{"title":"First aid treatment and airway management for chemical burns combined with inhalation injury: A case report.","authors":"Yaxin Shen, Liming Fu, Zhicheng Yue, Weiliang Shi, Chunyan Li, Chunjuan Zhang","doi":"10.1002/rcr2.70094","DOIUrl":"https://doi.org/10.1002/rcr2.70094","url":null,"abstract":"<p><p>Chemical burns account for a small percentage of burn patients, and there are even fewer burn patients suffering from chemical burns combined with inhalation injury. As chemical substances corrode the airway, which leads to persistent necrotic shedding of the respiratory mucosa and scarring contracture as the airway heals, a proportion of patients develop airway stenosis, requiring more aggressive treatment or even surgery. A 38-year-old female chemical factory worker sustained an inhalation injury due to exposure to reactive substances (liquid and smoke) during production. She developed third- to fourth-grade airway stenosis and dyspnoea 2 months postinjury. Interhospital consultation led to referral to the Second Affiliated Hospital of Xi'an Jiaotong University for tracheotomy and endotracheal stent implantation. Postoperative dyspnoea improved, and regular follow-up was performed. The treatment process of this patient has provided us with valuable experience in the initial management and respiratory tract care of chemical burn patients.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70094"},"PeriodicalIF":0.8,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Respirology Case ReportsPub Date : 2024-12-12eCollection Date: 2024-12-01DOI: 10.1002/rcr2.70093
Ahmed Daqour, Abdalkareem Fraij, Dina Khawaja, Tassnim Hussain, Tawfiq Mabhouh, Mohammad Salahaldin, Motaz Saifi, Mohammad Abuawad
{"title":"Unexpected pulmonary edema following sitting position craniotomy: A venous air embolism complication.","authors":"Ahmed Daqour, Abdalkareem Fraij, Dina Khawaja, Tassnim Hussain, Tawfiq Mabhouh, Mohammad Salahaldin, Motaz Saifi, Mohammad Abuawad","doi":"10.1002/rcr2.70093","DOIUrl":"10.1002/rcr2.70093","url":null,"abstract":"<p><p>We report a case of a 42-year-old female who had non-cardiogenic pulmonary edema following a setting position craniotomy to remove a left cerebellar pontine angle mass. During the operation, the patient experienced a sudden drop in her end-tidal CO2 levels, which needed an immediate intervention. After ruling out other potential causes, we determined that air venous embolism was the cause of this unexpected and serious complication. However, the condition was self-limited and resolved with supportive treatment after approximately 1 week. This case highlights the importance of recognizing and managing the unexpected complications of venous air embolism, as well as how prompt intervention and supportive treatment are critical for improving patient outcomes.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70093"},"PeriodicalIF":0.8,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11637535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Respirology Case ReportsPub Date : 2024-12-12eCollection Date: 2024-12-01DOI: 10.1002/rcr2.70092
Yuya Kimura, Hiroyuki Arai, Reo Tome, Kyohei Kaburaki, Shinji Sasada
{"title":"Spontaneously regressing pulmonary tuberculosis detected by computed tomography in a patient with positive interferon-gamma release assay.","authors":"Yuya Kimura, Hiroyuki Arai, Reo Tome, Kyohei Kaburaki, Shinji Sasada","doi":"10.1002/rcr2.70092","DOIUrl":"10.1002/rcr2.70092","url":null,"abstract":"<p><p>We present a case of pulmonary tuberculosis with a positive interferon-gamma release assay showing spontaneous regression followed by progression of radiological findings. Physicians should be aware that tuberculosis lesions can temporarily regress and careful follow up should be done if there are suspicious radiological findings.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70092"},"PeriodicalIF":0.8,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11637533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Respirology Case ReportsPub Date : 2024-12-12eCollection Date: 2024-12-01DOI: 10.1002/rcr2.70091
Priya N Deshpande, Kavitha Venkatnarayan, Uma Maheswari Krishnaswamy, Chitra Veluthat, Likith Niranjanmurthy, Uma Devaraj, Priya Ramachandran
