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Case Study of the Month

This Case Study of the Month has been ACOE accredited – worth 1 CME credit. Having reviewed the case please click on View Case Discussion below and access the Accreditation test.

November 2009 - Chronic cough and occasional episodes of fever

Background information

Dysfagie 1 res

Figure 1

A 54-year old woman consulted for a chronic cough and intermittent episodes of fever for 2 months. She was treated 1 year before for a squamous cell carcinoma of the oropharynx (T2N1M0) with concomitant chemoradiation. At that time, a preventive feeding tube had been placed before treatment.

After treatment it was removed because there were no problems of swallowing.

Dysfagie 2 res

Figure 2

View case discussion		What is your differential diagnosis?
		Chronic sinusitis Lung metastases Swallowing disorders due to previous chemoradiation with aspiration Local recurrent disease

Authors: Dirk Schrijvers, Paul Meijnders, Danielle Van Den Weyngaert ¹

1. Department of Hemato-oncology, Department of Radiotherapy, Ziekenhuisnetwerk Antwerpen-Middelheim - Antwerp Belgium

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Page last modified: 25 Nov 2009