[Is auto-endoscopy anxiety-provoking].
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Biomedical subjects
Publications and source records attributed to B Poirson.
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A 55-year-old man, alcoholic, and with a past history of tuberculosis, suddenly suffered a pneumococcal pneumonia which favourised the onset of predelirium tremens and then generalised convulsions. The latter, in combination with the administration of sedatives, resulted in acute respiratory insufficiency. Assisted ventilation proved necessary. After a brief improvement, fever recurred and extensive pulmonary necrosis developed. The patient died 32 days later, all aetiological studies having proved negative. The diagnosis was made at autopsy which revealed the presence of multiple pulmonary aspergillus abcesses and a purulent bronchitis due to the same fungus. Aspergillus serology had not been done.
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The authors reported six cases of respiratory distress of tuberculous origin over a 3 year period. They underlined the failure to recognize the etiology despite a typical symptomatology and, on the opposite, the diagnostic difficulties met in a former tuberculous patient with chronic bronchitis. They insisted on the persistance of evolutive tuberculosis as a cause of respiratory distress, on the importance of any associated infection and on the little use of assisted ventilation.
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