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A case of chronic pulmonary mucormycosis with indolent course complicating diabetic ketoacidosis 慢性肺毛霉病合并糖尿病酮症酸中毒1例
Respiratory Medicine Extra Pub Date : 2006-01-01 DOI: 10.1016/j.rmedx.2006.08.001
Amir Soltani, Zhila Torabizadeh, Ozra Akha, Gholamali Godazandeh, Ghezel Mohammad
{"title":"A case of chronic pulmonary mucormycosis with indolent course complicating diabetic ketoacidosis","authors":"Amir Soltani,&nbsp;Zhila Torabizadeh,&nbsp;Ozra Akha,&nbsp;Gholamali Godazandeh,&nbsp;Ghezel Mohammad","doi":"10.1016/j.rmedx.2006.08.001","DOIUrl":"10.1016/j.rmedx.2006.08.001","url":null,"abstract":"<div><p><span><span>Mucormycosis is an acute and rapidly developing </span>fungal infection that complicates immunosuppressed patients suffering from </span>diabetic ketoacidosis<span> and serious immunosuppression<span>. It typically has a rapid fulminant course resulting to death. We report a patient who was admitted for diabetic ketoacidosis and pulmonary mucormycosis with an indolent and benign outcome, despite nonoptimal therapy.</span></span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73489267","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
Conservative management of an unusual cause of breathlessness during pregnancy 妊娠期呼吸困难异常原因的保守治疗
Respiratory Medicine Extra Pub Date : 2006-01-01 DOI: 10.1016/j.rmedx.2006.09.001
Ben Creagh-Brown , Nigel Cooke , Cathy Corbishley
{"title":"Conservative management of an unusual cause of breathlessness during pregnancy","authors":"Ben Creagh-Brown ,&nbsp;Nigel Cooke ,&nbsp;Cathy Corbishley","doi":"10.1016/j.rmedx.2006.09.001","DOIUrl":"10.1016/j.rmedx.2006.09.001","url":null,"abstract":"<div><p><span>A 37 yr old lady in her 14th week of her second pregnancy presented to chest clinic with breathlessness. Over the preceding month she had gradual onset of exertional breathlessness limiting her activities of daily living. Examination and routine blood tests were unremarkable and she declined a chest radiograph<span>. Her symptoms progressed and she allowed us to perform a chest radiograph, which revealed a large right sided pneumothorax<span>. This was aspirated successfully. During the final few months of her pregnancy she had a further episode of symptomatic ipsalateral pneumothorax, which was treated successfully with aspiration. She delivered a healthy baby via uncomplicated caesarean section<span> under a spinal anaesthetic at term. A chest radiograph taken 2</span></span></span></span> <span><span>d post-partum showed normal lung fields with no pneumothorax. Unfortunately, 2 weeks later she developed her third ipsalateral pneumothorax and this was treated conservatively pending video-assisted thoracoscopic surgery and pleurodesis, which occurred a few weeks later. At VATS the appearance of her lungs was grossly abnormal and a biopsy was sent for histological analysis. After a HRCT and specialist staining of her </span>lung biopsy the diagnosis of lymphangioleiomyomatosis was established.</span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73173758","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
Young patient with recurrent hemoptysis 反复咯血的年轻患者
Respiratory Medicine Extra Pub Date : 2006-01-01 DOI: 10.1016/j.rmedx.2006.03.002
Enrique Temes , Francisco Javier Gonzalez Barcala , Pablo Moreno de la Santa , Miguel Puig
{"title":"Young patient with recurrent hemoptysis","authors":"Enrique Temes ,&nbsp;Francisco Javier Gonzalez Barcala ,&nbsp;Pablo Moreno de la Santa ,&nbsp;Miguel Puig","doi":"10.1016/j.rmedx.2006.03.002","DOIUrl":"10.1016/j.rmedx.2006.03.002","url":null,"abstract":"<div><p>We report a clinical case of a young woman with recurrent haemoptysis.</p><p><span><span>In this case, we wish to highlight the contribution to diagnosis of computed tomography (CT) showing anomalous vessels in left lower lobe. The image of digital intravenous </span>arteriography subtraction (DIVAS) revealed the absence of normal lung vessels in that area and the aortography with selective arteriography showed two aberrant arteries originated from the thoracic aorta and an unusual </span>venous return<span> trough the azygous and hemiazygous systems. Usually, the venous drainage of intralobar sequestration<span> is via the pulmonary veins.</span></span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72842543","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
How could pulmonary cryptococcosis in immunocompetents be suspected? Report of 6 cases 免疫功能正常者如何怀疑肺隐球菌病?6例报告
