Case Reports in Pulmonology最新文献_第7页

Asymptomatic Lymphocytic Interstitial Pneumonia with Extensive HRCT Changes Preceding Sjogren's Syndrome. 无症状淋巴细胞间质性肺炎伴干燥综合征前广泛HRCT改变。

Case Reports in Pulmonology Pub Date : 2021-01-07 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6693031

Hazlyna Baharuddin, Mohammad Hanafiah, Syazatul Syakirin Sirol Aflah, Mohd Arif Mohd Zim, Shereen Suyin Ch'Ng

{"title":"Asymptomatic Lymphocytic Interstitial Pneumonia with Extensive HRCT Changes Preceding Sjogren's Syndrome.","authors":"Hazlyna Baharuddin, Mohammad Hanafiah, Syazatul Syakirin Sirol Aflah, Mohd Arif Mohd Zim, Shereen Suyin Ch'Ng","doi":"10.1155/2021/6693031","DOIUrl":"https://doi.org/10.1155/2021/6693031","url":null,"abstract":"Lymphocytic interstitial pneumonia (LIP) is a rare condition, commonly associated with Sjogren's syndrome (SS). We report a 53-year-old woman with an incidental finding of an abnormal chest radiograph. LIP was diagnosed based on high-resolution computed tomography and lung biopsy, but treatment was not initiated. Six years later, she developed cough and dyspnoea, associated with dry eyes, dry mouth, and arthralgia. While being investigated for the respiratory symptoms, she developed cutaneous vasculitis and was treated with 1 mg/kg prednisolone, which resulted in the improvement of her respiratory symptoms. Physical examination revealed fine bibasal crepitations, active vasculitic skin lesions, and a positive Schirmer's test. Investigations revealed a restrictive pattern in the pulmonary function test, stable LIP pattern in HRCT, and positive anti-Ro antibodies. She was treated with prednisolone and azathioprine for 18 months, and within this time, she was hospitalised for flare of LIP, as well as respiratory tract infection on three occasions. During the third flare, when she also developed cutaneous vasculitis, she agreed for prednisolone but refused other second-line agents. To date, she remained well with the maintenance of prednisolone 2.5 mg monotherapy for more than one year. The lessons from this case are (i) patients with LIP can be asymptomatic, (ii) LIP can precede symptoms of SS, and (iii) treatment decision for asymptomatic patients with abnormal imaging or patients with mild severity should be weighed between the risk of immunosuppression and risk of active disease.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"2021 ","pages":"6693031"},"PeriodicalIF":0.0,"publicationDate":"2021-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7810538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38869113","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: 3

Pulmonary Langerhans Cell Histiocytosis Presenting as a Solitary Pulmonary Nodule on a Lung Cancer Screening CT. 肺朗格汉斯细胞组织细胞增多症在肺癌筛查CT上表现为孤立性肺结节。

Case Reports in Pulmonology Pub Date : 2020-12-28 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8872111

Hassan Baig, Sushilkumar Sonavane, Ian Makey, Jorge Mallea, Andras Khoor

引用次数: 0

Interstitial Emphysema as a Rare Radiographic Presentation of Bronchial Dehiscence after Lung Transplant. 肺移植后支气管破裂的罕见影像学表现:间质性肺气肿。

Case Reports in Pulmonology Pub Date : 2020-12-26 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8830361

