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Necrotizing pneumonia-a rare but complex complication in bronchiectasis patients. 坏死性肺炎是支气管扩张患者中一种罕见但复杂的并发症。
IF 0.8
Respirology Case Reports Pub Date : 2024-12-03 eCollection Date: 2024-12-01 DOI: 10.1002/rcr2.70080
Quoc-Khanh Tran-Le, Nam Vu-Hoai, Lam Nguyen-Ho, Ngoc Duong-Minh, Phung Nguyen-Thi
{"title":"Necrotizing pneumonia-a rare but complex complication in bronchiectasis patients.","authors":"Quoc-Khanh Tran-Le, Nam Vu-Hoai, Lam Nguyen-Ho, Ngoc Duong-Minh, Phung Nguyen-Thi","doi":"10.1002/rcr2.70080","DOIUrl":"10.1002/rcr2.70080","url":null,"abstract":"<p><p>Pneumonia occurs commonly in bronchiectasis patients with exacerbation, though necrotizing pneumonia remains rare. This report presents two cases of bronchiectasis complicated by necrotizing pneumonia. The first case involves a 39-year-old female with bronchiectasis due to primary ciliary dyskinesia. She presented with severe chest pain and persistent fever unresponsive to oral antibiotics. Chest computed tomography (CT) revealed necrotizing pneumonia with associated empyema, necessitating prolonged antibiotic therapy, pleural drainage and ultimately surgical decortication. The second case is a 39-year-old male with bronchiectasis following ammonia inhalation injury, presenting with pleuritic chest pain and productive cough, with a CT scan showing consolidation with low attenuation areas. Intensive antibiotic treatment was required, alongside corticosteroids and inhaled antibiotics afterward. These cases demonstrate the importance of identifying risk factors for necrotizing pneumonia in bronchiectasis patients. Tailoring treatment strategies, including extending antibiotic regimens, using inhaled antibiotics, and administering corticosteroids, is essential to mitigate poor outcomes.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70080"},"PeriodicalIF":0.8,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773426","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
A case of pulmonary vein thrombosis with transient ischemic attacks diagnosed by contrast-enhanced computed tomography. 对比增强计算机断层扫描诊断肺静脉血栓形成合并短暂性脑缺血发作1例。
IF 0.8
Respirology Case Reports Pub Date : 2024-12-03 eCollection Date: 2024-12-01 DOI: 10.1002/rcr2.70077
Yoshimasa Ogata, Keisuke Aita, Juri Maeda, Risa Shiragami, Masaaki Hagiya, Kiyohiko Shuto, Fumitaka Nakamura, Masao Yamaguchi
{"title":"A case of pulmonary vein thrombosis with transient ischemic attacks diagnosed by contrast-enhanced computed tomography.","authors":"Yoshimasa Ogata, Keisuke Aita, Juri Maeda, Risa Shiragami, Masaaki Hagiya, Kiyohiko Shuto, Fumitaka Nakamura, Masao Yamaguchi","doi":"10.1002/rcr2.70077","DOIUrl":"10.1002/rcr2.70077","url":null,"abstract":"<p><p>Pulmonary vein thrombosis (PVT) is rarer than pulmonary artery thrombosis (PAT). PVT is potentially fatal but is often overlooked due to its nonspecific symptoms. We present a case with PVT accompanied by paroxysmal atrial fibrillation. The symptoms were limited to transient ischemic attacks. Contrast-enhanced computed tomography (CT), which showed a thrombus in the right pulmonary vein trunk, was useful in diagnosing PVT. After switching the patient's anticoagulant from dabigatran etexilate to apixaban, the thrombus disappeared within 5 months. Contrast-enhanced CT is a useful and common tool for diagnosis and follow-up of PVT.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70077"},"PeriodicalIF":0.8,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773409","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
A case of silicosis with Mycobacterium avium infection relapsed with lymphadenitis 1 year after the completion of initial treatment. 矽肺合并鸟分枝杆菌感染1例在完成初始治疗1年后复发并淋巴结炎。
IF 0.8
Respirology Case Reports Pub Date : 2024-12-03 eCollection Date: 2024-12-01 DOI: 10.1002/rcr2.70076