Respiratory Medicine Extra Pub Date : 2006-01-01 DOI: 10.1016/j.rmedx.2006.03.001
José Wellington Alves dos Santos, Kelly Ribeiro Neves, Fábio Pires Santos, Marcos Ferreira Gazzoni, Tiago Chagas Dalcin, Ariovaldo Leal Fagundes, Ayrton Schneider Filho, Luis Fernando Ximenes Cibin, Rafael Cristiano Geiss Santos, Régis Franciozi, Keli Cristina Mann, Tiago Teixeira Simon, Aristeu Diniz
{"title":"How could pulmonary cryptococcosis in immunocompetents be suspected? Report of 6 cases","authors":"José Wellington Alves dos Santos,&nbsp;Kelly Ribeiro Neves,&nbsp;Fábio Pires Santos,&nbsp;Marcos Ferreira Gazzoni,&nbsp;Tiago Chagas Dalcin,&nbsp;Ariovaldo Leal Fagundes,&nbsp;Ayrton Schneider Filho,&nbsp;Luis Fernando Ximenes Cibin,&nbsp;Rafael Cristiano Geiss Santos,&nbsp;Régis Franciozi,&nbsp;Keli Cristina Mann,&nbsp;Tiago Teixeira Simon,&nbsp;Aristeu Diniz","doi":"10.1016/j.rmedx.2006.03.001","DOIUrl":"10.1016/j.rmedx.2006.03.001","url":null,"abstract":"<div><p><span><span>Isolated pulmonary cryptococcosis (IPC) accounts for just over 30% of this </span>fungal infection and is rare among immunocompetent individuals. Since it has polymorphic manifestations, it is not always suspected and often misdiagnosed. To help establish a differential diagnosis for these </span>pulmonary lesions, six cases of IPC in nonimmune-impaired hosts are reported.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79131331","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
Bronchogenic carcinoma presenting as pleural empyema 支气管源性癌表现为胸膜脓肿
Respiratory Medicine Extra Pub Date : 2006-01-01 DOI: 10.1016/j.rmedx.2006.11.002
F.J. Gonzalez Barcala , E. Temes , M. Moldes , A. Pena , L. Valdes
{"title":"Bronchogenic carcinoma presenting as pleural empyema","authors":"F.J. Gonzalez Barcala ,&nbsp;E. Temes ,&nbsp;M. Moldes ,&nbsp;A. Pena ,&nbsp;L. Valdes","doi":"10.1016/j.rmedx.2006.11.002","DOIUrl":"10.1016/j.rmedx.2006.11.002","url":null,"abstract":"<div><p><span>An 84-year-old patient reporting increased coughing, dyspnea and whitish phlegm was admitted to hospital with a tentative diagnosis of pneumonia and metapneumonic pleural effusion<span>. Biochemical and microbiological analyses of pleural fluid were compatible with empyema, but pleural fluid </span></span>cytology<span> showed non-small-cell bronchogenic carcinoma. A few days after admission, perforation of the small intestine with tumoral infiltration was detected. Urgent surgery was followed by postoperative death. This case appears to reinforce the arguments for including cytological examination as routine when pleural fluid is analysed.</span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85205397","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
Delayed diagnosis of pleural complications in ventriculoperitoneal shunt—Case reports of three patients 脑室-腹膜分流术中胸膜并发症的延迟诊断——附3例报告
Respiratory Medicine Extra Pub Date : 2006-01-01 DOI: 10.1016/j.rmedx.2006.07.001
Hussein Dabbah , Joseph N. Guilburd , Ludmila Guralnik , Michalle Soudack , Alon Ben Nun , Lea Bentur
{"title":"Delayed diagnosis of pleural complications in ventriculoperitoneal shunt—Case reports of three patients","authors":"Hussein Dabbah ,&nbsp;Joseph N. Guilburd ,&nbsp;Ludmila Guralnik ,&nbsp;Michalle Soudack ,&nbsp;Alon Ben Nun ,&nbsp;Lea Bentur","doi":"10.1016/j.rmedx.2006.07.001","DOIUrl":"10.1016/j.rmedx.2006.07.001","url":null,"abstract":"<div><p>Symptomatic pleural effusion following ventriculoperitoneal (VP) shunt insertion is very rare. We report our experience with three patients with VP shunt and massive pleural effusion. The three were seen multiple times in the emergency room before diagnoses were reached. Awareness of this possible complication may prevent futile surgical interventions or redundant treatments.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90765420","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
Syncope during forced vital capacity maneuver due to left mainstem endobronchial neoplasm 左主干支气管内肿瘤致强制肺活量操作时晕厥
Respiratory Medicine Extra Pub Date : 2006-01-01 DOI: 10.1016/j.rmedx.2005.11.002
E. Michael Canham , Gary Alexander , James C. Stringham
{"title":"Syncope during forced vital capacity maneuver due to left mainstem endobronchial neoplasm","authors":"E. Michael Canham ,&nbsp;Gary Alexander ,&nbsp;James C. Stringham","doi":"10.1016/j.rmedx.2005.11.002","DOIUrl":"10.1016/j.rmedx.2005.11.002","url":null,"abstract":"<div><p>A case presentation of syncope during forced exhalation and cough paroxyms due to an endobronchial neoplasm in the left mainstem bronchus,; clinical findings and mechanism of syncope are reviewed.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2005.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91418962","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
