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Pitfalls in diagnosis of pulmonary histoplasmosis 肺组织浆菌病的诊断误区
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2006.11.005
José Wellington Alves dos Santos, Kelly Ribeiro Neves, Fabiani Palagi Machado, Felipe Schaich, Marcos Ferreira Gazzoni, Tiago Chagas Dalcin, Rosane Beatriz Toso, Luiz Fernando Ximenes Cibin, Lauro Vinícius Schvarcz da Silva, Márcio José Siqueira, Carlos Renato de Melo, Márcia Regina Rosa Scalcon, Loiva Terezinha Ottonelli Oliveira, Roseane Cardoso Marchiori, Marta Pires da Rocha
{"title":"Pitfalls in diagnosis of pulmonary histoplasmosis","authors":"José Wellington Alves dos Santos,&nbsp;Kelly Ribeiro Neves,&nbsp;Fabiani Palagi Machado,&nbsp;Felipe Schaich,&nbsp;Marcos Ferreira Gazzoni,&nbsp;Tiago Chagas Dalcin,&nbsp;Rosane Beatriz Toso,&nbsp;Luiz Fernando Ximenes Cibin,&nbsp;Lauro Vinícius Schvarcz da Silva,&nbsp;Márcio José Siqueira,&nbsp;Carlos Renato de Melo,&nbsp;Márcia Regina Rosa Scalcon,&nbsp;Loiva Terezinha Ottonelli Oliveira,&nbsp;Roseane Cardoso Marchiori,&nbsp;Marta Pires da Rocha","doi":"10.1016/j.rmedx.2006.11.005","DOIUrl":"10.1016/j.rmedx.2006.11.005","url":null,"abstract":"<div><p>Many diagnoses are missed or delayed because pulmonary histoplasmosis is not considered. Therefore, recognition of its different clinical manifestations and differential diagnoses, accompanied by knowledge of the accuracy and limitations of tests for this condition, is essential. Three cases are reported and diagnostic pitfalls are discussed.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 1","pages":"Pages 9-13"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.11.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81982880","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}
引用次数: 3
The etiology of nonspecific interstitial pneumonitis in acquired immunodeficiency syndrome 获得性免疫缺陷综合征非特异性间质性肺炎的病因学
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2006.11.007
Bobbak Vahid, Sajive Aleyas, Paul E. Marik
{"title":"The etiology of nonspecific interstitial pneumonitis in acquired immunodeficiency syndrome","authors":"Bobbak Vahid,&nbsp;Sajive Aleyas,&nbsp;Paul E. Marik","doi":"10.1016/j.rmedx.2006.11.007","DOIUrl":"10.1016/j.rmedx.2006.11.007","url":null,"abstract":"<div><p><span>Interstitial pneumonitis without evidence of </span><em>Pneumocystis jiroveci</em><span> infection has been described in the patients infected with immunodeficiency virus (HIV). Nonspecific interstitial pneumonitis (NSIP) is the most commonly observed pathologic diagnosis.</span></p><p><span>The etiology of NSIP in HIV infected patients is unknown. We retrospectively studied 6 cases of NSIP that were diagnosed with transbronchial biopsies<span>. The etiologic causes of NSIP were evaluated retrospectively by reviewing the inpatient and outpatient charts. The medical records from other institutions were also reviewed when available. We concluded that cocaine abuse, disseminated </span></span><em>Mycobacterium avium</em><span><span> complex infection, cytomegalovirus (CMV) pneumonitis, and </span>immune reconstitution syndrome<span> were the potential causes of NSIP in our patients with HIV infection.</span></span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 1","pages":"Pages 17-20"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.11.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80009241","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}
引用次数: 0
An unusual phenomenon following simple aspiration of pneumothorax 单纯吸入性气胸后的不寻常现象
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2007.09.009
Daniel K.C. Lee
{"title":"An unusual phenomenon following simple aspiration of pneumothorax","authors":"Daniel K.C. Lee","doi":"10.1016/j.rmedx.2007.09.009","DOIUrl":"10.1016/j.rmedx.2007.09.009","url":null,"abstract":"","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 4","pages":"Page 181"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.09.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89470515","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}
引用次数: 0
Chemotherapy for small cell lung cancer in a patient with idiopathic thrombocytopenic purpura 特发性血小板减少性紫癜患者小细胞肺癌的化疗
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2007.06.001
Ryoko Ogawa, Hiroaki Satoh, Yukio Ishii, Morio Ohtsuka
