A 26‐yr-old female with persistent cough
Makaleler > Tam Makale · 2003
Yazarlar: S. Baser, F.E. Fisekci, S. Ozkurt, G. Kiter, S. Kirac, H. Alper
European Respiratory Journal, Uluslararası, Wos, 2003, cilt 22, ss 712-715
DOI: 10.1183/09031936.03.00003803
Özet
Case historyA 26-yr-old female was referred to the Chest Dept of the Pamukkale University Medical School, Turkey, for the investigation of coughing and abnormal chest roentgenogram.She suffered flu 3 weeks prior to this and her coughing was persisting since then.She denied fever, phlegm, dyspnoea, wheeze, night sweats and haemoptysis.Before a splenectomy at aged 18 yrs, blood transfusions had been applied monthly.Physical examination revealed a blood pressure of 120/ 80 mmHg, pulse rate of 96 beats per min, respiratory rate of 21 breaths per min and marked hepatomegaly.Chest examination results were normal.Haematological examination showed a haemoglobin level of 1.38 mmol?L -1 (89.3 g?L -1 ), haematocrit value of 0.19, mean corpuscular volume of 91.4 fL, mean corpuscular haemoglobin concentration of 466 g?L -1 , red blood cell count of 2.1610 12 cells?L -1 , reticulocyte count of 0.14, white blood cell count of 23610 9 cells?L -1 , and platelet count of 1072610 9 platelets?L -1 .Serum biochemical findings were as follows: aspartate aminotransferase 85 U?L -1 , alanine aminotransferase 84 U?L -1 , blood urea nitrogen 1.33 mmol urea?L -1 , total protein 73 g?L -1 , total bilirubin 30.8 mmol?L -1 , iron 36.7 mmol?L -1 , ferritin 2.3 g?L -1 , and total iron binding capacity 40.3 mmol?L -1 .The chest radiographs (fig.1a and 1b), computed tomography (CT) of the chest (fig.2), thoracic single photon emission computed tomography (SPECT) study with TC-99M (fig.3) and peripheral blood smear (fig.4) were as shown.