Cryptic miliary tuberculosis with a clinical prodrome resembling pancreatitis 隐蔽性军人结核，临床前驱症状类似胰腺炎
Respiratory Medicine Extra Pub Date : 2006-01-01 DOI: 10.1016/j.rmedx.2006.07.002
Nicos P. Hadjiangelis, Doreen J. Addrizzo-Harris
{"title":"Cryptic miliary tuberculosis with a clinical prodrome resembling pancreatitis","authors":"Nicos P. Hadjiangelis,&nbsp;Doreen J. Addrizzo-Harris","doi":"10.1016/j.rmedx.2006.07.002","DOIUrl":"10.1016/j.rmedx.2006.07.002","url":null,"abstract":"<div><p><span>The diagnosis of miliary tuberculosis<span><span> (TB) may be a challenging task for the physician. Pancreatitis is an extremely rare presentation of miliary TB. A healthy 31-year-old American male was admitted because of severe nausea, anorexia, malaise and night sweat for 4 days. He was febrile and his physical examination was unremarkable. The chest X-ray (CXR) was normal and the computed tomographic (CT) evaluation of the abdomen was consistent with pancreatitis. On the 12th day in the hospital, he complained of dyspnea and his chest CT showed bilateral ground-glass opacities. Subsequent </span>bronchoscopy was not diagnostic. </span></span>Open lung biopsy (OLBx) revealed multiple necrotizing granulomas. The patient responded to antituberculous therapy and was discharged home 3 weeks later. Miliary TB is a curable disease, which can take many forms. A high index of clinical suspicion and diagnostic persistence are required for diagnosis. Early diagnosis and treatment of miliary TB nurtures better outcomes.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.07.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79060219","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
Oxygenation improvement with almitrine bismesylate in the hepatopulmonary syndrome 双甲磺酸钠改善肝肺综合征的氧合作用
Respiratory Medicine Extra Pub Date : 2006-01-01 DOI: 10.1016/j.rmedx.2006.03.004
François Milhe , Martine Reynaud-Gaubert , Antoine Magnan , Stéphane Delpierre , Daniel Vervloet
{"title":"Oxygenation improvement with almitrine bismesylate in the hepatopulmonary syndrome","authors":"François Milhe ,&nbsp;Martine Reynaud-Gaubert ,&nbsp;Antoine Magnan ,&nbsp;Stéphane Delpierre ,&nbsp;Daniel Vervloet","doi":"10.1016/j.rmedx.2006.03.004","DOIUrl":"10.1016/j.rmedx.2006.03.004","url":null,"abstract":"<div><p>A 51 years old male patient was referred for dyspnoea on minimal exertion associated with a severe hypoxemia (<em>P</em>aO<sub>2</sub>=66<!--> <!-->mmHg) and respiratory alkalosis. Investigations led to the diagnosis of hepatopulmonary syndrome. <em>P</em>aO<sub>2</sub> increased from 60 to 75<!--> <!-->mmHg after one hour of i.v. almitrine bismesylate infusion, and it remained at 85<!--> <!-->mmHg after 3 months of further per os treatment. This case of hepatopulmonary syndrome is the first to be persistently improved by almitrine bismesylate. Increase of <em>P</em>aO<sub>2</sub> would at least delay the hepatic transplantation.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83359898","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: 7
Re-expansion pulmonary oedema an elusive entity 再扩张性肺水肿是一种难以捉摸的实体
Respiratory Medicine Extra Pub Date : 2006-01-01 DOI: 10.1016/j.rmedx.2006.01.001
D. Pandey, P. Jaret, V. Kumar, B.S. Verma, S. Thakur
{"title":"Re-expansion pulmonary oedema an elusive entity","authors":"D. Pandey,&nbsp;P. Jaret,&nbsp;V. Kumar,&nbsp;B.S. Verma,&nbsp;S. Thakur","doi":"10.1016/j.rmedx.2006.01.001","DOIUrl":"10.1016/j.rmedx.2006.01.001","url":null,"abstract":"<div><p>Re-expansion pulmonary oedema (REPO) is associated with a variety of clinical disorders including chest tube drainage of pneumothorax<span>. It is an uncommon complication with varied presentation. Patient may be mildly symptomatic or may present with life threatening complication requiring immediate treatment. The mechanism and management of REPO differs from that of cardiogenic pulmonary oedema. We present two patients, one with life threatening REPO and other with no symptoms, detected on chest radiograph. Pathogenesis, management and prevention is discussed along with review of literature.</span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74181807","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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