Case Reports in Pulmonology最新文献_第3页

Bronchoscopy Laser and Silicone Y-Stents as Emergency Airway Management in Central Airway Stenosis Due to Secondary Thyroid Carcinoma: A Case Report. 支气管镜下激光和硅胶y型支架治疗继发性甲状腺癌引起的中央气道狭窄1例报告。

Case Reports in Pulmonology Pub Date : 2022-11-07 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6338073

Mia Elhidsi, Dicky Soehardiman, Agung Wibawanto, Haris Maruli, Maryastuti, Prasenohadi, Elisna Syahruddin

引用次数: 0

Alveolar Proteinosis in COVID-19: Clinical Case. 新冠肺炎肺泡蛋白沉积症临床病例分析

Case Reports in Pulmonology Pub Date : 2022-10-22 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1842566

Silvia Martin Bote, Maria Angeles Herrera Morueco, Beatriz Arias Arcos, Javier García Lopez, Maria Belen Lopez-Muñiz Ballesteros

引用次数: 2

Calcification in Thoracic Splenosis. 胸椎脾亢的钙化。

Case Reports in Pulmonology Pub Date : 2022-10-11 eCollection Date: 2022-01-01 DOI: 10.1155/2022/9538355

Tofura Ullah, Sneh Chauhan, Joseph Friedman, Gideon Yoeli, Maximo Mora, Craig A Thurm

引用次数: 0

COVID-19 Vaccination Associated Bilateral Pulmonary Embolism: Cause or Coincidence. COVID-19疫苗相关双侧肺栓塞:原因还是巧合

Case Reports in Pulmonology Pub Date : 2022-09-29 eCollection Date: 2022-01-01 DOI: 10.1155/2022/9596285

John Omotola Ogunkoya, Marion Itohan Ogunmola, Akinwale Folarin Ogunlade, Akindele Emmanuel Ladele

{"title":"COVID-19 Vaccination Associated Bilateral Pulmonary Embolism: Cause or Coincidence.","authors":"John Omotola Ogunkoya, Marion Itohan Ogunmola, Akinwale Folarin Ogunlade, Akindele Emmanuel Ladele","doi":"10.1155/2022/9596285","DOIUrl":"https://doi.org/10.1155/2022/9596285","url":null,"abstract":"Background: Acute pulmonary embolism (APE) is a common cause of morbidity and mortality all over the world. Sudden onset dyspnea and chest pain are characteristic. Prior to our index case, only two previous cases of bilateral pulmonary thromboembolism were reported in black Africans and the first to be associated with COVID-19 vaccination. These cases were seen and described in middle-aged men. Case Summary. A 59-year-old man presented with a 2 week history of sudden onset dyspnea and a week history of productive cough. No associated chest pain or hemoptysis. No preceding history suggestive of leg pain/swelling. The patient had the booster dose of moderna (mRNA) COVID-19 vaccine a month before the onset of symptoms. There was associated anorexia, generalized body pain, joint pain, and weakness. He had reduced oxygen saturation at presentation with tachycardia. CTPA showed nearly occlusive right and left pulmonary arteries.Conclusion: Bilateral acute pulmonary embolism is rare all over the world. Its association with COVID-19 vaccine administration is even rarer. However, the clinical presentations and investigation findings are similar to the descriptions available in the literature for unilateral APE.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"2022 ","pages":"9596285"},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9536966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33498268","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: 1

Navigational Bronchoscopy with Cryobiopsy for Diagnosis of ILD. 导航支气管镜与低温活检诊断ILD。

Case Reports in Pulmonology Pub Date : 2022-09-17 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5128432

Fernando Figueroa Rodriguez, Asfar Ghauri, Tony Abdo, Salim Daouk, Shideler Barbara, Houssein A Youness

