastrointestinal tract when encountering patients with Crohn's disease accompanied by antibiotic-resistant chronic pneumonia.
Mera
A
A
Department of Medicine, Kumamoto City Hospital.
Sugimoto
M
M
Fukuda
K
K
Tanaka
F
F
Imamura
F
F
Matsuda
M
M
Ando
M
M
Shima
K
K
D000293:Adolescent; D001983:Bronchial Fistula / Q000209:etiology*; D003108:Colonic Diseases / Q000209:etiology*; D003424:Crohn Disease / Q000150:complications*; D017577:Cutaneous Fistula / Q000209:etiology; D004351:Drug Resistance; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D010996:Pleural Effusion / Q000209:etiology; D011014:Pneumonia / Q000188:drug therapy / Q000209:etiology; D012128:Respiratory Distress Syndrome / Q000209:etiology