title: Chronic Left Lower Lobe Pulmonary Infiltrates During Military Deployment.
abstract: Deployment to Southwest Asia is associated with increased airborne hazards such as geologic dusts, burn pit smoke, vehicle exhaust, or air pollution. There are numerous ongoing studies to evaluate the potential effects of inhaled particulate matter on reported increases in acute and chronic respiratory symptoms. Providers need to be aware of potential causes of pulmonary disease such as acute eosinophilic pneumonia, asthma, and vocal cord dysfunction that have been associated with deployment. Other pulmonary disorders such as interstitial lung disease are infrequently reported. Not all deployment-related respiratory complaints may result from deployment airborne hazards and a broad differential should be considered. We present the case of a military member with a prolonged deployment found to have lobar infiltrates secondary to pulmonary vein stenosis from treatment for atrial fibrillation.
authors.affiliation: Internal Medicine Residency Program, Department of Medicine, San Antonio Military Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234.
authors.forename: John C
authors.initials: JC
authors.lastname: Hunninghake
authors.affiliation: Pulmonary/Critical Care Service, Department of Medicine, San Antonio Military Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Skabelund
authors.affiliation: Pulmonary/Critical Care Service, Department of Medicine, San Antonio Military Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Morris
mesh_terms: D055826:Afghan Campaign 2001-; D000346:Afghanistan; D000397:Air Pollution / Q000009:adverse effects; D001281:Atrial Fibrillation / Q000601:surgery; D017115:Catheter Ablation / Q000009:adverse effects*; D002908:Chronic Disease / Q000208:ethnology / Q000628:therapy; D004417:Dyspnea / Q000209:etiology; D005355:Fibrosis / Q000150:complications / Q000209:etiology; D006801:Humans; D008171:Lung Diseases / Q000150:complications / Q000209:etiology; D008297:Male; D008875:Middle Aged; D008889:Military Personnel; D016273:Occupational Exposure / Q000009:adverse effects; D011014:Pneumonia / Q000209:etiology* / Q000601:surgery*; D011446:Prospective Studies; D012135:Respiratory Sounds / Q000209:etiology; D000071078:Stenosis, Pulmonary Vein / Q000150:complications*; D014481:United States / Q000208:ethnology