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The Internet Journal of Pulmonary Medicine最新文献

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Chronic reactive airway disease following Chlorine inhalation lung injury 氯吸入性肺损伤后的慢性反应性气道疾病
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/2ce
M. Nepal, Rebecca Heintzelman
{"title":"Chronic reactive airway disease following Chlorine inhalation lung injury","authors":"M. Nepal, Rebecca Heintzelman","doi":"10.5580/2ce","DOIUrl":"https://doi.org/10.5580/2ce","url":null,"abstract":"Inhalations of smoke and toxic fumes from chemicals like chlorine are known to cause mild mucosal irritation with lacrimation, nasal congestion, nasopharyngeal edema, transient reversible reactive airways and sometimes acute respiratory failure in the setting of acute respiratory distress syndrome due to bronchospasm, pulmonary consolidation presenting with rapid onset symptoms of cough, wheeze and shortness of breath. Inhalations of these fumes have also been known to cause on rare occasions diffuse bronchiolitis and chronic respiratory sequelae including decreased lung function and persistence of asthma. We are reporting one such rare case report of acute inhalation lung injury that developed progressive shortness of breath and bilateral lung consolidation as a result of inhalation of chlorine fumes from bleaching agents and later recovered on high dose steroids slowly over months only to have chronic reactive airway dysfunction syndrome requiring bronchodilator therapy.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129199302","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 Occurrence Of Pleural Effusion Secondary To Ovarian Fibroma 卵巢纤维瘤继发胸腔积液的发生
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/28b7
S. Kant, S. Verma, R. K. Verma
{"title":"The Occurrence Of Pleural Effusion Secondary To Ovarian Fibroma","authors":"S. Kant, S. Verma, R. K. Verma","doi":"10.5580/28b7","DOIUrl":"https://doi.org/10.5580/28b7","url":null,"abstract":"The association of pleural effusion and ascitis, secondary to ovarian tumor, are considered to be uncommon clinical condition. Hereby we reported a case of 43 years old female presented as right sided pleural effusion and ascitis secondary to ovarian fibroma and after removal of ovarian tumor resulted into disappearance of the pleural effusion and ascitis.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132328304","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 role of viral infections in COPD exacerbations 病毒感染在COPD加重中的作用
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/1a6
Despina Androulaki, K. Hadjistavrou
{"title":"The role of viral infections in COPD exacerbations","authors":"Despina Androulaki, K. Hadjistavrou","doi":"10.5580/1a6","DOIUrl":"https://doi.org/10.5580/1a6","url":null,"abstract":"Aim: The role of viral infections in the exacerbations of chronic obstructive pulmonary disease (COPD) remains controversial. The rates of recent viral infections vary from 23 to 62%; moreover pathogens as Chlamydophila pneumoniae are often detected in patients with COPD during an exacerbation. Investigating the impact of viral infections in COPD exacerbations, a study was conducted in an Athenian hospital of Greece. Patients-Methods: All patients suffered from exacerbation of COPD (n=87), as well as from pneumonia and COPD (n=17).Seventy healthy volunteers were also assessed at the same time (comparison group). In all examinations we measured IgM blood antibodies for influenza A & B, RSV, parainfluenza viruses, Mycoplasma pneumoniae and Chlamydophila pneumoniae. Sputum cultures and bacteria taken from all patients were evaluated if > 105cfu/ml. Results: Sputum cultures revealed bacterial pathogens in a 40% of all patients but still only in three cases these were responsible for the presence of pneumonia. A comparison between patients with exacerbations of COPD and healthy volunteers revealed a statistical increase of IgM for influenza A virus and Mycoplasma pneumoniae. As far as patients with COPD exacerbations were concerned the difference was almost significant for RSV and influenza B but not significant for Chlamydophila pneumoniae. Moreover, there was not detected such a difference between patients with pneumonia and COPD, and patients with COPD exacerbations. Conclusions: The incidence of bacterial colonization in patients with COPD exacerbations attempts to draw the attention of the physician to the prudent use of antibiotics in patients with COPD.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131224017","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
