Respiratory medicine CME最新文献_第2页

A case of bacteremia due to Burkholderia cepacia in a patient without cystic fibrosis 无囊性纤维化的患者因洋葱伯克霍尔德菌引起菌血症1例

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.11.002

D.K. Matthaiou , E. Chasou , S. Atmatzidis , P. Tsolkas

引用次数: 22

A case of hemothorax resulting from perforation of an esophageal diverticulum 食道憩室穿孔致血胸1例

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.12.006

Etsuko Watanabe, Yoshiro Mochiduki, Yasuharu Nakahara, Tetsuji Kawamura, Shin Sasaki

引用次数: 1

An unusual pleural effusion 不寻常的胸腔积液

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.10.001

Mark Shipley , Justin Nissen , Stephen Bourke

引用次数: 2

Hemothorax from the stapled line after video-assisted thoracoscopic bullectomy 电视胸腔镜下大球切除术后缝合线血胸

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.01.003

Mitsuhiro Kamiyoshihara, Toshiteru Nagashima, Izumi Takeyoshi

引用次数: 0

Reversible severe pulmonary hypertension in obesity hypoventilation and Mohr syndrome 肥胖症、低通气和莫尔综合征中可逆性重度肺动脉高压

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2009.11.008

Johannes E.S. Nolte, Ulrich Koehler, Ali Keywan Sohrabi, Sebastian Canisius, Stephan Baumann, Claus Franz Vogelmeier

{"title":"Reversible severe pulmonary hypertension in obesity hypoventilation and Mohr syndrome","authors":"Johannes E.S. Nolte, Ulrich Koehler, Ali Keywan Sohrabi, Sebastian Canisius, Stephan Baumann, Claus Franz Vogelmeier","doi":"10.1016/j.rmedc.2009.11.008","DOIUrl":"https://doi.org/10.1016/j.rmedc.2009.11.008","url":null,"abstract":"<div><p>A young overweight patient with Mohr–Claussen Syndrome was admitted to our department with the clinical diagnosis of pulmonary hypertension complaining about dyspnea at rest and excessive daytime sleepiness. Pulmonary function testing indicated severe airflow limitation and respiratory insufficiency. Pulmonary artery (PA) pressure was markedly increased. Pulmonary embolism, Alpha-1-antitrypsin-deficiency, emphysema and anatomical obstructions were excluded. Polysomnography showed recurrent oxygen desaturations compatible with alveolar hypoventilations. Hypercapnic ventilatory response testing (HCVR) indicated a missing increase in minute ventilation when exposed to hypercapnia. After 6 weeks of nocturnal non-invasive ventilation therapy, her clinical condition markedly improved. Furthermore, PA pressure returned to normal values. HCVR testing showed an adequate response to hypercapnia. Mohr–Claussen syndrome is a rare genetic disease affecting the mouth, face and digits. Adult patients are usually very obese; exposing them at risk for obesity hypoventilation syndrome (OHS). OHS is described as a combination of obesity and awake arterial hypercapnia (PaCO<sub>2</sub>   <!-->mmHg) in the absence of other known causes of chronic alveolar hypoventilation. Unclear pulmonary hypertension in overweight patients should raise the suspicion for OHS.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 1","pages":"Pages 30-32"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2009.11.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137091388","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

Acute fatal amiodarone-induced lung toxicity after CABG surgery 冠脉搭桥术后急性致死性胺碘酮肺毒性

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.05.003

Ioannis Panagiotou , Michalis Doris , Lazaros Karnesis , Konstantina Tsakanika , Charalampos Ladakis , Konstantinos Kanakakis , Emmanouil Spiridakis , Demosthenes Bouros , Christophoros Kotoulas

引用次数: 2

Unusual case of unilateral whiteout on chest radiograph with evidence of previous pulmonary tuberculosis exposure 胸片上单侧白斑的罕见病例，有既往肺结核暴露的证据

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2009.11.007

A. Dushianthan , S.A. Abbas

引用次数: 0

A pulmonary abscess, beware of lung cancer! 肺脓肿，当心肺癌!

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.05.001

L.E.L. Hendriks , M.M.H. Hochstenbag , U.C. Lalji , A.-M.C. Dingemans

引用次数: 9

Primary pulmonary follicular lymphoma 原发性肺滤泡性淋巴瘤

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.01.009

Tadashi Terada

{"title":"Primary pulmonary follicular lymphoma","authors":"Tadashi Terada","doi":"10.1016/j.rmedc.2010.01.009","DOIUrl":"https://doi.org/10.1016/j.rmedc.2010.01.009","url":null,"abstract":"<div><p>Primary malignant lymphomas of the lung are very rare. Most of them are extranodal marginal zone B-cell lymphoma of MALT type. Primary follicular lymphoma of the lung is extremely rare. A 50-year-old woman presented with cough and sputum, and consulted to a private hospital, where she was pointed out to have abnormal lung shadow by chest X–P. She was admitted to our hospital for scrutiny. Imaging modalities including CT, MRI, and PET revealed a small (15 mm in diameter) nodule in the right middle lobe beneath the pleura. No other tumors were found by these techniques. A biopsy revealed a lymphoid proliferation. Clinical cytology was negative. A wedge resection with wide margins was performed. Grossly, the resected lung specimen contained a white solid mass measuring 12 × 13 × 13 mm. Microscopically, the mass was composed of follicular proliferation of atypical lymphocytes. There were no tingible body macrophages, and normal follicular polarity was absent. Mild infiltrative growth from the surrounding lung was present. Lymphoepithelial lesions were not recognized. The atypical lymphocytes consisted of centrocytes, centroblasts, and small lymphoid cuffs. The centroblasts are seen in 3–5 per a high power field. The immunophenotypes were CD45 +, CD5 +, CD10 +, CD23 +, cyclin D1 −, CD20 +, CD21 +, CD79α +, bcl-2 +, bcl-6 −, CD3 −, CD45RO −, CD30 −, CD15 −, κ-chain +, and λ-chain −. The Ki-67 labeling was 36%. The overall appearances suggested that the lesion was primary pulmonary follicular lymphoma, grade I. Discussion of differential diagnosis from nodular lymphoid hyperplasia, extranodal marginal zone lymphoma of MALT type, and mantle cell lymphoma was made.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 2","pages":"Pages 85-87"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2010.01.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137401432","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

Wheezing and exertional dyspnea in a 74-year old woman 74岁女性喘息和劳累性呼吸困难

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.05.007

Angelika Reißig , Iver Petersen , Claus Kroegel

引用次数: 0