CASE HISTORY - CASE 10
The next patient is an 82 year old male, who was admitted to hospital one month ago with gradual deterioration, confusion, agitation, and poor appetite.
Pernicous anaemia since 1982.
DVT with pulmonary embolus
Dehydrated, with bilateral lung crackles and wheeze. The chest x-ray showed shadowing at the left lung base (consolidation). A sputum specimen was sent for analysis and came back showing a culture of Haemophilus sp.
His condition deteriorated, and two weeks ago another chest x-ray showed nodular interstitial shadowing at the left lung base with a bulky right hilum. A CT scan showed similar changes, and the eventual clinical diagnosis was lymphangitis carcinomatosa, although extensive chronic infective causes could not be excluded.
He died in hospital.