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High-level meeting between two professional societies. 两个专业协会之间的高级别会议。
Pneumologia Pub Date : 2015-10-01
Florin Mihălţan, Horaţiu Moldovan
{"title":"High-level meeting between two professional societies.","authors":"Florin Mihălţan, Horaţiu Moldovan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":20345,"journal":{"name":"Pneumologia","volume":"64 4","pages":"50"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34699817","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
Surgical and Anatomical Particularities and Difficulties in Histopathological Sampling for Superior Vena Cava Syndrome. 上腔静脉综合征的外科解剖特点及组织病理取样的困难。
Pneumologia Pub Date : 2015-10-01
Paul Salahoru, Ciprian Sebastian Lovin, Tiberiu Lunguleac, Costică Mitrofan, Diana-Veronica Costache, Cristina Grigorescu
{"title":"Surgical and Anatomical Particularities and Difficulties in Histopathological Sampling for Superior Vena Cava Syndrome.","authors":"Paul Salahoru,&nbsp;Ciprian Sebastian Lovin,&nbsp;Tiberiu Lunguleac,&nbsp;Costică Mitrofan,&nbsp;Diana-Veronica Costache,&nbsp;Cristina Grigorescu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The superior vena cava syndrome is due to the increased venous pressure in the upper torso, neck and head, caused by the obstruction of the superior vena cava. Both external and internal factors cause obstruction (95% are malign causes), and the most severe manifestation is represented by cerebral edema that can even lead to coma. The diagnostic algorithm for the superior vena cava syndrome is widely known. There are many controversies and discussions about the safety of histopathological sampling. The purpose of this paper is to assess such risks, the complication rate and the diagnostic yield of surgical sampling, by analyzing the 26 interventions performed in our clinic. Although the complication rate was higher than that observed in the absence of the superior vena cava syndrome, surgery remains mandatory for a rapid histopathological diagnosis, therefore demanding a protocol that must include a mandatory extemporaneous exam of the biopsy.</p>","PeriodicalId":20345,"journal":{"name":"Pneumologia","volume":"64 4","pages":"26-7"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34698962","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
Asthma-like symptoms in a patient with rheumatoid arthritis and Adalimumab treatment. 阿达木单抗治疗的类风湿关节炎患者出现哮喘样症状
Pneumologia Pub Date : 2015-10-01
Ioana Mărgineanu, Radu Crişan, Traian Mihăescu
{"title":"Asthma-like symptoms in a patient with rheumatoid arthritis and Adalimumab treatment.","authors":"Ioana Mărgineanu,&nbsp;Radu Crişan,&nbsp;Traian Mihăescu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After the introduction of anti-TNFα medication for treatment of autoimmune conditions, clinicians have investigated not only other possible uses for the drugs, but also less common side-effects and interactions with other pathologies. Despite some succes registered with Adalimumab as an antiinflammatory agent in severe asthma, there have been case reports of patients developing asthma or asthma-like symptoms following anti-TNFα therapy. The case presents a patient without previous family or personal history of respiratory or atopic conditions that developed bronchospasm immediately after the initiation of Adalimumab and Methotrexate treatment for rheumatoid arthritis. Despite the patient presenting asthma characteristics (expiratory wheezing, dry cough, partial reversibility at post bronchodilator test) and asthma medication alleviating simtomathology, biological markers (eosenophil granulocytes in sputum, serum IgE) for asthma are absent. The relationship between bronchospasm and medication and other possible causes for her respiratory symptoms are discussed.</p>","PeriodicalId":20345,"journal":{"name":"Pneumologia","volume":"64 4","pages":"28-30"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34698963","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
The efficiency of continuous positive airway pressure therapy in reducing cardiovascular dysfunction in a patient with arterial hypertension and obstructive sleep apnea. 持续气道正压治疗减轻高血压合并阻塞性睡眠呼吸暂停患者心血管功能障碍的疗效。
Pneumologia Pub Date : 2015-10-01
Stefania L Magda, Raluca I Mincu, Stefan Dumitrache-Rujinski, Mircea Cinteza
