[A 63 year old Turkish woman with recurrent pneumonia].
The differential diagnosis of a sinubronchial syndrome includes cystic fibrosis, allergic bronchopulmonic aspergillosis, Kartagener's syndrome, hypogammaglobulinemia and bronchioli-associated processes. The latter include cryptogenic organising pneumonia, constrictive bronchiolitis obliterans as well as the respiratory bronchiolitis. Our case presented a persistent interstitial shadow in the x-rax of the thorax and a relevant, mixed ventilation disturbance in lung function. A surgically performed lung biopsy finally allowed the diagnosis of diffuse panbronchiolitis, which is seldom found in central Europe. This disease is of unknown etiology and responds to long-term macrolide therapy.
Breidert
M
M
Medizinische Klinik 1, Stadtklinik Baden-Baden, Klinikum Mittelbaden, Balgerstr. 50, 76532, Baden-Baden, Deutschland. M.Breidert@klinikum-mittelbaden.de
Janssen-Langenstein
R
R
Hambrecht
S
S
D001988:Bronchiolitis / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D005260:Female; D006801:Humans; D018942:Macrolides / Q000627:therapeutic use*; D008875:Middle Aged; D011014:Pneumonia / Q000188:drug therapy* / Q000209:etiology*; D011859:Radiography; D055502:Secondary Prevention; D016896:Treatment Outcome; D014421:Turkey
D018942:Macrolides