Case Report

Volume: 5 | Issue: 2 | Published: Feb 19, 2021 | Pages: 39 - 42 | DOI: 10.24911/ejmcr/173-1587546527

A CT emphysema pattern in a non-smoker classical guitar teacher


Authors: Claudia Roncella , Paolo Busatto , Greta Ali , Giulio Rossi , Annalisa De Liperi , Sara Fiorini , Laura Tavanti , Chiara Romei


Article Info

Authors

Claudia Roncella

Pisa University Hospital, Dipartimento Diagnostica per Immagini, UO Radiodiagnostica 1, Pisa, Italy

Paolo Busatto

San Luca of Lucca Hospital, Pneumologia Lucca, Italy

Greta Ali

Pisa University Hospital, Dipartimento di Patologia Chirurgica, Medica, Molecolare e dell’Area Critica, Anatomia Patologica III, Pisa, Italy

Giulio Rossi

Hospital District Ravenna, Dipartimento Anatomia Patologica, Medicina Trasfusionale e di Laboratorio, Unità di Anatomia Patologica, Ravenna, Italy

Annalisa De Liperi

Pisa University Hospital, Dipartimento Diagnostica per Immagini, UO Radiodiagnostica 2, Pisa, Italy

Sara Fiorini

Pisa University Hospital, Dipartimento Diagnostica per Immagini, UO Radiodiagnostica 1, Pisa, Italy

Laura Tavanti

Pisa University Hospital, Dipartimento Cardio-toracovascolare, UO Pneumologia Universitaria, Pisa, Italy

Chiara Romei

Pisa University Hospital, Dipartimento Diagnostica per Immagini, UO Radiodiagnostica 2, Pisa, Italy

Publication History

Received: May 05, 2020

Revised: September 29, 2020

Accepted: October 21, 2020

Published: February 19, 2021


Abstract


Background: Hypersensitivity pneumonitis (HP) is a complex syndrome due to an inflammatory response of the lungs to many aerosolized antigens. HP can be divided into acute, subacute, and chronic phenotypes, which frequently overlap. Case presentation: We describe the case of a non-smoker man admitted to the hospital for flu-like symptoms who presented emphysema as an evolution of HP. The diagnosis of HP was proposed by a multidisciplinary team based on the clinical/functional data and CT findings; two chest CTs were compared: a CT was performed during the hospitalization of the patient and a CT had been performed 5 years before. The diagnosis was confirmed through a lung biopsy. Examining the patient history, a domestic exposition to pigeons and poultry was revealed. Conclusion: HP can lead to emphysema instead of fibrosis. This atypical evolution of HP should be known by clinicians and radiologists in order to suspect it and promptly start the correct diagnostic workup.

Keywords: Hypersensitivity pneumonitis, pulmonary emphysema, multidisciplinary group of interstitial lung disease consult, high-resolution computed tomography, surgical lung biopsy, green


Pubmed Style

Claudia Roncella, Paolo Busatto, Greta Ali, Giulio Rossi, Annalisa De Liperi, Sara Fiorini, Laura Tavanti, Chiara Romei. A CT emphysema pattern in a non-smoker classical guitar teacher. EJMCR. 2021; 19 (February 2021): 39-42. doi:10.24911/ejmcr/173-1587546527

Web Style

Claudia Roncella, Paolo Busatto, Greta Ali, Giulio Rossi, Annalisa De Liperi, Sara Fiorini, Laura Tavanti, Chiara Romei. A CT emphysema pattern in a non-smoker classical guitar teacher. https://ejmcr.com/articles/1330 [Access: December 26, 2024]. doi:10.24911/ejmcr/173-1587546527

AMA (American Medical Association) Style

Claudia Roncella, Paolo Busatto, Greta Ali, Giulio Rossi, Annalisa De Liperi, Sara Fiorini, Laura Tavanti, Chiara Romei. A CT emphysema pattern in a non-smoker classical guitar teacher. EJMCR. 2021; 19 (February 2021): 39-42. doi:10.24911/ejmcr/173-1587546527

Vancouver/ICMJE Style

Claudia Roncella, Paolo Busatto, Greta Ali, Giulio Rossi, Annalisa De Liperi, Sara Fiorini, Laura Tavanti, Chiara Romei. A CT emphysema pattern in a non-smoker classical guitar teacher. EJMCR. (2021), [cited December 26, 2024]; 19 (February 2021): 39-42. doi:10.24911/ejmcr/173-1587546527

Harvard Style

Claudia Roncella, Paolo Busatto, Greta Ali, Giulio Rossi, Annalisa De Liperi, Sara Fiorini, Laura Tavanti, Chiara Romei (2021) A CT emphysema pattern in a non-smoker classical guitar teacher. EJMCR, 19 (February 2021): 39-42. doi:10.24911/ejmcr/173-1587546527

Chicago Style

Claudia Roncella, Paolo Busatto, Greta Ali, Giulio Rossi, Annalisa De Liperi, Sara Fiorini, Laura Tavanti, Chiara Romei. "A CT emphysema pattern in a non-smoker classical guitar teacher." 19 (2021), 39-42. doi:10.24911/ejmcr/173-1587546527

MLA (The Modern Language Association) Style

Claudia Roncella, Paolo Busatto, Greta Ali, Giulio Rossi, Annalisa De Liperi, Sara Fiorini, Laura Tavanti, Chiara Romei. "A CT emphysema pattern in a non-smoker classical guitar teacher." 19.February 2021 (2021), 39-42. Print. doi:10.24911/ejmcr/173-1587546527

APA (American Psychological Association) Style

Claudia Roncella, Paolo Busatto, Greta Ali, Giulio Rossi, Annalisa De Liperi, Sara Fiorini, Laura Tavanti, Chiara Romei (2021) A CT emphysema pattern in a non-smoker classical guitar teacher. , 19 (February 2021), 39-42. doi:10.24911/ejmcr/173-1587546527