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PATHOLOGIC QUIZ CASE
Gary K. Thomas, MD, and William E. Delaney, MD, PHILADELPHIA
A 36-year-old white male native-born American was referred by his local otolaryngologist for repeat bronchoscopy and removal of "scar tissue" from the trachea. At the age of 22, the patient first noted the onset of intermittent hoarseness while stationed with the US Army near Munich, Germany. This was accompanied by a mild intermittent cough productive of yellow sputum and by crusting and purulent nasal discharge. These symptoms persisted following his discharge from the service 18 months later, whereupon he returned to the United States. He noted some mild intermittent dyspnea during the next 4½ years, then became acutely obstructed requiring a tracheostomy at the age of 28. Diphtheria, he was told, was responsible for his acute obstructive episode. He was able to be extubated three weeks later. He has continued to have intermittent episodes of dyspnea
SATALOFF J. The Resident's Page. Arch Otolaryngol. 1967;85(3):338–341. doi:10.1001/archotol.1967.00760040340019