{"title":"Changing COPD definition","authors":"S. Díaz-Lobato, E. Pérez-Rodríguez, A. Bendito","doi":"10.1016/J.RMEDX.2007.09.013","DOIUrl":"https://doi.org/10.1016/J.RMEDX.2007.09.013","url":null,"abstract":"","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"17 1","pages":"195"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78417989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Endobronchial argon plasma coagulation for neoplastic airway obstruction in a patient requiring supplemental oxygen, ventilatory and hemodynamic support","authors":"Nobuhiko Seki , Toshimori Tanigaki , Ryuzo Deguchi , Junko Nagata , Takashi Seto , Kazutsugu Uematsu , Kenji Eguchi","doi":"10.1016/j.rmedx.2007.09.001","DOIUrl":"10.1016/j.rmedx.2007.09.001","url":null,"abstract":"<div><p><span>Reports on the safety and efficacy of endobronchial argon plasma coagulation<span> (APC) for the treatment of neoplastic airway obstruction in critically ill patients are limited. We describe a case of severe airway stenosis in a patient with esophageal cancer who required high-inspired oxygen concentrations, mechanical ventilatory and </span></span>hemodynamic support<span>. Relief of obstruction was achieved with APC in the absence of bedside complications. APC can be performed safely for palliative management of obstruction due to endobronchial tumor even in critically ill patients in whom the use of the Nd-YAG laser is precluded.</span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 4","pages":"Pages 168-171"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83397379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Athanasia Pataka, George Kouliatsis, Paschalis Steiropoulos, Maria Popidou, Demosthenes Bouros, Marios E. Froudarakis
{"title":"Mycoplasma pneumoniae causing familial infection and acute severe respiratory failure","authors":"Athanasia Pataka, George Kouliatsis, Paschalis Steiropoulos, Maria Popidou, Demosthenes Bouros, Marios E. Froudarakis","doi":"10.1016/j.rmedx.2007.01.011","DOIUrl":"10.1016/j.rmedx.2007.01.011","url":null,"abstract":"<div><p><em>Mycoplasma pneumoniae</em> usually causes only mild respiratory disease. Severe respiratory failure associated with bronchiolitis is extremely unusual. We describe an in-family spread of <em>M. pneumoniae</em> infection. The father, a 28-year-old smoker male with no previous medical history developed acute bronchiolitis with severe respiratory failure due to <em>M. pneumoniae</em>. He recovered after treatment with combination of antibiotics and corticosteroids. The patient's 55-year-old mother and 2-year-old daughter developed mycoplasma pneumonia, while his 25-year-old wife developed an upper respiratory tract infection. They were also treated successfully with macrolides.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 2","pages":"Pages 60-63"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.01.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91120922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A disease that should be thought in the differential diagnosis of pneumonia: FMF","authors":"O. Turan, O. Kilinc, S. Acarbay, I. Sari","doi":"10.1016/j.rmedx.2007.08.001","DOIUrl":"10.1016/j.rmedx.2007.08.001","url":null,"abstract":"<div><p><span><span>One of the diseases that is rarely thought in the differential diagnosis of pneumonia is Familial Mediterranean Fever<span> (FMF). The 30-year-old female patient was admitted to our hospital with fever, cough, dyspnea and chest pain. The patient was hospitalized as group 3B pneumonia according to Turkish Thoracic Society Pneumonia Guideline, as this group of patients have both risk factors and modifying factors for community-acquired pneumonia and have to be treated in hospital without the need of </span></span>intensive care unit<span><span>. (It can be classified as class III according to Fine Scoring System.) Fever continued despite the antibiotherapy and there was not an origin of infection with our physical and radiological examinations; also no bacteria were found in the urine, blood and </span>sputum cultures. When we investigated the fever of the patient, we have learnt that she had attacks of fever many times similarly, and when her fever occurred, she had chest and abdominal pain periodically. We started to think about FMF as the diagnosis and after genetic examinations, a mutation has been found in </span></span><em>MEFV</em> gene. The patient's diagnosis has been established as FMF. FMF should be thought in the differential diagnosis of pneumonia especially in Mediterranean society, like Turkey.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 3","pages":"Pages 152-154"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84847616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rajesh Thomas , Devasahayam J. Christopher , M.K. Lalitha , Promila Mohan Raj , Balamugesh Thagakunam , Prince James
