Pneumologie (Stuttgart, Germany)最新文献

{"title":"[The difficult path of tuberculosis care around 1900: The failure of the sanatorium movement in the Austrian Semmering region].","authors":"Josef Hlade","doi":"10.1055/a-2745-1501","DOIUrl":"10.1055/a-2745-1501","url":null,"abstract":"<p><p>Famous tourist resorts have usually been also health resorts. At the same time, the development of high-altitude spas was closely linked to the treatment of tuberculosis. One of the reasons for locating sanatoriums away from large cities was to minimise the risk of infection. Tuberculosis sanatoria had the image of being dangerous places that should be avoided by the local population. Their construction was often accompanied by debates that delayed or prevented them from being built. In one of the most famous health resorts of the Habsburg Monarchy, the Semmering region, there were massive conflicts with representatives of tourism interests. Although the most important medical experts in the Habsburg Monarchy spoke out in favour of the construction and its safety, the authorities could not be convinced. A contemporary newspaper carried the headline: \"The battle for Semmering\". The conflicts surrounding the establishment of tuberculosis sanatoriums are shown, and the struggle for the first sanatoriums in the Austro-Hungarian Empire is made visible. The establishment of the first tuberculosis sanatoriums was accompanied by irrational fears, which could not be dispelled by expert opinions and statistical data. In the Semmering region, local representatives felt that tourism interests were under threat. This study examined the work of Leopold Schrötter von Kristelli, a laryngologist and social physician, within the context of the sanatorium movement. Schrötter von Kristelli made great efforts to establish a tuberculosis sanatorium and encountered significant opposition in his endeavours. The essay also highlights the important work of the Austrian Central Committee for Tuberculosis under the leadership of the social physician Ludwig Teleky. Teleky encouraged several important medical associations to investigate \"danger of spreading tuberculosis through sanatoriums in their vicinity\" in order to dispel these fears and prove the safety of such institutions. The College of Physicians in Vienna drew up a memorandum addressed to the relevant authorities demanding approval for the institution, but to no avail.</p>","PeriodicalId":520755,"journal":{"name":"Pneumologie (Stuttgart, Germany)","volume":" ","pages":"134-141"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795994","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}

{"title":"[Sonography of the pleura - step by step].","authors":"Maximilian Zimmermann, Stephan Walterspacher","doi":"10.1055/a-2749-2646","DOIUrl":"10.1055/a-2749-2646","url":null,"abstract":"<p><p>Pleural ultrasonography enables the rapid and reliable detection of pneumothoraces, pleural effusions, and other lung pathologies. Its advantages - such as high image resolution and ease of bedside use - make it particularly popular in acute and intensive care medicine. Despite its limitations in examining deeper structures, it offers many benefits compared to other imaging modalities.</p>","PeriodicalId":520755,"journal":{"name":"Pneumologie (Stuttgart, Germany)","volume":"80 2","pages":"124-131"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146230265","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}

{"title":"Comparison of predictive performances of pneumonia scores, qSOFA and 4C mortality score in patients hospitalized for COVID-19: a retrospective study.","authors":"Timo Sabelhaus, Saliha Yagmur, Santiago Ewig","doi":"10.1055/a-2570-2099","DOIUrl":"10.1055/a-2570-2099","url":null,"abstract":"<p><p>Several scores have been validated for predicting mortality in community-acquired pneumonia (CRB-65, CURB-65, PSI), sepsis (qSOFA) and COVID-19 (4C Mortality Score). However, performances of theses scores in pneumonia and COVID-19 as well as the impact of Omicron as predominating virus mutation on prediction performances remained to be determined.In this single-center retrospective study, the prognostic value of different scores in the periods pre-omicron (03/20-12/2021) were compared to those of the omicron period (01/2022-03/2023) in patients hospitalized for COVID-19.Of 622 study patients, 348 (56.2%) had pneumonia. Mortality was 16.2% (101 patients), with a significant difference between periods (71 (23.1%) versus 30 (9.5%), p<0.001). In patients with pneumonia, predictive performance of PSI was significantly better compared to CRB-65, CURB-65 and qSOFA (differences between AUCs PSI vs CRB-65 0.066 (95% CI 0.02-0.11, p=0.006); PSI vs CURB-65 0.047 (95% CI 0-0.09, p=0.042); PSI vs qSOFA 0.124 (95% CI 0.05-0.2, p=0.001) but not when compared to the 4C Mortality Score. There was no difference in predictive performances between periods for any score, also after excluding patients with treatment restrictions.All scores had good predictive performances for low risk and moderate for mortality in patients with COVID-19, with PSI being the best predictor for patients with pneumonia. 4C Mortality Score was a good predictior in all patients. There were no significant differences between the predictive performances of the scores in pre-omicron and omicron periods of the pandemic.</p>","PeriodicalId":520755,"journal":{"name":"Pneumologie (Stuttgart, Germany)","volume":" ","pages":"108-113"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251970","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}

