Erschienen in:
07.02.2023 | Clinical Conundrum
Recurrent Lung Injury Resulting From Unusual Cases of Aero-Digestive Disease
verfasst von:
C. D. Campbell, P. C. Ridge, M. J. McDonnell, C. Ward, M. J. Harrison, C. Collins, R. M. Rutherford
Erschienen in:
Dysphagia
|
Ausgabe 5/2023
Einloggen, um Zugang zu erhalten
Excerpt
Case 1: A 64-year-old man presented with a 6-month history of recurrent lower respiratory tract infections. He had a history of intractable epilepsy as a result of a previously treated astrocytoma. A vagus nerve stimulator (VNS) was inserted to improve seizure control. At assessment, he had a left vocal cord palsy and high-resolution CT (HRCT) scan revealed diffuse bronchiolitis. A modified barium swallow test demonstrated poor swallow with severe oropharyngeal residue present on all grades of fluids with penetration into the airway. Despite swallowing retraining, modified diet and prophylactic inhaled and oral antibiotics, his infections continued. What would you do next? …