{"title":"Primary tracheo-bronchial adenoid cystic carcinoma: A surgical series with literature review.","authors":"Kaouther Ben Amara, Imen Bouassida, Rahma Ayadi, Mariem Affes, Amina Abdelkbir, Mahdi Abdennadher, Salma Ben Othmen, Ayda Ayadi-Kaddour, Hazem Zribi, Adel Marghli","doi":"10.1002/rcr2.70062","DOIUrl":"https://doi.org/10.1002/rcr2.70062","url":null,"abstract":"<p><p>Tracheo-bronchial adenoid cystic carcinoma (TBACC) is a rare disease. Its treatment is mainly surgical. We herein describe the clinical and para-clinical varieties of TBACC as well as their surgical treatment and prognosis. We conducted a retrospective study of eight patients operated on between 1994 and 2022 and whose definitive pathological examination concluded with primary TBACC. There were three men and five women with an average age of 44 years. The bronchoscopy found a budding formation reducing the tracheal lumen at the cervical (two cases), middle (two case) and distal trachea and carina (four cases). Bronchial anastomosis resection and sleeve pneumonectomy were the most common procedures. Surgical resections R0 were achieved in five patients. Surgery followed by adjuvant radiotherapy was performed in two patients with incomplete surgical resection R1. The overall survival for all patients with primary ACC was 72% at 5 years. TBACC is a rare and low-to-moderate grade malignant tumour. The choice of the surgical procedure and the appropriate approach is challenging to obtain a promising prognosis.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 1","pages":"e70062"},"PeriodicalIF":0.8,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025101","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}
{"title":"<i>Mycobacterium goodii</i> pulmonary disease with organizing pneumonia: A case report and review of literature.","authors":"Yu Shionoya, Hajime Kasai, Reiya Kono, Ryutaro Hirama, Masayuki Ota, Akira Naito, Mitsuhiro Abe, Takeshi Kawasaki, Jun-Ichiro Ikeda, Takuji Suzuki","doi":"10.1002/rcr2.70095","DOIUrl":"https://doi.org/10.1002/rcr2.70095","url":null,"abstract":"<p><p><i>Mycobacterium goodii</i>, a rapidly growing non-tuberculous mycobacterium, rarely causes pulmonary diseases. A patient was admitted to our hospital with a fever and cough. Chest radiography revealed consolidation in the right middle lung. As he had previously been treated for organizing pneumonia (OP), he was diagnosed with OP recurrence and administered systemic corticosteroids. Although initial improvement was observed, the pulmonary consolidations worsened. Transbronchial lung cryobiopsy revealed an OP pattern. <i>M. goodii</i> was identified in sputum acid-fast bacilli cultures. The patient was diagnosed with <i>M. goodii</i> pulmonary disease and secondary OP. Although intravenous imipenem-cilastatin, amikacin, and ciprofloxacin led to initial improvement in pulmonary consolidations, the consolidations re-worsened. Systemic corticosteroids were initiated, resulting in improvement in the consolidations. The dose of systemic corticosteroids was tapered; oral antimycobacterial therapy was continued. <i>M. goodii</i> can cause pulmonary disease and induce OP; antimycobacterial therapy and systemic corticosteroids can be effective.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 1","pages":"e70095"},"PeriodicalIF":0.8,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956522","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}
{"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":"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}