Case Reports in Pulmonology最新文献_第5页

Diffuse Idiopathic Pulmonary Neuroendocrine Cell Hyperplasia (DIPNECH): A Case of Indolent Pulmonary Nodules Diagnosed with Robotic-Assisted Navigational Bronchoscopy. 弥漫性特发性肺神经内分泌细胞增生(DIPNECH):机器人辅助导航支气管镜诊断为一例惰性肺结节。

Case Reports in Pulmonology Pub Date : 2021-12-10 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6312296

Adam Purdy, Firas Ido, Deborah Stahlnecker

{"title":"Diffuse Idiopathic Pulmonary Neuroendocrine Cell Hyperplasia (DIPNECH): A Case of Indolent Pulmonary Nodules Diagnosed with Robotic-Assisted Navigational Bronchoscopy.","authors":"Adam Purdy, Firas Ido, Deborah Stahlnecker","doi":"10.1155/2021/6312296","DOIUrl":"https://doi.org/10.1155/2021/6312296","url":null,"abstract":"Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia (DIPNECH) is an atypical pulmonary disorder with limited understanding. Given the rare nature of this disease, it is essential to obtain adequate tissue pathology to confirm the diagnosis. This disease is mainly diagnosed in middle-aged, nonsmoking females, and it is now accepted as a precursor lesion to pulmonary carcinoid tumors. DIPNECH presents with characteristic radiographic and histologic findings, but its diagnosis, management, and prognosis are often underrecognized and poorly understood. Those with symptoms may present with shortness of breath, wheezing, and persistent cough and are often misdiagnosed with reactive airway disease. Pulmonary function testing may reveal airflow obstruction and air trapping. Imaging is characterized by multiple lung nodules, typically less than 5 mm in size, with a background mosaic attenuation on computed tomography imaging. Histologically, DIPNECH can be suspected based on the presence of hyperplastic neuroendocrine cells. DIPNECH is considered a precursor to invasive neuroendocrine tumor, and up to 50% of patients may have a well-differentiated neuroendocrine tumor at the time of presentation. Here, we present the case of a 46-year-old female with a history of ulcerative colitis on mesalamine who presented with a 6-month history of ongoing shortness of breath, chest tightness, wheezing, and cough. She was initially diagnosed with asthma before imaging later revealed as multiple pulmonary nodules with a diffuse mosaic pattern. Using robotic-assisted navigational bronchoscopy, she underwent sampling of a dominant 1.8 cm right middle lobe pulmonary nodule and pathology was consistent with low-grade neuroendocrine tumor.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"2021 ","pages":"6312296"},"PeriodicalIF":0.0,"publicationDate":"2021-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8683194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39827979","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

Cavitary Legionella Pneumonia in AIDS: When Intracellular Immunity Failure Leads to Rapid Intrapulmonary Cavitation. 艾滋病中的空洞军团菌肺炎:当细胞内免疫功能衰竭导致肺内快速空洞。

Case Reports in Pulmonology Pub Date : 2021-11-30 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6754094

Richard Jesse Durrance, Alice Kyungsun Min, Marilyn Fabbri, Terrence McGarry

{"title":"Cavitary Legionella Pneumonia in AIDS: When Intracellular Immunity Failure Leads to Rapid Intrapulmonary Cavitation.","authors":"Richard Jesse Durrance, Alice Kyungsun Min, Marilyn Fabbri, Terrence McGarry","doi":"10.1155/2021/6754094","DOIUrl":"https://doi.org/10.1155/2021/6754094","url":null,"abstract":"Introduction. Legionella is a frequent cause of bacterial pneumonia in patients with AIDS. While multiple organisms have been associated with cavitary pneumonia in this population, Legionella has not. Clinical Case. A middle-aged woman with HIV-AIDS and severely depressed CD-4 count presented with one month of progressively worsening productive cough and dyspnea. Serial imaging showed focal consolidations which multiplied and cavitated over the subsequent days. Legionella urine antigen was positive, and appropriate treatment was continued for 3 weeks total. The patient recovered quickly, and follow-up imaging 8 weeks later showed near-resolution of all lesions. Discussion. Cavitary pneumonia secondary to Legionella has been seldom described, traditionally in the context of immunosuppressive therapy. Patients with AIDS and severely depressed CD4 counts have significantly compromised cell-mediated immunity. This case highlights the importance of consideration for legionellosis in rapidly progressing cavitary pneumonia, especially in patients with severely compromised cell-mediated immunity, including those with HIV-AIDS.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"2021 ","pages":"6754094"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8651395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39710744","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

