Ugeskr Læger 2014;176:V65601
Recurrent periods of respiratory tract infections in a 22-year-old
A 22-year-old male with recurrent periods of coughing and nasal discharge was unable to work and co-operate. A bronchoscopy revealed high amounts of leucocytes and no eosinofils, acute inflammation and > 105/ml Streptococcus pneumoniae susceptible to penicillin. The symptoms relapsed after penicillin and at the age of 24 the patient was CT-scanned which revealed bilateral sinusitis, mastoiditis and bronchiectasis. Treatment with azithromycin and a weight loss programme (from 156 kg) improved the health of the patient, who was an orangutan. This highlights the benefit of co-operation between medical doctors and veterinarians.