Case Reports in Pulmonology最新文献_第5页

Back to the Diving Board: A Rare Cause of Hemoptysis in a Healthy Female Athlete. 回到跳水板：一名健康女运动员罕见的咯血原因。

Case Reports in Pulmonology Pub Date : 2025-11-28 eCollection Date: 2025-01-01 DOI: 10.1155/crpu/5227230

Mary Blumenfeld, Casey Silvernale, Elena Stekolchik, Seema Rani

{"title":"Back to the Diving Board: A Rare Cause of Hemoptysis in a Healthy Female Athlete.","authors":"Mary Blumenfeld, Casey Silvernale, Elena Stekolchik, Seema Rani","doi":"10.1155/crpu/5227230","DOIUrl":"10.1155/crpu/5227230","url":null,"abstract":"Lane-Hamilton syndrome is a rare association between idiopathic pulmonary hemosiderosis (IPH) and celiac disease that can present with isolated hemoptysis. We describe a case of a previously healthy 15-year-old female who presented with 1 month of intermittent hemoptysis, chest pain, and severe iron deficiency anemia. Physical examination was remarkable for mild conjunctival pallor and livedo reticularis. Extensive laboratory studies were obtained to rule out infectious, rheumatological, and oncological explanations of anemia. A chest radiograph showed an increased density in the left mid-lung and bilateral opacities, and computed tomography showed scattered multifocal ground glass opacities. Bronchoalveolar lavage revealed hemosiderin-laden macrophages consistent with the diagnosis of IPH. Additional workup for IPH revealed elevated celiac titers. Upper endoscopy confirmed the diagnosis of celiac disease, which led to a final diagnosis of Lane-Hamilton syndrome, a rare co-occurrence of IPH and celiac disease. The treatment plan included a course of systemic steroids and a gluten-free diet. Given this known association, workup for IPH should include testing for celiac disease since a gluten-free diet may prevent future occurrences of alveolar hemorrhage.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"2025 ","pages":"5227230"},"PeriodicalIF":0.0,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12680453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702738","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

"Spitting Stones" and Broncholithiasis Caused by Mycobacterium chimaera in a Patient Affected by Bronchiectasis: A Rare Clinical Case. 支气管扩张患者由嵌合分枝杆菌引起的“吐石”和支气管结石一例罕见的临床病例。

Case Reports in Pulmonology Pub Date : 2025-11-24 eCollection Date: 2025-01-01 DOI: 10.1155/crpu/8029074

Ambra Migliarini, Alessandra Iacovelli, Flavio Marco Mirabelli, Rosaria Capone, Maria Luisa Nicolardi, Daniela Bosco, Flavia Adotti, Alessandra Oliva, Paolo Palange

引用次数: 0

The Danger of Smoking on Home Oxygen: A Cautionary Case of Facial Flash Burn. 吸烟对家庭氧气的危害：面部闪伤的警示案例。

Case Reports in Pulmonology Pub Date : 2025-11-21 eCollection Date: 2025-01-01 DOI: 10.1155/crpu/6623790

Angela Fadil, Samuel E Kennedy, Adam Austin

引用次数: 0

Pulmonary Tuberculosis Complicating Interstitial Lung Disease in Systemic Sclerosis: A Case Report from a High TB Burden Country. 系统性硬化症并发间质性肺病：来自结核病高负担国家的一例报告。

Case Reports in Pulmonology Pub Date : 2025-11-14 eCollection Date: 2025-01-01 DOI: 10.1155/crpu/8525357

Donny Ardika Novananda, Garinda Alma Duta, Resti Yudhawati Meliana, Aris Sudarwoko

{"title":"Pulmonary Tuberculosis Complicating Interstitial Lung Disease in Systemic Sclerosis: A Case Report from a High TB Burden Country.","authors":"Donny Ardika Novananda, Garinda Alma Duta, Resti Yudhawati Meliana, Aris Sudarwoko","doi":"10.1155/crpu/8525357","DOIUrl":"10.1155/crpu/8525357","url":null,"abstract":"Systemic sclerosis (SSc) is a chronic connective tissue disease marked by immune system dysfunction, vascular damage, and progressing fibrosis involving the skin and various internal organs. Interstitial lung disease (ILD) represents one of the leading contributors to illness and death in patients with SSc. The management becomes more complex when complicated by opportunistic infections such as tuberculosis (TB), particularly in endemic regions. We present the case of a 45-year-old woman with complaints of generalized weakness for one-week, intermittent fever, nausea and vomiting, and a weight loss of 5 kg over the previous 2 months. Clinical examination showed skin thickening and sclerodactyly, which then diagnosed as SSc-associated ILD (SSc-ILD). High-resolution computed tomography (HRCT) revealed reticular changes, ground-glass opacities, and traction bronchiectasis, indicating a nonspecific interstitial pneumonia (NSIP) pattern. During the course of treatment, the patient developed a persistent productive cough, weight loss, and fever. Pulmonary TB was confirmed through acid-fast bacilli smear and GeneXpert testing. Early recognition of dual pathology and coordinated care among rheumatology, pulmonology, and infectious disease teams are crucial for optimizing outcomes. This case underlines the need for vigilance in managing immunosuppressed patients in TB-endemic settings and contributes to the literature on SSc-ILD complicated by active TB.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"2025 ","pages":"8525357"},"PeriodicalIF":0.0,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12638133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589924","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

