Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society最新文献_第10页

[A case of miliary tuberculosis showing diffuse alveolar hemorrhage]. [军性肺结核弥漫性肺泡出血1例]。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-07-01

Sukeyuki Nakamura, Eiko Kamioka, Atsuko Tokuda, Hiroshi Tabeta

{"title":"[A case of miliary tuberculosis showing diffuse alveolar hemorrhage].","authors":"Sukeyuki Nakamura, Eiko Kamioka, Atsuko Tokuda, Hiroshi Tabeta","doi":"","DOIUrl":"","url":null,"abstract":"A 43-year-old diabetic man had a productive cough and high fever and was admitted to another hospital. His condition did not improve despite treatment with Cefepime, and he was transferred to our hospital. Chest X-ray films and CT findings showed pulmonary infiltration and diffuse ground-glass opacities in bilateral lung fields, but disseminated nodules were not identified. Since his bronchial lavage fluid (BALF) was bloody, we suspected diffuse alveolar hemorrhage due to vasculitis. Steroid pulse therapy was given, and his fever and chest X-ray findings completely improved. However, 1 week later, he again suffered a high fever and bloody sputum, and a chest X-ray film showed granular shadows in bilateral lung fields. He died of respiratory failure on the 18th hospital day despite treatment and mechanical ventilation. An autopsy revealed many necrotizing epithelioid granulomas in both lungs, the liver, the spleen, both kidneys and both adrenal glands. These findings indicated miliary tuberculosis, and a culture of his sputum and BALF finally revealed mycobacterium tuberculosis. Marked alveolar hemorrhage and a hyaline membrane were also found in both lungs, but vasculitis was not recognized in any organ. We report this case, because to the best of our knowledge diffuse alveolar hemorrhage has not been reported as the primary symptom of miliary tuberculosis.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 7","pages":"548-52"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30079532","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

[A case of bronchocentric granulomatosis associated with Aspergillus clusters that was difficult to distinguish from lung cancer]. 【支气管中心性肉芽肿病伴曲霉团簇与肺癌难鉴别一例】。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-06-01

Chihito Komaki, Takashi Niwa, Hiroki Tatsuoka, Toshio Kasugai, Tsuneko Ikeda

引用次数: 0

[A case of pulmonary malignant melanoma mimicking lung abscess]. 【肺恶性黑色素瘤模拟肺脓肿一例】。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-06-01

Hideaki Mochizuki, Emiko Chikui, Aya Tokumaru, Takayuki Kato, Tomio Arai, Hideki Takahashi

引用次数: 0

[A case of Lemierre syndrome]. [Lemierre综合征1例]。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-06-01

Akira Naito, Takayuki Jujo, Fuminobu Kuroda, Takaaki Kozono, Takayuki Sakurai, Koichiro Tatsumi

{"title":"[A case of Lemierre syndrome].","authors":"Akira Naito, Takayuki Jujo, Fuminobu Kuroda, Takaaki Kozono, Takayuki Sakurai, Koichiro Tatsumi","doi":"","DOIUrl":"","url":null,"abstract":"Classic Lemierre syndrome is a septic internal jugular venous thrombophlebitis secondary to oropharyngeal anaerobic infection in adolescents and young adults. Upper respiratory tract infection is the most common antecedent. We report a case of Lemierre syndrome as a rare infectious disease. A 20-year-old man complained of high fever, right neck discomfort and chest pain. Chest X-ray revealed infiltrative shadows, suggesting bacterial pneumonia. Although cefcapene pivoxil hydrochloride hydrate (CFPN-PI) was given in a local clinic, his symptoms did not improve. Then he was referred to our hospital. Chest CT findings showed bilateral multiple nodular shadows with small cavities, suggesting septic embolization. Fusobacterium necrophorum was cultured from specimen of the blood, and an enhanced neck CT scan showed thrombosis in the right internal jugular vein. These findings led us to a diagnosis of Lemierre syndrome. Four weeks of antibiotics and anticoagulants ameliorated inflammatory findings in blood, but internal jugular vein thrombosis remained. Currently, there is no consensus opinion on the use of anticoagulation in patients with Lemierre syndrome complicated by septic internal jugular thrombosis and embolism. Early and effective antibiotics therapy may prevent the development of the syndrome and its associated complication, although it is unclear whether the outcome will be favorable.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 6","pages":"449-53"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29988815","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

