Respirology Case Reports最新文献_第10页

A Rare Association of Interstitial Lung Disease in Ankylosing Spondylitis: A Case Report and Review of Early Detection and Multidisciplinary Management. 强直性脊柱炎中罕见的间质性肺疾病：一个病例报告及早期发现和多学科治疗的回顾。

IF 0.7

Respirology Case Reports Pub Date : 2026-07-27 eCollection Date: 2026-07-01 DOI: 10.1002/rcr2.70672

Stefani Larasati, Awalia

{"title":"A Rare Association of Interstitial Lung Disease in Ankylosing Spondylitis: A Case Report and Review of Early Detection and Multidisciplinary Management.","authors":"Stefani Larasati, Awalia","doi":"10.1002/rcr2.70672","DOIUrl":"10.1002/rcr2.70672","url":null,"abstract":"Ankylosing spondylitis (AS) is a chronic inflammatory disorder of the axial skeleton, occasionally complicated by uncommon but increasingly recognized pulmonary involvement such as interstitial lung disease (ILD). We report a 35-year-old woman with a year-long history of inflammatory back pain and peripheral arthritis who fulfilled clinical and radiologic criteria for AS. Despite partial response to cDMARDs, she developed a productive cough. High-resolution CT revealed right upper-lobe ground-glass opacities consistent with early cellular ILD, supported by spirometry showing a moderate restrictive defect and negative autoimmune serology excluding overlapping connective tissue diseases. Conservative pulmonary monitoring and escalation to secukinumab resulted in marked improvement in both musculoskeletal and respiratory symptoms. This case highlights clinically under-recognized pulmonary involvement in AS, including early inflammatory (cellular) ILD, emphasizing diagnostic challenges and the importance of timely imaging and multidisciplinary management.","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"14 7","pages":"e70672"},"PeriodicalIF":0.7,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680392","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}

引用次数: 0

Hemoptysis Secondary to Right Pulmonary Artery Aneurysm in Behçet's Disease: A Case Report and Literature Review. 右肺动脉瘤继发咯血1例并文献复习。

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Respirology Case Reports Pub Date : 2026-07-24 eCollection Date: 2026-07-01 DOI: 10.1002/rcr2.70695

Dua Nori, Suha Nori, Dania A Ashoor, Lana M Dweekat, Reem Shihab

引用次数: 0

Mediastinal Extrapleural Air Mimicking a Bulla in a Non-Expandable Lung. 非膨胀性肺的纵隔胸膜外空气模拟大泡。

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Respirology Case Reports Pub Date : 2026-07-22 eCollection Date: 2026-07-01 DOI: 10.1002/rcr2.70693

Hidenori Takahashi, Kota Taguchi, Mio Toyama-Kousaka, Shinichiro Ota, Masaharu Shinkai

引用次数: 0

Endovascular Coil Embolization of Ruptured Idiopathic Multiple Bilateral Pulmonary Artery Aneurysms: A Case Report. 血管内线圈栓塞治疗特发性双侧多发肺动脉动脉瘤1例。

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Respirology Case Reports Pub Date : 2026-07-20 eCollection Date: 2026-07-01 DOI: 10.1002/rcr2.70691

Abdullah S Almawi, Mohammed S Almasri, Fahad A Almejrad, Mohammed N Almusaad, Maher Alanazi

引用次数: 0

A Rare Case of Scrofuloderma Presenting as Recurrent Tuberculosis in a Young Patient. 一例罕见的黑囊皮病表现为复发结核的年轻患者。

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Respirology Case Reports Pub Date : 2026-07-20 eCollection Date: 2026-07-01 DOI: 10.1002/rcr2.70694

Yoshihiro Okada, Asuka Okada, Shin Miyagawa, Ami Arimoto, Taisei Furumuro, Masanori Izuka, Yuma Watabe, Izumi Sato, Yusuke Inui, Masahide Ueda, Takahiro Ibaraki, Hideaki Takenaka, Sumito Choh

{"title":"A Rare Case of Scrofuloderma Presenting as Recurrent Tuberculosis in a Young Patient.","authors":"Yoshihiro Okada, Asuka Okada, Shin Miyagawa, Ami Arimoto, Taisei Furumuro, Masanori Izuka, Yuma Watabe, Izumi Sato, Yusuke Inui, Masahide Ueda, Takahiro Ibaraki, Hideaki Takenaka, Sumito Choh","doi":"10.1002/rcr2.70694","DOIUrl":"10.1002/rcr2.70694","url":null,"abstract":"A 23-year-old Indonesian man was referred to our institution due to a skin ulcer with white exudate on the right chest wall. He had undergone treatment for pulmonary tuberculosis (TB) in Indonesia 3 years prior to the consultation. Chest ultrasonography and computed tomography revealed multiple intercostal abscesses and a thickened right pleura with calcification. Histological findings from a skin biopsy of the ulcer and a positive polymerase chain reaction for Mycobacterium tuberculosis in the exudate indicated the involvement of TB. Based on these findings, the patient was diagnosed with scrofuloderma and multiple intercostal abscesses. Recurrent TB may result from either the regrowth of residual strains or reinfection with a different strain. This report highlights that recurrent TB can manifest as scrofuloderma through contiguous spread from underlying intercostal abscesses. In cases of skin ulcers with an unclear aetiology, thorough histopathological and bacteriological assessments facilitate a prompt and accurate diagnosis.","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"14 7","pages":"e70694"},"PeriodicalIF":0.7,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608469","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}