Group C Beta Haemolytic Streptococcus Causing Necrotising Pneumonia Complicated With a Pyopneumothorax. C组溶血性链球菌引起坏死性肺炎并发气胸。

Case Reports in Pulmonology Pub Date : 2025-10-31 eCollection Date: 2025-01-01 DOI: 10.1155/crpu/8885401

William McLean, Daisy Port, Daniel Sims, Olivia Curtis

{"title":"Group C Beta Haemolytic Streptococcus Causing Necrotising Pneumonia Complicated With a Pyopneumothorax.","authors":"William McLean, Daisy Port, Daniel Sims, Olivia Curtis","doi":"10.1155/crpu/8885401","DOIUrl":"10.1155/crpu/8885401","url":null,"abstract":"Introduction: Group C Beta Haemolytic Streptococcus (GCBHS) rarely causes invasive infection but is associated with high mortality. Pneumonia is common; however, severe necrotising pneumonia is very rare, and no previous cases complicated by pyopneumothorax have been described. Associations with male gender and animal exposure have been previously reported in the literature.Case: A 20-year-old male agriculture student with no past medical history presented with 6 days of productive cough and fever and 2 days of shortness of breath, chest pain, and confusion. He presented with clinical signs of sepsis, developed acute kidney injury (AKI), disseminated intravascular coagulation (DIC), and acute respiratory distress syndrome (ARDS) requiring intubation and ventilation. Initial computed tomography (CT) of the thorax showed right pyopneumothorax, left small pyopneumothorax, bilateral large pulmonary nodules of varying size, some cavitating with progression on serial imaging. Blood cultures grew GCBHS, later showing Streptococcus dysgalactiae subsp. equisimilis (SDSE). Bilateral chest drains were required, with eventual bilateral video-assisted thoracic surgery (VATS) with washout due to nonresolution. After a prolonged intensive care stay and a community course of antibiotics, his follow-up CT of the thorax is improving, and he is planning to return to his studies at agricultural college.Conclusion: Invasive infection with GCBHS is associated with higher mortality and prolonged hospital admission and may be zoonotic. Of the four reported cases of GCBHS necrotising pneumonia, all were young men with minimal or no past medical history. Half had documented exposure to unwell animals, and half required thoracoscopic intervention.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"2025 ","pages":"8885401"},"PeriodicalIF":0.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12595220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483764","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 Rare Case of Pyopneumothorax Due to Streptococcus intermedius in a Previously Healthy Woman. 先前健康妇女因中间链球菌引起的气胸一例罕见病例。

Case Reports in Pulmonology Pub Date : 2025-10-23 eCollection Date: 2025-01-01 DOI: 10.1155/crpu/1665286

Mahshid Zohouri, Annam Zahid, Anthony Silvestre, Kayhon Rabbani, Karina Dargan, Justin Thomas

引用次数: 0

Everolimus Induced Acute Fibrinous and Organizing Pneumonia (AFOP): A Rare Case Report. 依维莫司致急性纤维性和组织性肺炎（AFOP）一例罕见报告。

Case Reports in Pulmonology Pub Date : 2025-10-14 eCollection Date: 2025-01-01 DOI: 10.1155/crpu/8402905

Theeb Osama Sulaiman, Abdullah Arshad, Fatima Al-Hattab, Mohammed Alkatib, Mona Al-Langawi, Mushtaq Ahmed

引用次数: 0

Usefulness of Telemonitoring in Respiratory Deterioration in a Patient Treated With Home High-Flow Nasal Therapy. 远程监测在家庭高流量鼻治疗患者呼吸恶化中的作用。

Case Reports in Pulmonology Pub Date : 2025-10-09 eCollection Date: 2025-01-01 DOI: 10.1155/crpu/9535168