[Siblings with familial interstitial pneumonia]. [家族间质性肺炎的兄弟姐妹]。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-06-01

Tsukasa Okamoto, Yasunari Miyazaki, Yuichiro Nei, Meiyo Tamaoka, Yuki Sumi, Tamiko Takemura, Naohiko Inase

引用次数: 0

[Occurrence of organizing pneumonia after radiation therapy for postoperative breast cancer]. 【乳腺癌术后放疗后组织肺炎的发生】。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-06-01

Takayuki Kishikawa, Hiroko Imadachi, Katsuji Hirano, Shota Nakashima, Eisuke Sasaki, Akitoshi Kinoshita

引用次数: 0

[A case of melioidosis occurring after a long-term stay in Vietnam that developed pulmonary cavitation and relapsed with multiple pulmonary nodules]. [在越南长期停留后发生类鼻疽病，并发肺空化，复发并发多发肺结节1例]。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-06-01

Kiyoko Kurata, Yoshihisa Nukui, Hiroyuki Shimada, Yukihisa Inoue, Nobuyuki Yoshimura, Atsuko Horino

{"title":"[A case of melioidosis occurring after a long-term stay in Vietnam that developed pulmonary cavitation and relapsed with multiple pulmonary nodules].","authors":"Kiyoko Kurata, Yoshihisa Nukui, Hiroyuki Shimada, Yukihisa Inoue, Nobuyuki Yoshimura, Atsuko Horino","doi":"","DOIUrl":"","url":null,"abstract":"A 69-year-old man complained of fever in September 2009, after returning from Vietnam where he has been working for 20 years. He had diabetes mellitus and was on diabetic oral medication. He was examined at a nearby hospital, and found out to have pneumonia with cavity formation in the right upper lobe which was found out to be not due to tuberculosis. Although the patient once recovered with antibacterial medicine, after a few months, in January 2010, he was admitted to our hospital because of recurrent fever. Computed tomography revealed multiple pulmonary nodules which were thought to be pulmonary emboli, as well as subcutaneous abscess, spleen abscess, and kidney abscess. Blood test showed that he also had DIC. As Burkholderia pseudomallei was cultured from the subcutaneous abscess and blood, was diagnosed as melioidosis. The patient was treated with meropenem for 8 weeks, and then a maintenance oral antibacterial medicine was continued for the next 6 months. The patient fully recovered after those treatments and has not relapsed since then. This is the ninth case report of melioidosis in Japan which is an imported infectious disease.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 6","pages":"443-8"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29988814","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

[Three cases of Mycobacterium kansasii pulmonary diseases in previously healthy young women]. 【既往健康年轻女性的3例堪萨斯分枝杆菌肺部疾病】。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-06-01

Tsukasa Ohnishi, Soujirou Kusumoto, Soudai Yamaguchi, Yasunari Ohki, Masayuki Satou, Toshihide Sugiyama, Takao Shirai, Masanao Nakashima, Toshimitu Yamaoka, Kentaro Okuda, Takashi Hirose, Mitsuru Adachi

{"title":"[Three cases of Mycobacterium kansasii pulmonary diseases in previously healthy young women].","authors":"Tsukasa Ohnishi, Soujirou Kusumoto, Soudai Yamaguchi, Yasunari Ohki, Masayuki Satou, Toshihide Sugiyama, Takao Shirai, Masanao Nakashima, Toshimitu Yamaoka, Kentaro Okuda, Takashi Hirose, Mitsuru Adachi","doi":"","DOIUrl":"","url":null,"abstract":"Mycobacterium kansasii pulmonary diseases account for 20% of cases of non-tuberculous mycobacteria. Most patients are male. However, a recent study has found that radiological examinations in female patients often reveal nodular, bronchiectatic opacities. We describe 3 young women with cavitary opacities. Patient 1 was a 35-year-old woman in whom thin-walled cavitary opacities were detected in the upper lobe during a routine checkup. Sputum examination and fiberoptic bronchoscopy led to a diagnosis of M. kansasii pulmonary disease. Patient 2 was a 23-year-old woman who presented with hemoptysis. Thin-walled cavitary opacities were detected in the right upper lobe. Infection with M. kansasii was diagnosed after a sputum examination. Patient 3 was a 43-year-old woman in whom thin-walled cavitary opacities were detected in the left upper lobe during a routine checkup. Infection with M. kansasii was diagnosed after a fiberoptic bronchoscopic examination. Patient 1 was successfully treated with rifampicin, ethambutol, and levofloxacin, and patients 2 and 3 were successfully treated with isoniazid, rifampicin, and ethambutol. The possibility of M. kansasii pulmonary diseases should be considered in a previously healthy young woman with thin-walled cavitary opacities in the upper lobe.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 6","pages":"426-31"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29988811","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