Linda P Vien, Robert M Marron, Abbas Charlie, Maruti Kumaran, James C Brown

{"title":"Interstitial Emphysema as a Rare Radiographic Presentation of Bronchial Dehiscence after Lung Transplant.","authors":"Linda P Vien, Robert M Marron, Abbas Charlie, Maruti Kumaran, James C Brown","doi":"10.1155/2020/8830361","DOIUrl":"https://doi.org/10.1155/2020/8830361","url":null,"abstract":"Airway complications after lung transplantation are a major cause of morbidity and mortality. Bronchial dehiscence presents within a month of lung transplantation and is typically diagnosed radiographically as a sentinel gas pocket at the anastomotic site and confirmed with bronchoscopy. A 66-year-old man with idiopathic pulmonary fibrosis who underwent a right lung transplantation 4 weeks prior developed chest pain with palpable crepitus over his right chest wall. A chest X-ray revealed subcutaneous emphysema and a small right-sided pneumothorax. Computed tomography (CT) of the thorax without contrast revealed a gas pocket at the anastomotic site in the mediastinum as well as interstitial emphysema around the proximal bronchi of the right lung that had worsened when compared to CT from 11 days prior. A review of prior CT demonstrated interstitial emphysema without evidence of a sentinel gas pocket. These findings suggest that interstitial emphysema was the initial radiographic manifestation of the bronchial anastomotic site dehiscence. Interstitial emphysema is typically self-limiting, but severe cases can lead to major complications. Interstitial emphysema outside of the immediate postoperative period should be recognized as a possible early radiographic sign of bronchial dehiscence in lung transplant patients with vigilant monitoring of potential complications and strong consideration for early bronchoscopic investigation.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"2020 ","pages":"8830361"},"PeriodicalIF":0.0,"publicationDate":"2020-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7781711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38806130","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

Streptococcus pneumoniae Coinfection in COVID-19: A Series of Three Cases. 新型冠状病毒肺炎合并感染:3例病例。

Case Reports in Pulmonology Pub Date : 2020-12-10 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8849068

Chaitanya Pal, Paulina Przydzial, Ogechukwu Chika-Nwosuh, Shrey Shah, Pratik Patel, Nikhil Madan

{"title":"Streptococcus pneumoniae Coinfection in COVID-19: A Series of Three Cases.","authors":"Chaitanya Pal, Paulina Przydzial, Ogechukwu Chika-Nwosuh, Shrey Shah, Pratik Patel, Nikhil Madan","doi":"10.1155/2020/8849068","DOIUrl":"https://doi.org/10.1155/2020/8849068","url":null,"abstract":"Bacterial coinfections are not uncommon with respiratory viral pathogens. These coinfections can add to significant mortality and morbidity. We are currently dealing with the SARS-CoV-2 pandemic, which has affected over 15 million people globally with over half a million deaths. Previous respiratory viral pandemics have taught us that bacterial coinfections can lead to higher mortality and morbidity. However, there is limited literature on the current SARS-CoV-2 pandemic and associated coinfections, which reported infection rates varying between 1% and 8% based on various cross-sectional studies. In one meta-analysis of coinfections in COVID-19, rates of Streptococcus pneumoniae coinfections have been negligible when compared to previous influenza pandemics. Current literature does not favor the use of empiric, broad-spectrum antibiotics in confirmed SARS-CoV-2 infections. We present three cases of confirmed SARS-CoV-2 infections complicated by Streptococcus pneumoniae coinfection. These cases demonstrate the importance of concomitant testing for common pathogens despite the need for antimicrobial stewardship.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"2020 ","pages":"8849068"},"PeriodicalIF":0.0,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7729390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38730967","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: 11

Covered Stent of the Left Common Carotid and Subclavian Arteries Assist the Invasive Tumor Resection. 左颈总动脉及锁骨下动脉覆膜支架辅助肿瘤浸润性切除。

Case Reports in Pulmonology Pub Date : 2020-12-07 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8882080

Yo Tsukamoto, Takeo Nakada, Soichiro Fukushima, Mitsuo Yabe, Naoki Toya, Tadashi Akiba, Takashi Ohtsuka, Takao Ohki

