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• W2050694562 abstract "To the Editor:I read with interest in a recent issue of CHEST (June 2007)1Aleyas S Vahid B Marik PE A 53-year-old man with fever, clubbing, hemoptysis, and rapid onset of respiratory failure.Chest. 2007; 131: 1974-1977Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar the case report “A 53-Year-Old Man With Fever, Clubbing, Hemoptysis, and Rapid Onset of Respiratory Failure,” wherein the authors described an occurrence of isolated pulmonary capillaritis and usual interstitial pneumonia in a patient with undifferentiated connective-tissue disease. However, I do not agree with the description of the CT scan findings as dense alveolar consolidations and bronchiectasis. The patient does not have bronchiectasis, which is defined as permanent destruction of the bronchi. Instead, the patient has only dilated bronchi, which is a common reversible finding seen in patients with pneumonia of any cause and is referred to as pseudobronchiectasis2Blades B Dugan DJ Pseudobronchiectasis following atypical pneumonia.Bull US Army M Dept. 1943; 70: 60-68Google Scholar or functional bronchiectasis.3Gellenthien CH Information please in medicine.Chest. 1947; 13: 263-272Google ScholarAs a result of either infection or inflammation of the bronchi, dilatation of the bronchi can occur. The process is reversible, because following control of the infection or inflammation the dilatation disappears.4Bachman AL Hewitt WR Beekley HC Bronchiectasis: a bronchographic study of sixty cases of pneumonia.AMA Arch Intern Med. 1953; 91: 78-96Crossref PubMed Scopus (8) Google Scholar It is only after destruction of the elastic tissue and bronchial musculature and replacement by scar tissue that the anatomic change so characteristic of bronchiectasis is seen.5Ruberman W Shauffer I Biondo T Bronchiectasis and acute pneumonia.Am Rev Tuberc. 1957; 76: 761-769PubMed Google Scholar A study4Bachman AL Hewitt WR Beekley HC Bronchiectasis: a bronchographic study of sixty cases of pneumonia.AMA Arch Intern Med. 1953; 91: 78-96Crossref PubMed Scopus (8) Google Scholar of 60 consecutive cases of pneumonia in previously asymptomatic adults revealed 25 patients with bronchial dilatation during the acute phase of the illness, with 20 of those patients subsequently returning to normal. As the bronchial dilatation may persist for up to 3 to 4 months after the resolution of acute pneumonia, a consequent high-resolution CT scan examination for bronchiectasis6Swensen SJ Aughenbaugh GL Douglas WW et al.High-resolution CT of the lungs: findings in various pulmonary diseases.AJR Am J Roentgenol. 1992; 158: 971-979Crossref PubMed Scopus (38) Google Scholar should be performed at least 6 months after the infection has resolved to avoid this pitfall and to confirm the diagnosis of bronchiectasis.7Pontius JR Jacobs LG The reversal of advanced bronchiectasis.Radiology. 1957; 68: 204-208Crossref PubMed Scopus (12) Google Scholar8Nelson SW Christoforidis A Reversible bronchiectasis.Radiology. 1958; 71: 375-382Crossref PubMed Scopus (14) Google Scholar To the Editor:I read with interest in a recent issue of CHEST (June 2007)1Aleyas S Vahid B Marik PE A 53-year-old man with fever, clubbing, hemoptysis, and rapid onset of respiratory failure.Chest. 2007; 131: 1974-1977Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar the case report “A 53-Year-Old Man With Fever, Clubbing, Hemoptysis, and Rapid Onset of Respiratory Failure,” wherein the authors described an occurrence of isolated pulmonary capillaritis and usual interstitial pneumonia in a patient with undifferentiated connective-tissue disease. However, I do not agree with the description of the CT scan findings as dense alveolar consolidations and bronchiectasis. The patient does not have bronchiectasis, which is defined as permanent destruction of the bronchi. Instead, the patient has only dilated bronchi, which is a common reversible finding seen in patients with pneumonia of any cause and is referred to as pseudobronchiectasis2Blades B Dugan DJ Pseudobronchiectasis following atypical pneumonia.Bull US Army M Dept. 1943; 70: 60-68Google Scholar or functional bronchiectasis.3Gellenthien CH Information please in medicine.Chest. 1947; 13: 263-272Google ScholarAs a result of either infection or inflammation of the bronchi, dilatation of the bronchi can occur. The process is reversible, because following control of the infection or inflammation the dilatation disappears.4Bachman AL Hewitt WR Beekley HC Bronchiectasis: a bronchographic study of sixty cases of pneumonia.AMA Arch Intern Med. 1953; 91: 78-96Crossref PubMed Scopus (8) Google Scholar It is only after destruction of the elastic tissue and bronchial musculature and replacement by scar tissue that the anatomic change so characteristic of bronchiectasis is seen.5Ruberman W Shauffer I Biondo T Bronchiectasis and acute pneumonia.Am Rev Tuberc. 