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An unusual case of hoarseness of voice related to corticosteroid treatment 一个与皮质类固醇治疗有关的声音嘶哑的不寻常病例
Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.03.008
R. Naseer, L.J. Buck, M. Small, M. Munavvar
{"title":"An unusual case of hoarseness of voice related to corticosteroid treatment","authors":"R. Naseer,&nbsp;L.J. Buck,&nbsp;M. Small,&nbsp;M. Munavvar","doi":"10.1016/j.rmedc.2011.03.008","DOIUrl":"https://doi.org/10.1016/j.rmedc.2011.03.008","url":null,"abstract":"<div><p>Invasive aspergillus infection of the larynx is extremely rare. This report describes the case of a 56-year-old lady with Chronic Obstructive Pulmonary Disease receiving long-term inhaled corticosteroids who presented with a four-week history of progressive hoarseness, dyspnoea and cough. Sputum cultures at the time isolated <em>Aspergillus fumigatus</em>. She was commenced on a trial of Itraconazole for presumed Allergic Bronchopulmonary Aspergillosis. Due to the duration and nature of her symptoms, vocal cord biopsies were taken which revealed abundant colonies of the fungus <em>A.</em> <em>fumigatus</em> infiltrating skeletal muscle. Inhaled corticosteroids were discontinued and the patient was switched to voriconazole. She continues to make a protracted recovery and is being closely monitored.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 4","pages":"Pages 170-171"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2011.03.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137225860","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: 4
Recurrent pneumonia due to esophageal migration of the gastrostomy MIC-Key tube remnant causing proximal esophageal obstruction 胃造口MIC-Key管残余食道移位引起食道近端梗阻引起复发性肺炎
Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.03.002
Qureshi Zeeshan, Ramadass Satya, Radhika J. Satya, Jacob P. Pickering, Nabeel Qureshi
{"title":"Recurrent pneumonia due to esophageal migration of the gastrostomy MIC-Key tube remnant causing proximal esophageal obstruction","authors":"Qureshi Zeeshan,&nbsp;Ramadass Satya,&nbsp;Radhika J. Satya,&nbsp;Jacob P. Pickering,&nbsp;Nabeel Qureshi","doi":"10.1016/j.rmedc.2011.03.002","DOIUrl":"https://doi.org/10.1016/j.rmedc.2011.03.002","url":null,"abstract":"<div><p>A 16 years old female with history of cerebral palsy, juvenile rheumatoid arthritis and severe scoliosis presents for recurrent pneumonia. Multiple prior plain films demonstrate progressive increased consolidation confined to the left lower lobe. Subsequently, a CT of the chest was preformed which showed a plastic gastrostomy (MIC-Key tube) bumper in the proximal esophagus causing severe tracheal narrowing. The patient underwent endoscopic removal of the gastrostomy bumper without incident.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 4","pages":"Pages 193-195"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2011.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137225888","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
Cryptogenic organizing pneumonia due to ortho-phenylenediamine 邻苯二胺引起的隐源性组织性肺炎
Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.04.005
M. Sanchez-Ortiz , M.J. Cruz , M. Viladrich , F. Morell , X. Muñoz
{"title":"Cryptogenic organizing pneumonia due to ortho-phenylenediamine","authors":"M. Sanchez-Ortiz ,&nbsp;M.J. Cruz ,&nbsp;M. Viladrich ,&nbsp;F. Morell ,&nbsp;X. Muñoz","doi":"10.1016/j.rmedc.2011.04.005","DOIUrl":"https://doi.org/10.1016/j.rmedc.2011.04.005","url":null,"abstract":"<div><p>Cryptogenic organizing pneumonia (COP) is a rare, potentially serious respiratory disease which may be idiopathic or secondary to other conditions. Exceptionally, cases of COP of occupational origin have been reported. We present the case of a laboratory researcher who developed COP after prolonged exposure to ortho-phenylenediamine. The diagnosis was made after a specific inhalation challenge (SIC). After clinical and radiological resolution, the patient has avoided the causal agent and remains asymptomatic.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 4","pages":"Pages 164-165"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2011.04.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137226499","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
Chronic thromboembolic disease and necrotizing granulomatous vasculitis – A case report 慢性血栓栓塞性疾病和坏死性肉芽肿性血管炎1例报告
Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.07.003
Donall G. Forde , Brian McCullagh , Michael T. Henry , Sean P. Gaine , Desmond M. Murphy