{"title":"The efficiency of continuous positive airway pressure therapy in reducing cardiovascular dysfunction in a patient with arterial hypertension and obstructive sleep apnea.","authors":"Stefania L Magda,&nbsp;Raluca I Mincu,&nbsp;Stefan Dumitrache-Rujinski,&nbsp;Mircea Cinteza","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Obstructive sleep apnea (OSA) has been included by European and American hypertension therapy guidelines as a common cause of high blood pressure. Recent studies have demonstrated a strong link between OSA and HBP and the treatment thereof should consist of combination therapy, especially in patients with refractory AHT and a non-dipping profile. We present the case of a patient with high grade hypertension, with secondary organ damage and severe OSA. The ultimate method for controlling blood pressure and reversing subclinical cardiac and cerebrovascular dysfunction of this patient was the specific therapy with continuous positive airway pressure (cPAP).</p>","PeriodicalId":20345,"journal":{"name":"Pneumologia","volume":"64 4","pages":"41-4"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34587598","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
Haemoptysis as a primary manifestation of cryptogenic organizing pneumonia (COP). 咯血是隐源性组织性肺炎(COP)的主要表现。
Pneumologia Pub Date : 2015-10-01
Fotini Chatzivasiloglou, Stamatis Katsenos, Konstantinos Psathakis, Konstantinos Tsintiris
{"title":"Haemoptysis as a primary manifestation of cryptogenic organizing pneumonia (COP).","authors":"Fotini Chatzivasiloglou,&nbsp;Stamatis Katsenos,&nbsp;Konstantinos Psathakis,&nbsp;Konstantinos Tsintiris","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cryptogenic organizing pneumonia (COP), previously called bronchiolitis obliterans organizing pneumonia (BOOP) is a clinicopathological disorder of unknown aetiology but increasingly reported. It usually presents with symptoms of dyspnea, cough, fever, weight loss accompanied by the presence of alveolar opacities on chest radiograph. Haemoptysis, described as blood streaking has only rarely been reported as primary presentation of COP. Herein, we report a case of COP in which submassive haemoptysis was the main clinical manifestation. The clinical, radiological, pathological, and therapeutic aspects of the disease are briefly discussed. Cryptogenic organizing pneumonia should be taken into consideration in the differential diagnosis of severe haemoptysis.</p>","PeriodicalId":20345,"journal":{"name":"Pneumologia","volume":"64 4","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34698965","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
"About smoking: from theory to public" another initiative of the Romanian Society of Pulmonology. "关于吸烟:从理论到公众"罗马尼亚肺病学会的另一项倡议。
Pneumologia Pub Date : 2015-10-01
Florin Mihălţan
{"title":"\"About smoking: from theory to public\" another initiative of the Romanian Society of Pulmonology.","authors":"Florin Mihălţan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":20345,"journal":{"name":"Pneumologia","volume":"64 4","pages":"51"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34699821","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
Respiratory tuberculosis in children and adolescents: Assessment of radiological severity pattern and age-related changes within two decades. 儿童和青少年呼吸道结核:20年内放射学严重程度模式和年龄相关变化的评估。
Pneumologia Pub Date : 2015-10-01
Maria T A Buzan, Carmen Monica Pop, Mihaela Raduta, Monika Eichinger, Claus Peter Heussel
{"title":"Respiratory tuberculosis in children and adolescents: Assessment of radiological severity pattern and age-related changes within two decades.","authors":"Maria T A Buzan,&nbsp;Carmen Monica Pop,&nbsp;Mihaela Raduta,&nbsp;Monika Eichinger,&nbsp;Claus Peter Heussel","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Despite the global decline of tuberculosis (TB), the annual risk of TB infection in children from developing countries remains high. Giving the global and regional epidemiological context in the past 20 years and a recent classification, dividing childhood TB into severe and non-severe disease, our aim was to find possible differences regarding disease severity in the pediatric population, as assessed by chest radiography (CXR) over 2 decades.</p><p><strong>Materials and method: </strong>A retrospective analysis of CXRs from newly confirmed respiratory TB patients was performed at the Pediatric Pulmonology Department of a tertiary-care university hospital that acts as a referral TB center in Transylvania. CXRs were reviewed for all patients suffering from respiratory TB in 1994-1999 (Group A) and all respective cases from 2008-2013 (Group B).</p><p><strong>Results: </strong>In the 110 respiratory TB cases identified in group A and 73 respective cases found in group B, the male:female distribution was similar, 56%-44%. In group A a severe pattern was present in 34% of patients, while in group B there were 43% of respective cases. The median age for severe disease in group A was 10 years, and 15 years in group B (p < 0.05). Furthermore, in group B there was less mediastinal lymphadenopathy (55% vs. 68% in group A), more cavities (11% vs. 6% in group A) and a significantly higher number of consolidation, 38% vs. 25% (p = 0.04).</p><p><strong>Conclusion: </strong>CXR findings in the pediatric population have evolved from a mainly nonsevere TB pattern to an increased prevalence of severe disease, found mostly in the adolescents.</p>","PeriodicalId":20345,"journal":{"name":"Pneumologia","volume":"64 4","pages":"8-12"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34698961","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
