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Tracheal stent migration in malignant central airway obstruction – a case report and systematic review of literature 恶性中央气道阻塞中的气管支架移位--病例报告和系统性文献综述
Chest disease reports Pub Date : 2024-07-18 DOI: 10.4081/cdr.12.12731
Manu Madan, Sreyas Sharma, Rohit Kumar, P. Ish, Rajnish Kaushik, Nitesh Gupta
{"title":"Tracheal stent migration in malignant central airway obstruction – a case report and systematic review of literature","authors":"Manu Madan, Sreyas Sharma, Rohit Kumar, P. Ish, Rajnish Kaushik, Nitesh Gupta","doi":"10.4081/cdr.12.12731","DOIUrl":"https://doi.org/10.4081/cdr.12.12731","url":null,"abstract":"Airway stents are critical in maintaining airway patency and managing Central Airway Obstruction (CAO) caused by malignant and benign conditions. Despite their effectiveness, complications such as stent migration are common. We report a case of a 25-year-old female with malignant CAO, which was initially managed with an ultra-flex Self-Expanding Metal Stent (SEMS) followed by stent migration and subsequently interlocking SEMS with Y stent deployment. This case report highlights the complexity of managing malignant CAO. More research is needed to establish optimal practices for preventing stent migration and improving patient outcomes. A systematic review of the literature on airway stent migration was also conducted, revealing an incidence of 5-17%, with higher rates in tracheal stents. Factors such as lesion characteristics and location significantly impact migration risk. This review discusses the advantages and challenges of SEMS compared to silicone stents, emphasizing the need for tailored approaches in stent placement and fixation to mitigate migration risks.","PeriodicalId":500149,"journal":{"name":"Chest disease reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141827238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emerging immunological challenges in post-COVID individuals: insights from a case series and review 后 COVID 患者新出现的免疫学挑战：从系列病例和综述中获得的启示
Chest disease reports Pub Date : 2024-07-17 DOI: 10.4081/cdr.12.12659
Saurabh Karmakar, Priya Sharma
{"title":"Emerging immunological challenges in post-COVID individuals: insights from a case series and review","authors":"Saurabh Karmakar, Priya Sharma","doi":"10.4081/cdr.12.12659","DOIUrl":"https://doi.org/10.4081/cdr.12.12659","url":null,"abstract":"The Coronavirus Disease 2019 (COVID-19) pandemic has unveiled diverse immunological complications extending beyond the acute phase of infection. We present a case series of four patients who developed autoimmune vasculitis and sarcoidosis post-recovery from COVID-19. Case presentations include recurrent fever and respiratory symptoms in a 36-year-old female, granulomatous liver lesions in a 63-year-old male, progressive dyspnea in a 44-year-old female, and diffuse alveolar hemorrhage in a 74-year-old female following severe pneumonia. These cases underscore the importance of vigilance for immunological sequelae in post-COVID-19 patients, particularly those with predisposing comorbidities. We tried to elucidate pathophysiological mechanisms and optimize management strategies for these rare but clinically significant manifestations.","PeriodicalId":500149,"journal":{"name":"Chest disease reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of Obstructive Sleep Apnea with co-morbidities in smokers versus non-smokers - an observational study 吸烟者与非吸烟者阻塞性睡眠呼吸暂停与并发症的关系--一项观察性研究
Chest disease reports Pub Date : 2024-07-17 DOI: 10.4081/cdr.12.12472
A. Haran, S. Mamatha, S. Ashwini
