Respiratory medicine CME最新文献

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An unusual accessory fissure in the right upper lobe 右上肺叶有一个不寻常的副裂
Respiratory medicine CME Pub Date : 2010-01-01 DOI: 10.1016/j.rmedc.2009.04.007
K. Gowrinath , Rahul Magazine , Chandrakant M. Shetty , Paresh Desai
{"title":"An unusual accessory fissure in the right upper lobe","authors":"K. Gowrinath ,&nbsp;Rahul Magazine ,&nbsp;Chandrakant M. Shetty ,&nbsp;Paresh Desai","doi":"10.1016/j.rmedc.2009.04.007","DOIUrl":"https://doi.org/10.1016/j.rmedc.2009.04.007","url":null,"abstract":"<div><p>An accessory fissure not due to anomalous course of azygos vein in the right upper lobe is rarely documented. We report such an accessory fissure between the apical and posterior segments of right upper lobe through computed tomographic (CT) scan of chest in a case of chronic obstructive pulmonary disease. A contrast enhanced CT scan study of chest is useful to determine whether the accessory fissure in the right upper lobe is an azygos fissure or not.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"3 2","pages":"Pages 101-102"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2009.04.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137159050","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
Empyema thoracic presenting as low back ache 胸廓脓胸表现为腰痛
Respiratory medicine CME Pub Date : 2010-01-01 DOI: 10.1016/j.rmedc.2009.02.005
Mohammad Shameem , Nazish Fatima , Jamal Akhtar , Asrar Ahmad
{"title":"Empyema thoracic presenting as low back ache","authors":"Mohammad Shameem ,&nbsp;Nazish Fatima ,&nbsp;Jamal Akhtar ,&nbsp;Asrar Ahmad","doi":"10.1016/j.rmedc.2009.02.005","DOIUrl":"https://doi.org/10.1016/j.rmedc.2009.02.005","url":null,"abstract":"<div><p>A 24 years old female was presented with a 2 weeks history of fever (high grade), cough, fatigue, shortness of breath, chest pain right side and low back ache. Patient prefers to lie towards right side. CECT thorax reveals empyema thoracic with paravertebral extension. Patient was put on IV antibiotic according to culture and sensitivity. Clinical and Radiological improvement was evident after 1 week.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"3 2","pages":"Pages 123-124"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2009.02.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137158513","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
Aspergilloma in a hydatid cavity 在包虫腔内的曲菌瘤
Respiratory medicine CME Pub Date : 2010-01-01 DOI: 10.1016/j.rmedc.2009.02.002
Sameh M'saad , Lobna Ayedi , Mohamed Abdennader , Najla Bahloul , Abdessalem Hentati , Chouki Dabbech , Imed Frikha , Tahia Boudawara , Abdelkhader Ayoub
{"title":"Aspergilloma in a hydatid cavity","authors":"Sameh M'saad ,&nbsp;Lobna Ayedi ,&nbsp;Mohamed Abdennader ,&nbsp;Najla Bahloul ,&nbsp;Abdessalem Hentati ,&nbsp;Chouki Dabbech ,&nbsp;Imed Frikha ,&nbsp;Tahia Boudawara ,&nbsp;Abdelkhader Ayoub","doi":"10.1016/j.rmedc.2009.02.002","DOIUrl":"https://doi.org/10.1016/j.rmedc.2009.02.002","url":null,"abstract":"<div><p>Aspergilloma is a saprophytic infection that consists of masses of fungal mycelium that occurs in pre-existing cavities usually due to tuberculosis, bronchestasis or pulmonary infraction. However, few cases of aspergilloma within hydatid cyst have been reported in literature.</p><p>We describe two patients with aspergilloma formed within cyst hydatid. Both patients consulted because of recurrent hemoptysis. In a 52-year-old woman, diagnosis was established by a transthoracic CT biopsy. Treatment consisted of postero-lateral thracotomy with wedge resection of tow aspergilloma in the left upper lobe. In a 56-year-old man, thoracotomy with lower right lobectomy was performed at emergency because of massive hemoptysis. In both cases, patients progressed favourably without antifungal therapy.</p><p>Aspergilloma is an unusual complication of hydatid cyst. It results from the deterioration of local defence against opportunistic infections. Prognosis appears to be better than aspergilloma within tuberculosis cavities.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"3 1","pages":"Pages 29-32"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2009.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136554841","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: 8
