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Acquired inter-bronchial fistula: uncommon complication of a common disease
  1. Sanchit Kumar,
  2. Naveen Kumar M S,
  3. Manish Soneja,
  4. Animesh Ray
  1. Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Animesh Ray, Department of Medicine, All India Institute of Medical Sciences, New Delhi 110029, India; doctoranimeshray{at}gmail.com

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A previously healthy 68-year-old woman presented with a 2-week history of cough with worsening shortness of breath despite a course of oral antibiotics. Examination revealed bronchial breathing over the right axillary region. CT imaging showed right middle and right lower lobe consolidation with an associated interbronchial fistula just below the carina (figure 1). Owing to negative sputum cultures and a lack of response to broad spectrum antibiotics, she underwent bronchoscopy which confirmed the presence of the interbronchial-fistula (figure 2) and bronchoscopic lavage thus obtained …

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