{"title":"[Recurrence of hypertrophic osteoarthropathy (Pierre-Marie-Bamberger syndrome) as the first clinical indication of a second lung cancer 10 years after initial diagnosis].","authors":"Dominik Lobinger, Gudrun Groß, Andreas Hiebinger, Johannes Bodner","doi":"10.1055/a-2653-8649","DOIUrl":"10.1055/a-2653-8649","url":null,"abstract":"<p><p>Hypertrophic osteoarthropathy, also known as \"Pierre-Marie-Bamberger syndrome,\" is a rare syndromic disease and, as a paraneoplastic syndrome, often associated with non-small cell lung cancer (NSCLC). Symptoms include arthritic complaints such as joint pain, which can worsen with movement, and swelling, as well as drumstick fingers and watch glass nails. We herein report on a patient in who not only the recognition of the paraneoplastic syndrome of hypertrophic osteoarthropathy had led to the early diagnosis of non-small cell lung carcinoma (NSCLC) and curative surgery 10-years ago, but in who recently, after a so far recurrence-free interval, the recurrence of the known nail changes enabled for early diagnosis of a second carcinoma, which was also successfully treated surgically.</p>","PeriodicalId":520755,"journal":{"name":"Pneumologie (Stuttgart, Germany)","volume":" ","pages":"120-123"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791740","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}

{"title":"[Recommendations for vaccination of adults for respiratory physicians].","authors":"Santiago Ewig, Christopher Alexander Hinze, Claus Vogelmaier, Manuela Stierl, Jessica Rademacher","doi":"10.1055/a-2732-6651","DOIUrl":"10.1055/a-2732-6651","url":null,"abstract":"<p><p>This review gives recommendations to respiratory physicians regarding vaccination of adults. It is based on the most recent recommendations of the STIKO and includes vaccination against pneumococci, influenzavirus, RSV, and SARS-CoV2, as also Herpes Zoster and pertussis. A graph provides support for decision making by visually summarizing these recommendations, facilitating the assessment of possible coadministrations, and supporting the rapid, evidence-based implementation in clinical practice.</p>","PeriodicalId":520755,"journal":{"name":"Pneumologie (Stuttgart, Germany)","volume":" ","pages":"21-26"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12823218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145728254","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":"[Presurgical evaluation of adult thorax-surgery patients with oncologically resectable tumours - a joint recommendation of DGAI, DGT and DGP].","authors":"Jerome Defosse, Vera von Dossow, Wojciech Dudek, Michael Halank, Torsten Loop, Erich Stoelben, Michael Westhoff","doi":"10.1055/a-2637-5718","DOIUrl":"10.1055/a-2637-5718","url":null,"abstract":"<p><p>The increasing incidence of malignant lung diseases, neoadjuvant therapies, and the expected detection of operable stages through future lung cancer screening require differentiated preoperative decisions regarding functional operability against the background of an increase in respiratory diseases, especially COPD, but also interstitial lung diseases.Since the postoperative risk of cardiovascular and pulmonary complications after lung resection increases with the extent of lung parenchymal resection and the pre-existing impairment of organ function of the heart, lungs, kidneys, and metabolism, these also require special attention. Given the increasing number of elderly patients over 75 years of age, this also applies to frailty, which represents another key parameter in structured evaluation.</p>","PeriodicalId":520755,"journal":{"name":"Pneumologie (Stuttgart, Germany)","volume":" ","pages":"27-49"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805586","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}