Multiple Extramedullary Plasmacytomas Of Diaphragm And Chest Wall 膈胸壁多发髓外浆细胞瘤
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/1439
M. Mathew, S. Ray
{"title":"Multiple Extramedullary Plasmacytomas Of Diaphragm And Chest Wall","authors":"M. Mathew, S. Ray","doi":"10.5580/1439","DOIUrl":"https://doi.org/10.5580/1439","url":null,"abstract":"Extramedullary plasmacytoma accounts for 3% of all plasma cell neoplasms. These tumors have been documented in the gastrointestinal tract, thyroid, salivary glands, lungs, lymphnode and skin. However, multiple plasmacytoma involving the diaphragm and chest wall is rare. We report a case in a 45 year old male who presented with right posterio-lateral, painless, chest wall tumor involving the 9th rib and infiltrating the parietal pleura. 3 additional nodules were noted in the diaphragm. Microscopy revealed a tumor composed of abnormal plasma cells which were positive for CD 79a, CD 138 & MUM 1 antibodies. The tumor cells also showed monotypic immunoreactivity for lambda light chains.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126695527","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
Image in Medicine: Squamous Cell Granulomas in Completely Regressed Stage IIIB Lung Cancer after Chemoradiation Therapy 医学影像:完全消退的IIIB期肺癌放化疗后出现鳞状细胞肉芽肿
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/216f
Jie Song, A. Husain
{"title":"Image in Medicine: Squamous Cell Granulomas in Completely Regressed Stage IIIB Lung Cancer after Chemoradiation Therapy","authors":"Jie Song, A. Husain","doi":"10.5580/216f","DOIUrl":"https://doi.org/10.5580/216f","url":null,"abstract":"A stage IIIB squamous cell carcinoma of the lung was treated with neoadjuvant chemoradiation therapy before pneumonectomy. The postsurgical specimen showed complete pathologic response with no viable tumor identified. However, extensive squamous cell granulomas were present in the previous tumor bed. Squamous cell granulomas can cause diagnostic difficulty, and have only been previously described in treated head and neck squamous carcinomas in the literature.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115107158","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
Management and outcomes of suspected pulmonary tuberculosis in a resource-poor setting 资源贫乏地区疑似肺结核的管理和结果
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/1687
O. Busari, O. Olarewaju, O. Busari
{"title":"Management and outcomes of suspected pulmonary tuberculosis in a resource-poor setting","authors":"O. Busari, O. Olarewaju, O. Busari","doi":"10.5580/1687","DOIUrl":"https://doi.org/10.5580/1687","url":null,"abstract":"Objective: The objective of the study was to determine the management and outcomes of suspected pulmonary tuberculosis admitted to the medical wards of a tertiary and referral hospital in Nigeria Methods: It was a retrospective study of the case records of all suspected pulmonary tuberculosis patients on admission in the medical wards of the hospital between July 2003 and June 2007Result: 166 (9.9%) of 1680 admissions were pulmonary tuberculosis suspects, with 97 (58.4%) males and 69 (41.6%) females. 92 (55.4%) had pulmonary tuberculosis diagnosis confirmed. Other diagnoses made were: pneumonia, 48 (28.9%), bronchogenic carcinoma, 6 (3.6%), congestive heart failure, 7 (4.2%), chronic obstructive pulmonary disease, 15 (9.0%). Median length of time between admission and institution of antituberculosis drugs was 11 daysConclusion: The study shows that the tuberculosis control in Nigeria is in a crisis state. There is need for all stakeholders to find lasting solutions to failure of tuberculosis program in Nigeria and, by extension, sub-Saharan Africa.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128703757","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: 6
Bronchogenic cyst being misdiagnosed and mistreated as tubercular lung abscess: a case report 支气管源性囊肿误诊为结核性肺脓肿1例
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/ddb
R. Sodhi, R. Singh, Abhijeet Singh, S. Kant