Severe Shwachman-Diamond syndrome and associated CF carrier mutations 严重的Shwachman-Diamond综合征和相关的CF携带者突变
Respiratory medicine CME Pub Date : 2010-01-01 DOI: 10.1016/j.rmedc.2009.02.001
Fauziya Hassan , Craig Byersdorfer , Samya Nasr
{"title":"Severe Shwachman-Diamond syndrome and associated CF carrier mutations","authors":"Fauziya Hassan ,&nbsp;Craig Byersdorfer ,&nbsp;Samya Nasr","doi":"10.1016/j.rmedc.2009.02.001","DOIUrl":"https://doi.org/10.1016/j.rmedc.2009.02.001","url":null,"abstract":"<div><p>Combination of Shwachman-Diamond syndrome genetic mutations and cystic fibrosis carrier mutations can account for severe morbidity and early mortality in a patient with Shwachman-Diamond syndrome.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"3 1","pages":"Pages 18-19"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2009.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136554842","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
Alveolar hemorrhage due to erlotinib in non-small-cell lung cancer resistant to gefitinib 对吉非替尼耐药的非小细胞肺癌因厄洛替尼引起肺泡出血
Respiratory medicine CME Pub Date : 2010-01-01 DOI: 10.1016/j.rmedc.2009.02.010
Yano Shuichi
{"title":"Alveolar hemorrhage due to erlotinib in non-small-cell lung cancer resistant to gefitinib","authors":"Yano Shuichi","doi":"10.1016/j.rmedc.2009.02.010","DOIUrl":"https://doi.org/10.1016/j.rmedc.2009.02.010","url":null,"abstract":"<div><p>This is the first report of alveolar hemorrhage due to erlotinib. This patient had received four courses of carboplatin and paclitaxel as first line chemotherapy. Six months later,the level of serum CEA was increased. As cancer cells detected in right bloody pleural effusion indicated an adenocarcinoma showing in frame deletion in exon 19 (E746-A750 del) of epidermal growth factor receptor (EGFR) mutation, gefitinib was administered. The level of serum CEA was decreased for three months. However, the level of serum CEA increased again. Therefore, she was hospitalized to begin erlotinib treatment as third line chemotherapy. She did not respond to erlotinib, but severe alveolar hemorrhage did occur and was suspected to have been a resul of erlotinib administration We should consider that there may be a risk of alveolar hemorrhage due to erlotinib administration in non-small-cell lung cancer resistant to gefitinib.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"3 1","pages":"Pages 20-22"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2009.02.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136554843","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
Sauropus androgynus-associated bronchiolitis obliterans of mother and daughter – autopsy report 母女与雌雄同体相关的闭塞性细支气管炎——尸检报告
Respiratory medicine CME Pub Date : 2010-01-01 DOI: 10.1016/j.rmedc.2009.11.005
Michiru Sawahata , Takashi Ogura , Akihiro Tagawa , Hiroshi Takahashi , Takuya Yazawa , Masaaki Matsuura , Tamiko Takemura
