Colobronchial fistula: a rare cause of non-resolving pneumonia in Crohn’s disease
We discuss the case of a 44-year-old man with a refractory left lower lobe pneumonia progressing to a pulmonary abscess caused by a colobronchial fistula, a rare complication of underlying Crohn’s disease. The patient presented with weight loss and signs of a pulmonary consolidation, which responded...
Gespeichert in:
| Veröffentlicht in: | BMJ case reports 2018-08, Vol.2018, p.bcr-2018-224408 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | |
| container_start_page | bcr-2018-224408 |
| container_title | BMJ case reports |
| container_volume | 2018 |
| creator | El-Hag, Karim Renzulli, Pietro Franzen, Daniel Kohler, Malcolm |
| description | We discuss the case of a 44-year-old man with a refractory left lower lobe pneumonia progressing to a pulmonary abscess caused by a colobronchial fistula, a rare complication of underlying Crohn’s disease. The patient presented with weight loss and signs of a pulmonary consolidation, which responded incompletely to the targeted antibiotic treatment. The causative colobronchial fistula was demonstrated by CT-guided puncture and retrograde injection of contrast medium. After fistula excision, the patient recovered rapidly with a weight gain of 4 kg within a few weeks. |
| doi_str_mv | 10.1136/bcr-2018-224408 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6109725</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2091816632</sourcerecordid><originalsourceid>FETCH-LOGICAL-b4378-42e1a7ed1c4f05e78f7a0fb176ef73785c3e64d66158e6ef96d2223587e1b2963</originalsourceid><addsrcrecordid>eNqFkUFLHDEUx4MoVazn3iTgRYSpeclMkvFQkMVqQfDQFnoLmZk3bpaZZE12Frz5Nfx6fpLGrhXtpbm8R94vf_L4EfIJ2GcAIU-bNhacgS44L0umt8geqEoVqma_tt_0u-QgpQXLR0CpS_GB7AoGuQfYI99nYQhNDL6dOzvQ3qXVNNgzamm0EWlrp4Q09NQHX0RMYVg7f0uXHqcxeGep83QWw9w_PTwm2rmENuFHstPbIeHBS90nP79e_JhdFdc3l99m59dFUwqli5IjWIUdtGXPKlS6V5b1DSiJvcpA1QqUZSclVBrzXS07zrmotEJoeC3FPvmyyV1OzYhdi34V7WCW0Y023ptgnXk_8W5ubsPaSGC14lUOOH4JiOFuwrQyo0stDoP1GKZkOKtBg5SCZ_ToH3QRpujzen8oxmquVaZON1QbQ0oR-9fPADPPzkx2Zp6dmY2z_OLw7Q6v_F9DGTjZAM24-G_ab-0Yn_Y</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2091009287</pqid></control><display><type>article</type><title>Colobronchial fistula: a rare cause of non-resolving pneumonia in Crohn’s disease</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>El-Hag, Karim ; Renzulli, Pietro ; Franzen, Daniel ; Kohler, Malcolm</creator><creatorcontrib>El-Hag, Karim ; Renzulli, Pietro ; Franzen, Daniel ; Kohler, Malcolm</creatorcontrib><description>We discuss the case of a 44-year-old man with a refractory left lower lobe pneumonia progressing to a pulmonary abscess caused by a colobronchial fistula, a rare complication of underlying Crohn’s disease. The patient presented with weight loss and signs of a pulmonary consolidation, which responded incompletely to the targeted antibiotic treatment. The causative colobronchial fistula was demonstrated by CT-guided puncture and retrograde injection of contrast medium. After fistula excision, the patient recovered rapidly with a weight gain of 4 kg within a few weeks.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2018-224408</identifier><identifier>PMID: 30131411</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Abscesses ; Adult ; Antibiotics ; Bronchial Fistula - complications ; Case reports ; Catheters ; Colonic Diseases - complications ; Consolidation ; Crohn Disease - complications ; Crohn's disease ; Drug dosages ; Family medical history ; Fistula ; Gastroenterology ; Humans ; Inflammatory bowel disease ; Intestinal Fistula - complications ; Lung Abscess - etiology ; Male ; Pneumonia ; Pneumonia - etiology ; Systematic review ; Unusual Presentation of More Common Disease/Injury</subject><ispartof>BMJ case reports, 2018-08, Vol.2018, p.bcr-2018-224408</ispartof><rights>BMJ Publishing Group Limited 2018. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2018 BMJ Publishing Group Limited 2018. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2018. No commercial re-use. See rights and permissions. Published by BMJ. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b4378-42e1a7ed1c4f05e78f7a0fb176ef73785c3e64d66158e6ef96d2223587e1b2963</citedby><cites>FETCH-LOGICAL-b4378-42e1a7ed1c4f05e78f7a0fb176ef73785c3e64d66158e6ef96d2223587e1b2963</cites><orcidid>0000-0002-0716-6498</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109725/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109725/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30131411$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>El-Hag, Karim</creatorcontrib><creatorcontrib>Renzulli, Pietro</creatorcontrib><creatorcontrib>Franzen, Daniel</creatorcontrib><creatorcontrib>Kohler, Malcolm</creatorcontrib><title>Colobronchial fistula: a rare cause of non-resolving pneumonia in Crohn’s disease</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>We discuss the case of a 44-year-old man with a refractory left lower lobe pneumonia progressing to a pulmonary abscess caused by a colobronchial fistula, a rare complication of underlying Crohn’s disease. The patient presented with weight loss and signs of a pulmonary consolidation, which responded incompletely to the targeted antibiotic treatment. The causative colobronchial fistula was demonstrated by CT-guided puncture and retrograde injection of contrast medium. After fistula excision, the patient recovered rapidly with a weight gain of 4 kg within a few weeks.</description><subject>Abscesses</subject><subject>Adult</subject><subject>Antibiotics</subject><subject>Bronchial Fistula - complications</subject><subject>Case reports</subject><subject>Catheters</subject><subject>Colonic Diseases - complications</subject><subject>Consolidation</subject><subject>Crohn Disease - complications</subject><subject>Crohn's disease</subject><subject>Drug dosages</subject><subject>Family medical history</subject><subject>Fistula</subject><subject>Gastroenterology</subject><subject>Humans</subject><subject>Inflammatory bowel disease</subject><subject>Intestinal Fistula - complications</subject><subject>Lung Abscess - etiology</subject><subject>Male</subject><subject>Pneumonia</subject><subject>Pneumonia - etiology</subject><subject>Systematic review</subject><subject>Unusual Presentation of More Common Disease/Injury</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkUFLHDEUx4MoVazn3iTgRYSpeclMkvFQkMVqQfDQFnoLmZk3bpaZZE12Frz5Nfx6fpLGrhXtpbm8R94vf_L4EfIJ2GcAIU-bNhacgS44L0umt8geqEoVqma_tt_0u-QgpQXLR0CpS_GB7AoGuQfYI99nYQhNDL6dOzvQ3qXVNNgzamm0EWlrp4Q09NQHX0RMYVg7f0uXHqcxeGep83QWw9w_PTwm2rmENuFHstPbIeHBS90nP79e_JhdFdc3l99m59dFUwqli5IjWIUdtGXPKlS6V5b1DSiJvcpA1QqUZSclVBrzXS07zrmotEJoeC3FPvmyyV1OzYhdi34V7WCW0Y023ptgnXk_8W5ubsPaSGC14lUOOH4JiOFuwrQyo0stDoP1GKZkOKtBg5SCZ_ToH3QRpujzen8oxmquVaZON1QbQ0oR-9fPADPPzkx2Zp6dmY2z_OLw7Q6v_F9DGTjZAM24-G_ab-0Yn_Y</recordid><startdate>20180820</startdate><enddate>20180820</enddate><creator>El-Hag, Karim</creator><creator>Renzulli, Pietro</creator><creator>Franzen, Daniel</creator><creator>Kohler, Malcolm</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0716-6498</orcidid></search><sort><creationdate>20180820</creationdate><title>Colobronchial fistula: a rare cause of non-resolving pneumonia in Crohn’s disease</title><author>El-Hag, Karim ; Renzulli, Pietro ; Franzen, Daniel ; Kohler, Malcolm</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b4378-42e1a7ed1c4f05e78f7a0fb176ef73785c3e64d66158e6ef96d2223587e1b2963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Abscesses</topic><topic>Adult</topic><topic>Antibiotics</topic><topic>Bronchial Fistula - complications</topic><topic>Case reports</topic><topic>Catheters</topic><topic>Colonic Diseases - complications</topic><topic>Consolidation</topic><topic>Crohn Disease - complications</topic><topic>Crohn's disease</topic><topic>Drug dosages</topic><topic>Family medical history</topic><topic>Fistula</topic><topic>Gastroenterology</topic><topic>Humans</topic><topic>Inflammatory bowel disease</topic><topic>Intestinal Fistula - complications</topic><topic>Lung Abscess - etiology</topic><topic>Male</topic><topic>Pneumonia</topic><topic>Pneumonia - etiology</topic><topic>Systematic review</topic><topic>Unusual Presentation of More Common Disease/Injury</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>El-Hag, Karim</creatorcontrib><creatorcontrib>Renzulli, Pietro</creatorcontrib><creatorcontrib>Franzen, Daniel</creatorcontrib><creatorcontrib>Kohler, Malcolm</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>El-Hag, Karim</au><au>Renzulli, Pietro</au><au>Franzen, Daniel</au><au>Kohler, Malcolm</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Colobronchial fistula: a rare cause of non-resolving pneumonia in Crohn’s disease</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2018-08-20</date><risdate>2018</risdate><volume>2018</volume><spage>bcr-2018-224408</spage><pages>bcr-2018-224408-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>We discuss the case of a 44-year-old man with a refractory left lower lobe pneumonia progressing to a pulmonary abscess caused by a colobronchial fistula, a rare complication of underlying Crohn’s disease. The patient presented with weight loss and signs of a pulmonary consolidation, which responded incompletely to the targeted antibiotic treatment. The causative colobronchial fistula was demonstrated by CT-guided puncture and retrograde injection of contrast medium. After fistula excision, the patient recovered rapidly with a weight gain of 4 kg within a few weeks.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>30131411</pmid><doi>10.1136/bcr-2018-224408</doi><orcidid>https://orcid.org/0000-0002-0716-6498</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1757-790X |
| ispartof | BMJ case reports, 2018-08, Vol.2018, p.bcr-2018-224408 |
| issn | 1757-790X 1757-790X |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6109725 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Abscesses Adult Antibiotics Bronchial Fistula - complications Case reports Catheters Colonic Diseases - complications Consolidation Crohn Disease - complications Crohn's disease Drug dosages Family medical history Fistula Gastroenterology Humans Inflammatory bowel disease Intestinal Fistula - complications Lung Abscess - etiology Male Pneumonia Pneumonia - etiology Systematic review Unusual Presentation of More Common Disease/Injury |
| title | Colobronchial fistula: a rare cause of non-resolving pneumonia in Crohn’s disease |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T17%3A23%3A40IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Colobronchial%20fistula:%20a%20rare%20cause%20of%20non-resolving%20pneumonia%20in%20Crohn%E2%80%99s%20disease&rft.jtitle=BMJ%20case%20reports&rft.au=El-Hag,%20Karim&rft.date=2018-08-20&rft.volume=2018&rft.spage=bcr-2018-224408&rft.pages=bcr-2018-224408-&rft.issn=1757-790X&rft.eissn=1757-790X&rft_id=info:doi/10.1136/bcr-2018-224408&rft_dat=%3Cproquest_pubme%3E2091816632%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2091009287&rft_id=info:pmid/30131411&rfr_iscdi=true |