First National Conference on Interstitial Lung Diseases. Timişoara, October 9-10. 首届全国间质性肺病会议。十月九日至十日。
Pneumologia Pub Date : 2015-10-01
Irina Strâmbu
{"title":"First National Conference on Interstitial Lung Diseases. Timişoara, October 9-10.","authors":"Irina Strâmbu","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":20345,"journal":{"name":"Pneumologia","volume":"64 4","pages":"48"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34587602","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
Immune reconstitution inflammatory syndrome in central nervous system tuberculosis. 中枢神经系统结核的免疫重建炎性综合征。
Pneumologia Pub Date : 2015-10-01
Eliza Manea, Daniela Munteanu, Raluca Jipa, Ruxandra Moroti, Victoria Arama, Ioan-Alexandru Diaconu, Adriana Hristea
{"title":"Immune reconstitution inflammatory syndrome in central nervous system tuberculosis.","authors":"Eliza Manea,&nbsp;Daniela Munteanu,&nbsp;Raluca Jipa,&nbsp;Ruxandra Moroti,&nbsp;Victoria Arama,&nbsp;Ioan-Alexandru Diaconu,&nbsp;Adriana Hristea","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Immune reconstitution inflammatory syndrome (IRIS) related to tuberculosis (TB) is an exacerbation of an inflammatory response that most often occurs in HIV-infected patients but it has also been observed in non-HIV immunocompromised hosts. We describe two cases of TB associated IRIS with CNS involvement, one in a patient diagnosed with HIV infection and the other in a patient with immunosuppression due to anti tumor necrosis factor treatment. CASE REPORT; The first case was a 40-year-old man, newly diagnosed with HIV infection, who developed right hemiplegia and expressive aphasia. Lumbar puncture and MRI sustained the diagnosis of TB meningoencephalitis. He initially improved understandard antituberculous therapy (ATT). After 6 weeks of ATT antiretroviral treatment (ART) was initiated and one week later the patient experienced worsening of his symptoms (left hemiparesis and mixed aphasia), of CSF and MRI changes. He improved after he was starting on corticosteroids in tapering doses, with clinical deterioration at lower doses over a 5-month period. The second case was a 56-year-old male, treated for 3 years with Infliximab for ankylosing spondylitis. He was diagnosed with disseminated TB (CNS tuberculomas and pulmonary TB), histological and bacteriological confirmed the diagnosis. His neurological symptoms improved after starting ATT but after 2 weeks of therapy he presented with diplopia and generalized tonic-clonic seizures. These symptoms improved only after corticosteroids were added (tapering doses during the next 6 months).</p><p><strong>Conclusion: </strong>TB-associated IRIS with CNS involvement is potentially life threatening. Corticosteroids should be used to control the IRIS symptoms in those patients. The dosing and duration should be tailored to each patient.</p>","PeriodicalId":20345,"journal":{"name":"Pneumologia","volume":"64 4","pages":"32-6"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34698964","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
Interstitial pneumonitis after treatment for hepatitis C virus infection. 丙型肝炎病毒感染治疗后的间质性肺炎。
Pneumologia Pub Date : 2015-01-01
Victor Botnaru, Oxana Munteanu, Doina Rusu
{"title":"Interstitial pneumonitis after treatment for hepatitis C virus infection.","authors":"Victor Botnaru,&nbsp;Oxana Munteanu,&nbsp;Doina Rusu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pulmonary toxicity is a rare side effect of interferon treatment with a wide spectrum of lung tissue conditions, including interstitial pneumonitis, pulmonary sarcoidosis, bronchiolitis obliterans organizing pneumonia, pleural effusion, exacerbation of bronchial asthma, reversible pulmonary hypertension and acute respiratory distress syndrome. We report a case of interstitial pneumonitis in a patient treated with pegylated interferon α2-a and ribavirin for chronic hepatitis C virus infection, genotype 1. The case was marked by progression of the respiratory symptoms even after the withdrawn of the pegylated interferon. One-year treatment with systemic corticosteroid ensured a considerable resorption of CT lesions but only a moderate improvement of symptoms and diffusion capacity without a complete recovery.</p>","PeriodicalId":20345,"journal":{"name":"Pneumologia","volume":"64 1","pages":"46-50"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33337476","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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