{"title":"Bronchogenic cyst being misdiagnosed and mistreated as tubercular lung abscess: a case report","authors":"R. Sodhi, R. Singh, Abhijeet Singh, S. Kant","doi":"10.5580/ddb","DOIUrl":"https://doi.org/10.5580/ddb","url":null,"abstract":"We report successful surgical resection of a bronchogenic cyst in a 57-year-old male who presented with recurrent haemoptysis and being misdiagnosed and mistreated as a case of tubercular lung abscess.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"132 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124636126","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 Lung Saddle Tumor 肺鞍状肿瘤
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/d87
A. Feng, E. Sy
{"title":"A Lung Saddle Tumor","authors":"A. Feng, E. Sy","doi":"10.5580/d87","DOIUrl":"https://doi.org/10.5580/d87","url":null,"abstract":"A 91-year-old man with 60-pack-year history of smoking and prostate cancer was admitted with one-week duration of intermittent hemoptysis and dyspnea. Physical examination revealed a cachectic man with bilateral basilar lung crepitations. A computed tomographic scan of the chest revealed a left upper lung speculated nodule (Picture A), a right inferior paratracheal lymphadenopathy (Picture B), and a subcarinal lymphadenopathy (Picture C). Flexible fiberoptic bronchoscopy was done for hemoptysis, which revealed a friable mass at the level of the carina, extending to both main bronchi (Picture D, E, F). Pathology of transbronchial needle aspiration and endobronchial biopsy showed poorly differentiated non-small cell carcinoma, favoring squamous cell type. The patient was diagnosed with stage IV non-small cell lung carcinoma and he received radiation therapy.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125722350","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
Pulmonary Toxicity with Fluoroquinolones 氟喹诺酮类药物的肺毒性
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/1acc
D. Jammalamadaka, H. Zhang, S. Sandur
{"title":"Pulmonary Toxicity with Fluoroquinolones","authors":"D. Jammalamadaka, H. Zhang, S. Sandur","doi":"10.5580/1acc","DOIUrl":"https://doi.org/10.5580/1acc","url":null,"abstract":"Adverse drug reactions associated with antimicrobials have become a topic of major importance and concern in the last few years. Fluroquinolones are a group of interesting and at times unpredictable class of antimicrobial agents which are used extensively in clinical practice. Over the past 20 years, fluoroquinolones have demonstrated landmark safety profiles. Ciprofloxacin and levofloxacin remain two of the safest and best-tolerated fluroquinolones over a wide range of doses. The most common drug-related adverse effects with fluoroquinolone therapy involve the gastrointestinal tract and central nervous system (1). Others include skin rashes, pruritis, photoallergic reactions, arthropathy, and tendinopathy, especially in patients younger than 30 years old. These adverse effects are usually transient and mild to moderate in severity, and rarely require discontinuation of therapy. However, serious toxic reactions have also been reported. We report two cases of hypersensitive pneumonitis with vasculitis followed exposure to ciprofloxacin and/or levofloxacin.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125972048","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
Health Related Quality Of Life (Hrqol) In COPD COPD患者健康相关生活质量(Hrqol
The Internet Journal of Pulmonary Medicine Pub Date : 2008-12-31 DOI: 10.5580/440
Barkha Gupta, S. Kant
{"title":"Health Related Quality Of Life (Hrqol) In COPD","authors":"Barkha Gupta, S. Kant","doi":"10.5580/440","DOIUrl":"https://doi.org/10.5580/440","url":null,"abstract":"Over the past decade, more and more research on the development and validation of questionnaires has been undertaken to quantify the impact of disease on daily life and well-being from the COPD subject's point of view. Health-related quality of life is an important outcome of medical care. HRQOL incorporates several dimensions experienced by the patient that are affected by disease and health. COPD patients come to physicians seeking relief of symptoms that include breathlessness, cough, sputum production, and functional limitation due to exertional dyspnea. Therefore interventions that would reduce these symptoms and improve function of patients are of prime importance. HRQoL measures do not substitute for physiologic parameters, but can complement these by incorporating aspects of health and disease that are directly perceived by the patient.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122357609","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: 11
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