Structured Pulmonary Rehabilitation in a Patient with Post Tuberculosis Bronchiectasis and Endobronchial Carcinoid
Pulmonary Tuberculosis (TB) has the potential to harm the lungs over long-term owing to complication such as bronchiectasis. However, authors hereby reported a case of endobronchial carcinoid, for which there was a need for a tailored and planned physiotherapy intervention to address such a challeng...
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JCDR Research and Publications Private Limited
2023-06-01
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Series: | Journal of Clinical and Diagnostic Research |
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Online Access: | https://jcdr.net/articles/PDF/17972/60528_CE[Ra1]_F(SHU)_PF1(MG_SS)_PFA(SS)_PB_(MG_OM)_PN(SS).pdf |
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author | Purva Gulrandhe Vishakha Tayade Vishnu Vardhan |
author_facet | Purva Gulrandhe Vishakha Tayade Vishnu Vardhan |
author_sort | Purva Gulrandhe |
collection | DOAJ |
description | Pulmonary Tuberculosis (TB) has the potential to harm the lungs over long-term owing to complication such as bronchiectasis. However, authors hereby reported a case of endobronchial carcinoid, for which there was a need for a tailored and planned physiotherapy intervention to address such a challenging condition. Loss of lung functions, a decline in exercise tolerance, and/or chronic respiratory symptoms due to TB-related interstitial and structural alterations have been identified as sequelae to pulmonary TB. A 52-year-old female presented with the chief complain of breathlessness of Grade 3 on the Modified Medical Research Council (MMRC) scale, chest pain over left-side radiating to the neck, and cough with expectoration. She had loss of appetite and high-grade fever and was diagnosed with endobronchial carcinoid with upper and middle lobe consolidation with cystic bronchiectasis. The patient received pharmacological treatment with bronchodialators, mucolytics, antibiotics, and non-opoid analgesics. The goals of physiotherapeutic management included secretion removal, relieving dyspnea, providing relaxation, enhancing exercise capacity through impacts on aerobic capacity and, management of disease, and Quality of Life (QoL) improvement. The structured rehabilitation program was found to be effective at the end of eight weeks. Clinical improvement was observed in the patient but complete rehabilitation was not able to achieve due to the patient’s socioeconomic condition. |
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id | doaj.art-5c365a0cd6f6440d893a6f24ebcdd22f |
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issn | 2249-782X 0973-709X |
language | English |
last_indexed | 2024-03-13T09:50:46Z |
publishDate | 2023-06-01 |
publisher | JCDR Research and Publications Private Limited |
record_format | Article |
series | Journal of Clinical and Diagnostic Research |
spelling | doaj.art-5c365a0cd6f6440d893a6f24ebcdd22f2023-05-24T09:55:03ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-06-01176KD01KD0310.7860/JCDR/2023/60528.17972Structured Pulmonary Rehabilitation in a Patient with Post Tuberculosis Bronchiectasis and Endobronchial CarcinoidPurva Gulrandhe0Vishakha Tayade1Vishnu Vardhan2Intern, Department of Cardiovascular and Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.Resident, Department of Cardiovascular and Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.Professor and Head, Department of Cardiovascular and Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.Pulmonary Tuberculosis (TB) has the potential to harm the lungs over long-term owing to complication such as bronchiectasis. However, authors hereby reported a case of endobronchial carcinoid, for which there was a need for a tailored and planned physiotherapy intervention to address such a challenging condition. Loss of lung functions, a decline in exercise tolerance, and/or chronic respiratory symptoms due to TB-related interstitial and structural alterations have been identified as sequelae to pulmonary TB. A 52-year-old female presented with the chief complain of breathlessness of Grade 3 on the Modified Medical Research Council (MMRC) scale, chest pain over left-side radiating to the neck, and cough with expectoration. She had loss of appetite and high-grade fever and was diagnosed with endobronchial carcinoid with upper and middle lobe consolidation with cystic bronchiectasis. The patient received pharmacological treatment with bronchodialators, mucolytics, antibiotics, and non-opoid analgesics. The goals of physiotherapeutic management included secretion removal, relieving dyspnea, providing relaxation, enhancing exercise capacity through impacts on aerobic capacity and, management of disease, and Quality of Life (QoL) improvement. The structured rehabilitation program was found to be effective at the end of eight weeks. Clinical improvement was observed in the patient but complete rehabilitation was not able to achieve due to the patient’s socioeconomic condition.https://jcdr.net/articles/PDF/17972/60528_CE[Ra1]_F(SHU)_PF1(MG_SS)_PFA(SS)_PB_(MG_OM)_PN(SS).pdfacapellaphysiotherapypost pulmonary tuberculosis sequelae |
spellingShingle | Purva Gulrandhe Vishakha Tayade Vishnu Vardhan Structured Pulmonary Rehabilitation in a Patient with Post Tuberculosis Bronchiectasis and Endobronchial Carcinoid Journal of Clinical and Diagnostic Research acapella physiotherapy post pulmonary tuberculosis sequelae |
title | Structured Pulmonary Rehabilitation in a Patient with Post Tuberculosis Bronchiectasis and Endobronchial Carcinoid |
title_full | Structured Pulmonary Rehabilitation in a Patient with Post Tuberculosis Bronchiectasis and Endobronchial Carcinoid |
title_fullStr | Structured Pulmonary Rehabilitation in a Patient with Post Tuberculosis Bronchiectasis and Endobronchial Carcinoid |
title_full_unstemmed | Structured Pulmonary Rehabilitation in a Patient with Post Tuberculosis Bronchiectasis and Endobronchial Carcinoid |
title_short | Structured Pulmonary Rehabilitation in a Patient with Post Tuberculosis Bronchiectasis and Endobronchial Carcinoid |
title_sort | structured pulmonary rehabilitation in a patient with post tuberculosis bronchiectasis and endobronchial carcinoid |
topic | acapella physiotherapy post pulmonary tuberculosis sequelae |
url | https://jcdr.net/articles/PDF/17972/60528_CE[Ra1]_F(SHU)_PF1(MG_SS)_PFA(SS)_PB_(MG_OM)_PN(SS).pdf |
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