Presentation
[…] symptom of broncholithiasis is nonproductive cough although fever, hemoptysis, localized wheezing, chest pain, and lithoptysis (stone expectoration) can also be present. [journals.lww.com]
We herein present three cases of broncholithiasis experienced in the past 11 years in Chang Gung Memorial Hospital. The presenting manifestations are obstructive pneumonia in two cases, and hemoptysis in the other one. [ncbi.nlm.nih.gov]
According to the 15-case series studied by Conces et al. 9, lithoptysis is not frequent, but the present authors' patient presented recurrent lithoptysis with expectoration of multiple broncholiths. [erj.ersjournals.com]
Entire Body System
- Soft Tissue Mass
An associated soft-tissue mass was not seen in any case. Difficulty in determining the relationship between lymph node and bronchus is due to volume averaging, which can be decreased by scanning thinner sections. [ajronline.org]
B, Chest computed tomography showed a small soft tissue with peripheral calcification in the right upper lobe bronchus (arrow). C, Bronchoscopy revealed an easily movable yellow mass in the right upper lobe bronchus. [journals.lww.com]
tissue mass Atelectasis is the most common parenchymal finding Mucoid impaction Post-obstructive infection may result Bronchiectasis Expiratory air-trapping is uncommon Differential Diagnosis Carcinoid tumor Calcification in a fungus ball Hamartomas [learningradiology.com]
- Malnutrition
Support System The patient’s age and diabetes mellitus status put her at risk for what is known as geriatric syndrome, which comprises functional disabilities, depression, falls, urinary incontinence, malnutrition, and cognitive impairment. [clinicalgate.com]
Respiratoric
- Cough
Reference article, Radiopaedia.org (Accessed on 28 Nov 2022) https://doi.org/10.53347/rID-24032 Broncholithiasis (singular broncholith) is a term given for the presence of calcified or ossified material within the lumen of the bronchus. dry cough hemoptysis [radiopaedia.org]
Patients with broncholiths might remain asymptomatic or develop a variety of pulmonary symptom including cough, dyspnea, chest pain, and hemoptysis. [journals.lww.com]
Case: A 60-yr. female non-smoker presented with abrupt onset, episodic, severe cough precipitated by drinking fluids. Ingestion of liquids resulted in immediate cough and expectoration of swallowed liquid. [nature.com]
Symptoms of broncholithiasis include cough, recurrent episodes of fever, haemoptysis, and purulent sputum. The most common cause of broncholithiasis is Mycobacterium tuberculosis (M. tuberculosis). [ncbi.nlm.nih.gov]
- Dry Cough
Reference article, Radiopaedia.org (Accessed on 28 Nov 2022) https://doi.org/10.53347/rID-24032 Broncholithiasis (singular broncholith) is a term given for the presence of calcified or ossified material within the lumen of the bronchus. dry cough hemoptysis [radiopaedia.org]
The main symptom is a dry cough with eventual expectoration. Haemoptysis may vary from mild to severe. Fever and chills are often related to infectious complications. Wheezing may occasionally occur due to mechanical obstruction of the airways. [erj.ersjournals.com]
She had a dry cough and chest pain for 2 months before this episode. [academic.oup.com]
- Pursed-Lip Breathing
lip breathing, rhonchi, wheezing, tympani to percussion, distant heart sounds Acute exacerbation of chronic bronchitis, primary lung cancer, pneumonia Gingival thickening, mulberry gingivitis, saddle nose, nasal septum perforation Wegener’s granulomatosis [aafp.org]
Workup
[…] on a compatible clinical history of chronic respiratory symptoms, such as a daily cough and viscid sputum production (see Clinical), and characteristic radiographic findings on CT scans, such as bronchial wall thickening and luminal dilatation (see Workup [emedicine.medscape.com]
X-Ray
- Pulmonary Infiltrate
Generally, ABPA is clinically characterized by poorly controlled asthma, recurrent pulmonary infiltration, and bronchiectasis. [e-sciencecentral.org]
Pulmonary infiltrates, when coupled with eosinophilia in an asthmatic subject, have raised an initial suspicion of some kind of eosinophilic lung disease such as ABPA, chronic eosinophilic pneumonia, or Churg-Strauss syndrome ( 7 ). [synapse.koreamed.org]
[…] immune disorder caused by hypersensitivity to Aspergillus fumigatus, presenting with poorly controlled asthma, fleeting pulmonary infiltrates, and central bronchiectasis. [ijccm.org]
