Lady Windermere Syndrome Complicated By Kyphoscoliosis: A Case Report

Abstract Introduction: Lady Windermere Syndrome is the bronchiectasis of the right middle lobe or the lingula region due to Mycobacterium avium complex (MAC) infection. It was historically described in elderly Caucasian female patients who were immunocompetent but subsequently developed MAC infection, theoretically due to chronic cough suppression. The diagnosis is often difficult or missed because it is not usually considered a differential by radiologists and clinicians. Case Presentation: Here we describe a classic case of a 61-year-old female patient with Lady Windermere Syndrome who is also riddled with prominent kyphoscoliosis with supportive chest radiographs and CT findings. Conclusion: Lady Windermere syndrome is a significant yet frequently overlooked disease among older women who exhibit non-specific clinical symptoms. The majority of cases experience positive clinical outcomes within a period of three to six months when provided with timely pharmaceutical intervention. It is crucial to consider Lady Windermere syndrome as a potential differential diagnosis, particularly in regions where there are concerns about the presence of MAC bacilli in the soil and water.