{"title":"Chemotherapy for small cell lung cancer in a patient with idiopathic thrombocytopenic purpura","authors":"Ryoko Ogawa,&nbsp;Hiroaki Satoh,&nbsp;Yukio Ishii,&nbsp;Morio Ohtsuka","doi":"10.1016/j.rmedx.2007.06.001","DOIUrl":"10.1016/j.rmedx.2007.06.001","url":null,"abstract":"<div><p><span><span>Thrombocytopenia is one of the most important and serious co-morbid conditions in patients with </span>hematological malignancies<span><span><span> as well as non-hematological solid tumors. We report herein a </span>small cell lung cancer (SCLC) patient with idiopathic thrombocytopenic purpura (ITP) who was successfully treated with chemotherapy containing </span>cisplatin and </span></span>etoposide. It is probably safe to administer chemotherapeutic agents for some cancer patients with ITP, but prevention or minimization of toxicities of these chemotherapeutic agents is very important. Full consideration about the indication of chemotherapy and careful observation are required for such patients.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 3","pages":"Pages 117-119"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90213272","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}
引用次数: 1
Spontaneous regression of a primary sarcoma of the pulmonary artery 肺动脉原发肉瘤的自发性消退
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2006.11.004
Kazutsugu Uematsu , Taro Takahara , Nobuhiko Seki , Takashi Seto , Shuji Ota , Masato Nakamura , Kenji Eguchi
{"title":"Spontaneous regression of a primary sarcoma of the pulmonary artery","authors":"Kazutsugu Uematsu ,&nbsp;Taro Takahara ,&nbsp;Nobuhiko Seki ,&nbsp;Takashi Seto ,&nbsp;Shuji Ota ,&nbsp;Masato Nakamura ,&nbsp;Kenji Eguchi","doi":"10.1016/j.rmedx.2006.11.004","DOIUrl":"10.1016/j.rmedx.2006.11.004","url":null,"abstract":"<div><p><span><span>We report a case of spontaneous regression of a </span>pulmonary sarcoma. A 76-year-old-woman was found to have a mass arising from the </span>left pulmonary artery<span> and extending into the left lung. Seven months later, the mass of the left lung lesion<span><span><span> had shrunk without treatment<span>, but metastases appeared in the left lung. </span></span>Sarcoma was diagnosed with histological examination of tissue from the </span>pulmonary metastases. The patient died after metastases appeared in the brain 22 months after presentation.</span></span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 1","pages":"Pages 6-8"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.11.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90218735","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}
引用次数: 4
Successful treatment of pulmonary mucormycosis with combined medical and surgical approach 内外科联合治疗肺毛霉菌病的成功
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2007.05.007
Hanadi Abid, Jamel Ammar, Ferdaous Yengui, Aida Ayadi, Faouzi Mezni, Tahar Mestiri, Adel Merghli, Habiba Jilani, Saoussen Hantous, Agnes Hamzaoui
{"title":"Successful treatment of pulmonary mucormycosis with combined medical and surgical approach","authors":"Hanadi Abid,&nbsp;Jamel Ammar,&nbsp;Ferdaous Yengui,&nbsp;Aida Ayadi,&nbsp;Faouzi Mezni,&nbsp;Tahar Mestiri,&nbsp;Adel Merghli,&nbsp;Habiba Jilani,&nbsp;Saoussen Hantous,&nbsp;Agnes Hamzaoui","doi":"10.1016/j.rmedx.2007.05.007","DOIUrl":"10.1016/j.rmedx.2007.05.007","url":null,"abstract":"<div><p><span>Mucormycosis is an invasive opportunistic </span>fungal infection<span> that occurs frequently in diabetic patients with high rate of mortality. We report a new case of pulmonary mucormycosis in a 56-year-old woman with poorly controlled insulin dependent type II diabetes. Initial symptoms were recurrent haemoptysis<span><span> with pulmonary infection unresponsive to broad-spectrum antibiotics. Bronchial biopsy showed hyphae with right-angle branching, typical of mucormycosis. Outcome was favourable after long-term </span>amphotericin B<span> and surgery. Although mucormycosis is rare, it should be considered in high-risk patients because early diagnosis and timely therapy combining antifungal drug, surgery and control of underlying disease appear to improve the prognosis.</span></span></span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 3","pages":"Pages 120-123"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.05.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82228390","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}
引用次数: 3
Neuroblastoma of the posterior mediastinum in a 61-year-old woman 61岁女性后纵隔神经母细胞瘤
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2007.05.005
Aïda Ayadi-Kaddour , Selma Chaabouni , Mona Mlika , Tarak Kilani , Ridha Ben Hassine , Faouzi El Mezni