{"title":"Association of Obstructive Sleep Apnea with co-morbidities in smokers versus non-smokers - an observational study","authors":"A. Haran, S. Mamatha, S. Ashwini","doi":"10.4081/cdr.12.12472","DOIUrl":"https://doi.org/10.4081/cdr.12.12472","url":null,"abstract":"Obstructive Sleep Apnea (OSA) and smoking are important global health issues that are widely prevalent. Both are independently associated with cardiovascular, respiratory, metabolic, neurological, psychiatric, and endocrinological abnormalities and cancer, leading to premature death. Whether coexistent OSA and smoking worsen multisystem abnormalities is inconclusive. Therefore, this study was done to find the association between OSA and other morbidities among smokers and non-smokers. The objectives of this study were i) to evaluate the association of OSA with co-morbidities in smokers and non-smokers and ii) to compare the severity of OSA in smokers and non-smokers.","PeriodicalId":500149,"journal":{"name":"Chest disease reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141830716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The holy fluke - an unusual scenario of lung paragonimiasis 神圣的侥幸--肺副黏液病的不寻常情景
Chest disease reports Pub Date : 2024-07-12 DOI: 10.4081/cdr.12.12418
P. Gogia, Shriram S. Shenoy, Tarun Bhatnagar, Shruti Nautiyal, Sunil Lakha
{"title":"The holy fluke - an unusual scenario of lung paragonimiasis","authors":"P. Gogia, Shriram S. Shenoy, Tarun Bhatnagar, Shruti Nautiyal, Sunil Lakha","doi":"10.4081/cdr.12.12418","DOIUrl":"https://doi.org/10.4081/cdr.12.12418","url":null,"abstract":"Like many other foodborne parasites, lung fluke (Paragonimus species) was considered extinct and is now reemerging, especially in Eastern Asia, Africa, and South America. It commonly affects people consuming crabs and crayfish in their diet. This family of seafood and mollusks is considered an intermediate host for the parasite. Humans and other mammals, such as tigers and pigs incidentally consuming crustaceans, are the definitive hosts. Here, we present a case of pulmonary paragonimiasis in a strict vegetarian who developed the infestation, the possible cause being frequent baths in the holy river Ganges, a common practice amongst Hindus. Another interesting aspect of this case is that the patient presented with signs and symptoms mimicking tuberculosis, which is also endemic in the region. Presenting symptoms of hemoptysis, generalized malaise, and a normal chest X-ray were misleading, while Flexible Bronchoscopy (FB) with Bronchoalveolar Lavage (BAL) confirmed the diagnosis. The patient made a full recovery with appropriate treatment.","PeriodicalId":500149,"journal":{"name":"Chest disease reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141653548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exfoliated dermatitis and hepatitis to first line Anti-Tubercular Therapy with treatment of Drug-Sensitive Tuberculosis with second line Anti-Tubercular Therapy: a roller coaster ride 用一线抗结核疗法治疗剥脱性皮炎和肝炎，用二线抗结核疗法治疗对药物敏感的结核病：过山车之旅
Chest disease reports Pub Date : 2024-06-03 DOI: 10.4081/cdr.12.12626
S. Spalgais, Ahmed Safwan M., P. Mrigpuri, Raj Kumar
{"title":"Exfoliated dermatitis and hepatitis to first line Anti-Tubercular Therapy with treatment of Drug-Sensitive Tuberculosis with second line Anti-Tubercular Therapy: a roller coaster ride","authors":"S. Spalgais, Ahmed Safwan M., P. Mrigpuri, Raj Kumar","doi":"10.4081/cdr.12.12626","DOIUrl":"https://doi.org/10.4081/cdr.12.12626","url":null,"abstract":"The Adverse Drug Reactions (ADRSs) to Anti-Tubercular Therapy (ATT) have been reported from 8% to 85% worldwide, while the prevalence of ADRSs to 1st line ATT from India reported 2.3% to 17%, with more during the intensive phase and daily regime. However, cutaneous ADRSs related to ATT are less commonly seen. Common cutaneous ADRSs are maculopapular rash, urticarial, erythema multiforme, exfoliative dermatitis, and Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS). Among the 1st line ATT, pyrazinamide is the most common cause at 2.38%, and isoniazid is reported the least at 0.98%. Exfoliated dermatitis is rarely seen with 1st line ATT therapy limited to some case reports and case series.","PeriodicalId":500149,"journal":{"name":"Chest disease reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141271406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conservative management of complicated retropharyngeal abscess with Antitubercular Therapy 用抗结核疗法保守治疗复杂性咽后脓肿
Chest disease reports Pub Date : 2024-05-08 DOI: 10.4081/cdr.12.12536
