Extensive endobronchial calcification contributing to hypoxia in a quadriplegic patient.

摘要

We report a rare case of a quadriplegic patient in whom the entire bronchial tree of the lower right lobe was completely occluded by calcium deposit. A 30-yr-old patient presented with hyperthermia, dyspnea, and severe hypoxia. He had been quadriplegic following spinal trauma to C4-6 nine years previously, experienced recurrent pulmonary infections and episodes of hemoptysis, and still needed a tracheostomy to remove bronchial secretions. Mechanical ventilation and antibiotics were started (levofloxacin at first empirically, later substituted for with linezolid after isolation of methicillin-resistant Staphylococcus aureus). Tho-