1957; 76: 761-769PubMed Google Scholar A study4Bachman AL Hewitt WR Beekley HC Bronchiectasis: a bronchographic study of sixty cases of pneumonia.AMA Arch Intern Med. 1953; 91: 78-96Crossref PubMed Scopus (8) Google Scholar of 60 consecutive cases of pneumonia in previously asymptomatic adults revealed 25 patients with bronchial dilatation during the acute phase of the illness, with 20 of those patients subsequently returning to normal. As the bronchial dilatation may persist for up to 3 to 4 months after the resolution of acute pneumonia, a consequent high-resolution CT scan examination for bronchiectasis6Swensen SJ Aughenbaugh GL Douglas WW et al.High-resolution CT of the lungs: findings in various pulmonary diseases.AJR Am J Roentgenol. 1992; 158: 971-979Crossref PubMed Scopus (38) Google Scholar should be performed at least 6 months after the infection has resolved to avoid this pitfall and to confirm the diagnosis of bronchiectasis.7Pontius JR Jacobs LG The reversal of advanced bronchiectasis.Radiology. 1957; 68: 204-208Crossref PubMed Scopus (12) Google Scholar8Nelson SW Christoforidis A Reversible bronchiectasis.Radiology. 1958; 71: 375-382Crossref PubMed Scopus (14) Google Scholar I read with interest in a recent issue of CHEST (June 2007)1Aleyas S Vahid B Marik PE A 53-year-old man with fever, clubbing, hemoptysis, and rapid onset of respiratory failure.Chest. 2007; 131: 1974-1977Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar the case report “A 53-Year-Old Man With Fever, Clubbing, Hemoptysis, and Rapid Onset of Respiratory Failure,” wherein the authors described an occurrence of isolated pulmonary capillaritis and usual interstitial pneumonia in a patient with undifferentiated connective-tissue disease. However, I do not agree with the description of the CT scan findings as dense alveolar consolidations and bronchiectasis. The patient does not have bronchiectasis, which is defined as permanent destruction of the bronchi. Instead, the patient has only dilated bronchi, which is a common reversible finding seen in patients with pneumonia of any cause and is referred to as pseudobronchiectasis2Blades B Dugan DJ Pseudobronchiectasis following atypical pneumonia.Bull US Army M Dept. 1943; 70: 60-68Google Scholar or functional bronchiectasis.3Gellenthien CH Information please in medicine.Chest. 1947; 13: 263-272Google Scholar As a result of either infection or inflammation of the bronchi, dilatation of the bronchi can occur. The process is reversible, because following control of the infection or inflammation the dilatation disappears.4Bachman AL Hewitt WR Beekley HC Bronchiectasis: a bronchographic study of sixty cases of pneumonia.AMA Arch Intern Med. 1953; 91: 78-96Crossref PubMed Scopus (8) Google Scholar It is only after destruction of the elastic tissue and bronchial musculature and replacement by scar tissue that the anatomic change so characteristic of bronchiectasis is seen.5Ruberman W Shauffer I Biondo T Bronchiectasis and acute pneumonia.Am Rev Tuberc. 1957; 76: 761-769PubMed Google Scholar A study4Bachman AL Hewitt WR Beekley HC Bronchiectasis: a bronchographic study of sixty cases of pneumonia.AMA Arch Intern Med. 1953; 91: 78-96Crossref PubMed Scopus (8) Google Scholar of 60 consecutive cases of pneumonia in previously asymptomatic adults revealed 25 patients with bronchial dilatation during the acute phase of the illness, with 20 of those patients subsequently returning to normal. As the bronchial dilatation may persist for up to 3 to 4 months after the resolution of acute pneumonia, a consequent high-resolution CT scan examination for bronchiectasis6Swensen SJ Aughenbaugh GL Douglas WW et al.High-resolution CT of the lungs: findings in various pulmonary diseases.AJR Am J Roentgenol. 1992; 158: 971-979Crossref PubMed Scopus (38) Google Scholar should be performed at least 6 months after the infection has resolved to avoid this pitfall and to confirm the diagnosis of bronchiectasis.7Pontius JR Jacobs LG The reversal of advanced bronchiectasis.Radiology. 1957; 68: 204-208Crossref PubMed Scopus (12) Google Scholar8Nelson SW Christoforidis A Reversible bronchiectasis.Radiology. 1958; 71: 375-382Crossref PubMed Scopus (14) Google Scholar" @default.
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• W2050694562 title "Bronchiectasis in Acute Pneumonia … Pseudobronchiectasis" @default.
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