Chronic Cough with a History of Excessive Sputum Production

A 24-year-old African American female nonsmoker, with a reported history of asthma presented to the hospital with 2 weeks of shortness of breath and sputum production. She had a chest X-ray and computed tomography scan that displayed evidence of a right upper lobe collapse. She subsequently had a bronchoscopy that revealed an endobronchial lesion at the opening of the right upper lobe bronchus. Biopsies performed were consistent with a granular cell tumor. Granular cell tumors are rare submucosal tumors of Schwann cell origin. Resection of the right upper lobe resolved her symptoms and wheezing.

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Acute Uncomplicated Bronchitis

10.1093/med/9780199976805.003.0029 ◽

2016 ◽

Author(s):

Sarina Sahetya

Keyword(s):

Antibiotic Therapy ◽

Bacterial Pathogens ◽

Acute Bronchitis ◽

Respiratory Illness ◽

Low Grade ◽

Presenting Symptoms ◽

Sputum Production ◽

History Of ◽

Normal Chest ◽

Interstitial Disease

Acute bronchitis is a respiratory illness characterized predominantly by cough with or without sputum production that lasts for up to 3 weeks in the presence of normal chest radiography. Additional presenting symptoms include rhinorrhea, congestion, sneeze, sore throat, wheezing, low-grade fever, myalgia, and fatigue. Causative organisms include viral and bacterial pathogens. The disease course is characterized by self-limited inflammation of the airways. Chest radiographs should be utilized to distinguish acute bronchitis from pneumonia or interstitial disease. Therapeutic recommendations are typically supportive; however, studies reveal that between 60% and 80% of patients receive unwarranted antibiotic therapy. Only those patients at high risk for serious complications (including patients over 65 with a history of hospitalization, diabetes mellitus, congestive heart failure, or current use of oral glucocorticoids) usually require routine antibiotic therapy directed toward both typical and atypical bacterial pathogens.

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Yellow Nails, Lymphedema and Chronic Cough: Yellow Nail Syndrome in an Eight-Year-Old Girl

Canadian Respiratory Journal ◽

10.1155/2012/464879 ◽

2012 ◽

Vol 19 (1) ◽

pp. 35-36 ◽

Cited By ~ 3

Author(s):

Ishita Siddiq ◽

Daniel Hughes

Keyword(s):

Rare Disease ◽

Chronic Cough ◽

Yellow Nail Syndrome ◽

Sputum Production

Yellow nail syndrome is a rare disease and reported mainly in adults. A case of yellow nail syndrome involving an eight-year-old girl with associated discoloured yellowish nails on the fingers and toes, lymphedema and chronic cough, and sputum production is reported.

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Computed Tomography Findings of Pulmonary Mycobacterium simiae Infection

Canadian Respiratory Journal ◽

10.1155/2017/6913564 ◽

2017 ◽

Vol 2017 ◽

pp. 1-5 ◽

Cited By ~ 4

Author(s):

Ayeh Baghizadeh ◽

Payam Mehrian ◽

Poopak Farnia

Keyword(s):

Computed Tomography ◽

Ct Scan ◽

Pulmonary Infection ◽

Previous History ◽

Treatment Protocol ◽

Zonal Distribution ◽

Sputum Production ◽

History Of ◽

Nodular Lesions ◽

Mycobacterium Simiae

Nontuberculous mycobacterial (NTM) pulmonary infections can be quite similar to tuberculosis, both clinically and radiologically. However, the treatment protocol is not similar. Mycobacterium simiae is a rare cause of NTM pulmonary infection. Herein, we aimed to evaluate and compare the computed tomography (CT) scan findings of M. simiae infection in lungs. For this reason, thirty-four patients (n=34) with M. simiae lung infection were retrospectively evaluated. Diagnosis was confirmed by American Thoracic Society (ATS) guidelines and CT scans were reviewed in both lung and mediastinal windows. The average age of patients was 63±14.54 years and 52.9% were male. The majority of patients had cough (91.2%) and sputum production (76.5%). Clinically, 41.2% of patients had previous history of TB (14/34), 38.2% had cardiac diseases (13/34), and 35.3% had diabetes mellitus (12/34). The most common CT findings in our study were nodular lesions (100%) and bronchiectasis (85.29%). Regarding the severity, grade I bronchiectasis was the most prevalent. Other prominent findings were tree-in-bud sign (88.2%), consolidation (52.94%), and lobar fibrosis and volume loss (67.6%). There was no significant zonal distribution of findings. In conclusion, nodular lesions and bronchiectasis are the most frequent features in CT scan of M. simiae pulmonary infection.

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Benign Pleural Multicystic Mesothelioma: A Rare Case Report

10.21203/rs.3.rs-165790/v1 ◽

2021 ◽

Author(s):

Alireza Rezvani ◽

SeyedehMaryam Pishva ◽

Amirhossein Erfani ◽

Ahmad Monabati ◽

Bizhan Ziaian ◽

...

Keyword(s):

Case Report ◽

Chronic Cough ◽

Rare Case ◽

Pleural Mesothelioma ◽

Case Presentation ◽

Rare Case Report ◽

History Of ◽

The Right ◽

Lateral Thoracotomy ◽

Pleural Involvement

Abstract Background: Fewer than 200 benign multicystic peritoneal mesothelioma cases were reported worldwide till 2017, while its pleural involvement has rarely been reported. Case presentation: We report a 70-year-old man who presented with three months history of chronic cough. Surgical resection was performed, and the pathology confirmed benign multicystic pleural mesothelioma. The patient underwent right lateral thoracotomy, wedges resection of the right upper lobe, and parietal pleurectomy and was discharged with an uneventful postop course.Conclusion: Based on published literature to date, this is the second reported case of pleural involvement of this disease.

