Case Reports in Pulmonology最新文献_第2页

Rare Combined Congenital Pulmonary and Cardiovascular Malformations Revealed by Acute Hemoptysis 急性咯血揭示的罕见先天性肺部和心血管畸形合并症

Case Reports in Pulmonology Pub Date : 2024-05-09 DOI: 10.1155/2024/1428495

Dima Siblani, Ghassan Abi Chedid, Samir Challita, Sylvana el Zoghbi, Béatrice Le Bon Chami

{"title":"Rare Combined Congenital Pulmonary and Cardiovascular Malformations Revealed by Acute Hemoptysis","authors":"Dima Siblani, Ghassan Abi Chedid, Samir Challita, Sylvana el Zoghbi, Béatrice Le Bon Chami","doi":"10.1155/2024/1428495","DOIUrl":"https://doi.org/10.1155/2024/1428495","url":null,"abstract":"Background Lung sequestration is a subtype of congenital lung malformations; it is infrequently diagnosed in adults and is a rare cause of hemoptysis. The typical management of symptomatic lung sequestration is usually surgical, though intra-arterial embolization is becoming an acceptable alternative. Case Presentation. We report a case of a 36-year-old female patient who presented for an acute onset of hemoptysis. CT chest showed an intralobar sequestration of the right lower lobe lung segment. In addition to the sequestration, the chest imaging also revealed a number of associated abnormalities including double superior vena cava communicating through a bridge, absence of brachiocephalic venous trunk, cardiac dextroposition, and agenesis of the right middle lobe. Outcome and Discussion. The transarterial embolization was selected for being mini-invasive and effective. It successfully controlled the bleed and led to complete regression of the sequestered lung on the follow-up CT chest several months later. Conclusion Successful management and complete regression are possible with mini-invasive intra-arterial embolization of lung sequestration. Although it is not uncommon to have associated congenital cardiopulmonary abnormalities with lung sequestration, however the exceptional abnormalities described in this case have never been reported before.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140994261","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 Rare Case of an Eosinophilic Pleural Effusion and Loculated Ascites Associated with Strongyloides stercoralis Hyperinfection Syndrome in California 加利福尼亚州一例罕见的嗜酸性粒细胞胸腔积液和定位性腹水与斯特龙线虫高感染综合征有关的病例

Case Reports in Pulmonology Pub Date : 2024-04-08 DOI: 10.1155/2024/6652207

A. T. Phan, Luke Buxton, M. W. Choudhery, Henrik Ghantarchyan, Curtis Converse

{"title":"A Rare Case of an Eosinophilic Pleural Effusion and Loculated Ascites Associated with Strongyloides stercoralis Hyperinfection Syndrome in California","authors":"A. T. Phan, Luke Buxton, M. W. Choudhery, Henrik Ghantarchyan, Curtis Converse","doi":"10.1155/2024/6652207","DOIUrl":"https://doi.org/10.1155/2024/6652207","url":null,"abstract":"Introduction. Strongyloides stercoralis causes a helminthic infection that occurs via penetration of the skin with migration to the bloodstream, tracheobronchial tree, and gastrointestinal system. Pulmonary manifestations are rare and are typically seen in immunosuppressed patients who have Strongyloides stercoralis hyperinfection syndrome. Eosinophilic pleural effusions are rare in strongyloidiasis and only cited in a few case reports. Case Presentation. A 45-year-old male with a past medical history of diabetes mellitus, alcoholic cirrhosis, and end-stage renal disease presented to the emergency department with abdominal pain and dyspnea. Imaging studies demonstrated large bilateral pleural effusions, and he subsequently underwent an ultrasound-guided thoracentesis on the right hemithorax, yielding an exudative eosinophilic pleural effusion. An extensive hematology, gastroenterology, and infectious work-up was pursued. Strongyloides immunoglobulin G was positive, and he was successfully treated with ivermectin. Discussion. Eosinophilic pleural effusions related to strongyloidiasis are exceedingly rare. Clinicians should consider Strongyloides stercoralis infection as a part of the differential diagnosis when evaluating immunosuppressed patients with eosinophilic pleural effusions. Loculated abdominal fluid may also be a rare manifestation of Strongyloides stercoralis hyperinfection syndrome.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"36 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140732091","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 Fatal Case of Legionella bozemanii Pneumonia in an Immunocompetent Patient 一名免疫力低下患者的博兹曼军团菌肺炎死亡病例

Case Reports in Pulmonology Pub Date : 2024-04-02 DOI: 10.1155/2024/7571380

A. Siddiqui

引用次数: 0

Severe Atelectasis due to Aspirated Valproic Acid Tablet 吸入丙戊酸片导致严重气胸

Case Reports in Pulmonology Pub Date : 2024-03-18 DOI: 10.1155/2024/6650141

T. Tanigaki, Takunori Ogawa, S. Nomura, Koki Ito, Yuhei Kurata, Akira Matsukida, Morio Ishihara, A. Yoshino, Akihiko Kawana, Y. Kimizuka

引用次数: 0

Pulmonary Langerhans Cell Histiocytosis: An Unusual Differential for a Solitary Lung Nodule 肺朗格汉斯细胞组织细胞增生症：孤独肺结节的不寻常鉴别诊断

Case Reports in Pulmonology Pub Date : 2024-01-27 DOI: 10.1155/2024/1315222

Tessabella M. Magliochetti Cammarata, Sushan Gupta, Sai Sri Harsha Rallabhandi, Vishesh Paul

