Tuesday, September 20, 2016

My Fair Lady

My goal for the last handful of cases on this blog is to actually post a case a day; it always bothered me a little to have a blog titled "Case of the Day" that was only running twice or thrice weekly posts. This may not actually happen, but I'm trying to go out with a bang.

These CT images are from an older Caucasian woman infected with a nontuberculous mycobacterium. She has a chronic cough but no known chronic lung disease. She tries to hide her cough.

Challenge: What syndrome is this?

Image shown under Fair Use.

1 comment:

Craig Chen said...

My Fair Lady

This is Lady Windermere’s syndrome, characterized by focal bronchiectasis in both the right middle lobe and lingula. This occurs as the patient tries to suppress a chronic cough which leads to inability to clear secretions. As a result, the patient develops a nontuberculous mycobacterial infection like MAC. The name of the syndrome comes from an Oscar Wilde play “Lady Windermere’s Fan”

Sources: openi.nlm.nih.gov; cid.oxfordjournals.org.