Respirology Case Reports最新文献_第2页

Paragonimiasis Diagnosed Through Detection of Parasitic Ova in Pleural Effusion: A Clinical Case Report. 通过检测胸腔积液中的寄生卵诊断肺吸虫病1例。

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Respirology Case Reports Pub Date : 2025-09-29 eCollection Date: 2025-10-01 DOI: 10.1002/rcr2.70354

Man Luo, Yang Liu, Xianyao Yang, Mei Liu, Chao Yu

{"title":"Paragonimiasis Diagnosed Through Detection of Parasitic Ova in Pleural Effusion: A Clinical Case Report.","authors":"Man Luo, Yang Liu, Xianyao Yang, Mei Liu, Chao Yu","doi":"10.1002/rcr2.70354","DOIUrl":"10.1002/rcr2.70354","url":null,"abstract":"Paragonimiasis, a chronic zoonotic parasitic infection caused by Paragonimus species, is frequently misdiagnosed due to its nonspecific clinical presentation and low disease awareness. We report a case of a 42-year-old male who was admitted following head and chest trauma. Initial chest CT revealed bilateral pulmonary contusions, a right rib fracture, and a significant pleural effusion, consistent with traumatic lung injury. Routine blood tests showed elevated white blood cells and neutrophils, but eosinophil counts remained within the normal range. Closed thoracic drainage was performed, and unexpectedly, numerous Paragonimus eggs and cholesterol crystals were identified in the pleural fluid. Subsequent serological testing confirmed positive parasite-specific antibodies, and genetic sequencing verified Paragonimus infection. Combined with epidemiological evidence from the patient's history, paragonimiasis was incidentally diagnosed in a patient who presented with a traumatic fracture and pleural effusion. The patient showed marked clinical improvement after treatment with praziquantel. This case underscores that normal eosinophil levels do not exclude paragonimiasis and that imaging findings can be misleading in the context of trauma. A thorough history-taking and comprehensive multimodal evaluation are essential for accurate diagnosis and management of pleural effusion in trauma patients to prevent oversight or misdiagnosis.","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 10","pages":"e70354"},"PeriodicalIF":0.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207921","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

Bilateral Spontaneous Pneumothorax in a Young Gentleman. 一位年轻男士的双侧自发性气胸。

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Respirology Case Reports Pub Date : 2025-09-29 eCollection Date: 2025-10-01 DOI: 10.1002/rcr2.70347

Albert Teng, Tzy Harn Chua, Chun Yuen Chow, Yi Hern Tan

{"title":"Bilateral Spontaneous Pneumothorax in a Young Gentleman.","authors":"Albert Teng, Tzy Harn Chua, Chun Yuen Chow, Yi Hern Tan","doi":"10.1002/rcr2.70347","DOIUrl":"10.1002/rcr2.70347","url":null,"abstract":"Bilateral spontaneous pneumothorax is a rare condition that occurs mainly in patients with underlying lung disease. We report the case of a 26-year-old Chinese male with a history of smoking who presented with sudden onset of chest tightness and dyspnoea. Chest radiography revealed bilateral pneumothoraxes, prompting the insertion of bilateral chest tubes. Further imaging with high-resolution computed tomography of the chest revealed multiple bilateral, thin-walled cysts with relative sparing of the lung bases and tiny peripheral nodules. The patient underwent bilateral video-assisted thoracoscopic surgery with bullectomy, pleurodesis, and surgical lung biopsy. Histopathological examination revealed cysts lined by Langerhans cells with eosinophilic infiltration, establishing the diagnosis of pulmonary Langerhans cell histiocytosis (PLCH). This case highlights the importance of considering cystic lung diseases, particularly PLCH, in young smokers presenting with spontaneous bilateral pneumothorax. Radiologic and histopathologic correlation is essential for definitive diagnosis. Smoking cessation remains the cornerstone of management.","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 10","pages":"e70347"},"PeriodicalIF":0.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201743","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

Sarcoidosis With Pulmonary and Bone Marrow Involvement Following Chemotherapy in a Cancer Patient. 肿瘤患者化疗后结节病累及肺和骨髓。

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Respirology Case Reports Pub Date : 2025-09-25 eCollection Date: 2025-10-01 DOI: 10.1002/rcr2.70353

Ken Shirahase, Tadao Nagasaki, Masato Muraki, Tomoko Wakasa, Soichiro Hanada, Masamichi Iwai, Yuji Tohda, Hisako Matsumoto

{"title":"Sarcoidosis With Pulmonary and Bone Marrow Involvement Following Chemotherapy in a Cancer Patient.","authors":"Ken Shirahase, Tadao Nagasaki, Masato Muraki, Tomoko Wakasa, Soichiro Hanada, Masamichi Iwai, Yuji Tohda, Hisako Matsumoto","doi":"10.1002/rcr2.70353","DOIUrl":"10.1002/rcr2.70353","url":null,"abstract":"Sarcoidosis is a multisystem granulomatous disease that rarely involves the bone marrow and is particularly uncommon during chemotherapy. A 56-year-old Japanese woman with stage IIIc fallopian tube carcinoma developed persistent high-grade fever and new bilateral pulmonary nodules two weeks after paclitaxel-carboplatin and bevacizumab therapy, which was complicated by neutropenia. Initial evaluations, including imaging, microbiological studies and bronchoscopy, excluded infection and malignancy recurrence. Histological analysis of bone marrow and transbronchial lung biopsy specimens demonstrated non-caseating granulomas, confirming sarcoidosis despite normal serum angiotensin-converting enzyme levels and absence of lymphadenopathy. Her fever and pulmonary nodules resolved spontaneously without corticosteroid therapy. This case underscores the importance of considering sarcoidosis in the differential diagnosis of fever and new pulmonary lesions in patients undergoing chemotherapy. Early histopathological confirmation is essential to avoid misdiagnosis and guide appropriate management.","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 10","pages":"e70353"},"PeriodicalIF":0.8,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187209","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

