Respiratory medicine CME最新文献_第4页

Very long standing fever in an immunocompetent host 在免疫能力强的宿主体内长期发热

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.05.005

Voicu Tudorache , Rodica Potre Oncu , Daniel Trăilă , Cristian Oancea

{"title":"Very long standing fever in an immunocompetent host","authors":"Voicu Tudorache , Rodica Potre Oncu , Daniel Trăilă , Cristian Oancea","doi":"10.1016/j.rmedc.2010.05.005","DOIUrl":"https://doi.org/10.1016/j.rmedc.2010.05.005","url":null,"abstract":"<div><p>We present a case of 7 years history of recurrent febrile syndrome associated with constitutional symptoms. Extensive investigations failed to identify an etiological agent. Actually, the patient presents herself with a chest wall tumor and supraclavicular adenopathy.</p><p>Computerized tomography (CT) disclosed chest wall abscess, adjacent costal lytic lesions, pulmonary fibrosis in the left centrohilar area, mediastinal lymphadenopathy, pericardial effusion, partial portal vein thrombosis, multiple hepatic and splenic hypodense lesions and abdominal lymphadenopathy.</p><p>The anatomo-pathological examination of chest wall abscess and supraclavicular adenopathy revealed epithelioid cell granuloma with caseous necrosis. The evaluation for immunocompromised status has found no significant anomaly.</p><p>Antituberculosis chemotherapy resulted in resolution of fever and clinical improvement.</p><p>Final diagnosis: disseminated tuberculosis (lymph node, chest wall abscess, pericardial, hepatic, splenic and pulmonary?) complicated with partial portal vein thrombosis in an immunocompetent host.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 2","pages":"Pages 93-95"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2010.05.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137401608","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

131I-labeled lipiodol-induced interstitial pneumonia 131i标记的脂醇诱导的间质性肺炎

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.05.001

S. Jouneau , E. Polard , E. Vauléon , S. Caulet-Maugendre , A.C. Volatron , P. Delaval

引用次数: 3

The pulmonary radiologic findings of rheumatoid arthritis 类风湿关节炎的肺部放射学表现

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.03.003

Sevket Ozkaya , Salih Bilgin , Semra Hamsici , Serhat Findik

{"title":"The pulmonary radiologic findings of rheumatoid arthritis","authors":"Sevket Ozkaya , Salih Bilgin , Semra Hamsici , Serhat Findik","doi":"10.1016/j.rmedc.2011.03.003","DOIUrl":"https://doi.org/10.1016/j.rmedc.2011.03.003","url":null,"abstract":"<div><p>The rheumatoid arthritis (RA) is can affect multiple organs and tissues including the lung. Several pleuropulmonary manifestations are associated with rheumatoid arthritis involving the lung parenchyma, pleura, airways, and vasculature. The various pulmonary radiological findings have been defined in patients with RA.</p><p>In this study, we aimed to retrospectively evaluate of the pulmonary radiologic findings in the five patients with RA.</p><p>In the present study, pleural effusion, hydropneumothorax, chylothorax, pulmonary micronodular, macronodular and necrobiotic nodular lesions, pleural plagues, ground glass opacity and interstitial lung diseases were defined according to chest radiographs and computed tomography. The most common pulmonary radiologic findings were pulmonary nodules in three of patients, necrobiotic nodule in two of patients, pleural plague in two of patients and pleural effusion in two patients. The one of them had hydropneumothorax. Interstitial lung diseases were defined in two of patients.</p><p>In conclusion, the pulmonary changes may be accompanied as a systemic component of the RA. If these changes are well recognized, they can help in the diagnosis of the RA.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 4","pages":"Pages 187-192"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2011.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137225889","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

Lambda light chain multiple myeloma presenting as pleural mass Lambda轻链多发性骨髓瘤表现为胸膜肿块

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.01.007

Mohammad Shameem, Jamal Akhtar, Rakesh Bhargava, Zuber Ahmad, Ummul Baneen, Nafees Ahmad Khan

{"title":"Lambda light chain multiple myeloma presenting as pleural mass","authors":"Mohammad Shameem, Jamal Akhtar, Rakesh Bhargava, Zuber Ahmad, Ummul Baneen, Nafees Ahmad Khan","doi":"10.1016/j.rmedc.2010.01.007","DOIUrl":"https://doi.org/10.1016/j.rmedc.2010.01.007","url":null,"abstract":"<div><p>Light chain multiple myeloma occurs in 20% of multiple myeloma cases. Extramedullary dissemination of multiple myeloma is rare and involvement of pleura by it is even more rare. A 40 years old female patient presented with complains of recurrent vomiting for last 2 months and cough with expectoration for last 1 week. Chest X-Ray (PA view) showed a rounded homogenous opacity in mid zone of left lung field. CECT (thorax) showed pleura based soft tissue density mass lesions overlying apicoposterior segment of left upper lobe and lingular lobe with lytic destruction of underlying 2nd rib. Ultrasound scan of abdomen was normal. CT guided FNAC from soft tissue mass lesion of left side revealed atypical plasma cells, some of them were binucleate and few appear pleomorphic. Bone marrow aspiration showed 20% atypical plasma cells. Serum protein electrophoresis revealed a thin discrete band in gamma globulin region, while serum immunofixation electrophoresis showed presence of lambda light chain band only, with absence of kappa band, IgG band, IgM band and IgA band. Patient was diagnosed as a case of lambda light chain multiple myeloma with extramedullary dissemination to pleura presenting as pleural mass.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 1","pages":"Pages 12-14"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2010.01.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92013240","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

