A 32-Year-Old Woman with Relapsing Pneumonia

Introduction: Isolated right pulmonary artery agenesis in an adult patient is an extremely rare condition that requires a high level of suspicion to make the diagnosis. Case Description: A 32-year-old woman presented to the emergency room with a 4-month history of recurrent respiratory infections....

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Main Authors: Ana Rafaela Araújo, Magda Sousa, Joel Pinto, Susana Cavadas, Luís Rodrigues
Format: Article
Language:English
Published: SMC MEDIA SRL 2018-06-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/854
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author Ana Rafaela Araújo
Magda Sousa
Joel Pinto
Susana Cavadas
Luís Rodrigues
author_facet Ana Rafaela Araújo
Magda Sousa
Joel Pinto
Susana Cavadas
Luís Rodrigues
author_sort Ana Rafaela Araújo
collection DOAJ
description Introduction: Isolated right pulmonary artery agenesis in an adult patient is an extremely rare condition that requires a high level of suspicion to make the diagnosis. Case Description: A 32-year-old woman presented to the emergency room with a 4-month history of recurrent respiratory infections. Chest radiography and computerized tomography (CT) revealed alveolar opacities on the medium and inferior right lobes. Fibreoptic bronchoscopy with bronchial aspirate was negative on both cytological and microbiological analysis. Due to the persistent of the imaging findings after a full course of a wide-spectrum antibiotic, an angio-CT was performed, revealing a complete stop at the level of the right pulmonary artery. Angiography confirmed the diagnosis of right pulmonary artery agenesis. Discussion: Currently, the patient has no exertional dyspnoea, screening for pulmonary hypertension has so far been negative and no further respiratory infections have occurred. It is important to call attention to a major congenital malformation that may remain asymptomatic until adulthood.
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spelling doaj.art-f5a1b99c12274b81ba26888de97876b62022-12-22T02:52:44ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942018-06-0110.12890/2018_000854854A 32-Year-Old Woman with Relapsing PneumoniaAna Rafaela Araújo0Magda Sousa1Joel Pinto2Susana Cavadas3Luís Rodrigues4Internal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalInternal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalInternal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalInternal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalPneumology Department, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalIntroduction: Isolated right pulmonary artery agenesis in an adult patient is an extremely rare condition that requires a high level of suspicion to make the diagnosis. Case Description: A 32-year-old woman presented to the emergency room with a 4-month history of recurrent respiratory infections. Chest radiography and computerized tomography (CT) revealed alveolar opacities on the medium and inferior right lobes. Fibreoptic bronchoscopy with bronchial aspirate was negative on both cytological and microbiological analysis. Due to the persistent of the imaging findings after a full course of a wide-spectrum antibiotic, an angio-CT was performed, revealing a complete stop at the level of the right pulmonary artery. Angiography confirmed the diagnosis of right pulmonary artery agenesis. Discussion: Currently, the patient has no exertional dyspnoea, screening for pulmonary hypertension has so far been negative and no further respiratory infections have occurred. It is important to call attention to a major congenital malformation that may remain asymptomatic until adulthood.https://www.ejcrim.com/index.php/EJCRIM/article/view/854Unilateral pulmonary artery agenesisangiography
spellingShingle Ana Rafaela Araújo
Magda Sousa
Joel Pinto
Susana Cavadas
Luís Rodrigues
A 32-Year-Old Woman with Relapsing Pneumonia
European Journal of Case Reports in Internal Medicine
Unilateral pulmonary artery agenesis
angiography
title A 32-Year-Old Woman with Relapsing Pneumonia
title_full A 32-Year-Old Woman with Relapsing Pneumonia
title_fullStr A 32-Year-Old Woman with Relapsing Pneumonia
title_full_unstemmed A 32-Year-Old Woman with Relapsing Pneumonia
title_short A 32-Year-Old Woman with Relapsing Pneumonia
title_sort 32 year old woman with relapsing pneumonia
topic Unilateral pulmonary artery agenesis
angiography
url https://www.ejcrim.com/index.php/EJCRIM/article/view/854
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