Tracheobronchoplasty and Diaphragmatic Plication under VV ECMO for Combined ECAC and Diaphragmatic Paralysis. 气管支气管成形术及VV ECMO下膈肌扩张术治疗ECAC合并膈肌麻痹。

Case Reports in Pulmonology Pub Date : 2021-11-19 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5565754

Mehmet M Tatari, David Abia-Trujillo, Mathew Thomas, Neal M Patel, Sebastian Fernandez-Bussy, Britney N Hazelett, Margaret M Johnson

引用次数: 0

A Conservative Approach to a Large Mycotic Pulmonary Pseudoaneurysm. 大型真菌性肺假性动脉瘤的保守治疗。

Case Reports in Pulmonology Pub Date : 2021-11-18 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6456216

Erin Torpey, Jenna Spears, Yousif Al-Saiegh, Mindi Roeser

引用次数: 2

A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins. 静脉注射免疫球蛋白治疗类固醇抵抗性隐源性肺炎1例报告。

Case Reports in Pulmonology Pub Date : 2021-11-15 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9343491

Christian Akem Dimala, Urvi Patel, Benjamin Lloyd, Anthony Donato, William B Kimmel, Robert Hallowell, Caitlyn Moss

引用次数: 4

Pleuropulmonary Blastoma (PPB) in Child with DICER1 Mutation: The First Case Report in the State of Qatar. DICER1突变儿童胸膜肺母细胞瘤(PPB):卡塔尔第一例报告。

Case Reports in Pulmonology Pub Date : 2021-10-29 eCollection Date: 2021-01-01 DOI: 10.1155/2021/1983864

Sara G Hamad, Amal Al-Naimi, Mutasim Abu-Hasan

引用次数: 2

Intrapleural Tenecteplase for Complicated Parapneumonic Pleural Effusion. 胸膜内替替普治疗复杂的肺旁胸腔积液。

Case Reports in Pulmonology Pub Date : 2021-10-08 eCollection Date: 2021-01-01 DOI: 10.1155/2021/2206692

Husain Kadhem, Kannan Sridharan, Naser Naser

引用次数: 0

Management of Submassive Bilateral Pulmonary Embolism in an Adolescent Female. 1例青春期女性双侧块状肺栓塞的治疗。

Case Reports in Pulmonology Pub Date : 2021-09-29 eCollection Date: 2021-01-01 DOI: 10.1155/2021/1678528

Adeline Yi Ling Lim, John Roy, Ajay Kevat

引用次数: 0

Positive Retrospective SARS-CoV-2 Testing in a Case of Acute Respiratory Distress Syndrome of Unknown Etiology. 1例不明原因急性呼吸窘迫综合征SARS-CoV-2回顾性阳性检测

Case Reports in Pulmonology Pub Date : 2021-08-28 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5484239

A Burkett, S McElwee, C Margaroli, P Bajpai, A Elkholy, U Manne, K Wille, P Benson

引用次数: 0

A Rare Case Diagnosed by Videothoracoscopic Lung Biopsy: Diffuse Pulmonary Meningotheliomatosis. 一例罕见的胸腔镜肺活检诊断:弥漫性肺脑膜瘤病。

Case Reports in Pulmonology Pub Date : 2021-08-28 eCollection Date: 2021-01-01 DOI: 10.1155/2021/1990433

Anton Dzian, Marek Malík, Ľuboš Hamada, Jozef Mičák, Ivana Gregorová, Gabriela Košturiaková

引用次数: 1