Correction to "Bronchiolar Adenoma/Ciliated Muconodular Papillary Tumour With a 17-Year Follow-Up: A Case Report". “细支气管腺瘤/纤毛黏结乳头状瘤17年随访1例”的矫正。

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Respirology Case Reports Pub Date : 2025-09-25 eCollection Date: 2025-09-01 DOI: 10.1002/rcr2.70351

引用次数: 0

A Case of Mild OSA Exacerbated by Alcohol Use. 酒精使用加重轻度呼吸暂停1例。

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Respirology Case Reports Pub Date : 2025-09-25 eCollection Date: 2025-10-01 DOI: 10.1002/rcr2.70361

Sahan Chandrasekara, Eli Dabscheck, Mary Spiteri, Renel Cuesta, Teanau Roebuck, Matthew T Naughton

引用次数: 0

Two-Staged Bronchoscopic Lung Volume Reduction: A Single US Academic Center Retrospective Analysis Demonstrating Reduction in Pneumothorax. 两阶段支气管镜下肺体积缩小：一项美国学术中心回顾性分析显示气胸减少。

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Respirology Case Reports Pub Date : 2025-09-22 eCollection Date: 2025-09-01 DOI: 10.1002/rcr2.70355

Chih-Huan Lu, Brooks T Kuhn, Michael Schivo, Chinh Phan, Ken Y Yoneda, Jeremy J Kim

引用次数: 0

Correction to "Asbestosis Requiring Lung Transplantation in a Retired Hairdresser: An Occupational Exposure to Comb Through". 更正“退休美发师需要肺移植的石棉沉滞症：需要梳理的职业暴露”。

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Respirology Case Reports Pub Date : 2025-09-22 eCollection Date: 2025-09-01 DOI: 10.1002/rcr2.70349

引用次数: 0

Successful Combined Autologous Blood and Minocycline Pleurodesis for Intractable Bilateral Pneumothorax in an Elderly Patient With Combined Pulmonary Fibrosis and Emphysema: A Case Report. 自体血联合米诺环素胸膜融合术治疗老年合并肺纤维化和肺气肿的顽固性双侧气胸1例。

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Respirology Case Reports Pub Date : 2025-09-22 eCollection Date: 2025-09-01 DOI: 10.1002/rcr2.70358

Eitetsu Koh

引用次数: 0

Correction to "Endobronchial Lipoma Treated With Endoscopic Microwave Coagulation to Relieve Atelectasis: The First Case Report". “内镜下微波凝固治疗支气管脂肪瘤缓解肺不张1例”的纠正。

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Respirology Case Reports Pub Date : 2025-09-22 eCollection Date: 2025-09-01 DOI: 10.1002/rcr2.70350

引用次数: 0

Hemiclamshell Resection of a Ruptured Mediastinal Teratoma Exhibiting Pancreatic Differentiation. 显示胰腺分化的纵隔畸胎瘤破裂的半壳切除。

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Respirology Case Reports Pub Date : 2025-09-18 eCollection Date: 2025-09-01 DOI: 10.1002/rcr2.70345

Yuri Enomoto, Yoshio Nakano, Hiroyuki Fukuda, Yoko Yamamoto, Naoki Ikeda, Yumiko Yasuhara, Iwao Gohma

{"title":"Hemiclamshell Resection of a Ruptured Mediastinal Teratoma Exhibiting Pancreatic Differentiation.","authors":"Yuri Enomoto, Yoshio Nakano, Hiroyuki Fukuda, Yoko Yamamoto, Naoki Ikeda, Yumiko Yasuhara, Iwao Gohma","doi":"10.1002/rcr2.70345","DOIUrl":"10.1002/rcr2.70345","url":null,"abstract":"Mediastinal teratomas demonstrating unidirectional pancreatic differentiation are exceedingly rare. We describe a 36-year-old woman with progressively worsening anterior chest pain. Computed tomography demonstrated a 5.9 cm multilocular cystic mass in the anterior mediastinum, accompanied by pleural and pericardial effusions. Given the lesion's size and presumed inflammatory reaction, we performed radical excision via a hemiclamshell incision. Histopathology revealed predominantly pancreatic acinar tissue with scattered non-pancreatic epithelial elements, prompting reclassification as a mediastinal teratoma rather than ectopic pancreas. Focal epithelial disruption was regarded as the nidus of the surrounding inflammation. The patient's postoperative course was uneventful. This report underscores the need to include teratoma in the differential diagnosis of anterior mediastinal lesions initially interpreted as ectopic pancreas and illustrates the value of the hemiclamshell approach for achieving complete, atraumatic resection when extensive local adhesions are present.","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 9","pages":"e70345"},"PeriodicalIF":0.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12444644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114473","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