Taku Hatakeyama, Keiki Yokoo, Ryota Tatsuhige, Takayuki Nagao, Koki Kikuchi, Satoshi Ota, Gen Yamada, Hirofumi Chiba
{"title":"A case of silicosis with <i>Mycobacterium avium</i> infection relapsed with lymphadenitis 1 year after the completion of initial treatment.","authors":"Taku Hatakeyama, Keiki Yokoo, Ryota Tatsuhige, Takayuki Nagao, Koki Kikuchi, Satoshi Ota, Gen Yamada, Hirofumi Chiba","doi":"10.1002/rcr2.70076","DOIUrl":"10.1002/rcr2.70076","url":null,"abstract":"<p><p>A 71-year-old man with silicosis was treated for <i>Mycobacterium avium</i> infection. Antimycobacterial treatment for <i>M. avium</i> was terminated 1 year after a negative test result for the bacteria on sputum examination. One year following the treatment, the patient developed pneumonitis. In the sputum culture, growth of <i>M. avium</i> was not detected. Pneumonitis did not improve despite sufficient antibacterial therapy. Chest computed tomography scan revealed aggravated shadows of pneumonitis and swelling of supraclavicular lymph nodes. A lymph node biopsy was performed, and polymerase chain reaction testing revealed <i>M. avium</i> infection. We diagnosed the patient with pneumonitis and lymphadenitis due to recurrent <i>M. avium</i> infection. Antimycobacterial treatment with rifampicin, ethambutol, clarithromycin, and amikacin was initiated. Pneumonitis and the general status of the patient improved following the treatment. Lymphadenitis is rare in adults in the absence of any immunodeficiency condition. We speculate that silicosis is a risk factor for mycobacterial infection recurrence.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70076"},"PeriodicalIF":0.8,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773410","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
Spontaneous resolution of a giant bulla in a patient presenting with COVID-19 with presumed superadded bacterial infection. COVID-19患者大球囊自发消退并推测有额外细菌感染。
IF 0.8
Respirology Case Reports Pub Date : 2024-12-03 eCollection Date: 2024-12-01 DOI: 10.1002/rcr2.70074
Ian Y H Chan, Keir E J Philip, Thomas Tsitsias, Carl Reynolds
{"title":"Spontaneous resolution of a giant bulla in a patient presenting with COVID-19 with presumed superadded bacterial infection.","authors":"Ian Y H Chan, Keir E J Philip, Thomas Tsitsias, Carl Reynolds","doi":"10.1002/rcr2.70074","DOIUrl":"10.1002/rcr2.70074","url":null,"abstract":"<p><p>Bullous emphysema is a chronic disease characterized by bullae, or air spaces in the lungs. Giant bullae exceed one-third of the hemithorax volume and are usually treated via bullectomy. We present the case of a 35-year-old man who presented to hospital with a history of COVID-19 infection and seven days of chest pain and dyspnoea. A giant left upper lobe fluid-filled bulla was identified on computed tomography. He was discharged with a course of antibiotics. A radiograph performed one month after presentation revealed an unchanged giant bulla. However, a chest radiograph and computed tomography nine months after initial presentation showed complete spontaneous resolution of the bulla. Bullectomy was deemed unnecessary. Cases of spontaneous bullae resolution, or autobullectomy, are rare. Our case implicates the role of infectious processes in autobullectomy. Serial imaging monitoring and delayed cardiothoracic assessment may be prudent to assess bullectomy necessity.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70074"},"PeriodicalIF":0.8,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773430","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
Tracheobronchial amyloidosis following COVID-19 infection. COVID-19感染后的气管支气管淀粉样变。
IF 0.8
Respirology Case Reports Pub Date : 2024-12-03 eCollection Date: 2024-12-01 DOI: 10.1002/rcr2.70073
Chathurangi Angammana, Sameera Gamlath, Ravini Karunathilake, Shehan Silva
