Symptoms are primarily those of bronchial irritation and obstruction, and include cough, wheezing, hemoptysis, postobstructive pneumonia
, and bronchial asthma.
Foreign body aspiration can lead to postobstructive pneumonia
due to airway obstruction or due to vegetable matter causing aspiration syndromes.
The microbiology of postobstructive pneumonia
in lung cancer patients.
Since most endobronchial lipomas are found after the onset of symptoms postobstructive pneumonia
can occur and result in chronic inflammation and destruction of the distal lung.
Aspirated foreign bodies represent a significant cause of morbidity and mortality, both from acute obstruction and asphyxiation and from postobstructive pneumonia
and lung abscess.
We report a case of a 46-yearold female with an expanding mediastinal bronchogenic cyst who presented with respiratory symptoms and was treated for postobstructive pneumonia. She subsequently underwent thoracotomy with complete excision of the cyst.
Based on these findings, the patient was diagnosed with postobstructive pneumonia and she was started on empiric ceftriaxone and azithromycin.
We present here the case of a rare large polypoid GCT causing postobstructive pneumonia.
A subsequent CT chest showed a right middle lobe consolidation, with an endobronchial lesion within the right bronchus intermedius, concerning for postobstructive pneumonia (Figures 1 and 2).
Our patient presented with multiple respiratory tract GCTs, including a large polypoid granular cell tumor causing postobstructive pneumonia with cultures positive for Streptococcus pneumoniae.