Buckley Sophie, O'Reilly Emily, Doyle Deirdre, Murphy Desmond
The Department of Respiratory Medicine, Cork University Hospital, Wilton, Cork, T12 DC4A, Ireland.
The Department of Radiology, Cork University Hospital, Wilton, Cork, T12 DC4A, Ireland.
Respir Med Case Rep. 2024 Mar 7;48:101999. doi: 10.1016/j.rmcr.2024.101999. eCollection 2024.
We describe the case of a young male, with no significant medical history, who presented to the Emergency Department (ED) with severe respiratory compromise. He suffered a respiratory arrest shortly after presentation. An initial chest x-ray performed post intubation revealed bilateral pneumothoraces with evidence of abnormal underlying lungs. Through a series of investigations, he was diagnosed with Pulmonary Langerhans Cell Histocystosis. In this article, we outline the initial presentation, subsequent acute management and the clinical course pertaining to this man's presentation. We believe this is the first reported presentation of bilateral simultaneous pneumothoraces, with previously unknown Pulmonary Langerhans Cell histiocytosis (PLCH).
我们描述了一名无重大病史的年轻男性病例，该患者因严重呼吸功能不全被送至急诊科（ED）。就诊后不久即发生呼吸骤停。插管后最初的胸部X线检查显示双侧气胸，且有潜在肺部异常的迹象。通过一系列检查，他被诊断为肺朗格汉斯细胞组织细胞增多症。在本文中，我们概述了该患者的初始表现、后续的急性处理以及临床病程。我们认为这是首例报道的双侧同时发生气胸且伴有此前未知的肺朗格汉斯细胞组织细胞增多症（PLCH）的病例。