Sakshi Boora, Komaldeep Kaur, Mandeep Kaur Sodhi, Chahat Bhatia, Diksha Attri, Varinder Saini
{"title":"Conservative management of complicated retropharyngeal abscess with Antitubercular Therapy","authors":"Sakshi Boora, Komaldeep Kaur, Mandeep Kaur Sodhi, Chahat Bhatia, Diksha Attri, Varinder Saini","doi":"10.4081/cdr.12.12536","DOIUrl":"https://doi.org/10.4081/cdr.12.12536","url":null,"abstract":"Retropharyngeal abscess, the infection of deep neck spaces, extends from the base of the skull to the posterior mediastinum. It develops as a sequela of dental infection, upper respiratory tract infection, or any interventional procedure like laryngoscopy, endotracheal intubation, etc. Retropharyngeal abscess is a rare presentation of Tuberculosis (TB), with an annual incidence rate of 2.64 per 100,000 population, and gender-based incidence rates of 3.34 for males, and 1.94 for females per 100,000 population.1 It, as a part of head and neck TB, has a prevalence of 0.1-1% among all forms of TB. If not managed timely, it may lead to the spread of its infection to the mediastinum, which can be life-threatening at times, owing to airway compromission and other catastrophic complications like mediastinitis, mediastinal abscess, pericarditis, pyopneumothorax pleuritis and empyema. We hereby present a case of a middle-aged woman diagnosed with a complicated retropharyngeal abscess but managed conservatively with Antitubercular Therapy (ATT).","PeriodicalId":500149,"journal":{"name":"Chest disease reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141000998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case report of an intra-pleural foreign body successfully retrieved by semi-rigid thoracoscopy and systematic review of worldwide literature 通过半硬质胸腔镜成功取出胸膜内异物的病例报告和全球文献系统回顾
Chest disease reports Pub Date : 2024-05-08 DOI: 10.4081/cdr.12.12599
Sanchit Mohan, Rohit Kumar, Manu Madan, P. Ish, Rajnish Kaushik, Nitesh Gupta
{"title":"A case report of an intra-pleural foreign body successfully retrieved by semi-rigid thoracoscopy and systematic review of worldwide literature","authors":"Sanchit Mohan, Rohit Kumar, Manu Madan, P. Ish, Rajnish Kaushik, Nitesh Gupta","doi":"10.4081/cdr.12.12599","DOIUrl":"https://doi.org/10.4081/cdr.12.12599","url":null,"abstract":"Intra-pleural foreign bodies occur due to thoracic trauma or iatrogenic. Extraction of an intra-pleural foreign body is done either by thoracotomy or Video-Assisted Thoracoscopic Surgery (VATS). A 58-year-old woman presented with a right pleural effusion. Ultrasonography (USG)-guided right pleural fluid aspiration complicated as the needle broke down in the pleural cavity. Computed Tomography (CT) of the thorax documented the needle in the muscular plain between intercostal muscles and the pointing edge in the pleural cavity. A surgical exploration of the muscular plane to retrieve the needle was unsuccessful. The needle was successfully extracted by semi-rigid thoracoscopy under local anesthesia without any complications.","PeriodicalId":500149,"journal":{"name":"Chest disease reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141001501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A 31-year-old female with diffuse pulmonary infiltrates and intracardiac thrombus 一名患有弥漫性肺部浸润和心内血栓的 31 岁女性
Chest disease reports Pub Date : 2024-05-07 DOI: 10.4081/cdr.12.12581
Nitesh Gupta, Stuti Gupta, Yash Kedia, Rohit Kumar, Mahendran Aj, P. Ish, Manu Madan, Rajnish Kaushik