{"title":"Tracheobronchial amyloidosis following COVID-19 infection.","authors":"Chathurangi Angammana, Sameera Gamlath, Ravini Karunathilake, Shehan Silva","doi":"10.1002/rcr2.70073","DOIUrl":"10.1002/rcr2.70073","url":null,"abstract":"<p><p>Deposition of amyloid proteins in extracellular space can occur due to uncontrolled inflammatory processes. Tracheobronchial amyloidosis (TBA) is a rare form of such disease. A 68-year-old woman was evaluated for chronic cough following a COVID-19 infection. Although post-viral sequelae were suspected, further investigation revealed TBA. This condition involves amyloid deposits within the airways. The temporal association with COVID-19 raises a potential etiological link, suggesting viral-induced inflammatory or immune-mediated processes may play a role. This case underlines the need to consider rare etiologies like TBA in patients with unresolved respiratory symptoms post-COVID-19.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70073"},"PeriodicalIF":0.8,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11614462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773432","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
Histiocyte-rich ROS1-rearranged inflammatory myofibroblastic tumour of the trachea: A rare neoplasm presenting with asthma-like symptoms. 富含组织细胞ros1重排的气管炎性肌纤维母细胞瘤：一种罕见的肿瘤，表现为哮喘样症状。
IF 0.8
Respirology Case Reports Pub Date : 2024-12-03 eCollection Date: 2024-12-01 DOI: 10.1002/rcr2.70078
Chin Tong Kwok, Jason Cheuk Ho Tsang, Mary Lam, Sandy Sze Ki Ho, Chi Sum Yuen, Yiu Cheong Yeung
{"title":"Histiocyte-rich ROS1-rearranged inflammatory myofibroblastic tumour of the trachea: A rare neoplasm presenting with asthma-like symptoms.","authors":"Chin Tong Kwok, Jason Cheuk Ho Tsang, Mary Lam, Sandy Sze Ki Ho, Chi Sum Yuen, Yiu Cheong Yeung","doi":"10.1002/rcr2.70078","DOIUrl":"10.1002/rcr2.70078","url":null,"abstract":"<p><p>Inflammatory myofibroblastic tumour is a rare tumour. We present an atypical case of Inflammatory myofibroblastic tumour which was trachea in location, histocyte rich and ROS1 rearranged. The patient presented with upper airway obstruction, which was an asthma mimic. The tumour demonstrated rapid recurrence after mechanical coring, which subsequently controlled with radiotherapy.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70078"},"PeriodicalIF":0.8,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773415","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
Localization of micro bronchial stump fistulas via guidewire exploration: A case report. 导丝探查定位微支气管残端瘘1例。
IF 0.8
Respirology Case Reports Pub Date : 2024-12-03 eCollection Date: 2024-12-01 DOI: 10.1002/rcr2.70081
Jieqiong Wang, Yan Hang, Zhongliang He, Shunxin Xin, Congbin Peng, Guohong Mo, Weihua Xu
{"title":"Localization of micro bronchial stump fistulas via guidewire exploration: A case report.","authors":"Jieqiong Wang, Yan Hang, Zhongliang He, Shunxin Xin, Congbin Peng, Guohong Mo, Weihua Xu","doi":"10.1002/rcr2.70081","DOIUrl":"10.1002/rcr2.70081","url":null,"abstract":"<p><p>Bronchopleural fistula (BPF), a common complication of lobectomy, is a pathological communication between the bronchus and the pleural space. The bronchial stump fistula (BSF), which is located on the bronchial stump, is a specific type of BPF. BSF can be directly diagnosed via bronchoscopy. However, identification becomes difficult when the BSF is very small (less than 1 mm), referred to as micro BSF in this study because it cannot be found during bronchoscopic exploration. This clinical dilemma easily leads to misdiagnosis of BSF. In this paper, a new procedure for locating micro BSFs using guidewire exploration was reported. This innovative approach involves the use of a guidewire to detect suspected micro BSFs. If the guidewire successfully penetrates the bronchial stump, it indicates the presence of a micro BSF; otherwise, there is none. After precise localization of three micro BSFs, submucosal injection of lauromacrogol around them was performed followed by thoracic fenestration.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70081"},"PeriodicalIF":0.8,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773424","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