引用次数: 0

The First Documented Case of Congenital Drug-Resistant Tuberculosis in Indonesia: A Case Report. 印度尼西亚首例记录在案的先天性耐药结核病例：一例报告。

IF 0.7

Respirology Case Reports Pub Date : 2026-07-20 eCollection Date: 2026-07-01 DOI: 10.1002/rcr2.70680

Cynthia Centauri, Srisadono Fauzi Adiprabowo, Putri Maharani Tristanita Marsubrin, Irandi Putra Pratomo

{"title":"The First Documented Case of Congenital Drug-Resistant Tuberculosis in Indonesia: A Case Report.","authors":"Cynthia Centauri, Srisadono Fauzi Adiprabowo, Putri Maharani Tristanita Marsubrin, Irandi Putra Pratomo","doi":"10.1002/rcr2.70680","DOIUrl":"10.1002/rcr2.70680","url":null,"abstract":"Congenital drug-resistant tuberculosis (DR-TB) is a rare condition with no standardized treatment. Congenital TB itself is a life-threatening condition. The clinical manifestations can be nonspecific, particularly in preterm infants, which can further reduce diagnostic awareness. We report a case of a 32-week preterm baby with rifampicin-resistant TB. She was born with respiratory distress and early-onset jaundice, initially suspected of sepsis and admitted to the NICU. The infant initially showed clinical improvement at 3 days of life, but at 23 days of life, the clinical condition worsened despite a sterile blood culture. The mother was subsequently diagnosed with miliary TB with rifampicin-resistant Xpert sputum. The infant's gastric lavage Xpert MTB/RIF confirmed rifampicin-resistant TB. At 32 days of life, she received a five-drug regimen, including bedaquiline. She completed 12 months of treatment with a favourable outcome. This case highlights the challenges of early recognition and treatment selection in congenital DR-TB.","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"14 7","pages":"e70680"},"PeriodicalIF":0.7,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550834","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}

引用次数: 0

Nocardia cyriacigeorgica Identified by Bronchial Washing During Evaluation of Radiologic Progression in a Patient With Prior Nontuberculous Mycobacterial Diseases. 既往非结核性分枝杆菌疾病患者放射学进展评估中经支气管清洗发现的cyriacigeorgica诺卡菌。

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Respirology Case Reports Pub Date : 2026-07-19 eCollection Date: 2026-07-01 DOI: 10.1002/rcr2.70654

Hidenori Takahashi, Kanako Furukawa, Yugo Satake, Natsuko Nakano, Shinichiro Ota, Masaharu Shinkai

{"title":"Nocardia cyriacigeorgica Identified by Bronchial Washing During Evaluation of Radiologic Progression in a Patient With Prior Nontuberculous Mycobacterial Diseases.","authors":"Hidenori Takahashi, Kanako Furukawa, Yugo Satake, Natsuko Nakano, Shinichiro Ota, Masaharu Shinkai","doi":"10.1002/rcr2.70654","DOIUrl":"10.1002/rcr2.70654","url":null,"abstract":"Pulmonary nocardiosis may occur in immunocompetent patients with structural lung disease and may resemble the progression of nontuberculous mycobacterial pulmonary disease. We report an 81-year-old immunocompetent woman with chronic bronchiectasis and prior Mycobacterium kansasii, M. intracellulare, and M. abscessus infections. Despite persistently negative sputum mycobacterial cultures, chest computed tomography (CT) revealed progressive nodular bronchiectatic changes. Bronchial washing from the right B5 bronchus yielded Nocardia cyriacigeorgica; mycobacterial studies were negative. Trimethoprim-sulfamethoxazole was stopped shortly after initiation because of drug eruption, and minocycline monotherapy led to transient symptomatic and radiologic improvement. However, follow-up CT at 6 months revealed radiologic progression. Repeat bronchoscopy was culture-negative, but bronchial washing cytology revealed filamentous organisms suggestive of persistent nocardial infection. Minocycline monotherapy was continued for 12 months. Chest CT at 12 months revealed new contralateral left upper lobe bronchocentric abnormalities. This case highlights the importance of bronchial washing and longitudinal reassessment when radiologic progression remains unexplained by sputum evaluation.","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"14 7","pages":"e70654"},"PeriodicalIF":0.7,"publicationDate":"2026-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13381721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608414","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}

