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An 80-year-old female retired teacher was admitted under the medical team with right-lower-lobe pneumonia.
The patient, a non-smoker with minimal alcohol intake, had a medical history of non-Hodgkin’s lymphoma treated with radiotherapy and splenectomy 30 years before, Barrett’s oesophagus (C9M9 Prague Classification) with distal oesophageal ulcer diagnosed 8 months previously, hiatus hernia and dual-chamber pacemaker for sinus-arrest. Medications were omeprazole 80 mg and ranitidine 300 mg daily.
During the preceding two years, the patient had consulted Respiratory and Gastroenterology teams for a persistent cough worsened by eating and drinking and two stone weight loss (admission BMI 16). High-resolution CT demonstrated subsegmental atelectasis and ground glass changes in …
Contributors EP and BW undertook data collection, analysis and drafting. All authors reviewed and edited the final article.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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