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Electrotonic-Cigarette or Vaping Product Use Associated Lung Injury: Diagnosis of Exclusion 电子紧张烟或电子烟产品使用相关的肺损伤:排除诊断
Southwest Journal of Pulmonary, Critical Care & Sleep Pub Date : 2022-06-21 DOI: 10.13175/swjpccs026-22
Ali Mahdi, Chris Allahverdian, Sharareh Shahangian
{"title":"Electrotonic-Cigarette or Vaping Product Use Associated Lung Injury: Diagnosis of Exclusion","authors":"Ali Mahdi, Chris Allahverdian, Sharareh Shahangian","doi":"10.13175/swjpccs026-22","DOIUrl":"https://doi.org/10.13175/swjpccs026-22","url":null,"abstract":"The first reports of lung injury attributable to vaping date back to 2012, but the ongoing outbreak of electrotonic-cigarette or vaping product use associated lung injury (EVALI) began in 2019. It is a diagnosis of exclusion. In this case report, we describe a patient with history of excessive vaping for the last 3 weeks who was admitted to the intensive care unit for acute hypoxic respiratory failure. The patient was diagnosed with EVALI given the history of vaping in the setting of negative infectious work-up and radiographic imaging that showed lung opacities.","PeriodicalId":405481,"journal":{"name":"Southwest Journal of Pulmonary, Critical Care & Sleep","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117331714","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 Progressive Bleomycin Lung Toxicity Refractory to Steroid Therapy 进行性博来霉素肺毒性对类固醇治疗无效1例
Southwest Journal of Pulmonary, Critical Care & Sleep Pub Date : 2022-06-10 DOI: 10.13175/swjpccs013-23
Christopher Dossett, K. Yost, C. Lau, N. Shamsid-Deen
{"title":"A Case of Progressive Bleomycin Lung Toxicity Refractory to Steroid Therapy","authors":"Christopher Dossett, K. Yost, C. Lau, N. Shamsid-Deen","doi":"10.13175/swjpccs013-23","DOIUrl":"https://doi.org/10.13175/swjpccs013-23","url":null,"abstract":"Bleomycin is a common chemotherapy agent used to treat germinative tumors. Bleomycin-induced lung injury (BILI) is an uncommon but devastating adverse effect of its use. It occurs in 10-20% of patients receiving bleomycin, and the initial diagnosis is usually made by new-onset respiratory symptoms and reduced diffusing capacity for carbon monoxide (DLCO). Mainstay treatment includes discontinuing bleomycin, corticosteroids, and supplemental oxygen if needed. We present a case of a 38-year-old male who was found to have a severe presentation of bleomycin-induced lung injury after chemotherapy for metastatic mixed germ cell testicular cancer. During his course, he was treated with the standard of care regimen of corticosteroids and salvage therapy with infliximab but ultimately died from complications of his illness. This case report is noteworthy because our patient had progressive bleomycin-induced lung injury, despite discontinuing bleomycin many months prior, consistent high-dose corticosteroid treatment, and even salvage therapy. In all patients on bleomycin, pulmonary function monitoring is essential, and any complaints of dyspnea should prompt concern for bleomycin-induced lung injury. If initial treatment does not improve their condition, more aggressive measures may be necessary.","PeriodicalId":405481,"journal":{"name":"Southwest Journal of Pulmonary, Critical Care & Sleep","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129526286","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
June 2022 Medical Image of the Month: A Hard Image to Swallow 2022年6月月度医学影像:难以下咽的影像
Southwest Journal of Pulmonary, Critical Care & Sleep Pub Date : 2022-06-02 DOI: 10.13175/swjpccs022-22
A. Carrillo, R. Ondracek, Shil Punatar, A. Ondracek, R. Sundaram