[A case of multicentric Castleman disease with massive infiltration of plasmacytes presenting IgG4]. [1例多中心Castleman病伴大量浆细胞浸润，表现为IgG4]。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-06-01

Takaaki Ogoshi, Kazuhiro Yatera, Shuya Nagata, Chinatsu Nishida, Kei Yamasaki, Toshinori Kawanami, Hiroshi Ishimoto, Chiharu Yoshii, Hiroshi Mukae

{"title":"[A case of multicentric Castleman disease with massive infiltration of plasmacytes presenting IgG4].","authors":"Takaaki Ogoshi, Kazuhiro Yatera, Shuya Nagata, Chinatsu Nishida, Kei Yamasaki, Toshinori Kawanami, Hiroshi Ishimoto, Chiharu Yoshii, Hiroshi Mukae","doi":"","DOIUrl":"","url":null,"abstract":"A 42-year-old Japanese woman was referred to our university hospital due to progressive anemia and bilateral hilar lymphadenopathy with diffuse ground-glass attenuation on chest computed tomography in December 2009. She had suffered from exertional dyspnea and fatigue for several months. Laboratory findings on admission demonstrated leukocytosis (10,950/ul), elevation of C-reactive protein (4.7 mg/dl), IL-6 (19.9 pg/ml), IgG4 (567 mg/dl) and polyclonal hyper gamma-globulinemia. Chest computed tomography represented mediastinal and bilateral hilar lymphadenopathy with diffuse centrilobular fine nodules and intralobular septal thickening. Histopathological findings of the specimens obtained by thoracoscopic lung and mediastinal lymph node biopsies revealed massive infiltration of IgG4-positive plasma cells in lung tissue and lymph nodes. Pathological findings and high levels of C-reactive protein and interleukin-6 suggested a diagnosis of multicentric Castleman's disease (MCD). In addition, pathological findings of peribronchiolar infiltration of IgG4-positive plasma cells and lymphoid follicles with infiltration of IgG4-positive plasma cells with a high level of IgG4 were indicative of the complication of IgG4-related lung disease. Radiological and serological findings improved rapidly soon after the initiation of oral corticosteroid treatment. It was speculated that this case indicated the close relationship between MCD and IgG4-related lung disease.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 6","pages":"437-42"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29988813","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

[Educational usefulness of lung auscultation training with an auscultation simulator]. [听诊模拟器肺听诊训练的教育意义]。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-06-01

Yasuji Arimura, Hiroyuki Komatsu, Shigehisa Yanagi, Nobuhiro Matsumoto, Akihiko Okayama, Katsuhiro Hayashi, Masamitsu Nakazato

{"title":"[Educational usefulness of lung auscultation training with an auscultation simulator].","authors":"Yasuji Arimura, Hiroyuki Komatsu, Shigehisa Yanagi, Nobuhiro Matsumoto, Akihiko Okayama, Katsuhiro Hayashi, Masamitsu Nakazato","doi":"","DOIUrl":"","url":null,"abstract":"Objective: We examined the educational usefulness of lung auscultation training with an auscultation simulator \"Mr. Lung\".Methods: Auscultation training was conducted for fifth-year students of the Medical Department of the University of Miyazaki, and consisted of a lecture by a pulmonologist (Board Certified Member of the Japanese Respiratory Society) and skill training using Mr. Lung for a total of 90 min. We compared the percentages of students who correctly identified 4 adventitious sounds before and after training. We also investigated the responses to a self-report questionnaire on self-evaluation after training, auscultation experiences before training, and opinions regarding medical education with the simulator.Results: The subjects' correct answer rate before training was 40% or less and that for the correct identification of rhonchi was the lowest (5%). The correct answer rate, which was not influenced by previous experience of auscultation, significantly increased after training (80% or more). In the self-report questionnaire, about 90% of the students answered that the ability to identify lung sounds by auscultation was necessary for all doctors and that the simulator was effective for acquiring this skill.Conclusion: The auscultation simulator may be useful for medical students not only to enhance auscultatory skills but also to realize the importance of auscultation in clinical examination.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 6","pages":"413-8"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29988876","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