A case of severe COPD associated with tracheo-bronchial stenosis, treated with non-invasive positive pressure ventilation

A 76-year-old man was admitted with acute exacerbation of COPD. He was administered bronchodilators, antibiotics and oral corticosteroids. Although his cough, sputum, fever and the laboratory data improved. wheezing and dyspnea remained. The chest CT revealed severe stenosis of the trachea and both...

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Bibliographic Details
Published in:	Nihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society Vol. 46; no. 11; p. 915
Main Authors:	Tamura, Yoshio, Sakatani, Kazuyo, Yamakoshi, Nobutaka, Terada, Haruko, Honda, Hidehiro, Komori, Chika, Kuhara, Hanako, Morishita, Naoko, Shishido, Katsuko, Matsuoka, Hiroto, Shishido, Naohiko, Ishihara, Hideki
Format:	Journal Article
Language:	Japanese
Published:	Japan 01-11-2008
Subjects:	Aged Bronchial Diseases - complications Bronchial Diseases - therapy Constriction, Pathologic - therapy Humans Male Positive-Pressure Respiration Pulmonary Disease, Chronic Obstructive - complications Tracheal Stenosis - complications Tracheal Stenosis - therapy
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Summary:	A 76-year-old man was admitted with acute exacerbation of COPD. He was administered bronchodilators, antibiotics and oral corticosteroids. Although his cough, sputum, fever and the laboratory data improved. wheezing and dyspnea remained. The chest CT revealed severe stenosis of the trachea and both main bronchi, which was thought to be the cause of the symptoms, and similar to the condition of "excessive dynamic airway collapse (EDAC)". We treated him with NPPV and his symptoms improved and he returned home. "EDAC"-like tracheobronchial stenosis with COPD treated with NPPV is rare.
ISSN:	1343-3490