{"title":"June 2022 Medical Image of the Month: A Hard Image to Swallow","authors":"A. Carrillo, R. Ondracek, Shil Punatar, A. Ondracek, R. Sundaram","doi":"10.13175/swjpccs022-22","DOIUrl":"https://doi.org/10.13175/swjpccs022-22","url":null,"abstract":"No abstract available. Article truncated after 150 words. Introduction: Esophageal food impactions are common occurrences in gastroenterology, however, under 20% of cases require intervention (1) .The clinical condition of the esophagus and the consistency of food being swallowed contribute to the development of food bolus impactions, with patients having underlying esophageal pathology in most cases (2). Unfortunately, radiographic evidence is often difficult to obtain as food is radiolucent and poorly visualized on radiograph. Here, we demonstrate the risk associated with severe food impaction. Case Presentation: An 86-year-old man with a past medical history of achalasia with laparoscopic Heller myotomy complicated by distal esophageal perforation, was admitted after presenting with complaints of chest pain and inability to tolerate a solid diet. Additionally, he suffered a 90-pound weight loss over 1 year. He was seen by speech therapy and provided with a dysphagia appropriate diet. Eight days into the patient stay, the family presented to the patient's bedside to assist …","PeriodicalId":405481,"journal":{"name":"Southwest Journal of Pulmonary, Critical Care & Sleep","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114223952","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
June 2022 Pulmonary Case of the Month: A Hard Nut to Crack 2022年6月肺病例:一个难以破解的难题
Southwest Journal of Pulmonary, Critical Care & Sleep Pub Date : 2022-06-01 DOI: 10.13175/swjpccs024-22
Danielle M Gergen, A. Reihman, C. Welsh
{"title":"June 2022 Pulmonary Case of the Month: A Hard Nut to Crack","authors":"Danielle M Gergen, A. Reihman, C. Welsh","doi":"10.13175/swjpccs024-22","DOIUrl":"https://doi.org/10.13175/swjpccs024-22","url":null,"abstract":"No abstract available. Article truncated after 150 words. History of Present Illness: A 54-year-old man presented to clinic with chronic cough, dyspnea on exertion, unintentional weight loss, and night sweats. Seven months before, he developed dyspnea on exertion and symptoms did not improve with inhalers. Four months prior to presentation, he was treated for presumed community-acquired pneumonia of the right lower lobe. Neither symptoms nor chest radiograph improved with multiple courses of antibiotics. In the four weeks prior to presentation his symptoms progressed to the point that he was unable to walk in his house without significant dyspnea. Review of systems: 10-pound unintentional weight loss and six weeks of night sweats. Past Medical History, Social History and Family History: The patient had a 15-pack-year smoking history and quit 15 years prior to presentation. He had no other past medical history, surgical history, family history, nor medications. Physical Examination: Vital signs were normal on presentation. Physical exam showed faint …","PeriodicalId":405481,"journal":{"name":"Southwest Journal of Pulmonary, Critical Care & Sleep","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129743155","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
Medical School Faculty Have Been Propping Up Academic Medical Centers, But Now Its Squeezing Their Education and Research Bottom Lines 医学院教职员工一直在支持学术医学中心，但现在这挤压了他们的教育和研究底线
Southwest Journal of Pulmonary, Critical Care & Sleep Pub Date : 2022-05-05 DOI: 10.13175/swjpccs023-22
R. Robbins
{"title":"Medical School Faculty Have Been Propping Up Academic Medical Centers, But Now Its Squeezing Their Education and Research Bottom Lines","authors":"R. Robbins","doi":"10.13175/swjpccs023-22","DOIUrl":"https://doi.org/10.13175/swjpccs023-22","url":null,"abstract":"No abstract available. Article truncated after 150 words. One of my former fellows emailed me an article from Stat+ titled “Hospitals Have Been Financially Propping Up Medical Schools, But Now It’s Squeezing Their Bottom Lines”. The article reports that hospitals have been financially supporting medical schools and are feeling their bottom line squeezed (1). An example cited is the purchase of the University of Arizona Medical Center in Tucson by Banner Health and an agreement by Banner to help both of Arizona’s financially struggling medical schools. Financial statements show that Banner has dedicated roughly $2 billion to the schools and a faculty medical group it bought as part of the 2015 deal. Banner is blaming these expenses for shrinking its operating margin from 5% before the deal to 1% today (1). The businessmen who purchased the academic medical centers initially embraced these mergers but now are facing the financial reality of managing a medical school (1). It seems …","PeriodicalId":405481,"journal":{"name":"Southwest Journal of Pulmonary, Critical Care & Sleep","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126863318","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