{"title":"Chronic thromboembolic disease and necrotizing granulomatous vasculitis – A case report","authors":"Donall G. Forde ,&nbsp;Brian McCullagh ,&nbsp;Michael T. Henry ,&nbsp;Sean P. Gaine ,&nbsp;Desmond M. Murphy","doi":"10.1016/j.rmedc.2011.07.003","DOIUrl":"https://doi.org/10.1016/j.rmedc.2011.07.003","url":null,"abstract":"<div><p>A 32 year old male presented to our services with severe, progressive breathlessness. Following a detailed clinical work-up he was found to have severe pulmonary arterial hypertension due to chronic thromboembolic disease. No risk factor for venous thromboembolism,was identified at this time. Vasculitic screen including anti-neutrophil cytoplasmic antibody (ANCA) was normal. He was referred for pulmonary artery endarterectomy which was performed successfully and with good initial improvement in his symptom complex. He represented with breathlessness four months later. He was diagnosed with necrotizing granulomatous vasculitis (known formerly as Wegner's Granulomatosis). While an association between necrotizing granulomatous vasculitis and venous thromboembolic disease is well described, to our knowledge this is the first case of a patient with chronic thromboembolic pulmonary hypertensive disease subsequently developing fulminant necrotizing granulomatous vasculitis.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 4","pages":"Pages 149-150"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2011.07.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137226496","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
Pulmonary tuberculosis masquerading as community acquired pneumonia 伪装成社区获得性肺炎的肺结核
Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.11.004
Lancelot Mark Pinto, Arpan Chandrakant Shah, Kushal Dipakkumar Shah, Zarir Farokh Udwadia
{"title":"Pulmonary tuberculosis masquerading as community acquired pneumonia","authors":"Lancelot Mark Pinto,&nbsp;Arpan Chandrakant Shah,&nbsp;Kushal Dipakkumar Shah,&nbsp;Zarir Farokh Udwadia","doi":"10.1016/j.rmedc.2010.11.004","DOIUrl":"https://doi.org/10.1016/j.rmedc.2010.11.004","url":null,"abstract":"<div><p>Pulmonary tuberculosis usually has a smouldering onset and progression, and patients typically present with the symptoms of cough, weight loss, anorexia, night sweats and malaise that is usually present for a few weeks before presentation.</p><p>A 22-year old man presented with symptoms, signs and radiological features of an acute severe community acquired pneumonia(CAP), a presentation that can delay the diagnosis of TB, and cause institution of antibiotics that may transiently cause clinical improvement, only to be followed by deterioration. We discuss the features that should make a physician suspect that possibility of TB, and illustrate how in a high-burden country, even in the absence of these features, TB must be considered in the differential diagnosis of any patient presenting with a CAP.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 3","pages":"Pages 138-140"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2010.11.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137087988","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: 18
An unusual cause of “disappearing” endobronchial lesions 支气管内病变“消失”的不寻常原因
Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.05.002
Pratheega Mahendra, Graeme P. Currie
{"title":"An unusual cause of “disappearing” endobronchial lesions","authors":"Pratheega Mahendra,&nbsp;Graeme P. Currie","doi":"10.1016/j.rmedc.2010.05.002","DOIUrl":"https://doi.org/10.1016/j.rmedc.2010.05.002","url":null,"abstract":"","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 1","pages":"Page 40"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2010.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137091392","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
A forty-year old man with advanced acquired immune deficiency syndrome and bilateral pulmonary infiltrates 四十岁男性，患有晚期获得性免疫缺陷综合征和双侧肺浸润
Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.03.004
Ikjot Kaur , Agustina Saenz , Harish Iyer , Glenn Eiger , Robert Fischer , Vladimir Zagrebelsky
