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Pancoast's syndrome due to chronic pneumonia by Pasteurella multocida
1Dept of Respiratory Medicine, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain.
The European Respiratory Journal
|March 11, 1998
Summary
Infectious Pancoast's syndrome is rare. A case of Pasteurella multocida pneumonia successfully treated with cefuroxime-axetil highlights this unusual cause.
Area of Science:
- Pulmonology
- Infectious Diseases
- Medical Case Reports
Background:
- Pancoast's syndrome, a condition affecting the superior sulcus of the lung, is typically associated with malignant neoplasms.
- Infectious etiologies of Pancoast's syndrome are exceptionally uncommon.
- This report focuses on a rare case presenting with infectious Pancoast's syndrome.
Observation:
- A patient presented with symptoms consistent with Pancoast's syndrome.
- The patient had no history of immunosuppression or animal contact.
- Chronic pneumonia caused by Pasteurella multocida was identified as the underlying cause.
Findings:
- Transthoracic needle aspiration confirmed Pasteurella multocida pneumonia.
- The patient received cefuroxime-axetil for treatment.
- Therapy resulted in complete resolution of Pancoast's syndrome symptoms.
Implications:
- This case expands the differential diagnosis for Pancoast's syndrome to include infectious causes.
- Pasteurella multocida should be considered in the evaluation of non-resolving pneumonia, especially in the context of Pancoast's syndrome.
- Prompt diagnosis and appropriate antibiotic therapy can lead to favorable outcomes.