Pediculosis As a Possible Contributor to Community-Acquired MRSA Bacteremia and Native Mitral Valve Endocarditis 弓根病可能导致社区获得性MRSA菌血症和先天性二尖瓣心内膜炎
Southwest Journal of Pulmonary, Critical Care & Sleep Pub Date : 2022-05-04 DOI: 10.13175/swjpccs017-22
A. Mahdi, Charis Tjoeng, Vishal Patel, S. Sobnosky
{"title":"Pediculosis As a Possible Contributor to Community-Acquired MRSA Bacteremia and Native Mitral Valve Endocarditis","authors":"A. Mahdi, Charis Tjoeng, Vishal Patel, S. Sobnosky","doi":"10.13175/swjpccs017-22","DOIUrl":"https://doi.org/10.13175/swjpccs017-22","url":null,"abstract":"Methicillin-resistant Staphylococcus aureus (MRSA) bacteremia is a known cause of infective endocarditis. In this case report, we describe a patient with community-acquired MRSA bacteremia and subsequent mitral valve endocarditis. This patient was noted to be without commonly recognized risk factors for MRSA bacteremia, thus her likely source was skin colonization, with skin trauma facilitated by pediculosis infestation.","PeriodicalId":405481,"journal":{"name":"Southwest Journal of Pulmonary, Critical Care & Sleep","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124383932","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
May 2022 Medical Image of the Month: Pectus Excavatum 2022年5月医学影像:漏斗胸
Southwest Journal of Pulmonary, Critical Care & Sleep Pub Date : 2022-05-02 DOI: 10.13175/swjpccs015-22
Cameron A K Barber, Jessica Nash, D. Carroll, K. Randall, Kourtney Aylor-Lee
{"title":"May 2022 Medical Image of the Month: Pectus Excavatum","authors":"Cameron A K Barber, Jessica Nash, D. Carroll, K. Randall, Kourtney Aylor-Lee","doi":"10.13175/swjpccs015-22","DOIUrl":"https://doi.org/10.13175/swjpccs015-22","url":null,"abstract":"No abstract available. Article truncated after 150 words. Case Presentation A 78-year-old man presented to the emergency department with abdominal discomfort and was ultimately diagnosed with a small bowel obstruction requiring laparoscopic surgery. The patient woke up early in the morning with abdominal pain, which was constant. Nothing alleviated his symptoms. 3 hours later he developed dyspnea and, at that point, went to the hospital. The patient subsequently underwent enhanced commuted tomography of the chest, abdomen, pelvis. Patient was found to have an acute small bowel obstruction and mesenteric swirling and mistiness. Patient was also found to have severe pectus excavatum with the inferior body of the sternum measuring 1.3 cm from the anterior border of T11 vertebral body. General surgery was consulted. Patient ultimately underwent laparoscopic surgery with removal of adhesions and a small bowel serosal tear was repaired. The patient recovered well. Discussion Pectus excavatum is a deformity of the chest wall that is characterized by …","PeriodicalId":405481,"journal":{"name":"Southwest Journal of Pulmonary, Critical Care & Sleep","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128854722","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
May 2022 Imaging Case of the Month: Asymmetric Apical Opacity–Diagnostic Considerations 2022年5月影像病例:不对称根尖混浊-诊断考虑
Southwest Journal of Pulmonary, Critical Care & Sleep Pub Date : 2022-05-01 DOI: 10.13175/swjpccs019-22
M. Gotway
{"title":"May 2022 Imaging Case of the Month: Asymmetric Apical Opacity–Diagnostic Considerations","authors":"M. Gotway","doi":"10.13175/swjpccs019-22","DOIUrl":"https://doi.org/10.13175/swjpccs019-22","url":null,"abstract":"No abstract available. Article truncated after 150 words. Clinical History: A 64–year–old woman presented to the emergency room with complaints of right arm pain for 2 months accompanied by subjective low-grade intermittent fevers. The patient’s past medical history was unremarkable and she had never had surgery. She had been a smoker for most of her life, at least 25-pack-years. She denied allergies, admitted to moderate daily alcohol use, and denied illicit drug use. The patient’s physical examination showed no clear focal abnormalities and