{"title":"Actinomyces odontolyticus as a rare cause of thoracoactinomycosis—A case report","authors":"Rajesh Thomas , Devasahayam J. Christopher , M.K. Lalitha , Promila Mohan Raj , Balamugesh Thagakunam , Prince James","doi":"10.1016/j.rmedx.2007.08.004","DOIUrl":"10.1016/j.rmedx.2007.08.004","url":null,"abstract":"<div><p><span>Actinomycosis, a bacterial infection in humans is most commonly caused by </span><span><em>Actinomyces</em><em> israelii</em></span>. Less frequent causes include <em>Actinomyces odontolyticus</em> and <span><em>Actinomyces viscosus</em></span>. We present a rare case of thoracoactinomycosis caused by <em>A. odontolyticus</em><span>. It presented as a solitary pulmonary nodule, and formed neither draining sinuses nor granule formation, which is an unusual presentation. There are only nine cases of </span><em>A. odontolyticus</em> causing thoracoactinomycosis in the world literature, and this is the first such case reported from India.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 3","pages":"Pages 159-160"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.08.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74460273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
En-Ting Chang , Anthony Hu Wang , Chih-Bin Lin , Jen-Jyh Lee , Gee-Gwo Yang
{"title":"Refractory upper gastrointestinal bleeding occurred in a patient with squamous cell carcinoma of lung—A case report and literature review","authors":"En-Ting Chang , Anthony Hu Wang , Chih-Bin Lin , Jen-Jyh Lee , Gee-Gwo Yang","doi":"10.1016/j.rmedx.2007.01.005","DOIUrl":"10.1016/j.rmedx.2007.01.005","url":null,"abstract":"<div><p>Cases for lung cancer metastasizing to stomach are rare, especially for squamous cell carcinoma. A 52-year-old Chinese male had visited our hospital due to chronic coughing and hemaptysis. After examinations, chest radiography<span><span> indicated the presence of right upper lobe collapse. In addition, bronchoscopic biopsy showed the presence of pulmonary squamous cell carcinoma. Before any treatments the male had admitted that he has tarry stool. The result of panendoscopy showed a submucosal tumor at greater stomach curvature with ulcerative bleeding. Biopsy from gastric tumor confirmed metastatic squamous cell carcinoma. Because of this reported case, we have decided to do further review on the clinical characteristics of reported patients who have metastatic gastric cancer from </span>lung squamous cell carcinoma.</span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 1","pages":"Pages 29-31"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.01.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81908976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Non-allergy simple eosinophilic pneumonia—Löffler syndrome","authors":"Miroslav S. Tomovic , Marina D. Petrovic","doi":"10.1016/j.rmedx.2007.07.004","DOIUrl":"10.1016/j.rmedx.2007.07.004","url":null,"abstract":"<div><p>The case of 53-year-old Caucasian woman was presented with 2-month history of low grade fever, shortness of breath, cough and reduced exercise tolerance irreversible to third generation cephalosporins<span> as well as macrolide<span><span> antimicrobial agents. The diagnosis of simple eosinophilic pneumonia (SEP) (Löffler's syndrome) was confirmed by </span>transbronchial biopsy<span><span> and by sternal testing. Biopsy specimen of the lung parenchyma showed changes associated with Löffler's syndrome. The diagnosis was, also, confirmed according to radiograph findings of unilateral migratory infiltrates consistent pneumonia. </span>Treatment with corticosteroids resulted in a marked clinical improvement compared to non-corticosteroid therapy.</span></span></span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 3","pages":"Pages 137-139"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.07.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81044833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexandra Desvignes , Stéphane Zuily , Leilah Saadi , Pierre Olivier , Denis Regent , Hélène Schuhmacher , Denis Wahl
