Respiratory medicine CME最新文献_第7页

Pulmonary sarcoid-like reaction in metastatic synovial sarcoma 转移性滑膜肉瘤的肺结节样反应

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.01.004

Sameh A. Hashem , Iyad Sultan , Maysa Al-Hussaini , Feras Hawari , Sameer Yaser

引用次数: 2

Allergic bronchopulmonary aspergillosis (ABPA) an IgE mediated disease? 过敏性支气管肺曲霉病(ABPA)是IgE介导的疾病吗?

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2009.12.004

Johannes Schulze, Ulrich Zissler, Martin Christmann, Martin Rosewich, Stefan Zielen

引用次数: 5

Misleading chest radiograph in a case of allergic bronchopulmonary aspergillosis 过敏性支气管肺曲菌病1例胸片误导

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.03.001

Ahmed M.A. Adlan , Simon E. Brill , Harman T. Saman , David J. Evans

引用次数: 0

Pneumomediastinum in interstitial lung disease-A case report 间质性肺病纵隔气肿1例

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.08.003

Nandita Nadig, Carey Thomson

引用次数: 1

Bronchiolitis obliterans with organizing pneumonia associated with Aspergillus fumigatus 闭塞性细支气管炎伴烟曲霉相关的组织性肺炎

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.09.004

Cantürk Tasci , Metin Ozkan , Nuri Karadurmus , Ilkin Naharci , Mustafa Cakar , Mukerrem Safali , Bulent Karaman , Hayati Bilgic

引用次数: 2

Multiple cystic echinococcosis mimicking metastatic malignancy 多发性囊性包虫病模拟转移性恶性肿瘤

Respiratory medicine CME Pub Date : 2010-01-01 DOI: 10.1016/j.rmedc.2009.09.018

Yavuz Havlucu , Levent Ozdemir , Erkan Sahin

引用次数: 2

Pulmonary fibrosis predating microscopic polyangiitis by seven years 肺纤维化比显微镜下多血管炎早7年

Respiratory medicine CME Pub Date : 2010-01-01 DOI: 10.1016/j.rmedc.2009.12.005

Angeliki M. Tsimogianni, Magda Stratiki, Grigoris Stratakos, Spyros Zakynthinos, Paraskeyi Katsaounou

{"title":"Pulmonary fibrosis predating microscopic polyangiitis by seven years","authors":"Angeliki M. Tsimogianni, Magda Stratiki, Grigoris Stratakos, Spyros Zakynthinos, Paraskeyi Katsaounou","doi":"10.1016/j.rmedc.2009.12.005","DOIUrl":"https://doi.org/10.1016/j.rmedc.2009.12.005","url":null,"abstract":"<div><p>A 63-year-old man, ex-smoker with renal failure of recent onset was admitted at the respiratory department with massive haemoptysis. Previous X-rays and CT scans showed pulmonary fibrosis of seven-year duration. Subsequently, he developed high fever, large haemoptysis, new infiltrates and respiratory failure despite broad-spectrum antibiotic treatment. Antineutrophilic antibodies of the perinuclear type with specificity against myeloperoxidase were detected and microscopic polyangiitis was diagnosed. Immunosuppressive treatment with methylprednisolone pulses and cyclophosphamide was started with initially favorable response, but later the patient developed a hospital-acquired pneumonia which was treated successfully with meropenem. As pulmonary haemorrhage recurred, he was transferred to intensive care for plasmapheresis which was considered the last treatment option. Unfortunately he died from septic shock.</p></div><div><h3>Conclusion</h3><p>Asymptomatic pulmonary fibrosis can predate microscopic polyangiitis by several years and is associated with unfavorable prognosis of the vasculitis. Appreciation of this finding would lead to faster diagnosis and better management of these patients.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"3 4","pages":"Pages 207-210"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2009.12.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137088177","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

Pharmacological and non-pharmacological interventions for cough in adults with respiratory and non-respiratory diseases: A systematic review of the literature 成人呼吸道和非呼吸道疾病咳嗽的药物和非药物干预:文献系统综述