she was afebrile. She did have some right scapular tenderness to palpation, although there were no abnormal skin changes over this region. Her pulse rate and blood pressure were within normal limits, and her room air oxygen saturation was 96%. Basic laboratory data, including a complete blood count and electrolytes were largely within the normal range. The patient’s white blood cell count was technically abnormal at 9.7 x109 (normal, 3.4 - 9.6 x …","PeriodicalId":405481,"journal":{"name":"Southwest Journal of Pulmonary, Critical Care & Sleep","volume":"213 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":"114560873","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
April 2022 Medical Image of the Month: COVID Pericarditis 2022年4月月度医学图像:COVID心包炎
Southwest Journal of Pulmonary, Critical Care & Sleep Pub Date : 2022-04-02 DOI: 10.13175/swjpccs006-22
Sarah Youkhana, M. Tanios
{"title":"April 2022 Medical Image of the Month: COVID Pericarditis","authors":"Sarah Youkhana, M. Tanios","doi":"10.13175/swjpccs006-22","DOIUrl":"https://doi.org/10.13175/swjpccs006-22","url":null,"abstract":"No abstract available. Manuscript truncated after 150 words. A 76-year-old patient presented with fatigue and shortness of breath after missing one session of dialysis. Past medical history included end stage renal disease on hemodialysis and atrial fibrillation on anticoagulation. Initial labs showed that she was COVID positive with mild elevation in troponin and a BNP 1200. While an inpatient, she had received a few sessions of dialysis and treatment for COVID (including dexamethasone and remdesivir). Initial echo showed an ejection fraction of 60-65% with a small generalized pericardial effusion, a thickened pericardium with calcification. A few days after admission patient was suddenly noted to be hypotensive with systolic blood pressure in the 70s and altered mental status. Repeated labs showed a D-Dimer of 17,232, leukocytosis, lactic acidosis, troponin 0.556 ng/ml and arterial blood gas with metabolic acidosis. With a worsening clinical picture, repeat imaging was obtained. CT angiography of the chest was negative for pulmonary embolism; however, it …","PeriodicalId":405481,"journal":{"name":"Southwest Journal of Pulmonary, Critical Care & Sleep","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116646005","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
April 2022 Critical Care Case of the Month: Bullous Skin Lesions in the ICU 2022年4月本月重症监护病例:ICU大疱性皮肤病变
Southwest Journal of Pulmonary, Critical Care & Sleep Pub Date : 2022-04-01 DOI: 10.13175/swjpccs014-22
M. Wat, J. Bilal, Martin Chacon, S. Klotz, J. Campion
{"title":"April 2022 Critical Care Case of the Month: Bullous Skin Lesions in the ICU","authors":"M. Wat, J. Bilal, Martin Chacon, S. Klotz, J. Campion","doi":"10.13175/swjpccs014-22","DOIUrl":"https://doi.org/10.13175/swjpccs014-22","url":null,"abstract":"No abstract available. Manuscript truncated after 150 words. History of Present Illness: A 29-year-old woman with a past medical history of lupus and prior pulmonary embolism complained of a 2-week history of nonproductive cough. The cough began after her son was diagnosed with respiratory syncytial virus (RSV). Symptoms progressively worsened and now she is admitted from the emergency department (ED) with generalized weakness and progressive shortness of breath. Earlier in the day at an outside hospital, she tested positive for RSV, negative for COVID-19 and had normal O2 saturations and was discharged home. She has not received COVID-19 vaccine. Symptoms progressed, 911 was called and in the emergency department (ED), she was found to have temperature = 104°F, SpO2 = 64% on room air, and fasting blood sugar in the 40s. She was lethargic with visible respiratory distress and unable to answer questions. Past Medical History: • Systemic lupus erythematosus • Membranous lupus nephritis • Raynaud's syndrome Mixed connective tissue disease, …","PeriodicalId":405481,"journal":{"name":"Southwest Journal of Pulmonary, Critical Care & Sleep","volume":"61 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113956599","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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