{"title":"A rare cause of recurrent massive hemoptysis.","authors":"Priya N Deshpande, Kavitha Venkatnarayan, Uma Maheswari Krishnaswamy, Chitra Veluthat, Likith Niranjanmurthy, Uma Devaraj, Priya Ramachandran","doi":"10.1002/rcr2.70091","DOIUrl":"10.1002/rcr2.70091","url":null,"abstract":"<p><p>Pulmonary artery aneurysmal rupture is a rare cause of massive hemoptysis. When the suspected origin of bleeding is the pulmonary artery, comprehensive evaluation is necessary to determine aetiology and guide appropriate management. Behçet's disease and Hughes-Stovin Syndrome (HSS) are important differentials to consider after infections and malignancy have been ruled out. Pulmonary artery aneurysms with aneurysmal wall enhancement and 'in-situ' thrombus should prompt the suspicion of HSS. Early diagnosis and treatment with immunosuppressants and endovascular interventions in selected patients may improve the prognosis and prevent episodes of fatal hemoptysis.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70091"},"PeriodicalIF":0.8,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11637534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Respirology Case ReportsPub Date : 2024-12-10eCollection Date: 2024-12-01DOI: 10.1002/rcr2.70087
Ieuan E S Evans, Haris Haqqani, Daniel Smith, David W Reid
{"title":"<i>Achromobacter xylosoxidans</i> totally implantable venous access device infection in a person with cystic fibrosis: Complex management considerations.","authors":"Ieuan E S Evans, Haris Haqqani, Daniel Smith, David W Reid","doi":"10.1002/rcr2.70087","DOIUrl":"10.1002/rcr2.70087","url":null,"abstract":"<p><p>Totally implantable venous access devices (TIVADs) are frequently used in people with cystic fibrosis as a means of securing consistent vascular access, particularly in the context of severe disease and microbial colonization. Infection of TIVADs is not uncommon and typically associated with coagulase negative staphylococci, though infection with other organisms does occur too. We report on the first case of a TIVAD infection caused by <i>Achromobacter xylosoxidans</i> in person with cystic fibrosis. The TIVAD infection was complicated by a bacteraemia and an associated intracardiac infected thrombus at the superior atriocaval junction. We explore the complex management decisions surrounding the removal of the TIVAD and prolonged antibiotic treatment, with treatment ultimately resulting in a good outcome and full recovery. The case helps to serve as a timely reminder of requirement to review the necessity to retain TIVAD in the era of CFTR modulator therapy and associated improved health outcomes being experienced.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70087"},"PeriodicalIF":0.8,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Respirology Case ReportsPub Date : 2024-12-09eCollection Date: 2024-12-01DOI: 10.1002/rcr2.70082
Chun Ian Soo, Wai Ling Leong, Diana Bee-Lan Ong, Lai-Meng Looi, Leng Cheng Sia, Vijayan Munusamy, Chee Kuan Wong, Nai-Chien Huan, Hema Yamini Ramarmuty, Khai Lip Ng, Boon Hau Ng, Hazwan Amzar Khairul Annuar, Sze Shyang Kho
{"title":"Endoscopic ultrasound with bronchoscope-guided transesophageal cryobiopsy: A case series with technical insights, key enablers, and review of literature.","authors":"Chun Ian Soo, Wai Ling Leong, Diana Bee-Lan Ong, Lai-Meng Looi, Leng Cheng Sia, Vijayan Munusamy, Chee Kuan Wong, Nai-Chien Huan, Hema Yamini Ramarmuty, Khai Lip Ng, Boon Hau Ng, Hazwan Amzar Khairul Annuar, Sze Shyang Kho","doi":"10.1002/rcr2.70082","DOIUrl":"10.1002/rcr2.70082","url":null,"abstract":"<p><p>Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is an established technique for lung cancer staging and the diagnosis of mediastinal diseases. Recently, the paradigm of EBUS guided mediastinal sampling with conventional cytology has shifted over to histology specimens through the use of cryobiopsy. This case series explores the novel technique, key enablers, and potential advantages of endoscopic ultrasound with bronchoscope-guided transesophageal cryobiopsy (EUS-B-TEC). The findings of this case series suggest that EUS-B-TEC is a safe and valuable addition to the bronchoscopic procedural armamentarium. Further studies are warranted to validate the potential of EUS-B-TEC.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70082"},"PeriodicalIF":0.8,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Respirology Case ReportsPub Date : 2024-12-08eCollection Date: 2024-12-01DOI: 10.1002/rcr2.70088