{"title":"Pulmonary Langerhans Cell Histiocytosis: An Unusual Differential for a Solitary Lung Nodule","authors":"Tessabella M. Magliochetti Cammarata, Sushan Gupta, Sai Sri Harsha Rallabhandi, Vishesh Paul","doi":"10.1155/2024/1315222","DOIUrl":"https://doi.org/10.1155/2024/1315222","url":null,"abstract":"Background. Pulmonary Langerhans cell histiocytosis (LCH) commonly presents as bilateral reticulonodular and cystic lung changes on chest imaging. Isolated lung nodule presentation is rare. Case Presentation. Our patient was an elderly male and an active smoker, who was referred to the pulmonology clinic for an incidental 19 mm lung nodule seen on a chest CT scan. A CT-guided transthoracic needle biopsy was performed to rule out malignancy. The biopsy sample showed marked inflammatory infiltrate with abundant eosinophils and epithelioid histiocyte-like cells suggestive of Langerhans cell histiocytosis. Antibodies against CD1a and Langerhans were positive which confirmed the diagnosis. During follow-ups, the patient had reduced smoking, and the lung nodule had decreased in size to 14 mm. Conclusion. An isolated lung nodule in a patient with a smoking history always warrants a malignancy workup. Characteristic pathological findings with immunostaining are necessary to differentiate pulmonary LCH in these cases. Failure to perform immunostaining in such cases may lead to missing this vital diagnosis.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"7 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139592949","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

Hemoptysis and Unilateral Pulmonary Infiltrates due to Severe Acute Mitral Regurgitation from Papillary Muscle Rupture 乳头肌断裂导致严重急性二尖瓣反流引起的咯血和单侧肺部浸润

Case Reports in Pulmonology Pub Date : 2024-01-09 DOI: 10.1155/2024/5534308

Joanna Wieckowska, Nicholas Diloreto, Shannon Hood, Isabella Chojnacki, Dalia Zakri

引用次数: 0

Renal Embolism Associated with Foramen Ovale Coexisting Acute Pulmonary Embolism 与卵圆孔并存的急性肺栓塞相关的肾栓塞

Case Reports in Pulmonology Pub Date : 2023-12-06 DOI: 10.1155/2023/6670080

Yanling He, Yi Xiao, Yanping Chen, Zhidong Li

引用次数: 0

COVID-19, HIV, and Cryptococcal Meningitis Coinfections with Abnormal Laboratory Findings. COVID-19、HIV和隐球菌脑膜炎合并感染与异常实验室结果

Case Reports in Pulmonology Pub Date : 2023-11-21 eCollection Date: 2023-01-01 DOI: 10.1155/2023/2868290

Mina Aghamali, Abdolhassan Kazemi, Mohammad Asgharzadeh, Hossein Samadi Kafil

{"title":"COVID-19, HIV, and Cryptococcal Meningitis Coinfections with Abnormal Laboratory Findings.","authors":"Mina Aghamali, Abdolhassan Kazemi, Mohammad Asgharzadeh, Hossein Samadi Kafil","doi":"10.1155/2023/2868290","DOIUrl":"10.1155/2023/2868290","url":null,"abstract":"Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was first introduced in China in 2019, and it has rapidly spread all around the world. Cryptococcus neoformans is the leading cause of fungal meningitis in human immunodeficiency virus- (HIV-) infected patients. A variety of laboratory tests have been introduced for rapid diagnosis of meningitis.Methods: Here, we report a case of coinfection with COVID-19 and cryptococcal meningitis in a HIV-positive patient with abnormal laboratory findings. In this case, COVID-19 was positive by polymerase chain reaction (PCR) and computerized tomography (CT) scan diagnosis. Cryptococcal antigen testing of CSF was negative, whereas India ink staining and cerebrospinal fluid (CSF) culture confirmed the presence of C. neoformans.Results: Although the patient was in a critical stage of illness, serum and CSF levels of procalcitonin were abnormally low, within normal limits. On the other hand, although initial lumbar puncture had showed elevated protein level, the repeat CSFs presented remarkably reduced protein levels. Our findings indicate that despite COVID-19 infection, procalcitonin level may remain normal in HIV-associated cryptococcal meningitis, and findings of an apparently normal procalcitonin level should not exclude the possibility of infection. Also, antigen testing may present false-negative result, and it should not be the sole laboratory method for diagnosis of infectious meningitis. Consequently, CSF culture and staining is recommended, even when antigen testing of organism is negative and CSF profile is unremarkable.Conclusion: Laboratory information should be combined with a good understanding of clinical manifestations of patient to determine if meningitis is present and confirmed COVID-19 should not ignore possibility of other infections for consideration.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"2023 ","pages":"2868290"},"PeriodicalIF":0.0,"publicationDate":"2023-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10684319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464306","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

Tunnel Vision: A Novel Approach for Blood Clot Retrieval Using Cryotherapy through a Flexible Bronchoscope 隧道视觉:一种通过柔性支气管镜冷冻治疗血凝块的新方法

Case Reports in Pulmonology Pub Date : 2023-11-11 DOI: 10.1155/2023/6620825

Fernando Figueroa Rodriguez, Parminder Minhas, Houssein A. Youness

引用次数: 0

Pulmonary Arteriovenous Malformation Unmasked by Pregnancy: A Review of Pulmonary Arteriovenous Malformations and Cardiovascular and Respiratory Changes in Pregnancy. 妊娠期暴露的肺动静脉畸形:妊娠期肺动静脉畸形与心血管和呼吸变化的研究综述。

Case Reports in Pulmonology Pub Date : 2023-01-01 DOI: 10.1155/2023/5469592

Anita Lukic, Larisa Cmelak, Dominik Draženović, Hrvoje Kojundzic, Ivan Kresimir Lukic, Vicko Gluncic

引用次数: 1