Crohn's Disease Associated with Colo-Bronchial Fistula

Akihiko MERA; Mineharu SUGIMOTO; Koichiro FUKUDA; Fujiho TANAKA; Fumiya IMAMURA; Masakazu MATSUDA; Masayuki ANDO; Kiyoshi SHIMA

doi:10.2169/internalmedicine.35.957

Akihiko MERA, Mineharu SUGIMOTO, Koichiro FUKUDA, Fujiho TANAKA, Fumiya IMAMURA, Masakazu MATSUDA, Masayuki ANDO, Kiyoshi SHIMA

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Keywords: pneumonia, acute respiratory distress syndrome, colo-jejunal fistula, colo-cutaneous fistula

JOURNAL FREE ACCESS

1996 Volume 35 Issue 12 Pages 957-960

DOI https://doi.org/10.2169/internalmedicine.35.957

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Abstract

An 18-year-old female patient with Crohn's disease presented with left lower lobe pneumonia and pleural effusion which were resistant to treatment with antibiotics. Colo-bronchial fistula had not been recognized until she coughed up yellow sputa with feculent odor and developed acute respiratory distress syndrome. This type of fistula is a rare complication of Crohn's disease, but the present case certainly alerts physicians to search for a fistula between the bronchus and gastrointestinal tract when encountering patients with Crohn's disease accompanied by antibiotic-resistant chronic pneumonia.
(Internal Medicine 35: 957-960, 1996)

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