{"title":"Sauropus androgynus-associated bronchiolitis obliterans of mother and daughter – autopsy report","authors":"Michiru Sawahata ,&nbsp;Takashi Ogura ,&nbsp;Akihiro Tagawa ,&nbsp;Hiroshi Takahashi ,&nbsp;Takuya Yazawa ,&nbsp;Masaaki Matsuura ,&nbsp;Tamiko Takemura","doi":"10.1016/j.rmedc.2009.11.005","DOIUrl":"https://doi.org/10.1016/j.rmedc.2009.11.005","url":null,"abstract":"<div><p><em>Sauropus androgynus</em> (SA) is a vegetable that causes constrictive bronchiolitis obliterans (BO) with consequent findings classified into injury, inflammation and fibrosis, according to clinical factors including amount of SA exposure, period of SA exposure, and individual predisposition. We reported mother and daughter SABO autopsy cases with similar clinical course, including 11 month SA exposure and Aspergillosis infection after high dose prednisolone therapy. Their major differences were in the amount of SA exposure (mother: 1440 g, daughter: 2190 g) and the survival period post exposure (mother: 21 months, daughter: 32 months). The histopathological comparison between them showed a statistical difference in the density of foamy macrophage accumulation of moderately obstructed airways, but not in the extent of fibrosis, elastic lamina destruction, or smooth muscle hyperplasia. Foamy macrophages tend to accumulate relatively early in the course of SABO at the site with severe damage, accelerating BO formation for as long as the patient survives.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"3 4","pages":"Pages 214-217"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2009.11.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137088179","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
Idiopathic pulmonary hemosiderosis in adult 成人特发性肺含铁血黄素沉着症
Respiratory medicine CME Pub Date : 2010-01-01 DOI: 10.1016/j.rmedc.2009.10.004
Chermiti Ben Abbdallah Fatma , Chtourou Amel , Mahouchi Ridha , Smaïl Olfa , Taktak Sophia , Mezni Faouzi , Ben Kheder Ali
{"title":"Idiopathic pulmonary hemosiderosis in adult","authors":"Chermiti Ben Abbdallah Fatma ,&nbsp;Chtourou Amel ,&nbsp;Mahouchi Ridha ,&nbsp;Smaïl Olfa ,&nbsp;Taktak Sophia ,&nbsp;Mezni Faouzi ,&nbsp;Ben Kheder Ali","doi":"10.1016/j.rmedc.2009.10.004","DOIUrl":"https://doi.org/10.1016/j.rmedc.2009.10.004","url":null,"abstract":"<div><p>Idiopathic pulmonary hemosiderosis (IPH) is a rare unknown origin disease characterized by diffuse alveolar hemorrhage (DPH). It rarely occurs in adults. We report a case of 50-year-old man, hospitalized with acute respiratory insuffiency. The chest radiograph and computed tomography scan showed bilateral interstitial and ground-glass opacities. The diagnosis of IPH was confirmed by broncho-alveolar lavage (BAL) and surgical pulmonary biopsy. There was no sign of capillaritis or granuloma in the anatomopathologic study. No remission was obtained after two months of high-dose corticosteroid therapy</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"3 4","pages":"Pages 238-240"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2009.10.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137088215","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
Pleuropulmonary blastoma: Cystic tumour misdiagnosed as an emphysematous bulla 胸膜肺母细胞瘤:误诊为肺气肿大疱的囊性肿瘤
Respiratory medicine CME Pub Date : 2010-01-01 DOI: 10.1016/j.rmedc.2009.02.007
A. Chadli-Debbiche , E. Ben Brahim , R. Jouini , N. Labbene , S. Sayed , M. Ben Ayed , N. Kaâbar
{"title":"Pleuropulmonary blastoma: Cystic tumour misdiagnosed as an emphysematous bulla","authors":"A. Chadli-Debbiche ,&nbsp;E. Ben Brahim ,&nbsp;R. Jouini ,&nbsp;N. Labbene ,&nbsp;S. Sayed ,&nbsp;M. Ben Ayed ,&nbsp;N. Kaâbar","doi":"10.1016/j.rmedc.2009.02.007","DOIUrl":"https://doi.org/10.1016/j.rmedc.2009.02.007","url":null,"abstract":"<div><p>Pleuropulmonary blastoma is a dysontogenetic neoplasm of childhood, histologically characterized by a primitive variably mixed blastematous and sarcomatous appearance. It presents a pattern of rapid growth and is associated with a poor prognosis. We report the case of a 13-month-old girl, consulting for wheezing, dyspnea and loss of appetite. Chest X-ray revealed a mediastinal deviation with a clear appearance of the right lung. Computed tomography showed a voluminous emphysematous bulla of the right lung and atelectasis of the lower lobe. The final diagnosis was made on the basis of histological features of a cystic tumour, showing blastematous elements associated with sarcomatous compound confirming the diagnosis of pleuropulmonary blastoma type I. Subsequent chemotherapy was performed. Four years after the operation, the child is well with no evidence of disease recurrence or metastasis.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"3 2","pages":"Pages 120-122"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2009.02.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137158514","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
