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ACUTE PROGRESSIVE DYSPNEA IN A PATIENT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

UGUR GONLUGUR, TANSELİ GONLUGUR

Clinical and Experimental Health Sciences - 2020;10(3):272-274

Canakkale Onsekiz Mart University, School of Medicine, Department of Chest Diseases, Canakkale, Turkey.

 

The cause of acute dyspnea in chronic obstructive pulmonary disease is challenging. A 69-year old man complained of dyspnea, and cough. He had a diagnosis of chronic obstructive pulmonary disease for 6 years. Oxygen therapy started for respiratory failure. At the 6th day of hospitalization, dyspnea progressively increased. Chest X-ray showed a right-sided radiolucency. The preliminary diagnosis was spontaneous pneumothorax but chest computerized tomography-scan demonstrated a space-occupying lesion in left main bronchus. The latter diagnosis was mucoid impaction but bronchoscopy revealed a malignant lesion. In conclusions, lung cancer can be a rare cause of acute dyspnea.