{"title":"Management des Malignen Pleuraergusses – Thorakoskopie in Lokalanästhesie ohne Bedeutung?","authors":"Ralf Heine, Wolfgang Frank, Franz Stanzel","doi":"10.1055/a-2560-2051","DOIUrl":"https://doi.org/10.1055/a-2560-2051","url":null,"abstract":"","PeriodicalId":520755,"journal":{"name":"Pneumologie (Stuttgart, Germany)","volume":"80 1","pages":"18-19"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146021261","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}

{"title":"[First description of ALK-positive NSCLC in a heart transplant patient].","authors":"Marie-Kristin Bärmann, Mark Uhlenbruch, Aris Koryllos, Stefan Krüger","doi":"10.1055/a-2715-8720","DOIUrl":"10.1055/a-2715-8720","url":null,"abstract":"<p><p>Thoracooncological treatment under preexisting immunosuppression as in transplant patients is challenging. On the one hand, chemotherapy might potentiate infectious complications. On the other hand, checkpoint inhibitors are not effective in immunosuppressed patients. There are no reports about treatment of driver mutation among transplant patients. ALK translocation is a rare driver mutation in non-small cell lung cancer. This is a case report about treatment of a heart transplanted patient with ALK-positive non-small cell lung cancer.</p>","PeriodicalId":520755,"journal":{"name":"Pneumologie (Stuttgart, Germany)","volume":" ","pages":"63-66"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145498096","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}

{"title":"Klippel-Trenaunay Syndrome with Chronic Thromboembolic Pulmonary Hypertension Treated with Balloon Pulmonary Angioplasty.","authors":"Michael Westhoff, Thorsten Hardebusch, Andreas Breithecker, Bennet Steudel, Christoph Wiedenroth","doi":"10.1055/a-2681-5486","DOIUrl":"10.1055/a-2681-5486","url":null,"abstract":"<p><p>Angiomatous lesions may be origin of even asymptomatic thromboembolic events. We report an older patient with Klippel-Trenaunay-Syndrome who presented with huge angiomatous lesions of the left upper extremity, slowly progressive dyspnea due to chronic thromboembolic pulmonary hypertension (CTEPH). Since birth his left hand, arm and shoulder were covered by venous convolutes. CT-scan showed angiomatous lesions of the thoracic wall and signs of pulmonary hypertension. Accordingly, right heart enlargement with D-sign was found in echocardiography. Right heart catheterization confirmed pulmonary hypertension with a mean PAP of 43 mmHg and a PVR of 7.5 WU. Pulmonary angiogram showed peripheral obstructions confirming the diagnosis of CTEPH. Therapeutic anticoagulation was established. As pulmonary endarterectomy was not feasible, medical treatment with riociguat was initiated and the patient underwent 5 sessions of BPA addressing 10 pulmonary segments. This resulted in significant improvement of dyspnea, right heart function, parenchymal perfusion, as well as reduction of PVR to 5 WU. We present this case because in KTS patients thromboembolism and development of CTEPH has to be kept in mind. Therapeutic options are PEA surgery, interventional with BPA, and medical treatment.</p>","PeriodicalId":520755,"journal":{"name":"Pneumologie (Stuttgart, Germany)","volume":" ","pages":"67-70"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986804","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}

{"title":"Antwort.","authors":"Michael Ried, Hans-Stefan Hofmann","doi":"10.1055/a-2727-2835","DOIUrl":"https://doi.org/10.1055/a-2727-2835","url":null,"abstract":"","PeriodicalId":520755,"journal":{"name":"Pneumologie (Stuttgart, Germany)","volume":"80 1","pages":"20"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146021250","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}