Salman Ahmed Malik, Allahdad Khan, Humaira Siddique, Kamran Ahmed Malik, Muhammad Usman, Mohamed Antar
{"title":"Rasmussen aneurysm in a patient with pulmonary tuberculosis.","authors":"Salman Ahmed Malik, Allahdad Khan, Humaira Siddique, Kamran Ahmed Malik, Muhammad Usman, Mohamed Antar","doi":"10.1002/rcr2.70088","DOIUrl":"https://doi.org/10.1002/rcr2.70088","url":null,"abstract":"<p><p>Rasmussen aneurysm is a rare complication of tuberculosis, where a pulmonary artery adjacent to a tuberculous cavity aneurysm may lead to life threatening hemoptysis. Sudden or severe hemoptysis is an emergency condition in TB patients who need prompt recognition and intervention, often through endovascular embolization, to prevent fatal outcomes.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70088"},"PeriodicalIF":0.8,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Respirology Case ReportsPub Date : 2024-12-08eCollection Date: 2024-12-01DOI: 10.1002/rcr2.70090
Qura Tul Ain, Allahdad Khan, Arshia Batool, Mudasira Habib, Muhammad Islam, Mohamed Antar
{"title":"Multiloculated pyopneumothorax with subcutaneous emphysema and pneumomediastinum in a tuberculosis patient.","authors":"Qura Tul Ain, Allahdad Khan, Arshia Batool, Mudasira Habib, Muhammad Islam, Mohamed Antar","doi":"10.1002/rcr2.70090","DOIUrl":"10.1002/rcr2.70090","url":null,"abstract":"<p><p>Pulmonary tuberculosis with the simultaneous development of the complications of empyema, multiloculated pyopneumothorax, subcutaneous emphysema and pneumomediastinum is rare. The development of these complications leads to remarkably increased incidence of morbidity and mortality in patients. So appropriate and timely management needs to be ensured for better outcomes.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70090"},"PeriodicalIF":0.8,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Respirology Case ReportsPub Date : 2024-12-08eCollection Date: 2024-12-01DOI: 10.1002/rcr2.70085
Allahdad Khan, Arshia Batool, Qura-Tul Ain, Ali Haider Hashmi, Muhammad Islam, Aseel Kamal
{"title":"Small cell lung cancer presenting with pleural effusion and superior vena cava obstruction.","authors":"Allahdad Khan, Arshia Batool, Qura-Tul Ain, Ali Haider Hashmi, Muhammad Islam, Aseel Kamal","doi":"10.1002/rcr2.70085","DOIUrl":"10.1002/rcr2.70085","url":null,"abstract":"<p><p>Small cell lung cancer with concurrent pleural effusion and superior vena cava obstruction is a rare presentation with high risk of respiratory and circulatory compromise warranting prompt and multidisciplinary treatment.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70085"},"PeriodicalIF":0.8,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Respirology Case ReportsPub Date : 2024-12-08eCollection Date: 2024-12-01DOI: 10.1002/rcr2.70083
Niranjan Setty, Alice Crawford, Brooke Kyle, Dhaval Thakkar, Rajesh Thomas, John Blakey
{"title":"Oscillometry changes reflect clinically meaningful improvement after bronchial thermoplasty for uncontrolled asthma: A case report.","authors":"Niranjan Setty, Alice Crawford, Brooke Kyle, Dhaval Thakkar, Rajesh Thomas, John Blakey","doi":"10.1002/rcr2.70083","DOIUrl":"10.1002/rcr2.70083","url":null,"abstract":"<p><p>Asthma is a highly prevalent but heterogenous condition. Uncontrolled disease is relatively common and may be due to ongoing inflammation and/or persisting bronchial hyper-reactivity. Bronchial thermoplasty has been in use for many years but optimal case selection and post-procedure assessment remain uncertain. We present a case of a gentleman in his 50s with lifelong asthma who experienced a persistent loss of control following influenza A in 2017. Despite multidisciplinary assessment and guideline-based escalation of therapy, he had persisting symptoms. In the context of his atopy, he was trialled unsuccessfully on dupilumab. Bronchial thermoplasty (BT) was undertaken with good clinical benefit. Although his spirometry was little changed by BT, there was improvement in forced oscillometry technique (FOT) measurements. FOT may therefore be a useful addition to the assessment and monitoring of individuals considered for, or undergoing, BT.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70083"},"PeriodicalIF":0.8,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}