Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Hemorrhaging from an Intramedullary Cavernous Malformation Diagnosed due to Recurrent Pneumonia and Diffuse Aspiration Bronchiolitis
Yuki YoshimatsuKazunori TobinoTakafumi KawabataNaoki NoguchiRyo SatoDaisuke MotomuraTakuto SueyasuKohei YoshimineSaori NishizawaYoshihiro Natori
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JOURNALS OPEN ACCESS Advance online publication

Article ID: 5752-20

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Abstract

While aspiration pneumonia constitutes the majority of pneumonia cases in the elderly, it remains highly underdiagnosed. We experienced a case of recurrent pneumonia and chronic cough that was later diagnosed as aspiration pneumonia and diffuse aspiration bronchiolitis (DAB) due to recurrent hemorrhaging from an intramedullary cavernous malformation. The patient was finally diagnosed when life-threatening respiratory depression caused emergency attention. This is the first report of hemorrhaging from an intramedullary cavernous malformation diagnosed due to aspiration pneumonia and DAB. These findings highlight the importance of considering aspiration in cases with recurrent pneumonia or chronic chough. The underlying cause may be a life-threatening condition.

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© 2021 by The Japanese Society of Internal Medicine
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