{"title":"Navigational Bronchoscopy with Cryobiopsy for Diagnosis of ILD.","authors":"Fernando Figueroa Rodriguez, Asfar Ghauri, Tony Abdo, Salim Daouk, Shideler Barbara, Houssein A Youness","doi":"10.1155/2022/5128432","DOIUrl":"https://doi.org/10.1155/2022/5128432","url":null,"abstract":"Background: Interstitial lung diseases (ILDs) are a group of parenchymal pulmonary diseases in which pathologic diagnosis is essential. Although cryobiopsy has a high diagnostic yield, the complication rate remains high. Case Presentation. We report two cases of lung cryobiopsy guided by navigational bronchoscopy (LCB) for the diagnosis of ILD. In both cases, a CT chest angiogram (CTA) using a navigational protocol was performed. Targets were premarked and reached with the navigational system. Radial ultrasound (RU) was applied in combination with fluoroscopy guidance (FG) prior to sampling. Both patients achieved a final diagnosis; they were discharged home after procedure and no complications were noted. Discussion. By using a CTA with navigational guidance, we were able to perform cryobiopsy in areas with most disease activity and least vascularization.Conclusion: LCB used with navigational guidance for the diagnosis of ILD provides may be a safe and effective procedure that provides high diagnostic yield. Limitations include cost, availability, and expertise. Larger trials are needed to confirm the additional benefit.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":" ","pages":"5128432"},"PeriodicalIF":0.0,"publicationDate":"2022-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9509241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40377412","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 Pneumothorax in a Patient with Systemic Lupus Erythematosus and Recent Infection with Coronavirus. 系统性红斑狼疮合并冠状病毒感染患者自发性气胸1例。

Case Reports in Pulmonology Pub Date : 2022-08-22 eCollection Date: 2022-01-01 DOI: 10.1155/2022/9594063

Nicholas Graves, Julia Flint, Amol Sagdeo, Ayman Askari, Patrick Ball, Hana Morrissey

{"title":"Spontaneous Pneumothorax in a Patient with Systemic Lupus Erythematosus and Recent Infection with Coronavirus.","authors":"Nicholas Graves, Julia Flint, Amol Sagdeo, Ayman Askari, Patrick Ball, Hana Morrissey","doi":"10.1155/2022/9594063","DOIUrl":"https://doi.org/10.1155/2022/9594063","url":null,"abstract":"A 50-year-old woman with a history of systemic lupus erythematosus and a recent infection with COVID-19 presented to the emergency department with acute shortness of breath twice in 10 days. She was diagnosed with myopericarditis attributed to COVID-19 infection (first admission), and chest X-ray revealed a small left-sided pneumothorax, pericardial effusion (second admission), with no mediastinal shift or other signs of tension. Computed tomography confirmed these results and revealed a few small cysts in the right lung. An echocardiogram demonstrated normal heart anatomy and filling dynamics. The patient was diagnosed with simple pneumothorax and ongoing myopericarditis managed with colchicine, ibuprofen, and low-dose prednisolone. The patient responded to treatment and was discharged. Pneumothorax association with COVID-19 is reported in a small number of publications, but the association is less clear with SLE. Our patient may have been predisposed to developing pneumothorax after COVID-19 infection due to her existing connective tissue disorder.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":" ","pages":"9594063"},"PeriodicalIF":0.0,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9424047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40335940","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

Treating Acute Severe Eosinophilic Asthma with IL-5 Inhibitors in ICU. IL-5抑制剂治疗重症急性嗜酸性粒细胞哮喘。

Case Reports in Pulmonology Pub Date : 2022-08-21 eCollection Date: 2022-01-01 DOI: 10.1155/2022/2180795

Nicolas Barbarot, Emmanuelle Nourry, Nicolas Massart, François Legay, Matthieu Debarre, Pierre Fillatre, Eric Magalhaes, Arnaud Mari, Julien Wallois, Eric Briens, Stéphane Jouneau

