Discussion
This case is a presentation of rare association between TS and
bronchiectasis. To the extent of our knowledge, this coexistence is rare
and hardly ever reported in the literature.
There are a large number of etiologic factors that have been described
to cause bronchiectasis [10]. Rarely enough, a case of ciliary
aplasia was reported as a cause for bronchiectasis in TS [11].
Etiology of our case’s bronchiectasis has not been determined. Both
cystic fibrosis and ciliary aplasia were excluded. Bronchiectasis
etiology is possible to be congenital. However, as there is only a
little data on this association, TS cannot be established yet as a
primary cause for congenital bronchiectasis and further research should
be done to study this correlation [12].
The 32-old patient is amenorrheic with underdeveloped female organs. She
has never received hormone replacement therapy (HRT). It might be
beneficial for future studies to consider following the absence of HRT
when dealing with TS and bronchiectasis.
She has never reported similar respiratory symptoms before and medical
history is remarkable in terms of repeated upper or lower airway
infections. Infective pneumonia was treated by regular protocol without
particular considerations toward TS. It is worth mentioning that her
recovery process was noticeably slower than non-TS patients with similar
presentations. Because of her overall vulnerability due to chronic
diseases, her slow recovery cannot be restrictedly addressed to TS.
After one year of discharge, no recurrence has been reported to the
moment.