Cavitary Pulmonary Infarction Mimicking Koch’s Disease
Open Access
- 1 January 2022
- journal article
- research article
- Published by Scientific Research Publishing, Inc. in Open Journal of Clinical Diagnostics
- Vol. 12 (01), 11-18
- https://doi.org/10.4236/ojcd.2022.121002
Abstract
Pulmonary infarction (PI), defined as localized destruction (necrosis) of lung tissue due to obstruction of the arterial blood supply by an embolus, is a rare condition because of the dual blood supply of the lungs. It occurs more in elderly patients who typically have associated co-morbidities, such as chronic heart and lung disease, which affect blood circulation. Pulmonary infarction may present with chest pain, fast breathing, blood tinged cough and fever, resembling more common conditions such as bacterial pneumonia and tuberculosis. High index of suspicion is required for early diagnosis of this condition as mortality from this condition can be as high as 70%. We present a case of cavitary pulmonary infarction in a middle-aged female with no major risk factors for pulmonary embolism who was initially managed as a case of pulmonary tuberculosis. The clinical presentation, pathogenesis, imaging findings and management of PI have also been discussed. The purpose of this report is to increase the awareness of this less common condition among clinicians and highlight the radiologic differences between PI and the more common inflammatory diseases of the lung.Keywords
This publication has 15 references indexed in Scilit:
- Radiology Review ManualNuclear Medicine Communications, 2011
- The Reversed Halo Sign on High-Resolution CT in Infectious and Noninfectious Pulmonary DiseasesAmerican Journal of Roentgenology, 2011
- Difficulties in establishing a timely diagnosis of pulmonary artery sarcoma misdiagnosed as chronic thrombo-embolic pulmonary disease: a case reportJournal of Medical Case Reports, 2009
- Diagnostic Pathways in Acute Pulmonary Embolism: Recommendations of the PIOPED II InvestigatorsRadiology, 2007
- Helical CT for the Evaluation of Acute Pulmonary EmbolismAmerican Journal of Roentgenology, 2005
- Pulmonary Resection for Treatment of Cavitary Pulmonary InfarctionThe Annals of Thoracic Surgery, 1997
- Cavitary Pulmonary Infarct in Immunocompromised HostsMayo Clinic Proceedings, 1995
- The radiology of aseptic cavitation in pulmonary infarctionClinical Radiology, 1986
- Pulmonary Cavitation Following Pulmonary InfarctionMedicine, 1985
- Bacterial Pneumonia or Pulmonary Infarction?Diseases of the Chest, 1969