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COUGH AND WHEEZING

Pediatrics in Review ◽

10.1542/pir.1.8.245 ◽

1980 ◽

Vol 1 (8) ◽

pp. 245-245

Author(s):

F. STANFORD MASSIE

Keyword(s):

Direct Laryngoscopy ◽

Past History ◽

Chronically Ill ◽

Mucus Production ◽

Nasal Symptoms ◽

Sputum Production ◽

History Of

An 8-year old boy complained of coughing, sputum production, and wheezing after exercise. Symptoms had been present for 18 months. There were occasional nasal symptoms of stuffiness and itchy nose with sneezing and spells of laryngotracheobronchitis with chest congestion; these occurred months apart. Symptoms improved on Dimetapp and an antibiotic. Sputum varied from one tablespoon to one cup and occurred shortly after reclining in the evening. The sputum was clear and colorless but contained bits of food. Recent direct laryngoscopy and allergy tests were negative. There was no past history of colic, eczema, recurrent colds, or otitis. Because of chronic "mucus production" the child was seen by a second pediatric allergist, who noted "a chronically ill-appearing child with rhonchi in the chest" on one examination and a clear chest a second time; there was no increased A-P diameter or overexpansion of the chest.

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Prevalence of chronic respiratory symptoms in an urban population of North Kerala

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20191403 ◽

2019 ◽

Vol 6 (4) ◽

pp. 1670

Author(s):

Bindhu Vasudevan ◽

Silpa S.

Keyword(s):

Family History ◽

Chronic Cough ◽

Urban Population ◽

Respiratory Symptoms ◽

Respiratory Diseases ◽

High Morbidity ◽

Nasal Allergy ◽

Factors Associated ◽

History Of ◽

Study Population

Background: Chronic respiratory diseases are becoming a challenge to public health due to its high morbidity and mortality. Most of these diseases are preceded by variable periods of chronic respiratory symptoms. If chronic respiratory symptoms can be diagnosed and managed properly and timely, we can reduce the incidence and complication of chronic respiratory diseases.Methods: A community based cross sectional survey was conducted in 20 electoral wards of Calicut corporation of Northern Kerala among the adult resident population of 20-70 years to assess the prevalence of chronic respiratory symptoms such as chronic cough, phlegm, wheezing, breathlessness and nasal allergy and the factors associated with these chronic symptoms. The information was collected from 1384 eligible subjects selected by cluster sampling using British research council respiratory questionnaire.Results: About 9.2% (n=95) of study population had at-least one of the chronic respiratory symptoms. 1.8% (n=19) had all the chronic respiratory symptoms. Prevalence of various chronic respiratory symptoms was chronic cough (8.7%), Phlegm (14.3%), wheezing (8.5%), breathlessness (2.2%) and nasal allergy (14.5%). Advancing age, current smoking, family history and past history of various respiratory diseases are significantly associated with the development of chronic respiratory symptoms. Female gender, longer duration of stay in Calicut corporation and regular alcoholism were significantly associated with chronic phlegm in the study population. Wheezing, breathlessness and chronic nasal allergy was significantly higher among lower socio economic status.Conclusions: Prevalence of chronic respiratory symptoms is high among the urban population of Northern Kerala. Older age group, smoking, past and family history of respiratory diseases are the major risk factors associated with these respiratory symptoms.

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Is Laryngeal Hypersensitivity the Basis for Unexplained or Refractory Chronic Cough?

ERJ Open Research ◽

10.1183/23120541.00793-2020 ◽

2021 ◽

pp. 00793-2020

Author(s):

Krishna M. Sundar ◽

Amanda Carole Stark ◽

Nan Hu ◽

Julie Barkmeier-Kraemer

Keyword(s):

Chronic Cough ◽

Upper Airway ◽

Speech Language Pathology ◽

Appropriate Treatment ◽

Leicester Cough Questionnaire ◽

Language Pathology ◽

History Of ◽

Common Problems ◽

Over 40 Years

BackgroundRefractory chronic cough (RCC) and unexplained chronic cough (UCC) are common problems seen in primary care and subspecialty clinics. The role of cough hypersensitivity and laryngeal dysfunction in contributing to the persistence of cough in RCC/UCC is not well recognised.MethodsData of patients with RCC and UCC evaluated in 2019 by an interdisciplinary cough clinic led by a pulmonologist and speech-language pathology team was reviewed. Patients completed validated questionnaires including the Leicester cough questionnaire (LCQ), voice handicap index (VHI) and dyspnea index questionnaire (DI) at initial encounter. Presence of cough hypersensitivity was based upon a history of allotussia and hypertussia. Laryngeal dysfunction was diagnosed in those with a history of laryngeal paresthesias, throat clearing, voice abnormalities, upper airway dyspnoea and documentation of functional or anatomic laryngeal abnormalities on nasoendoscopy.FindingsOf the 60 UCC/RCC patients analysed, 75% of patients were female and 85% were over 40 years of age. Cough hypersensitivity was documented in all patients and multiple cough triggers occurred in 75% of patients. 95%, 50% and 25% of patients reported laryngeal paresthesias, voice abnormalities and upper airway dyspnoea, respectively. Significant associations between LCQ and VHI and DI scores occurred when adjusting for age, gender, ethnicity and body mass index. Laryngeal functional abnormalities were documented on 44/60 patients on nasoendoscopy.InterpretationHypertussia, allotussia and laryngeal dysfunction are common in patients with RCC and UCC. Evaluation of UCC and RCC can delineate laryngeal hypersensitivity and allows appropriate treatment to be directed at this phenotype.

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