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Case Reports in Pulmonology
Volume 2017, Article ID 8513702, 4 pages
https://doi.org/10.1155/2017/8513702
Case Report

Multifocal Pulmonary Granular Cell Tumor Presenting with Postobstructive Pneumonia

1Department of Internal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
2Section of Pulmonary, Critical Care and Sleep Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
3Department of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA

Correspondence should be addressed to Samid M. Farooqui; ude.cshuo@iuqooraf-dimas

Received 17 May 2017; Accepted 17 September 2017; Published 15 October 2017

Academic Editor: Daniel T. Merrick

Copyright © 2017 Samid M. Farooqui et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Granular cell tumor (GCT) is a neoplasm of Schwann cell origin. Its presence in the aerodigestive tract is uncommon and becomes a diagnostic challenge on initial presentation. Our case is of a 59-year-old woman who presented to the emergency department with a history of productive cough and dyspnea associated with fever and chest pain. An initial chest X-ray (CXR) showed a right middle lobe consolidation with follow-up Computed Tomography (CT) scan showing a mass in the right bronchus. Bronchoscopy revealed a polypoid, sessile granular mass in the right bronchus intermedius with multiple white lesions in trachea, left main bronchus, and right upper bronchi. Histology revealed a benign GCT. Bronchoalveolar lavage from the right middle lobe grew Streptococcus pneumoniae. Patient was treated with intravenous levofloxacin during hospital stay and discharged on a 7-day course of oral antibiotics to be followed as outpatient but was lost to follow-up. GCT can present as a polypoid tumor causing recurrent postobstructive pneumonia. Surgical resection is the most successful treatment option. The tumor is more common in third and fourth decade of life and our patient is the oldest patient, according to our knowledge, to have a GCT.