{"title":"Covered Stent of the Left Common Carotid and Subclavian Arteries Assist the Invasive Tumor Resection.","authors":"Yo Tsukamoto, Takeo Nakada, Soichiro Fukushima, Mitsuo Yabe, Naoki Toya, Tadashi Akiba, Takashi Ohtsuka, Takao Ohki","doi":"10.1155/2020/8882080","DOIUrl":"https://doi.org/10.1155/2020/8882080","url":null,"abstract":"Background: Some recent reports have described the usefulness of thoracic aortic stent grafts to facilitate en bloc resection of tumors invading the aortic wall. We report on malignant peripheral nerve sheath tumor resection in the left superior mediastinum of a 16-year-old man with neurofibromatosis type 1. The pathological margin was positive at the time of the first tumor resection, and radiation therapy was added to the same site. After that, a local recurrence occurred. The tumor was in wide contact with the left common carotid and subclavian arteries and was suspected of infiltration. After stent graft placement of these arteries to avoid fatal bleeding and cerebral ischemia by clamping these arteries and bypass procedure, we successfully resected the tumor without any complications.Conclusion: s. Here, we report the usefulness of the prior covered stent placement to aortic branch vessels for the resection of invasive tumor.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"2020 ","pages":"8882080"},"PeriodicalIF":0.0,"publicationDate":"2020-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7738784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38762397","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

Recurrent Pneumothorax with CPAP Therapy for Obstructive Sleep Apnea. 阻塞性睡眠呼吸暂停伴CPAP治疗复发性气胸。

Case Reports in Pulmonology Pub Date : 2020-12-01 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8898621

Kartikeya Rajdev, Pretty Sara Idiculla, Shubham Sharma, Susanna G Von Essen, Peter J Murphy, Sabin Bista

{"title":"Recurrent Pneumothorax with CPAP Therapy for Obstructive Sleep Apnea.","authors":"Kartikeya Rajdev, Pretty Sara Idiculla, Shubham Sharma, Susanna G Von Essen, Peter J Murphy, Sabin Bista","doi":"10.1155/2020/8898621","DOIUrl":"https://doi.org/10.1155/2020/8898621","url":null,"abstract":"Pulmonary barotrauma such as pneumothorax (PTX) is a known complication of invasive mechanical ventilation. However, it is uncommonly reported with the use of noninvasive positive pressure ventilation (NPPV) and CPAP (continuous positive airway pressure) therapy. We present a case of a 66-year-old female who presented with chronic dyspnea on exertion secondary to right-sided diaphragmatic hernia. The patient also underwent a home sleep study which suggested obstructive sleep apnea (OSA) for which she was initiated on CPAP. She then underwent surgical repair of her right diaphragmatic hernia. The patient developed pneumothorax three times over the course of the following several months, once on the right side and twice on the left side. The patient's incidences of PTX had a temporal association with the CPAP initiation. Her CPAP therapy was discontinued permanently after the third occurrence of PTX. With this case report, we highlight the risk of barotrauma with the use of CPAP for OSA. There are very few reported cases of PTX in association with NPPV therapy for OSA. The lung-protective ventilation strategies and limiting the positive airway pressures can help reduce the risk of pulmonary barotrauma with CPAP.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"2020 ","pages":"8898621"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7816758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25315947","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: 6

The First Case of L. pseudomesenteroides Pulmonary Infection and Literature Review. 假肠杆菌肺部感染1例并文献复习。

Case Reports in Pulmonology Pub Date : 2020-11-17 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8818491

Liwan Dai, Yishi Li, Xiaobing Zhang, Ming Ding, Shuliang Guo

引用次数: 1

E-Cigarette or Vaping Product Use-Associated Lung Injury (EVALI) Mimicking COVID-19 Disease. 电子烟或电子烟产品使用相关肺损伤(EVALI)模拟COVID-19疾病。

Case Reports in Pulmonology Pub Date : 2020-11-01 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8821289

