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Postgraduate Education Corner: CASE RECORDS OF THE UNIVERSITY OF COLORADO |

Stridor in a 47-Year-Old Man With Inflammatory Bowel Disease

William J. Janssen, MD; Lyssa N. Bierig, MD; David A. Beuther, MD; York E. Miller, MD
Author and Funding Information

*From the Division of Pulmonary Sciences and Critical Care Medicine and the Division of Gastroenterology, Department of Medicine, University of Colorado Health Sciences Center, Denver, CO.

Correspondence to: William Janssen, MD, University of Colorado Health Sciences Center, 4200 East Ninth Ave, Box C-272, Denver, CO 80262; e-mail: William.Janssen@uchsc.edu.



Chest. 2006;129(4):1100-1106. doi:10.1378/chest.129.4.1100
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A 47-year-old, African-American man presented to the emergency department complaining of 3 weeks of cough, fever, and night sweats. The cough was productive of white sputum and progressive in nature. The patient also noted 3 days of severe dyspnea and several episodes of posttussive syncope. He had fatigue and malaise but no other symptoms. Doxycycline prescribed 4 days prior had not alleviated the symptoms.

The patient had a 12-year history of ulcerative colitis for which he had required hospitalization on several occasions. A recent colonoscopy demonstrated active disease. His current medications included oral mesalamine and doxycycline. He was a former smoker but quit 3 years prior. He denied recent travel and had no risk factors for tuberculosis. There was no family history of GI or pulmonary disease.

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