Respiratory medicine CME Pub Date : 2010-01-01 DOI: 10.1016/j.rmedc.2010.11.001

A. Molassiotis , G. Bryan , A. Caress , C. Bailey , J. Smith

{"title":"Pharmacological and non-pharmacological interventions for cough in adults with respiratory and non-respiratory diseases: A systematic review of the literature","authors":"A. Molassiotis , G. Bryan , A. Caress , C. Bailey , J. Smith","doi":"10.1016/j.rmedc.2010.11.001","DOIUrl":"https://doi.org/10.1016/j.rmedc.2010.11.001","url":null,"abstract":"<div><p>The management of cough in adults with respiratory and non-respiratory illnesses is suboptimal and based mostly on clinical opinions rather than evidence. A systematic review was carried out assessing all trials in adult patients with respiratory and non-respiratory diseases (excluding cancer) that had chronic cough as primary or secondary outcome. A total of 1177 trials were retrieved and 75 met the criteria for inclusion in the review. The vast majority were in patients with asthma and chronic obstructive pulmonary disease (COPD). Cough was the primary outcome in less than one-quarter of the studies. The measurement of cough was variable, mostly using unvalidated scales or being part of an overall ‘symptoms’ score. Positive results were overall seen with the use of corticosteroids, leukotriene receptor antagonists, mast cell stabilizers, ipratropium bromide, neltenexine, iodinised glycerol and lidocaine. Speech pathology training and symptom monitoring through SMS messages (accompanied by treatment adjustments) have also shown promise. Evidence for established anti-tussive agents such as codeine was scarce, with positive studies from the 1960s, whilst more recent studies showed no effect in patients with COPD. Many studies had conflicting results. It is imperative that the management of cough and its evidence base be improved, using higher quality research designs and with cough being the primary outcome of trials.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"3 4","pages":"Pages 199-206"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2010.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137088178","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

Thoracic-abdominal MDCT: A one-stop-shop procedure for diagnosis of lymphangioleiomyomatosis 胸腹MDCT:诊断淋巴管平滑肌瘤病的一站式程序

Respiratory medicine CME Pub Date : 2010-01-01 DOI: 10.1016/j.rmedc.2009.12.003

N. Sverzellati , P. Spagnolo , S. Harari , M. De Filippo , M. Zompatori , C. Rossi

引用次数: 0

Fatal adenovirus serotype 21 infection associated with hemophagocytic lymphohistiocytosis and multiorgan failure 致命性21型腺病毒感染与噬血细胞、淋巴组织细胞增多症和多器官功能衰竭有关

Respiratory medicine CME Pub Date : 2010-01-01 DOI: 10.1016/j.rmedc.2009.11.003

Tim Lahm , Helena N. Spartz , Dean A. Hawley , Diane S. Leland , Karen M. Wolf , Homer L. Twigg III , Michael D. Ober

{"title":"Fatal adenovirus serotype 21 infection associated with hemophagocytic lymphohistiocytosis and multiorgan failure","authors":"Tim Lahm , Helena N. Spartz , Dean A. Hawley , Diane S. Leland , Karen M. Wolf , Homer L. Twigg III , Michael D. Ober","doi":"10.1016/j.rmedc.2009.11.003","DOIUrl":"https://doi.org/10.1016/j.rmedc.2009.11.003","url":null,"abstract":"<div><p>Recent reports describe an increase in the incidence of fatal adenovirus infections. Several severe cases have been linked to adenovirus serotype 21. The exact etiology for this unexpectedly high mortality remains unknown. We report the case of a patient with severe adenovirus serotype 21 pneumonia resulting in hemophagocytic lymphohistiocytosis (HLH) with acute respiratory distress syndrome and rapidly progressive multiorgan dysfunction syndrome (MODS). HLH describes a cytokine storm due to uncontrolled accumulation of activated T-lymphocytes and activated histiocytes. This results in organ infiltration with these cells, and subsequent hemophagocytosis of erythrocytes, leukocytes and platelets. In its most severe form, HLH leads to a sepsis-like picture and MODS. The association between adenovirus 21 and HLH may at least in part explain the recently observed increase in incidence of fatal adenoviral infections. We suggest that HLH should be considered in cases of severe adenoviral infection. If HLH is present, aggressive treatment is warranted.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"3 4","pages":"Pages 223-225"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2009.11.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137088182","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