Respiratory medicine CME最新文献_第3页

A rare cause of pleural effusion 胸腔积液的罕见病因

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.01.002

Jenny L. Bacon, Sasiharan Sithamparanathan

引用次数: 2

A case report: Primary amiloidosis associated with immunoglobulin A type multiple myeloma 原发性淀粉样变性伴免疫球蛋白A型多发性骨髓瘤1例报告

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.11.006

Nuri Karadurmus , İsmail Erturk , Mustafa Çakar , Battal Altun , Kenan Saglam , Fikret Arpaci

引用次数: 0

Intracardiac thrombus in Behcet’s disease: A rare case in the United States 白塞氏病的心内血栓:美国罕见病例

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.07.001

Swapna Gopathi , Ryan T. Hurt , Juan Guardiola

引用次数: 6

Bronchial artery embolization: Managing ruptured pulmonary artery venous malformation – A case report 支气管动脉栓塞术:治疗肺动脉静脉破裂畸形1例

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.04.006

Dharitri Goswami , Shantanu Das , Ashok Parida , Joy Sanyal

引用次数: 0

Acute eosinophilic pneumonia associated with the inhalation of phosgene gas under the presence of cigarette smoking 与吸烟时吸入光气有关的急性嗜酸性肺炎

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.05.004

Tsutomu Tamada , Masayuki Nara , Koji Murakami , Soshi Muramatsu , Masahito Ebina , Toshihiro Nukiwa

{"title":"Acute eosinophilic pneumonia associated with the inhalation of phosgene gas under the presence of cigarette smoking","authors":"Tsutomu Tamada , Masayuki Nara , Koji Murakami , Soshi Muramatsu , Masahito Ebina , Toshihiro Nukiwa","doi":"10.1016/j.rmedc.2010.05.004","DOIUrl":"https://doi.org/10.1016/j.rmedc.2010.05.004","url":null,"abstract":"<div><p>Cigarette smoking has been thought to be a cause of some cases of acute eosinophilic pneumonia (AEP). However, it is not understood why such patients do not show any apparent symptoms for several weeks from the beginning of smoking to the onset of the illness. Here, we describe a case of AEP that may suggest that an irritant like toxic gas may be necessary for the development of AEP under the presence of smoking habit. The diagnosis of AEP was made by close examinations including chest computed tomography, bronchoalveolar lavage fluid (BALF) and transbronchial lung biopsy. Even after the patient’s symptoms completely improved, both the total count of eosinophils and the concentration of eosinophilic cationic protein (ECP) in BALF were still elevated. A smoking provocation test revealed a tiny recurrence of ground-glass opacity in both lung fields, but he did not show any symptoms of AEP again. Concerning this case, it is suggested that cigarette smoking initiated the continuous eosinophil accumulation to the lungs and the inhalation of phosgene gas promoted the development of AEP. We suggest that not only cigarette smoking but also an additional irritant such as toxic gas might be necessary for the development of cigarette smoking-related AEP.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 2","pages":"Pages 96-98"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2010.05.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137401434","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

Paragonimiasis: An unusual cause of Cor pulmonale; A case report 肺吸虫病:肺心病的一种罕见病因;病例报告

