title: All that wheezes is not asthma.
abstract: A young woman was admitted with respiratory failure. Prior to her admission, she had been treated for clinical bronchial asthma for about 2 years for recurrent wheezing. Endotracheal intubation was difficult. A fibroptic bronchoscopy, while the patient was ventilated, revealed a central tracheal tumour compromising >90% of the tracheal lumen. The tumour was cored out during rigid bronchoscopy while ventilating the patient through tracheostomy. Histopathology of the tumour was suggestive of adenoid cystic carcinoma.
authors.affiliation: Department of Internal & Pulmonary Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.
authors.forename: Parvaiz A
authors.initials: PA
authors.lastname: Koul
authors.forename: Umar H
authors.initials: UH
authors.lastname: Khan
authors.forename: Tajamul Hussain
authors.initials: TH
authors.lastname: Shah
authors.forename: Abdul Majid
authors.initials: AM
authors.lastname: Dar
mesh_terms: D000328:Adult; D001249:Asthma / Q000175:diagnosis* / Q000188:drug therapy; D003528:Carcinoma, Adenoid Cystic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D012131:Respiratory Insufficiency / Q000209:etiology*; D012135:Respiratory Sounds / Q000209:etiology*; D014134:Tracheal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery