Abstract

A 37-year-old man presented with a history of episodic wheeze and breathlessness of 3 years' duration refractory to treatment. Physical examination revealed diffuse expiratory polyphonic rhonchi while the remainder of the examination including the cardiac examination was reported as normal. Pulmonary function testing revealed mild obstruction with bronchodilator reversibility. The patient was discharged on a 6-month course of antitubercular treatment (ATT) as bronchial brush cytology (obtained via bronchoscopy) was positive for acid-fast bacilli. The patient presented after completing 6 months of ATT with persistent symptoms, a loud S1 and a mid-diastolic murmur at the apex. High-resolution CT of the chest showed bilateral dependent ground glass opacities. An echocardiogram revealed a left atrial myxoma, and normal RV size and pressures. The patient underwent successful surgical removal of the same, and made a complete recovery. Refractory wheeze is a very unusual presentation of a left atrial myxoma.

Original languageEnglish
Article number206963
JournalBMJ Case Reports
Volume2015
DOIs
Publication statusPublished - 02-03-2015

Fingerprint

Myxoma
Heart Murmurs
Bronchodilator Agents
Respiratory Sounds
Bronchoscopy
Dyspnea
Bacillus
Physical Examination
Glass
Cell Biology
Thorax
Therapeutics
Pressure
Lung
Acids

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Ramesh, Venkat ; Acharya, Vishak ; Pai, Narasimha ; Krishnan, Ananda. / An unusual case of refractory wheeze. In: BMJ Case Reports. 2015 ; Vol. 2015.
@article{bf8cb46b8efe420fb4116fecda1e35c1,
title = "An unusual case of refractory wheeze",
abstract = "A 37-year-old man presented with a history of episodic wheeze and breathlessness of 3 years' duration refractory to treatment. Physical examination revealed diffuse expiratory polyphonic rhonchi while the remainder of the examination including the cardiac examination was reported as normal. Pulmonary function testing revealed mild obstruction with bronchodilator reversibility. The patient was discharged on a 6-month course of antitubercular treatment (ATT) as bronchial brush cytology (obtained via bronchoscopy) was positive for acid-fast bacilli. The patient presented after completing 6 months of ATT with persistent symptoms, a loud S1 and a mid-diastolic murmur at the apex. High-resolution CT of the chest showed bilateral dependent ground glass opacities. An echocardiogram revealed a left atrial myxoma, and normal RV size and pressures. The patient underwent successful surgical removal of the same, and made a complete recovery. Refractory wheeze is a very unusual presentation of a left atrial myxoma.",
author = "Venkat Ramesh and Vishak Acharya and Narasimha Pai and Ananda Krishnan",
year = "2015",
month = "3",
day = "2",
doi = "10.1136/bcr-2014-206963",
language = "English",
volume = "2015",
journal = "BMJ Case Reports",
issn = "1757-790X",
publisher = "BMJ Publishing Group",

}

An unusual case of refractory wheeze. / Ramesh, Venkat; Acharya, Vishak; Pai, Narasimha; Krishnan, Ananda.

In: BMJ Case Reports, Vol. 2015, 206963, 02.03.2015.

Research output: Contribution to journalArticle

TY - JOUR

T1 - An unusual case of refractory wheeze

AU - Ramesh, Venkat

AU - Acharya, Vishak

AU - Pai, Narasimha

AU - Krishnan, Ananda

PY - 2015/3/2

Y1 - 2015/3/2

N2 - A 37-year-old man presented with a history of episodic wheeze and breathlessness of 3 years' duration refractory to treatment. Physical examination revealed diffuse expiratory polyphonic rhonchi while the remainder of the examination including the cardiac examination was reported as normal. Pulmonary function testing revealed mild obstruction with bronchodilator reversibility. The patient was discharged on a 6-month course of antitubercular treatment (ATT) as bronchial brush cytology (obtained via bronchoscopy) was positive for acid-fast bacilli. The patient presented after completing 6 months of ATT with persistent symptoms, a loud S1 and a mid-diastolic murmur at the apex. High-resolution CT of the chest showed bilateral dependent ground glass opacities. An echocardiogram revealed a left atrial myxoma, and normal RV size and pressures. The patient underwent successful surgical removal of the same, and made a complete recovery. Refractory wheeze is a very unusual presentation of a left atrial myxoma.

AB - A 37-year-old man presented with a history of episodic wheeze and breathlessness of 3 years' duration refractory to treatment. Physical examination revealed diffuse expiratory polyphonic rhonchi while the remainder of the examination including the cardiac examination was reported as normal. Pulmonary function testing revealed mild obstruction with bronchodilator reversibility. The patient was discharged on a 6-month course of antitubercular treatment (ATT) as bronchial brush cytology (obtained via bronchoscopy) was positive for acid-fast bacilli. The patient presented after completing 6 months of ATT with persistent symptoms, a loud S1 and a mid-diastolic murmur at the apex. High-resolution CT of the chest showed bilateral dependent ground glass opacities. An echocardiogram revealed a left atrial myxoma, and normal RV size and pressures. The patient underwent successful surgical removal of the same, and made a complete recovery. Refractory wheeze is a very unusual presentation of a left atrial myxoma.

UR - http://www.scopus.com/inward/record.url?scp=84929012799&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84929012799&partnerID=8YFLogxK

U2 - 10.1136/bcr-2014-206963

DO - 10.1136/bcr-2014-206963

M3 - Article

C2 - 25733086

AN - SCOPUS:84929012799

VL - 2015

JO - BMJ Case Reports

JF - BMJ Case Reports

SN - 1757-790X

M1 - 206963

ER -