Successful treatment with carboplatin and etoposide in a small-cell lung cancer patient undergoing hemodialysis 卡铂和依托泊苷在接受血液透析的小细胞肺癌患者中的成功治疗
Respiratory medicine CME Pub Date : 2010-01-01 DOI: 10.1016/j.rmedc.2009.05.006
Young Hak Kim, Tadashi Mio, Yumi Hamamoto, Michiaki Mishima
{"title":"Successful treatment with carboplatin and etoposide in a small-cell lung cancer patient undergoing hemodialysis","authors":"Young Hak Kim,&nbsp;Tadashi Mio,&nbsp;Yumi Hamamoto,&nbsp;Michiaki Mishima","doi":"10.1016/j.rmedc.2009.05.006","DOIUrl":"https://doi.org/10.1016/j.rmedc.2009.05.006","url":null,"abstract":"<div><p>Chemotherapy for cancer patients with chronic renal failure, undergoing hemodialysis (HD), has not been well established. A 78-year-old woman with chronic renal failure due to hypertensive nephropathy, undergoing HD, was diagnosed with small-cell lung cancer (SCLC) with multiple-organ metastases. She was treated with 4 cycles of carboplatin (CBDCA) and etoposide (ETP) chemotherapy and a partial response was achieved. She remained progression-free for at least 12 months after the completion of chemotherapy. Pharmacokinetic analysis (PK) revealed that both agents were rapidly eliminated by HD; however, the remnant platinum remained longer in the plasma. Chemotherapy with CBDCA and ETP was effective and could be safely administered to a patient with SCLC undergoing HD.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"3 2","pages":"Pages 68-70"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2009.05.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137158517","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
Mounier-Kuhn syndrome masquerading as obstructive lung disease 穆尼尔-库恩综合征伪装成阻塞性肺病
Respiratory medicine CME Pub Date : 2010-01-01 DOI: 10.1016/j.rmedc.2009.05.009
Atman Shah , Abubakr A. Bajwa , Akram Khan
{"title":"Mounier-Kuhn syndrome masquerading as obstructive lung disease","authors":"Atman Shah ,&nbsp;Abubakr A. Bajwa ,&nbsp;Akram Khan","doi":"10.1016/j.rmedc.2009.05.009","DOIUrl":"https://doi.org/10.1016/j.rmedc.2009.05.009","url":null,"abstract":"<div><p>Chronic obstructive pulmonary disease (COPD) is present in 10.1% of the population and is the fourth leading cause of death in the United States while the prevalence of asthma in adults is 6.7%.<span><sup>1</sup></span> Patients presenting to primary care offices with lower respiratory tract symptoms like dyspnea and wheezing are often diagnosed with COPD or asthma and started on treatment. There are uncommon conditions like Mounier-Kuhn syndrome (MKS) that can present with similar symptoms and it is important for the primary care physician to keep them in mind when evaluating patients. It is important to identify MKS, as early recognition can lead to better management and prevention of complications. We describe a case of an older gentleman with recurrent symptoms of shortness of breath and intermittent spells of productive sputum who was misdiagnosed with COPD for years. Our diagnosis was supported by a clinical history and confirmed by radiographic evidence.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"3 2","pages":"Pages 73-75"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2009.05.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137158521","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
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