Jean-Michel Arnal, Thomas Obert, Aude Garnero

{"title":"Usefulness of Telemonitoring in Respiratory Deterioration in a Patient Treated With Home High-Flow Nasal Therapy.","authors":"Jean-Michel Arnal, Thomas Obert, Aude Garnero","doi":"10.1155/crpu/9535168","DOIUrl":"10.1155/crpu/9535168","url":null,"abstract":"A 63-year-old male with overlap syndrome had high-flow nasal cannula (HFNC) therapy added to his treatment in May 2023 after reporting reduced exercise tolerance due to dyspnea and recurrence of chronic bronchial congestion on existing therapy (noninvasive ventilation and appropriate drug treatment). HFNC therapy (Lumis HFT; ResMed) was started with prescribed usage of 2 h/day, a flow of 20 L/min, and a temperature of 37°C. Within 15 days, the patient noted improved clearance with thinner secretions, and then secretion volume decreased after 2 months. Six months after having HFNC connected to a telemonitoring platform (AirView), the homecare technician observed a sudden increase in HFNC usage (to > 4 h/day). After being contacted by the technician, the patient reported increased sputum production, low-grade fever, and exertional dyspnea. Evaluations found Haemophilus influenzae, and antibiotic therapy was started. The patient quickly improved and HFNC usage returned to the usual routine. Subsequently, the patient learned to adjust his HFNC usage based on the degree of bronchial congestion. This case report highlights the innovative value of telemonitoring as an early warning tool for exacerbations in patients receiving home high-flow nasal therapy, an aspect still scarcely documented in existing literature.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"2025 ","pages":"9535168"},"PeriodicalIF":0.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330748","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

Effects of Prolonged Antibiotic Therapy in Lung Abscesses-Analysis of Case Series. 长期抗生素治疗肺脓肿的疗效——病例系列分析。

Case Reports in Pulmonology Pub Date : 2025-10-06 eCollection Date: 2025-01-01 DOI: 10.1155/crpu/5976252

Agata Anna Lewandowska, Dorota Waśniowska, Krzysztof Bronisz, Cezary Rybacki, Michał Graczyk, Helena Mirus-Arabik, Małgorzata Kołodziej, Aleksandra Gaczkowska, Ola Duszyńska

{"title":"Effects of Prolonged Antibiotic Therapy in Lung Abscesses-Analysis of Case Series.","authors":"Agata Anna Lewandowska, Dorota Waśniowska, Krzysztof Bronisz, Cezary Rybacki, Michał Graczyk, Helena Mirus-Arabik, Małgorzata Kołodziej, Aleksandra Gaczkowska, Ola Duszyńska","doi":"10.1155/crpu/5976252","DOIUrl":"10.1155/crpu/5976252","url":null,"abstract":"The incidence and mortality rate of lung abscess cases have declined significantly following the widespread introduction of broad-spectrum antibiotic therapy. Administration of antibiotics is considered the main treatment option, replacing invasive management, which currently is reserved only for selected patients. Four cases of patients with large lung abscesses analyzed in the article demonstrate the effectiveness of prolonged antibiotic therapy in the form of clinical improvement and regression of lesions imaged with computed tomography (CT) scans, in the absence of surgical drainage. However, the lack of a comparator group undergoing surgical interventions limits the ability to generalize the findings. The article highlights multiple diagnostic and management challenges clinicians face when treating complicated lung abscesses; however, the presented evidence is limited by a small sample size and lack of controls. Although the incidence of lung abscesses has dropped, they are still frequently seen in pulmonology, surgery, pediatrics, and internal medicine departments. In the face of the worldwide antimicrobial resistance crisis, the choice of effective antibiotic therapy remains a challenge, and there is no consensus on the duration of the treatment, as well as specific timing for introducing surgical intervention. As there are no high-quality recommendations or international studies evaluating the epidemiology of lung abscesses in the 21st century, further research seems necessary to help clinicians make appropriate therapeutic decisions.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"2025 ","pages":"5976252"},"PeriodicalIF":0.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12517991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294212","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

Incidentally Detected Pulmonary Carcinoid Tumorlet With Coexisting Carcinoid Tumorlet in the Mediastinal Lymph Node in a Patient With Lung Cancer. 偶然发现肺类癌伴纵隔淋巴结类癌的一例肺癌患者。

Case Reports in Pulmonology Pub Date : 2025-08-21 eCollection Date: 2025-01-01 DOI: 10.1155/crpu/9910270

Bhavesh Mohan Lal, Michella K Whisman, Matthew A Steliga, Konstantinos Arnaoutakis

引用次数: 0