Other Pathologies
- Amyloid Plaque
It shows localized or diffuse involvement of the tracheobronchial tree with submucosal deposition of amyloid plaques or nodules. [pubs.rsna.org]
Treatment
Bronchoscopy can be diagnostic and sometimes provide a definitive treatment in uncomplicated cases with easily movable broncholiths. [journals.lww.com]
The aim of this study was to evaluate the imaging diagnosis and surgical treatment of broncholithiasis. [ncbi.nlm.nih.gov]
Treatment involved retrieval of the obstructing stone, debridement and drainage of the pleuroperitoneal phlegmon/abscess, and intravenous antibiotics. [scholars.northwestern.edu]
Prognosis
Treatment and prognosis In some cases they may be left alone while in other cases, they can be removed safely by rigid bronchoscopy with the aid of Nd-YAG laser photocoagulation 9. [radiopaedia.org]
The prognosis of these patients is generally excellent; however, a significant number require surgery because of persistent symptoms or a complication of the disease. [ncbi.nlm.nih.gov]
The prognosis of broncholithiasis is usually favourable and its treatment is restricted to clinical follow-up. Some invasive procedures may be necessary, depending on location, size and associated complications. [erj.ersjournals.com]
Etiology
Etiology Histoplasmosis (see [[Histoplasmosis]]) Most common cause in US Usually calcified node eroding into airway Tuberculosis (see [[Tuberculosis]]) Usually calcified node eroding into airway Coccidioidomycosis (see [[Coccidioidomycosis]]) Usually [mdnxs.com]
Demonstrated here and three such cases of "recurrent hemoptysis of unknown etiology,". The broncholith in each case was clearly demonstrated only by the thoracic computed tomography (CT). [ncbi.nlm.nih.gov]
The etiology ofbroncholithiasis is discussed, with particular emphasis on the relationship between the organisms identified. [kundoc.com]
In 7 patients, the sequelae of prior tuberculous lymphadenitis was considered as an etiology of broncholithiasis. [inis.iaea.org]
Epidemiology
Chapter 8 Pulmonary Infectious Complications of Tumor Necrosis Factor Blockade 681 Chapter 9 The Convergence of the Global Smoking COPD Tuberculosis HIV and Respiratory Infection Epidemics 693 Epidemiology and Management Challenges 705 An Emerging and [books.google.com]
Epidemiology Currently no systematic data are available on the incidence or prevalence of bronchiectasis. [emedicine.medscape.com]
Pathophysiology
Causes Pulmonary Tuberculosis Histoplasmosis Silicosis Pathophysiology Broncholith perforates Calcified lymph node or granuloma Perforation extends from hilar region into Bronchi Symptoms Sudden onset cough Hemoptysis (may be massive) Signs Hemoptysis [fpnotebook.com]
The pathophysiology of this condition is still unknown, but we think that it is related to prolong tracheostomy. We recommend performing chest radiography in all cases of tracheostomy obstruction. [ejo.eg.net]
Staging of Alberto de Hoyos 2177 Less Common Malignant Tumors of the Diagnostic Investigation of Mediastinal 2195 The Use of Prosthetic Grafts to Replace 195 Poorly Differentiated Carcinoma of the Mediastinum 2411 2261 Benign and Malignant Neurogenic 2415 Pathophysiology [books.google.de]
Clinical, pathophysiologic, and microbiologic characterization of bronchiectasis in an aging cohort. Chest. 1995 Oct. 108(4):955-61. [Medline]. Seitz AE, Olivier KN, Steiner CA, et al. [emedicine.medscape.com]
Prevention
Early diagnosis and treatment will prevent the severe complications that can occur from continued observation. [ncbi.nlm.nih.gov]
[…] force to remove • 80% require surgery: Bronchotomy and stone extraction or segmentectomy/ lobectomy • Unable to remove via bronchoscopy (80% of cases) • Tracheoesophageal fistulas: Repair with intercostals muscle flap between airway and esophagus to prevent [accesssurgery.mhmedical.com]
Tissue interposition during surgical closure prevents recurrence. [nature.com]
Guidelines for the management of adults with community-acquired pneumonia: diagnosis, assessment of severity, antimicrobial therapy, and prevention. Am J Respir Crit Care Med 2001;163:1730-54. [books.google.de]
Preventing bronchiolitis It's very difficult to prevent bronchiolitis, but there are steps you can take to reduce your child's risk of catching it and help prevent the virus spreading. [nhs.uk]