{"title":"FDG-PET to monitor early response to infliximab in refractory systemic sarcoidosis","authors":"Alexandra Desvignes , Stéphane Zuily , Leilah Saadi , Pierre Olivier , Denis Regent , Hélène Schuhmacher , Denis Wahl","doi":"10.1016/j.rmedx.2007.09.004","DOIUrl":"10.1016/j.rmedx.2007.09.004","url":null,"abstract":"<div><h3>Background</h3><p><span>Systemic sarcoidosis can result in dramatic manifestations despite therapeutic escalation. </span>Tumor necrosis factor (TNFα) has a key role in this disease and antagonists of TNFα have been successfully used as an alternative to conventional therapy. We report a case of refractory sarcoidosis with mediastinal, bone and ear, nose, throat (ENT) lesions.</p></div><div><h3>Methods</h3><p><span><span>In this patient we monitored response to treatment by infusions of the anti-TNFα antibody, </span>infliximab, with fluorine 18-fluorodeoxyglucose </span>positron emission tomography (FDG-PET).</p></div><div><h3>Results</h3><p>Early and spectacular response to infliximab was demonstrated by FDG-PET, which evidenced complete response to treatment.</p></div><div><h3>Conclusion</h3><p>This case supports use of FDG-PET to evaluate the extent of active disease in refractory sarcoidosis and above all, FDG-PET could be an imaging method of choice showing response to infliximab in refractory sarcoidosis earlier than other imaging techniques.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 4","pages":"Pages 178-180"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.09.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86795524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shau-Hsuan Li , Sheng-Lan Wang , Wan-Ting Huang , Yi-Chun Chiu , Kun-Ming Rau
{"title":"Upper gastrointestinal bleeding as the initial manifestation of lung adenocarcinoma metastatic to the stomach","authors":"Shau-Hsuan Li , Sheng-Lan Wang , Wan-Ting Huang , Yi-Chun Chiu , Kun-Ming Rau","doi":"10.1016/j.rmedx.2007.02.001","DOIUrl":"10.1016/j.rmedx.2007.02.001","url":null,"abstract":"<div><h3>Background</h3><p>Metastasis to the stomach rarely occurs, and gastric metastasis as an initial sign of cancer occurs even less frequently. We report herein a case of lung adenocarcinoma in which the patient's initial symptom was secondary to gastric metastasis.</p></div><div><h3>Case</h3><p>A 49-year-old woman was admitted to the hospital with complaints of melena, which had developed 3 days previously. Endoscopy revealed a gastric ulcer with bleeding. The endoscopic biopsy was consistent with adenocarcinoma. The initial clinical impression was gastric adenocarcinoma; however, a chest radiograph revealed right hilar enlargement. Bronchoscopic biopsy confirmed adenocarcinoma. Immunohistochemical studies in both specimens were positive for thyroid transcription factor-1 and thus suggestive of primary lung adenocarcinoma. The patient died 12 months after initial diagnosis.</p></div><div><h3>Conclusion</h3><p>Although the initial manifestation was unusual, clinicians should be aware that malignant gastric ulcers may represent as an initial sign of underlying lung adenocarcinoma and an immunohistochemical examination for thyroid transcription factor-1 should be obtained if metastatic gastric tumor from the lung is suspected. Optimal treatment rests on making an accurate diagnosis.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 2","pages":"Pages 67-70"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73958702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Gowrinath , P.T. Sundeep , S. Kumar , G. Sunil Rodrigues , G. Krishnanand , V. Geeta
{"title":"Haemorrhagic pleural effusion secondary to inflammatory pseudotumor of spleen","authors":"K. Gowrinath , P.T. Sundeep , S. Kumar , G. Sunil Rodrigues , G. Krishnanand , V. Geeta","doi":"10.1016/j.rmedx.2007.05.006","DOIUrl":"10.1016/j.rmedx.2007.05.006","url":null,"abstract":"<div><p><span>A case of haemorrhagic pleural effusion secondary to </span>inflammatory pseudotumor<span> of spleen in a 47-year-old woman is reported. Clinical presentation was suggestive of malignant aetiology and the diagnosis was possible only with histological examination of resected spleen. At 36 months of follow-up after splenectomy, patient remained well and free from recurrence of pleural effusion. To our knowledge, no similar case has been reported so far.</span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 3","pages":"Pages 124-126"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.05.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80219498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}