Parsonage-Turner-syndrome associated with Mycoplasma pneumoniae infection. parsonage - turner综合征与肺炎支原体感染相关。
IF 0.8
Respirology Case Reports Pub Date : 2024-12-01 DOI: 10.1002/rcr2.70071
Fabian Leo, Christian Grohé
{"title":"Parsonage-Turner-syndrome associated with <i>Mycoplasma pneumoniae</i> infection.","authors":"Fabian Leo, Christian Grohé","doi":"10.1002/rcr2.70071","DOIUrl":"https://doi.org/10.1002/rcr2.70071","url":null,"abstract":"<p><p>Neurological complications in the course of community-acquired pneumonia indicate that <i>Mycoplasma pneumoniae</i> may be the causative pathogen. Parsonage-Turner-Syndrome, characterized by neuralgic shoulder pain and amyotrophy, has rarely been reported in this context.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70071"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773428","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
Confirmed Treponema pallidum pleural effusion in patient with known syphilis. 已知梅毒患者的确诊梅毒螺旋体胸腔积液。
IF 0.8
Respirology Case Reports Pub Date : 2024-11-30 eCollection Date: 2024-12-01 DOI: 10.1002/rcr2.70069
Rachel Shadbolt, Matthew Ing, Michaela Donaghy, Krist Ewe, Y C Gary Lee, Edward Fysh
{"title":"Confirmed <i>Treponema pallidum</i> pleural effusion in patient with known syphilis.","authors":"Rachel Shadbolt, Matthew Ing, Michaela Donaghy, Krist Ewe, Y C Gary Lee, Edward Fysh","doi":"10.1002/rcr2.70069","DOIUrl":"https://doi.org/10.1002/rcr2.70069","url":null,"abstract":"<p><p>Pulmonary and pleural involvement in <i>Treponema pallidum</i> infection is uncommon. Previously reported syphilis-related pleural effusions have been described largely based on clinical features combined with positive syphilis serology rather than the detection of <i>T pallidum</i> in pleural fluid or pleural biopsy. We report a case of secondary syphilis and confirmed syphilitic pleural effusion via thoracentesis.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70069"},"PeriodicalIF":0.8,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773412","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
Convex endobronchial ultrasound bronchoscope may enhance visualization and diagnosis by respiratory physicians: Clinical image of an endoscopic ultrasound with bronchoscope. 凸面支气管内超声支气管镜可增强呼吸科医生的可视化和诊断能力：带支气管镜的内窥镜超声临床图像。
IF 0.8
Respirology Case Reports Pub Date : 2024-11-25 eCollection Date: 2024-11-01 DOI: 10.1002/rcr2.70072
Suzuka Matsuoka, Yuki Takigawa, Ken Sato, Tomoyoshi Inoue, Hiromi Watanabe, Kenichiro Kudo, Akiko Sato, Keiichi Fujiwara, Takuo Shibayama
{"title":"Convex endobronchial ultrasound bronchoscope may enhance visualization and diagnosis by respiratory physicians: Clinical image of an endoscopic ultrasound with bronchoscope.","authors":"Suzuka Matsuoka, Yuki Takigawa, Ken Sato, Tomoyoshi Inoue, Hiromi Watanabe, Kenichiro Kudo, Akiko Sato, Keiichi Fujiwara, Takuo Shibayama","doi":"10.1002/rcr2.70072","DOIUrl":"10.1002/rcr2.70072","url":null,"abstract":"<p><p>Herein, we present the detection of two cystic lesions via the transesophageal route using endobronchial ultrasound and emphasize the fact that understanding the anatomy may enhance the diagnostic yield.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 11","pages":"e70072"},"PeriodicalIF":0.8,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11586573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717437","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
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