title: Mounier-Kuhn syndrome in an older patient.
abstract: Respiratory problems in older adults are frequently labelled as being due to chronic obstructive airways disease (COAD). However where the presentation may be suggestive of another pathology due to the clinical history or type of pathogen isolated from the sputum, then consideration should be given to appropriate imaging. We describe a case of an older lady labelled for many years as COAD but who was a lifelong non-smoker and had Pseudomonas in her sputum. A CT of thorax for suspected bronchiectasis revealed tracheobroncomegaly (Mounier-Kuhn syndrome). This is the oldest case of Mounier-Kuhn syndrome at presentation and highlights the importance of appropriate history taking and investigation of older people.
authors.affiliation: Department of Medical Gerontology, Trinity Centre for Health Sciences, Adelaide and Meath Hospital, Dublin 24, Ireland. Marianne.Falconer@amnch.ie
authors.forename: Marianne
authors.initials: M
authors.lastname: Falconer
authors.forename: D Rónán
authors.initials: DR
authors.lastname: Collins
authors.forename: John
authors.initials: J
authors.lastname: Feeney
authors.forename: William C
authors.initials: WC
authors.lastname: Torreggiani
mesh_terms: D000368:Aged; D001987:Bronchiectasis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology; D005260:Female; D006801:Humans; D011549:Pseudomonas; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis*; D013183:Sputum / Q000382:microbiology; D013211:Staphylococcus aureus; D014057:Tomography, X-Ray Computed; D014137:Tracheobronchomegaly / Q000175:diagnosis*