引用次数: 0

Anomalous Systemic Arterial Supply to the Basal Segment of the Lung Treated With Surgery Versus Transcatheter Embolisation: A Report of Two Cases. 手术与经导管栓塞治疗肺基底段异常全身动脉供应：两例报告。

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Respirology Case Reports Pub Date : 2026-07-19 eCollection Date: 2026-07-01 DOI: 10.1002/rcr2.70652

Hidenori Takahashi, Shinichiro Ota, Yugo Satake, Hiroki Nagamatsu, Ryutaro Hirose, Mio Toyama-Kosaka, Miwa Morikawa, Takashi Makino, Yuta Tajiri, Natsuko Nakano, Masaharu Shinkai

{"title":"Anomalous Systemic Arterial Supply to the Basal Segment of the Lung Treated With Surgery Versus Transcatheter Embolisation: A Report of Two Cases.","authors":"Hidenori Takahashi, Shinichiro Ota, Yugo Satake, Hiroki Nagamatsu, Ryutaro Hirose, Mio Toyama-Kosaka, Miwa Morikawa, Takashi Makino, Yuta Tajiri, Natsuko Nakano, Masaharu Shinkai","doi":"10.1002/rcr2.70652","DOIUrl":"10.1002/rcr2.70652","url":null,"abstract":"Anomalous systemic arterial supply to the basal segment of the lungs (ABLL) is a rare congenital vascular anomaly, and its treatment remains disputed. We report two cases of ABLL that were asymptomatic and managed using different strategies based on infection status and anatomical complexity. A 25-year-old woman presented with a right lower lobe cavitary lesion supplied by an anomalous coeliac artery branch. Due to suspected chronic fungal infection, thoracoscopic right basal segmentectomy was performed, and subsequent pathology and cultures confirmed chronic cavitary aspergillosis. A 33-year-old man presented with an anomalous branch from the descending thoracic aorta supplying the left basal segment. Surgical resection was considered potentially more invasive because of an incomplete fissure and a common left pulmonary vein trunk; therefore, transcatheter embolisation was successfully performed. These cases suggest that treatment selection should be individualised and guided not only by vessel diameter but also by associated infection and anatomical complexity.","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"14 7","pages":"e70652"},"PeriodicalIF":0.7,"publicationDate":"2026-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13381719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608458","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}

引用次数: 0

Drug-Induced Lung Injury Masking Lung Adenocarcinoma. 掩盖肺腺癌的药物性肺损伤。

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Respirology Case Reports Pub Date : 2026-07-17 eCollection Date: 2026-07-01 DOI: 10.1002/rcr2.70678

Keisuke Watanabe, Toshiko Kamata, Shigetoshi Yoshida, Tetsuo Sato

引用次数: 0

Laryngotracheobronchitis due to Candida albicans in a Patient Admitted to the Intensive Care Unit: A Case Report. 白念珠菌引起的喉气管支气管炎住院加护病房1例报告。

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Respirology Case Reports Pub Date : 2026-07-15 eCollection Date: 2026-07-01 DOI: 10.1002/rcr2.70690

Maura Silva, Cristina Mendes, Kátia Diogo, João Silva, Margarete Arrais

{"title":"Laryngotracheobronchitis due to Candida albicans in a Patient Admitted to the Intensive Care Unit: A Case Report.","authors":"Maura Silva, Cristina Mendes, Kátia Diogo, João Silva, Margarete Arrais","doi":"10.1002/rcr2.70690","DOIUrl":"10.1002/rcr2.70690","url":null,"abstract":"Several studies have identified Candida albicans as the predominant fungal pathogen involved in respiratory infections. Candida laryngotracheobronchitis is a rare but serious condition, typically observed in immunocompromised patients with predisposing conditions, and its diagnosis poses a challenge due to its nonspecific presentation. We report the case of a 39-year-old woman who was admitted to the Intensive Care Unit for diabetic ketoacidosis associated with severe pneumonia, requiring mechanical ventilation and broad-spectrum antibiotic therapy. She initially responded favourably to treatment; however, 12 h after extubation, she presented with a dry cough, dysphonia and signs of persistent bronchospasm. The findings from bronchofibroscopy and the culture of tracheal and bronchial secretions and washings were consistent with laryngotracheobronchial candidiasis. She was treated with antifungal, resulting in significant clinical improvement and resolution of the endoscopic lesions. Currently, the patient remains stable and is under outpatient follow-up by Pulmonology, Otolaryngology and Endocrinology.","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"14 7","pages":"e70690"},"PeriodicalIF":0.7,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13372571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473348","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}

引用次数: 0