Simultaneous bilateral spontaneous pneumothorax in an adult patient with cystic fibrosis

Abstract

Pneumothorax is a common complication in cystic fibrosis and is associated with worsening of lung function. However, bilateral simultaneous pneumothorax in cystic fibrosis is a rare condition. We describe the case of a 17-year-old female with cystic fibrosis who presented with spontaneous pneumothorax. Clinically, she presented right-sided chest pain and progressive breathlessness. The pneumothorax failed to resolve after the initial treatment (chest drainage). However, the patient was later successfully treated with additional chest drainage and talc pleurodesis. We also discuss the etiology and management of pneumothorax in patients with cystic fibrosis, since pneumothorax is associated with increased morbidity and mortality among such patients.

Η κλινική σημασία της απομόνωσης Aspergillus fumigatus σε ασθενείς με κυστική ίνωση

“…πλήζσο εκθαλίδεηαη ζε αζζελείο ειηθίαο κεγαιχηεξεο ησλ 18 ρξφλσλ κε FEV 1 κηθξφηεξε ηνπ 40% ηεο πξνβιεπφκελεο ηηκήο.Άιινη επηβαξπληηθνί παξάγνληεο είλαη ε παξνπζία P. aeruginosa, Burkholderia cepacia θαη εηδψλ Aspergillus89 . Ζ ζεξαπεία ηνπ πλεπκνζψξαθα ζηνρεχεη ηφζν ζηελ αζθαιή θαη απνηειεζκαηηθή ιχζε ηνπ, φζν θαη ζηελ πξφιεςε ππνηξνπήο ηνπ90 . Οη κηθξνί Οη παξαξξηλνθνιπίηηδεο απνηεινχλ ηηο ζπλεζέζηεξεο θιηληθέο εθδειψζεηο απφ ην αλψηεξν αλαπλεπζηηθφ.…”