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Article in Japanese
Abstract
Case Report
Case of elderly onset amyotrophic lateral sclerosis initially presenting as difficult-to-treat aspiration pneumonia
Hiroaki Ishikawaa Hiroaki Tachia Tetsuto Yamaguchib Ai Hosakab Hiroshi Noderaa Shinji Teramotoa
aDepartment of Pulmonary Medicine, Hitachi, Ltd., Hitachinaka General Hospital
bDepartment of Neurology, Hitachi, Ltd., Hitachinaka General Hospital
ABSTRACT
An 85-year-old man was admitted to our hospital because of cough and sputum. During the 2 months prior to admission, he was repeatedly treated with several antibiotics for pneumonia; however, his symptoms did not improve. Videofluorographic examination indicated tracheal penetration and abnormal pooling. Therefore we diagnosed the patient with aspiration pneumonia. Oral care management was initiated, and 6 g of sulbactam/ampicillin was administered daily. However, the chest radiographic findings and symptoms did not improve. He was finally diagnosed with amyotrophic lateral sclerosis based on the findings of neurologic examination. The possibility of late-onset neurological diseases should be considered in the differential diagnosis prior to initiating therapy for difficult-to-treat aspiration pneumonia in elderly cases.
KEYWORDS
Difficult-to-treat aspiration pneumonia Dysphagia Videofluorographic examination Amyotrophic lateral sclerosis
Received 1 Oct 2013 ／ Accepted 3 Dec 2013
AJRS, 3(2): 297-299, 2014
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