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Tuberculosis-induced cartilage fractures leading to collapse of the left main stem bronchus
  1. Vanina Livi,
  2. Marco Ferrari,
  3. Daniela Paioli,
  4. Filippo Natali,
  5. Rocco Trisolini
  1. Interventional Pulmonology Unit, Policlinico S. Orsola-Malpighi, Bologna, Italy
  1. Correspondence to Dr Rocco Trisolini, Interventional Pulmonology Unit, Policlinico S. Orsola-Malpighi, Bologna 40138, Italy; rocco.trisolini{at}

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Case presentation

A 94-year-old female patient was referred to the emergency department of our hospital for cough productive of purulent sputum and recurrent episodes of haemoptysis. She was a mild, former smoker. Her medical history was notable for a left-sided pleuropulmonary infection treated for months with antibiotics at the age of 2 years, and for recurrent respiratory infections occurring ever since. Chest CT revealed multiple abnormalities of the left lung consisting of a marked volume loss; diffuse bronchiectasis prevailing in the upper lobe, where a large airway consolidation was also evident; and multiple centrilobular nodules of variable sizes (figure 1A,B). Furthermore, a reduction of the lumen of the left main stem bronchus associated with possible fractures of some …

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  • Contributors RT contributed to the conception and design, as well as writing of the manuscript. MF, DP, VL and FN contributed to the data acquisition, writing of the manuscript and its revision for important intellectual content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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