[A case of bronchiolitis obliterans: auscultation leading to accurate diagnosis].
This is a case of a 31-year-old man with a history of common cold. He had been suffering from productive cough and dyspnea on exertion. Squawks were heard through auscultation, and hyperinflation was also observed in his chest radiograph. Bronchiolitis was first suspected as a result of HRCT and TBLB. He was then treated with CAM for six months, but his symptoms showed little improvement. So we evaluated his squawks objectively by phonopneumograph, performed video assisted thoracoscopic surgery and diagnosed his illness as constrictive bronchiolitis. Based on the examinations, PSL therapy was applied to his case, which contributed improving his condition remarkably. The significance of this case is that proper auscultation led to the accurate diagnosis.
Enomoto
T
T
Fourth Department of Internal Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan.
Murata
A
A
Mochimaru
H
H
Fukuda
Y
Y
Kudoh
S
S
D000328:Adult; D001314:Auscultation; D001989:Bronchiolitis Obliterans / Q000175:diagnosis*; D006801:Humans; D008297:Male