An unusual emphysema

Published: 8 May 2015
Author(s): Massimo R. Mannarino, Francesco Di Filippo, Anna Maria Scarponi
Section: Internal Medicine Flashcard

An 87year-old woman with a history of hypertension, type 2 diabetes and post-menopausal osteoporosis presented with a 5-day history of low-grade intermittent fever, epigastric pain and shortness of breath. At admission, patient was normotensive but tachycardic (HR 106beats/min) and tachypneic (RR 26breaths/min), and oxygen saturation was 96% while she was breathing ambient air. Respiratory examination revealed decreased breath sounds in the left base with dullness on percussion; examination of heart and abdomen was unremarkable.