Jose A Rodriguez, Alejandra A Roa, Juan C Lemos-Ramirez

{"title":"E-Cigarette or Vaping Product Use-Associated Lung Injury (EVALI) Mimicking COVID-19 Disease.","authors":"Jose A Rodriguez, Alejandra A Roa, Juan C Lemos-Ramirez","doi":"10.1155/2020/8821289","DOIUrl":"https://doi.org/10.1155/2020/8821289","url":null,"abstract":"Background: Coronavirus 2 (SARS-CoV-2) is the virus associated with the coronavirus disease (COVID-19) causing a pandemic worldwide in 2020. There are other noninfectious diseases that can present exactly as COVID-19, and the management and approach are completely different, hence the importance of understanding and having a wide differential in patients presenting with similar characteristics. Case Report. A 23-year-old male, with a history of childhood asthma, presented to the Emergency Department in a hospital in south Florida in the USA with complaints of a 2-day duration of subjective fever, chills, dry cough, dyspnea, and myalgia. His vital signs were blood pressure 135/65 mmHg, temperature 39°C, pulse 134 bpm, respiratory rate 22 breaths per minute, and saturation of oxygen 96% in room air. Laboratory analysis was significant for white blood cells 15.3 × 103/μL, ALT 69 U/L, AST 66 U/L, ferritin 375.6 ng/mL, C-reactive protein 27.70 mg/dL, and procalcitonin 1.43 ng/mL. A respiratory pathogen panel (RPP) and a SARS-CoV-2 test were both negative. The patient was given empiric antibiotic treatment and hydroxychloroquine. Two more tests for SARS-CoV-2 were negative, and the patient reported that he smoked marijuana through an e-cigarette. The patient was started on high-dose steroids, and symptoms improved.Conclusion: COVID-19 is an emergent lung disease that is affecting the population worldwide; many other noninfectious diseases can mimic its presentations and laboratory characteristics; the importance of having a broad differential diagnosis especially in causing confusion during pandemic times is valuable in the management of patients with such presentations, such as EVALI, and glucocorticoids will be indicated in this circumstances.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"2020 ","pages":"8821289"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/8821289","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38720794","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: 13

Rare Complication of Pneumomediastinum and Pneumopericardium in a Patient with COVID-19 Pneumonia. 一名 COVID-19 肺炎患者的罕见并发症--气胸和气胸。

Case Reports in Pulmonology Pub Date : 2020-11-01 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8845256

Anshika Singh, Jessica Bass, David H Lindner

引用次数: 0

Recurrent Empyema Thoracic Secondary to Pulmonary Nocardiosis in Immunocompetent Patients. 免疫正常患者继发于肺诺卡菌病的复发性胸脓肿。

Case Reports in Pulmonology Pub Date : 2020-10-26 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8840920

Samshol Sukahri, Lily Diana Zainudin, Mohd Firdaus Hadi, Mohd Al-Baqlish Mohd Firdaus, Muhammad Imran Abdul Hafidz

{"title":"Recurrent Empyema Thoracic Secondary to Pulmonary Nocardiosis in Immunocompetent Patients.","authors":"Samshol Sukahri, Lily Diana Zainudin, Mohd Firdaus Hadi, Mohd Al-Baqlish Mohd Firdaus, Muhammad Imran Abdul Hafidz","doi":"10.1155/2020/8840920","DOIUrl":"https://doi.org/10.1155/2020/8840920","url":null,"abstract":"Pulmonary nocardiosis is a rare disorder that mainly affects immune-compromised patients. We report a 37-year-old male who presented with persistent fever associated with productive cough. During this course of therapy, he had recurrent admissions for empyema thoracic. Clinically, his vital signs were normal. Blood investigations show leukocytosis with a significantly raised erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). Sputum acid-fast bacilli (AFB) was scanty 1+ and sputum mycobacterium culture was negative. Chest X-ray (CXR) showed consolidative changes with mild to moderate pleural effusion on the right side. Skin biopsy was taken and showed Paecilomyces species. A computed tomography scan (CT thorax) was performed and revealed a multiloculated collection within the right hemithorax with a split pleura sign. Decortications were performed and tissue culture and sensitivity (C+S) growth of Nocardia species. And it is sensitive to sulfamethoxazole-trimethoprim and completed treatment for 4 months. This case highlights that pulmonary nocardiosis should be kept in mind in also immune-competent patients, especially in suspected cases of tuberculosis not responding to antitubercular therapy.","PeriodicalId":52364,"journal":{"name":"Case Reports in Pulmonology","volume":"2020 ","pages":"8840920"},"PeriodicalIF":0.0,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/8840920","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38687467","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: 2