{"title":"A forty-year old man with advanced acquired immune deficiency syndrome and bilateral pulmonary infiltrates","authors":"Ikjot Kaur ,&nbsp;Agustina Saenz ,&nbsp;Harish Iyer ,&nbsp;Glenn Eiger ,&nbsp;Robert Fischer ,&nbsp;Vladimir Zagrebelsky","doi":"10.1016/j.rmedc.2011.03.004","DOIUrl":"https://doi.org/10.1016/j.rmedc.2011.03.004","url":null,"abstract":"<div><p>This report describes a 40-year old man with a history of acquired immunodeficiency syndrome (AIDS) diagnosed with <em>Pneumocystis jiroveci</em> pneumonia (PJP) twice prior to this admission, who presented with 3 days of fever, non-productive cough and shortness of breath. The patient was treated empirically for PJP, but his condition deteriorated rapidly and he expired despite resuscitative efforts. The bronchoalveolar lavage (BAL) and blood cultures grew <em>Cryptococcus neoformans</em>. Very few cases of disseminated cryptococcosis presenting as acute respiratory failure have been reported. Cryptococcosis is a common opportunistic infection that should be considered in patients with AIDS presenting with bilateral pulmonary infiltrates and fever.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 4","pages":"Pages 184-186"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2011.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137225892","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
Pulmonary adenocarcinoma masquerading as diffuse inflammatory interstitial lung disease 肺腺癌伪装成弥漫性炎性间质性肺病
Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.09.003
Vikas Pathak, Iliana Samara Hurtado Rendon
{"title":"Pulmonary adenocarcinoma masquerading as diffuse inflammatory interstitial lung disease","authors":"Vikas Pathak,&nbsp;Iliana Samara Hurtado Rendon","doi":"10.1016/j.rmedc.2010.09.003","DOIUrl":"https://doi.org/10.1016/j.rmedc.2010.09.003","url":null,"abstract":"<div><p>Pulmonary adenocarcinoma has long intrigued both internists and pulmonologists because it seems to have unique epidemiologic, pathologic and clinical features. We report a case of multifocal well-differentiated adenocarcinoma, mimicking honeycombing and diffuse inflammatory interstitial lung disease.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 2","pages":"Pages 67-69"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2010.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137401428","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: 5
Hereditary angio-oedema: Long-term prophylaxis with danazol 遗传性血管水肿:用那那唑长期预防
Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.01.006
S. Hammami , K. Harrathi , S. Hadded , L. Ghédira Besbès , A. Elkorbi , S. Chouchane , Ch. B. Meriem , A. Gassab , M.N. Guediche
{"title":"Hereditary angio-oedema: Long-term prophylaxis with danazol","authors":"S. Hammami ,&nbsp;K. Harrathi ,&nbsp;S. Hadded ,&nbsp;L. Ghédira Besbès ,&nbsp;A. Elkorbi ,&nbsp;S. Chouchane ,&nbsp;Ch. B. Meriem ,&nbsp;A. Gassab ,&nbsp;M.N. Guediche","doi":"10.1016/j.rmedc.2010.01.006","DOIUrl":"https://doi.org/10.1016/j.rmedc.2010.01.006","url":null,"abstract":"<div><p>Hereditary angio-oedema is a rare autosomal dominant disease characterized by recurrent attacks of subcutaneous oedema and caused by a deficiency of the plasma protein C1 inhibitor. Hereditary angio-oedema attacks carry a high risk of morbidity or even mortality. In literature, there are only a few publications on the treatment and follow-up of paediatric patients. We report the case of a 14-year-old male with known hereditary angio-oedema since the age of six years, revealed by a recurrent acute abdominal pain and oedema in subcutaneous tissues of extremities and face, and he was admitted once for sub mucosal oedema of larynx with suffocation, treated by fresh-frozen plasma with favourable outcome. Danazol was used for long-term prophylaxis. Clinical course improved over a follow-up of 12 months.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 1","pages":"Pages 15-16"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2010.01.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92013238","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
Disseminated BCG disease: A case report 播散性卡介苗病1例
Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.12.003
Sinan R. Eccles , Rohan Mehta
{"title":"Disseminated BCG disease: A case report","authors":"Sinan R. Eccles ,&nbsp;Rohan Mehta","doi":"10.1016/j.rmedc.2010.12.003","DOIUrl":"https://doi.org/10.1016/j.rmedc.2010.12.003","url":null,"abstract":"<div><p>Disseminated BCG disease is a rare life-threatening complication of BCG administration, characterised by miliary pulmonary nodules. Presentation can mimic tuberculosis, both in symptoms and on radiological imaging. Here we report a case of disseminated BCG disease following intravesical BCG treatment for superficial bladder cancer that responded to anti-tuberculous treatment and corticosteroids, and briefly review the literature on disseminated BCG disease.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 3","pages":"Pages 112-113"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2010.12.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137088782","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: 9
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