{"title":"Neuroblastoma of the posterior mediastinum in a 61-year-old woman","authors":"Aïda Ayadi-Kaddour ,&nbsp;Selma Chaabouni ,&nbsp;Mona Mlika ,&nbsp;Tarak Kilani ,&nbsp;Ridha Ben Hassine ,&nbsp;Faouzi El Mezni","doi":"10.1016/j.rmedx.2007.05.005","DOIUrl":"10.1016/j.rmedx.2007.05.005","url":null,"abstract":"<div><p><span>Neuroblastoma is an embryonal tumour that evolves from the </span>neural crest cell<span> and rarely occurs in adults. Adult neuroblastoma is an uncommon malignancy<span> that often pursues an aggressive clinical course, involves multiple sites, and has a poor prognosis. However, the prognosis of mediastinal neuroblastoma has been reported to be better than other neuroblastomas. We report a case of posterior mediastinal neuroblastoma differentiating type in a 61-year-old woman that was symptomatic and completely resected. Diagnosis was based on pathologic and immunohistochemical studies of the surgical specimen. Two years after the operation and without further treatment<span> postoperatively, the patient showed no evidence of recurrence or metastasis.</span></span></span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 3","pages":"Pages 114-116"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.05.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84608511","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}
引用次数: 0
Churg–Strauss syndrome and bronchiectasis Churg-Strauss综合征和支气管扩张
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2007.01.002
Paul King
{"title":"Churg–Strauss syndrome and bronchiectasis","authors":"Paul King","doi":"10.1016/j.rmedx.2007.01.002","DOIUrl":"10.1016/j.rmedx.2007.01.002","url":null,"abstract":"<div><p><span>A patient with Churg–Strauss syndrome (CSS) treated for many years with systemic corticosteroids developed a chronic cough with purulent </span>sputum<span> production. Computed tomographic scanning demonstrated widespread bronchiectasis<span>. The bronchiectasis may have arisen as a primary manifestation of the CSS or may have occurred in the context of prolonged immunosuppression.</span></span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 1","pages":"Pages 26-28"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.01.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91447375","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}
引用次数: 2
Acute lung injury after exposure to Stachybotrys chartarum 接触棘球蚴后的急性肺损伤
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2007.03.001
Cyrus Shariat, Harold R. Collard
{"title":"Acute lung injury after exposure to Stachybotrys chartarum","authors":"Cyrus Shariat,&nbsp;Harold R. Collard","doi":"10.1016/j.rmedx.2007.03.001","DOIUrl":"10.1016/j.rmedx.2007.03.001","url":null,"abstract":"<div><p>An association between exposure to <em>Stachybotrys chartarum</em>, a ubiquitous environmental mold, and respiratory disease in humans has been suggested but remains poorly defined [Hossain MA, Ahmed MS, Ghannoum, MA. Attributes of <em>Stachybotrys chartarum</em> and its association with human disease. <em>J Allergy Clin Immunol</em> 2004; <strong>113</strong>: 200–08]. We report a patient who presented with acute respiratory failure and histopathological evidence of diffuse alveolar damage shortly after exposure to <em>S. chartarum</em> in her home.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 2","pages":"Pages 74-75"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90603626","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}
引用次数: 3
Co-existence of hepato-pulmonary syndrome and pulmonary hypertension in a patient with liver cirrhosis and intravenous drug abuse 肝硬化并发静脉药物滥用患者肝肺综合征并发肺动脉高压1例
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2007.07.005
Jaya Kumar , Rajinder Chitkara , Peter Baylor
{"title":"Co-existence of hepato-pulmonary syndrome and pulmonary hypertension in a patient with liver cirrhosis and intravenous drug abuse","authors":"Jaya Kumar ,&nbsp;Rajinder Chitkara ,&nbsp;Peter Baylor","doi":"10.1016/j.rmedx.2007.07.005","DOIUrl":"10.1016/j.rmedx.2007.07.005","url":null,"abstract":"<div><p><span>We describe a patient who had a history of cirrhosis and intravenous drug abuse. He had findings of the hepato-pulmonary syndrome and pulmonary hypertension. The co-existence of the hepato-pulmonary syndrome and pulmonary hypertension may be attributable to two separate processes: (a) cirrhosis causing pulmonary vascular dilatation at the pulmonary capillary level resulting in the hepato-pulmonary syndrome and (b) intravenous drug abuse causing narrowing of pulmonary vascular bed at the level of small pulmonary arteries, thereby, resulting in pulmonary hypertension with elevated </span>pulmonary vascular resistance. However, the co-existence of the hepato-pulmonary syndrome and porto-pulmonary hypertension remains a distinct possibility.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 3","pages":"Pages 143-146"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.07.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81425264","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}
引用次数: 0
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