{"title":"Treating Acute Severe Eosinophilic Asthma with IL-5 Inhibitors in ICU.","authors":"Nicolas Barbarot, Emmanuelle Nourry, Nicolas Massart, François Legay, Matthieu Debarre, Pierre Fillatre, Eric Magalhaes, Arnaud Mari, Julien Wallois, Eric Briens, Stéphane Jouneau","doi":"10.1155/2022/2180795","DOIUrl":"https://doi.org/10.1155/2022/2180795","url":null,"abstract":"Introduction: About 10% of the 300 million people worldwide who suffer from asthma have a severe disease that is uncontrolled despite treatment with inhaled corticosteroids and long-acting beta agonists. The eosinophilic inflammation pathway in the respiratory tract and blood is involved and interleukin-5 (IL-5) has recently been identified as a major promotor of this pathway. The anti-IL-5 antibodies reduce the incidence of exacerbation and allowed steroid sparing in severe asthma patients but only two case reports have been published on their use in critical care. Case Presentation. This report describes the extraordinary clinical improvement of a young patient with steroid-refractory eosinophilic acute severe asthma who required mechanical ventilation, VV-ECMO followed by treatment with mepolizumab. The salient point in this case is the use of an anti-IL-5 monoclonal antibody for a critically ill patient whose condition was deteriorating despite mechanical ventilation and VV-ECMO. The usual steroid treatment failed to control the increase in blood eosinophils or his bronchial inflammation and constriction.Conclusion: Anti-IL-5 antibodies are now a standard treatment for severe eosinophilic asthma that can also be useful in an emergency to treat steroid-refractory eosinophilic acute severe asthma.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":" ","pages":"2180795"},"PeriodicalIF":0.0,"publicationDate":"2022-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9420636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40335939","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: 4

Noninvasive Management of Fractured Indwelling Tunneled Pleural Catheter Valve. 胸膜导管瓣膜断裂的无创处理。

Case Reports in Pulmonology Pub Date : 2022-08-13 eCollection Date: 2022-01-01 DOI: 10.1155/2022/2541285

Azib Shahid, Harpreet Singh, Toni-Denise Espina, Mohammad Abdalla, Uzair Ghori, Bryan S Benn

引用次数: 0

Double Lung Transplantation for Idiopathic Pulmonary Fibrosis in a Patient with a History of Liver Transplantation and Prolonged Journey for Disease-Specific Antifibrotic Therapy. 双肺移植治疗特发性肺纤维化患者的肝移植史和长期疾病特异性抗纤维化治疗。

Case Reports in Pulmonology Pub Date : 2022-08-13 eCollection Date: 2022-01-01 DOI: 10.1155/2022/4054339

Sebastian Majewski, Maria Królikowska, Ulrich Costabel, Wojciech J Piotrowski, Marek Ochman

{"title":"Double Lung Transplantation for Idiopathic Pulmonary Fibrosis in a Patient with a History of Liver Transplantation and Prolonged Journey for Disease-Specific Antifibrotic Therapy.","authors":"Sebastian Majewski, Maria Królikowska, Ulrich Costabel, Wojciech J Piotrowski, Marek Ochman","doi":"10.1155/2022/4054339","DOIUrl":"https://doi.org/10.1155/2022/4054339","url":null,"abstract":"Idiopathic pulmonary fibrosis (IPF) is characterized by uncontrolled progressive lung fibrosis with a median survival of 3 to 5 years. Although currently available pharmacotherapy cannot cure the disease, antifibrotics including pirfenidone and nintedanib were shown to slow disease progression and improve survival in IPF. Nevertheless, there is a knowledge gap on the safety of antifibrotics in patients after liver transplantation receiving concomitant immunosuppressive therapy. This case report of a 68-year-old male patient with IPF illustrates how a complex medical history has led to diagnostic and therapeutic challenges considerably affecting clinical decisions and impacting the patient's journey. The increasing severity of lung function impairment due to the progressive natural history of IPF ultimately led to severe respiratory failure. Double lung transplantation (LTx) was performed as the only therapeutic option in end-stage disease with the potential to improve quality of life and survival. To the best of our knowledge, this is the first case report describing the feasibility and safety of antifibrotic therapy with pirfenidone for IPF in a 68-year-old patient with a history of liver transplantation receiving concomitant immunosuppressive therapy with tacrolimus who underwent successful double lung transplantation when alternative medical interventions had been exhausted.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":" ","pages":"4054339"},"PeriodicalIF":0.0,"publicationDate":"2022-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9392625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40648628","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: 1

Severe Nonspecific Interstitial Pneumonia (NSIP) in an Adolescent. 青少年严重非特异性间质性肺炎(NSIP)。

Case Reports in Pulmonology Pub Date : 2022-08-09 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7757776

Giuliana Cerro Chiang, Christopher Lee, Alberto Marchevsky, Michael I Lewis

引用次数: 0