{"title":"A 31-year-old female with diffuse pulmonary infiltrates and intracardiac thrombus","authors":"Nitesh Gupta, Stuti Gupta, Yash Kedia, Rohit Kumar, Mahendran Aj, P. Ish, Manu Madan, Rajnish Kaushik","doi":"10.4081/cdr.12.12581","DOIUrl":"https://doi.org/10.4081/cdr.12.12581","url":null,"abstract":"Intracardiac masses on echocardiography can represent thrombi, vegetations, or tumors. Cardiac Magnetic Resonance Imaging (MRI) is a sensitive tool that differentiates between the three. Intracardiac thrombi can develop during various pathological conditions that cause stasis of blood and predispose to the aggregation of thrombotic material. Atrial clots can occur in conditions like atrial fibrillation, structural heart diseases, thrombophilia, and chronic inflammations. Tuberculosis (TB) is a prothrombotic state and can predispose to venous and sometimes arterial clot formation. But intracardiac clots in TB are rare. We report a young patient presenting with bilateral intracardiac clots and diagnosed to have disseminated tuberculosis. Treatment with anti-tubercular therapy and therapeutic anticoagulation leads to complete resolution of the thrombi.","PeriodicalId":500149,"journal":{"name":"Chest disease reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transesophageal Bronchoscopic Ultrasound-guided Cryobiopsy (EUS-B-Cryo) for mediastinal lesions in critical airway obstruction: a case series with a systematic review 经食管支气管镜超声引导下冷冻生物切片检查（EUS-B-Cryo）治疗重症气道阻塞纵隔病变：病例系列研究与系统综述
Chest disease reports Pub Date : 2024-05-06 DOI: 10.4081/cdr.12.12555
Sanchit Mohan, A. Mahendran, Rohit Kumar, Manu Madan, P. Ish, Rajnish Kaushik, Nitesh Gupta
{"title":"Transesophageal Bronchoscopic Ultrasound-guided Cryobiopsy (EUS-B-Cryo) for mediastinal lesions in critical airway obstruction: a case series with a systematic review","authors":"Sanchit Mohan, A. Mahendran, Rohit Kumar, Manu Madan, P. Ish, Rajnish Kaushik, Nitesh Gupta","doi":"10.4081/cdr.12.12555","DOIUrl":"https://doi.org/10.4081/cdr.12.12555","url":null,"abstract":"Tissue diagnosis of mass lesions in the mediastinum poses a challenge, particularly when the mass is not in direct contact with the chest wall, rendering techniques such as Ultrasonography (USG) or Computed Tomography (CT) guided biopsies ineffective. In cases of Critical Airway Obstruction (CAO), utilizing routine endobronchial ultrasound-guided biopsies can lead to complications, including respiratory failure. As an alternative technique, Transesophageal Bronchoscopic Ultrasound-Guided Fine Needle Aspiration (EUS-FNA) is utilized. However, when smears yield inconclusive results for histopathological diagnosis, mediastinoscopy remains the preferred modality. We present two cases of CAO where Transesophageal Bronchoscopic Ultrasound (EUS-B)-guided cryobiopsy was performed, eliminating the necessity for mediastinoscopy. Histopathological examination of the cryobiopsy samples revealed squamous cell carcinoma and small cell carcinoma. A detailed systematic review only revealed two similar studies in the past. Thus, EUS-B-guided cryobiopsy emerges as a novel technique with the potential to diagnose lesions located in the concealed regions of the mediastinum.","PeriodicalId":500149,"journal":{"name":"Chest disease reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141009353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lung adenocarcinoma - a diagnostic challenge 肺腺癌--诊断难题
Chest disease reports Pub Date : 2024-05-06 DOI: 10.4081/cdr.12.12032
C. Sivaselvi, Akshaya Moorthy, Dharm Praksh Dwivedi, B. Badhe
{"title":"Lung adenocarcinoma - a diagnostic challenge","authors":"C. Sivaselvi, Akshaya Moorthy, Dharm Praksh Dwivedi, B. Badhe","doi":"10.4081/cdr.12.12032","DOIUrl":"https://doi.org/10.4081/cdr.12.12032","url":null,"abstract":"Cavitary lung nodules are produced by a variety of diseases ranging from benign to malignant disease. According to the Fleischner Society, the pulmonary cavity is characterized by a gas-filled space, seen as a lucency or low-attenuation area, within pulmonary consolidation, a mass, or a nodule. Though the number and thickness of the wall of the cavity may help to differentiate causes, arriving at a diagnosis is challenging. Even though radiological findings will help to differentiate benign from malignant etiology, histopathology is needed for confirmation of diagnosis. Here, we describe a metastatic lung adenocarcinoma case presenting as multiple cavitary nodules.","PeriodicalId":500149,"journal":{"name":"Chest disease reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141008870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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