C60. ZEBRAS V. HORSES: UNUSUAL LUNG INFECTIONS最新文献_第2页

Tracheal Papillomatosis: When HPV Enters the Airway 气管乳头状瘤病:当HPV进入气道

C60. ZEBRAS V. HORSES: UNUSUAL LUNG INFECTIONS Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4486

R. Tiperneni, R. Padappayil, S. Weiner

引用次数: 0

Not All That Glows Is Malignant: Actinomycosis as a Rare Mimic of Lung Cancer 并非所有的发光都是恶性的:放线菌病是一种罕见的肺癌模拟物

C60. ZEBRAS V. HORSES: UNUSUAL LUNG INFECTIONS Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4482

S. Ekhelikar, R. Muthusami, R. Orme, N. Ahmad

引用次数: 0

Legionella Pneumonia, a Rare Cause of Diffuse Alveolar Hemorrhage 军团菌肺炎，弥漫性肺泡出血的罕见病因

C60. ZEBRAS V. HORSES: UNUSUAL LUNG INFECTIONS Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4494

S. Ehteshami-Afshar, J. Wehner, A. Gohil

引用次数: 0

Who Is the Pleural Granulomatous Culprit? An Uncommon Case of Pleuropulmonary Manifestations of Actinomyces Infection 谁是胸膜肉芽肿的罪魁祸首?放线菌感染胸膜肺表现罕见1例

C60. ZEBRAS V. HORSES: UNUSUAL LUNG INFECTIONS Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4505

R.E. Vazquez Nieves, F. Del Olmo Arroy, W. Rodriguez Cintron, V. Vando

引用次数: 0

Empyema Necessitans Caused by Actinomycosis: A Case Report of Pulmonary Actinomycosis Requiring Thoracotomy with Clagett Procedure 放线菌病致必要脓胸:肺放线菌病需要Clagett手术开胸1例

C60. ZEBRAS V. HORSES: UNUSUAL LUNG INFECTIONS Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4489

A. Reihani, M. Waller, K. Mulhern, J. Ahari

引用次数: 1

In the Pursuit of a Diagnosis of Nocardiosis 追求诺卡菌病的诊断

C60. ZEBRAS V. HORSES: UNUSUAL LUNG INFECTIONS Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4503

S. Hart, L. Lande

引用次数: 0

Disseminated Nocardiosis in an Immunocompetent Patient: An Often Overlooked Diagnosis in the Differential 播散性诺卡菌病在免疫功能正常的病人:一个经常被忽视的鉴别诊断

C60. ZEBRAS V. HORSES: UNUSUAL LUNG INFECTIONS Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4488

S. Elwasila, K. L. Lewis, V. Arunthari, J. Mendez, B. Colaco

引用次数: 0

Cerebellar Symptoms: An Uncommon Presentation of Legionnaires' Disease 小脑症状:军团病的一种罕见表现

C60. ZEBRAS V. HORSES: UNUSUAL LUNG INFECTIONS Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4500

S. Hanna, I. Milojević, H. Patel

{"title":"Cerebellar Symptoms: An Uncommon Presentation of Legionnaires' Disease","authors":"S. Hanna, I. Milojević, H. Patel","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4500","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4500","url":null,"abstract":"A 27- year-old previously healthy man presented to the emergency department with a 3-day history of confusion, urinary retention, cough, slurred speech, intermittent vertigo, and unsteady gait after being started on outpatient abx for diagnosis of community acquired pneumonia at an outside facility. On presentation, his vital signs were significant for a Temp. of 102.4 F, a HR of 118 bpm, a RR of 22 bpm, a BP of 135/75 mmHg, O2 sats down to the 80s% with a new oxygen requirement of 3 L/min. His neurological exam was remarkable for dysarthria, a wide based and unsteady gait, forward drift on standing, bilateral dysmetria and was otherwise non-focal. Bilateral basilar rales were noted on lung exam. Initial workup was significant for a sodium level of 129, potassium 3.1, AST 178, ALT 31. His urine legionella antigen test was positive and COVID-19 PCR test was negative. CT of the chest demonstrated multifocal pneumonia. The predominant neurological picture on presentation warranted a lumbar puncture as well as an MRI of the brain, both of which came back negative. HIV test was negative as well. The spectrum of neurological manifestations of legionnaire's disease is quite wide ranging from simple headaches to acute disseminated encephalomyelitis (ADEM). While up to 40% of patients may present with headaches and some confusion, the specific cerebellar presentation is quite rare and has been described in case reports. According to Shelburne(1), there has been instances where the neurological manifestations have lasted up to 3 years after resolution of the pulmonary disease. In a review article detailing 29 cases of cerebellar dysfunction in Legionnaire's disease, a lumbar puncture performed in 16 of the cases showed that the majority had no abnormalities in CSF studies. The propensity for Legionella to specifically manifest as cerebellar Sx remains to be studied. Interestingly, another case report of two patients with neurological symptoms, showed hypoperfusion of the cerebellar and frontal lobes on single photon emission while CT and MRI imaging of the brain were normal. We add to the literature another 'cerebellar' presentation of Legionnaire's disease.","PeriodicalId":375220,"journal":{"name":"C60. ZEBRAS V. HORSES: UNUSUAL LUNG INFECTIONS","volume":"161 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133053399","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 a Liver Abscess Causing an Atypical Empyema 肝脓肿引起不典型脓胸1例

C60. ZEBRAS V. HORSES: UNUSUAL LUNG INFECTIONS Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4499

T. Kumar, J. Tantum, I. Tora, N. Carp, L. Greenspon

引用次数: 0

Pneumonic Tularemia: A Case Presentation 肺炎土拉菌病一例报告

C60. ZEBRAS V. HORSES: UNUSUAL LUNG INFECTIONS Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4506

M. Horn, L. Zickuhr

引用次数: 0