Idiopathic constrictive bronchiolitis with rapidly progressive bronchiectasis and Mycobacterium kansasii infection 特发性缩窄性细支气管炎伴快速进行性支气管扩张和堪萨斯分枝杆菌感染

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.03.007

Sandeep Raparla , Eric P. Schmidt , David B. Pearse

{"title":"Idiopathic constrictive bronchiolitis with rapidly progressive bronchiectasis and Mycobacterium kansasii infection","authors":"Sandeep Raparla , Eric P. Schmidt , David B. Pearse","doi":"10.1016/j.rmedc.2011.03.007","DOIUrl":"https://doi.org/10.1016/j.rmedc.2011.03.007","url":null,"abstract":"<div><p>Constrictive bronchiolitis results in airways obstruction with progressive lung hyperinflation causing dyspnea and eventual respiratory failure. There are many known causes including rheumatic diseases, infections and toxic inhalations. We describe a 58-year-old man with no preexisting lung disease who suffered rapid loss of lung function with hyperinflation over months in association with rapidly progressive radiographic bronchiectasis. Airway cultures grew <em>Mycobacterium kansasii</em>, <em>Pseudomonas aeruginosa</em> and <em>Aspergillus fumigatus</em>; lung biopsy showed constrictive bronchiolitis that was clinically idiopathic. His respiratory symptoms and pulmonary function rapidly improved within a week of high-dose corticosteroid therapy. We suggest that a diagnosis of constrictive bronchiolitis should be considered in patients with a combination of new rapidly progressive lung hyperinflation and worsening bronchiectasis. We hypothesize that the bronchiolitis-associated bronchiectasis may occur from a predisposition for secondary infections known to cause large airway wall damage. Identification and adequate treatment of these infections is critical if concurrent high-dose corticosteroid therapy is attempted to alleviate the constrictive bronchiolitis.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 4","pages":"Pages 172-174"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2011.03.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137225861","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

A large tracheal capillary hemangioma treated with interventional bronchoscopy 介入支气管镜治疗大气管毛细血管瘤

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.10.002

Enguo Chen, Xianyan Yu, Ruifeng Zhang, Peipei Wang, Kejing Ying

引用次数: 12

Two cases of stem cell therapy for pulmonary hypertension: A clinical report 干细胞治疗肺动脉高压2例临床报告

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.09.002

Neal M. Patel, Charles D. Burger

引用次数: 2

Intrapleural administration of Pulmozyme for pleural empyema 胸腔内给药肺酶治疗胸膜脓肿

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.12.002

Vladimir Bobek , Grzegorz Kacprzak , Andrzej Majewski , Jerzy Kolodziej

{"title":"Intrapleural administration of Pulmozyme for pleural empyema","authors":"Vladimir Bobek , Grzegorz Kacprzak , Andrzej Majewski , Jerzy Kolodziej","doi":"10.1016/j.rmedc.2010.12.002","DOIUrl":"https://doi.org/10.1016/j.rmedc.2010.12.002","url":null,"abstract":"<div><p>Empyema is a severe complication of different diseases and traumas. Management of this complication is difficult and should comprise general and local procedures. The general procedure is mainly based on administering wide-spectrum antibiotics. Local management depends on general condition, but in all cases the essential procedure is inserting a drain into the pleural cavity and evacuation the pus. Sometimes pus is very thick and its evacuation and re-expansion of the lung is rather impossible. In these patients surgical procedures are required. The use of intrapleural enzymes to aid drainage was first described in 1949 by Tillett and Sherry using a mixture of streptokinase and streptococcal DNase (deoxyribonuclease).<span><sup>1</sup></span> In recent years purified streptokinase has come into widespread use, but recent studies suggest that it has no effect on pus viscosity. DNase reduces pus viscosity and may be more useful in treatment.<span><sup>2</sup></span> We report a case of intrapleural administration of Pulmozyme (alfa dornase – deoxyribonuclease (HOFFMANN-LA ROCHE AG) in dosage 2×2,5 mg with a good effect caused by changes in pus viscosity.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 3","pages":"Pages 114-115"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2010.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137088777","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

Invasive pulmonary aspergillosis in an immunocompetent patient 免疫功能正常患者的侵袭性肺曲菌病

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.12.004

Vikas Pathak , Iliana Samara Hurtado Rendon , Ronald L. Ciubotaru

引用次数: 3

Synchronous primary pulmonary adenocarcinoma and MALToma in a patient with Sjögren's syndrome: Case report Sjögren综合征患者并发原发性肺腺癌和MALToma 1例报告

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.01.002

Mitsuhiro Kamiyoshihara , Toshiteru Nagashima , Takashi Ibe , Atsushi Takise , Hideaki Itou

引用次数: 0