• BMJ case reports · Jan 2014

    Case Reports

    All that wheezes is not asthma.

    • Parvaiz A Koul, Umar H Khan, Tajamul Hussain Shah, and Abdul Majid Dar.
    • Department of Internal & Pulmonary Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.
    • BMJ Case Rep. 2014 Jan 1;2014.

    AbstractA young woman was admitted with respiratory failure. Prior to her admission, she had been treated for clinical bronchial asthma for about 2 years for recurrent wheezing. Endotracheal intubation was difficult. A fibroptic bronchoscopy, while the patient was ventilated, revealed a central tracheal tumour compromising >90% of the tracheal lumen. The tumour was cored out during rigid bronchoscopy while ventilating the patient through tracheostomy. Histopathology of the tumour was suggestive of adenoid cystic carcinoma.

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