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Severe cases of bronchiectasis

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These include:

  • production of very large volumes of green/brown sputum
  • occasional episodes of pneumonic illness with:
    • pleural pain
    • haemoptysis
  • clubbing is a common feature
  • patient usually unwell
  • may develop pyogenic ocular and skin infections
  • respiratory failure may develop
  • possible gram-negative bacteria in sputum
  • widespread crepitations on auscultation
  • chest radiography may show multiple cysts with fluid levels

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