Hamman-Rich syndrome: a forgotten entity

https://doi.org/10.4081/monaldi.2017.799

Authors

  • William Newmarch | 14076926@studentmail.ul.ie University of Limerick, Graduate Entry Medical School, Ireland.
  • Angelica Puopolo University of Limerick, Graduate Entry Medical School, Ireland.
  • Madina Weiler University of Limerick, Graduate Entry Medical School, Ireland.
  • Brian Casserly University Hospital Limerick, Respiratory Division, Ireland.

Abstract

The following report outlines the case of a 76-year-old gentleman who presented to the hospital with acute interstitial pneumonitis, a rare and rapidly progressive type of idiopathic interstitial pneumonia. The patient initially presented with a three-week history of progressive shortness of breath and cough which was diagnosed as community acquired pneumonia. Treatment with oral antibiotics was unsuccessful resulting in re-presentation the following week with type one respiratory failure. Investigations revealed widespread inflammatory changes consistent with an acute inflammatory process. Intravenous steroids, antibiotics and antiviral medications were initiated before an urgent transfer to the intensive care unit was required for intubation. An open lung biopsy, in conjunction with the clinical picture, confirmed the diagnosis of acute interstitial pneumonitis. The significance of this report is to highlight the rapid and destructive clinical course of a rare type of pneumonitis, which initially presented as a routine and innocuous diagnosis in our patient.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Downloads

Published
2017-05-18
Info
Issue
Section
Pneumology - Case Reports
Keywords:
Hamman-Rich, acute interstitial pneumonitis, interstitial lung disease.
Statistics
  • Abstract views: 1009

  • PDF: 546
How to Cite
Newmarch, William, Angelica Puopolo, Madina Weiler, and Brian Casserly. 2017. “Hamman-Rich Syndrome: A Forgotten Entity”. Monaldi Archives for Chest Disease 87 (1). https://doi.org/10.4081/monaldi.2017.799.