A 60-Year-Old Man With a Migratory Lobar Consolidation After Invasive Ventilation

M Ferioli; M Ferrari; T Galasso; F Natali; G P Bandelli; P Candoli

doi:10.1016/j.chest.2022.11.012

A 60-Year-Old Man With a Migratory Lobar Consolidation After Invasive Ventilation

Chest. 2023 Apr;163(4):e163-e166. doi: 10.1016/j.chest.2022.11.012.

Authors

M Ferioli¹, M Ferrari², T Galasso², F Natali², G P Bandelli², P Candoli²

Affiliations

¹ Respiratory and Critical Care Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy; Alma Mater Studiorum University of Bologna, Department of Clinical, Integrated and Experimental Medicine (DIMES), Bologna, Italy. Electronic address: [email protected].
² Interventional Pulmonology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

PMID: 37031987
DOI: 10.1016/j.chest.2022.11.012

Abstract

A 60-year-old man was referred to a pulmonologist evaluation with persistent dyspnea and cough 1 month after discharge for an acute respiratory failure caused by Legionella pneumophila pneumonia, which required invasive mechanical ventilation. Chest CT scan performed during hospitalization showed lobar consolidation of upper left lobe (Fig 1A). Bronchial culture revealed L pneumophila; the patient was treated with levofloxacin and supported with invasive mechanical ventilation for 2 weeks. Chest radiograph after extubation showed almost complete resolution of infiltrates. After 1 month, the patient still complained of dyspnea and a new chest CT scan was performed: the consolidation migrated (Fig 1B; Video 1).

Publication types

Case Reports

MeSH terms

Dyspnea
Humans
Legionella pneumophila*
Legionnaires' Disease*
Lung
Male
Middle Aged
Noninvasive Ventilation*