Acute Dyspnea With an Infiltrative Tracheal Mass

James Villeneuve; Rajajee Selvam; Marcio M Gomes; Carolina Souza; Paul MacPherson

doi:10.1016/j.chest.2023.10.030

Acute Dyspnea With an Infiltrative Tracheal Mass

Chest. 2024 Feb;165(2):e49-e56. doi: 10.1016/j.chest.2023.10.030.

Authors

James Villeneuve¹, Rajajee Selvam², Marcio M Gomes³, Carolina Souza⁴, Paul MacPherson⁵

Affiliations

¹ Department of Surgery, Division of Thoracic Surgery, The Ottawa Hospital, Ottawa, ON, Canada.
² Department of Surgery, Division of Thoracic Surgery, The Ottawa Hospital, Ottawa, ON, Canada. Electronic address: rselvam@toh.ca.
³ Department of Pathology and Laboratory Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada.
⁴ Department of Medical Imaging, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada; Department of Medicine, Division of Respirology, The Ottawa Hospital, Ottawa, ON, Canada.
⁵ Department of Medicine, Division of Infectious Diseases, The Ottawa Hospital, Ottawa, ON, Canada.

PMID: 38336444
DOI: 10.1016/j.chest.2023.10.030

Abstract

A 48-year-old woman presented to the ED with a nonproductive cough, shortness of breath, and stridor. She was otherwise healthy and had never used tobacco. The patient was mildly tachycardic but otherwise hemodynamically stable, afebrile, and saturating well on room air. She did not display any signs of increased work of breathing at rest. Although auscultation of her thorax indicated good air entry bilaterally without any adventitious sounds, stridor was elicited with forced expiration.

Keywords: blastomycosis; pulmonary infection; tracheal mass.

Publication types

Case Reports

MeSH terms

Cough / diagnosis
Cough / etiology
Dyspnea* / diagnosis
Dyspnea* / etiology
Female
Humans
Middle Aged
Respiratory Sounds* / etiology