title: A 63-year-old man with recurrent pulmonary infections: a case of Swyer-James Macleod syndrome.
abstract: Swyer-James Macleod syndrome is a rare disorder that leads to recurrent respiratory infections. The fibrosis and obstruction of the terminal and respiratory bronchioles, likely caused by respiratory infections in early childhood, prevents normal development of the alveolar bud. Organisms that have been associated with this syndrome include adenovirus, measles, bordetella pertussis, mycobacterium spp, influenza A and mycoplasma. The syndrome is an acquired cause of unilateral emphysema. The diagnosis of the syndrome can be made in infancy or early childhood, but in asymptomatic individuals can be delayed until adulthood and rarely in the elderly. Chest radiographs and computed tomographic (CT) scan can confirm the diagnosis and exclude other possibilities. A case of Swyer- James Macleod syndrome diagnosed at age 63 in a patient with recurrent respiratory infections and a history of childhood pertussis is presented.
authors.affiliation: Section of Pulmonary Diseases, Critical Care and Environmental Medicine, Tulane University Health Sciences Center, New Orleans, USA.
authors.forename: Neeraj R
authors.initials: NR
authors.lastname: Desai
authors.forename: Jaime
authors.initials: J
authors.lastname: Palomino
authors.forename: Hafez
authors.initials: H
authors.lastname: Hayek
authors.forename: Jay
authors.initials: J
authors.lastname: Shames
authors.forename: Francesco
authors.initials: F
authors.lastname: Simeone
mesh_terms: D006801:Humans; D019568:Lung, Hyperlucent / Q000175:diagnosis* / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000175:diagnosis*