An unusual case report of trepopnea in a patient with unilateral diaphragmatic palsy

D. Gupta, Sukhyanti Kerai
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Abstract

Trepopnea, a rare form of dyspnoea observed in lateral decubitus position is a crucial clue towards diagnosis. It indicates either cardiac or respiratory pathology that may warrant immediate attention. Usually, it has been reported the patient with congestive cardiac failure or diseased left lung who prefers the right lateral decubitus position. Only in a few cases with the unilateral lung disease it has been described. We present one such case report of trepopnea in a patient recovering from pneumonia was observed having trepopnea, which was later confirmed due to unilateral diaphragmatic palsy.
单侧横膈膜麻痹患者不寻常的梅毒病例报告
侧卧位呼吸困难是一种罕见的呼吸困难,是诊断的重要线索。它表明可能需要立即注意的心脏或呼吸系统病变。通常,有充血性心力衰竭或左肺病变的患者倾向于右侧侧卧位。只有在少数单侧肺部疾病的病例中才有描述。我们提出一个这样的病例报告,在病人从肺炎恢复被观察到有梅毒,这是后来证实由于单侧横膈膜麻痹。
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