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.12.001

Chinwe J. Chukwuka , Cajetan C. Onyedum

{"title":"Paragonimiasis: An unusual cause of Cor pulmonale; A case report","authors":"Chinwe J. Chukwuka , Cajetan C. Onyedum","doi":"10.1016/j.rmedc.2010.12.001","DOIUrl":"https://doi.org/10.1016/j.rmedc.2010.12.001","url":null,"abstract":"<div><p>Paragonimiasis is a parasitic disease caused by the trematode Paragonimus. It follows ingestion of raw or improperly cooked or prickled crab and crayfish. Adult worms can survive for 20 years.</p><p>A 42-year-old rural dweller was seen at the chest unit with a three month history of cough, chest pain and haemoptysis and a ten week history of bilateral leg swelling. He recalled that his problem dated back to 18 years ago when he first had cough with rusty brown sputum and chest pain. He was treated for pulmonary tuberculosis even though sputum examination did not reveal any AAFB on two occasions. Further enquiries showed that he had enjoyed fishing and hunting for crabs in his adolescent years and ate the young crabs raw. Abnormal findings were mild central cyanosis, pitting leg and scrotal edema jugular venous pulsation was elevated with tender hepatomegaly. Sputum for ova of paragonimiasis which was positive. Packed cell volume was 55%, ESR of 15 mm in the 1st hour. Chest radiograph: patchy opacities, tubular shadowing and prominent pulmonary conus. Echocardiography showed dilated right atrium and ventricle without septal and valvular lesions. Sputum AAFB, A diagnosis of Cor pulmonale due to Paragonimiasis was made and patient treated with Praziquantel.</p><p>The patient improved markedly and repeated X-ray showed some improvement in the features. Paragonimiasis is an important tropical lung disease. The most frequent symptoms are cough and haemoptysis. The radiological features include cavities, cysts, calcified nodules all of which make differentiation from pulmonary tuberculosis difficult. In endemic areas, patients who complain of cough and haemoptysis should have their sputum examined by an experienced microbiologist for paragonimiasis.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 3","pages":"Pages 136-137"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2010.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137087987","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

Allergic bronchopulmonary aspergillosis presenting with cough variant asthma with spontaneous remission 过敏性支气管肺曲霉病表现为咳嗽变异性哮喘，可自行缓解

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.04.003

Hirofumi Matsuoka, Towa Uzu, Midori Koyama, Yasuko Koma, Kensuke Fukumitsu, Yoshitaka Kasai, Daiki Masuya, Harukazu Yoshimatsu, Yujiro Suzuki

引用次数: 4

Pulmonary adiaspiromycosis: The first reported case in Turkey 肺硬螺旋体真菌病:土耳其首例报告病例

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.04.004

Melih Buyuksirin , Sevket Ozkaya , Nur Yucel , Filiz Guldaval , Kenan Ceylan , Gulru Erbay Polat

引用次数: 2

Persistent left superior vena cava identified during central line placement: A case report 中央静脉置管时发现持续性左上腔静脉:1例报告

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.11.003

Wassim H. Fares , Katherine R. Birchard , James R. Yankaskas

{"title":"Persistent left superior vena cava identified during central line placement: A case report","authors":"Wassim H. Fares , Katherine R. Birchard , James R. Yankaskas","doi":"10.1016/j.rmedc.2010.11.003","DOIUrl":"10.1016/j.rmedc.2010.11.003","url":null,"abstract":"<div><h3>Introduction</h3><p>A persistent left superior vena cava is found in 0.3–0.5% of the general population and in up to 10% of patients with a congenital cardiac anomaly. It is the most common thoracic venous anomaly and is usually asymptomatic. Being familiar with such anomaly could help clinicians avoid complications during placement of central lines, Swan-Ganz catheters, PICC lines, dialysis catheters, defibrillators, and pacemakers.</p></div><div><h3>Case presentation</h3><p>We describe a case of persistent left superior vena cava that was noted after placement of a central line. Mr JJ is a 41 year old African American man who was hospitalized for evaluation and management of alcoholic necrotizing pancreatitis. He required multiple central lines placements. He was noted to have a persistent left superior vena cava that was not recognized initially and thus lead to an unnecessary extra central line placement.</p></div><div><h3>Discussion</h3><p>This anatomic variant may pose iatrogenic risks if it is not recognized by the clinician. A central catheter that tracks down the left mediastinal border may also be in the descending aorta, internal thoracic vein, superior intercostal vein, pericardiophrenic vein, pleura, pericardium, or mediastinum.</p></div><div><h3>Conclusion</h3><p>Our case is significant because the patient had two extra central venous catheter placements. This case strongly demonstrates the importance of knowing the thoracic venous anomalies.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 3","pages":"Pages 141-143"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2010.11.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30140853","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

Nocardia and Mycobacterium fortuitum infection in a case of lipoid pneumonia 脂质性肺炎诺卡菌与偶发分枝杆菌感染1例

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.09.001

Ashfaq Hasan , T.L.N. Swamy

引用次数: 2