Adult Swyer-James-Macleod Syndrome; a Case Report With Literature Review Publisher



Ahmed HK^{1, 2} ; Kakamad FH^{2, 3, 4} ; Mustafa SM^{4, 5, 6} ; Kakamad SH⁴ ; Mohammed SH^{4, 6} ; Salh AM^{2, 3} ; Hussein DA^{2, 4}
Source: International Journal of Surgery Open Published:2022

Abstract

Introduction: Swyer-James-MacLeod syndrome (SJMS) is a rare obliterative pulmonary disease, usually found in children. The current study aims to report a rare adult case of SJMS. Case report: A 21-year-old married female presented with dyspnea mainly on exertion. Physical examination was normal and chest examination showed mild decrease in breathing sounds on the right lower zone. High-resolution computed tomography (HRCT) scan of the chest showed hyperlucency of the right lung with loss of normal lung vasculature. The patient was managed conservatively with antibiotics, bronchodilator inhaler, and influenza vaccination. The patient was in good health upon follow up. Discussion: SJMS is considered as a type of post infective obliterative bronchiolitis, which is mainly found in children. Only a few cases have been diagnosed in adults. The syndrome usually occurs following lung infections early in childhood, possibly due to infective agents, such as adenovirus. Conclusion: Diagnosis of SJMS in adulthood is a very rare finding which may be found despite the absence of any history of pulmonary infection during childhood. © 2022 The Author(s)