Asymptomatic dysphagia causing recurrent aspiration pneumonia

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DOI

  • Anders Løkke
  • ,
  • Lycely Calderon Dongo
  • ,
  • Karin Bak Aksglæde
  • Ole Hilberg, Vejle Sygehus, Vejle, Denmark.

52-year-old male patient with known bipolar disorder and innate cerebral palsy causing widespread spasticity problems. Treated for 2 years with antidepressants and electroconvulsive therapy. He repeatedly presented with - and was treated for - pneumonia resulting in more than 20 episodes of hospital admission. He underwent numerous examinations until a diagnosis of dysphagia was established using video fluoroscopic swallowing examination (modified barium swallow). Eventually, as all other treatment regimens had proven effortless, percutaneous gastrostomy feeding tube was inserted and intensive training with a specialised occupational therapist was started. This treatment regimen caused the recurrent episodes of pneumonia to vanish. It is important to acknowledge that otherwise silent dysphagia may cause recurrent pneumonia.

OriginalsprogEngelsk
Artikelnummerbcr-2018-224370
TidsskriftB M J Case Reports
Vol/bind2018
Antal sider3
ISSN1757-790X
DOI
StatusUdgivet - 20 aug. 2018

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