• Chest · Apr 2023

    Case Reports

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

    • M Ferioli, M Ferrari, T Galasso, F Natali, G P Bandelli, and P Candoli.
    • 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: martina.ferioli@gmail.com.
    • Chest. 2023 Apr 1; 163 (4): e163e166e163-e166.

    AbstractA 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).Copyright © 2022 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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