Images in COPD: Bullous Emphysema with Mycetoma Article Swipe
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.15326/jcopdf.4.2.2017.0144
· OA: W2606826602
Severe Pulmonary Emphysema with Mycetoma FormationA 65 year-old male presented for a double lung transplantation evaluation in August of 2013.There was a history of Global initiative for chronic Obstructive Lung Disease (GOLD) 1 stage IV chronic obstructive pulmonary disease (COPD) with severe emphysematous changes on a regimen that included 0-2 liters of oxygen via nasal cannula initially.Further history included moderate pulmonary hypertension, New York Heart Association Class III 2 congestive heart failure and an episode of mycobacterium avium complex that was successfully treated 3 years prior to the initial visit with us.The patient underwent a pre-transplant workup and returned for follow up in December 2013 with new complaints of worsening dyspnea on exertion and an occasional cough with productive sputum.His oxygen requirements increased to 2 liters by nasal cannula.At that time a decision was reached not to list the patient
