Volume 20 No 13 (2022)
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Rehabilitation in Focal Segmental Glomerulosclerosis with Aspergillus bronchopneumonia: A Novel Case Study
Sakshi Runwal, Gayatri Dashrathe, Jeet Shailesh Kantharia, Sabih Khan, Shrikant Mhase, Tabish Fahim
Abstract
Focal Segmental Glomerulosclerosis (FSGS) is a unique type of long-term renal disease in which there is
an indurated invasion of the glomerulus in particular segments picturized in the renal biopsy that
terminates into an end-stage kidney dysfunction. Invasive pulmonary aspergillosis (IPA) is difficult
diagnose fungal infection, as well as due to its rapid progression can lead to disseminated disease and
death within weeks This case outlines the effect of physiotherapy rehabilitation in a case of FSGS with
IPA in a 56-year-old man who presented with complaints of breathlessness, cough with expectoration
and abdominal pain. Following investigations such as High-Resolution Computed Tomography (HRCT)
scan, the patient was diagnosed with IPA for which he was kept under observation following which
supervised Physiotherapy Intervention (PI) commenced. The outcome measure was Peak Expiratory
Flow Rate (PEFR), whereas the intervention involved Diaphragmatic Breathing Exercises (DBEs), Breath
Stacking Technique (BS), Incentive Spirometry (IS), Range of Motion (ROM) exercises, Active Cycle of
Breathing Technique (ACBT), Inspiratory Muscle Training (IMT) and ambulation. After two weeks of
treatment, there was an improvement in cough frequency, an appreciable change in vital capacity (VC)
and a significant increase in PEFR values
Keywords
Focal Segmental Glomerulosclerosis, Aspergillus bronchopneumonia, Physiotherapy Intervention, Breath Stacking Technique, Peak Expiratory Flow Rate
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