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Case Reports
. 2021 Jun 3:33:101438.
doi: 10.1016/j.rmcr.2021.101438. eCollection 2021.

A direct adverse effect of smoking

Christos Kyriakopoulos  1 , Athena Gogali  1 , Christos Chronis  1 , Konstantinos Kostikas  1
Affiliations
Case Reports

A direct adverse effect of smoking

Christos Kyriakopoulos et al. Respir Med Case Rep. .

Abstract

Smoking has been accounted for numerous adverse effects. We report a direct effect of smoking in a 73-year-old patient, a heavy smoker who presented to the emergency department with a 48-h history of productive cough and fever. Chest x-ray and chest CT revealed right lung infiltrates; however, they were not suggestive of the diagnosis, which was established through flexible bronchoscopy. The specific procedure concurrently contributed to the treatment of the patient.

Keywords: Adverse effects; Bronchoscopic treatment; Chest imaging; Foreign body aspiration; Smoking.

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Figures

Fig. 1
Fig. 1
(a–b) Chest radiograph: localised infiltrates in the right lung and right middle lobe atelectasis.
Fig. 2
Fig. 2
(a–c) Chest CT: endobronchial obstruction, right middle lobe atelectasis, tree-in-bud infiltrates and enlarged right hilar lymph nodes.
Fig. 3
Fig. 3
(a) Bronchoscopy: a cigarette filter obstructing right middle lobe, (b) Cigarette filter removed from the right middle lobe bronchus during bronchoscopy, (c) Flexible alligator-jaw foreign body removal forceps used for the filter retrieval.
See this image and copyright information in PMC

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