Austin journal of pulmonary and respiratory medicine最新文献

{"title":"Efficacy of Antibiotic Prophylaxis after Endobronchial Ultrasound-guided Transbronchial Needle Aspiration: A Preliminary Prospective Study","authors":"Haruhi Takagi, T. Nagaoka, K. Ando, T. Tsutsumi, Masako Ichikawa, R. Koyama, N. Shimada, K. Tobino, Kazuhisa Takahashi","doi":"10.4172/2161-105X.1000416","DOIUrl":"https://doi.org/10.4172/2161-105X.1000416","url":null,"abstract":"Background: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is useful for diagnosing mediastinal and hilar lymphadenopathy. While bacteremia and serious infectious complications after EBUS-TBNA have been reported, the efficacy of antibiotic prophylaxis is unclear. This preliminary prospective study aimed to evaluate the efficacy of antibiotic prophylaxis after EBUS-TBNA. \u0000Methods: Patients were randomly assigned to the antibiotic group (n = 43) or control group (n = 47). Ampicillin/ sulbactam was intravenously administered before the puncture, followed by oral amoxicillin/clavulanate. The primary outcome was body temperature (BT) within 5 days after EBUS-TBNA. The secondary outcomes were the change in the white blood cell count (WBC) and C-reactive protein (CRP) value before and after the examination, and the frequency of infectious complications that required antibiotics. We also assessed the clinical characteristics of patients with fever. \u0000Results: BT after EBUS-TBNA did not significantly differ between the groups. Antibiotic prophylaxis had no effect on the changes in the WBC and CRP value. Neither group had infectious complications associated with EBUS-TBNA. The smoking pack-year was higher in the group with fever than without fever, although the WBC and CRP value at baseline were similar between the groups. The number of punctures, presence of low-density areas in the lymph nodes, and antibiotic treatment were unrelated to the development of fever following EBUS-TBNA. \u0000Conclusion: Results of this study and the low frequency of infectious complications, which has been demonstrated in previous reports, suggest that antibiotic prophylaxis is not recommended for EBUS-TBNA (UMIN: 000008813).","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"114 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90732211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Oral Abscess as the Entrance Leading to Endocarditis: A Sexual Behavior Role","authors":"S. Rimoldi, P. Vanelli, S. Merli, Contino Monica, Rosa Rubinia, Barosi Alberto, M. Arghittu, M. Gismondo, G. Cagnoni, C. Antona","doi":"10.4172/2161-105X.1000397","DOIUrl":"https://doi.org/10.4172/2161-105X.1000397","url":null,"abstract":"We report a case of atypical endocarditis for which the transmission mode has long been debated among cardiac surgeons, microbiologists, and infectious disease specialists. This is the first reported case of Streptococcus agalactiae being responsible for the probable sexually transmitted case of endocarditis in a healthy, 49-year-old female. \u0000Keywords \u0000S. agalactiae; Infective endocarditis; Aortic valve","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"42 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78166156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pulmonary Sequestration Supplied by an Aberrant Infra-diapharagmaticArtery","authors":"Hasan S. Yamin, Amro Y. Alastal","doi":"10.4172/2161-105X.1000413","DOIUrl":"https://doi.org/10.4172/2161-105X.1000413","url":null,"abstract":"Sequestered lung is a discrete mass of lung tissue, where airways do not connect with the rest of the tracheabronchial tree, and that receives its blood supply from a systemic artery rather than a pulmonary one, while sometimes maintaining normal venous drainage to the heart. Abnormal feeding arteries have been reported from the thoracic and abdominal aorta, celiac trunk, coronaries among others. In this article we describe a patient with left lower lobe sequestration supplied by a peculiar infra-diaphragmatic artery.","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"1 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81004266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare Case of Silicosiderosis Mimicking Sarcoidosis â A detailed CaseReport","authors":"D. Daspin, J. Abhin., P. Bhavik, G. Francis","doi":"10.4172/2161-105X.1000412","DOIUrl":"https://doi.org/10.4172/2161-105X.1000412","url":null,"abstract":"The current study reports the case report of a 67-year-old gentleman who presented in our institute with complaints of shortness of breath and cough for last 8 months. He was working in a steel industry with continuous exposure for almost 40 years. On evaluation further, he was diagnosed to have occupational lung disease which was mimicking sarcoidosis and lymphoma.","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"116 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87653687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity of Prediction of Thoracic Gas Volume and Body Composition UsingAir Displacement Plethysmography in People Living with HIV in SouthwestEthiopia","authors":"Yohannes Markos, T. Gobena, Muluegta Shegaze","doi":"10.4172/2161-105X.1000411","DOIUrl":"https://doi.org/10.4172/2161-105X.1000411","url":null,"abstract":"Background: Body composition assessment has become increasingly popular in clinical and research areas. But any body composition measurement technique that is used in both clinical and research settings should be reliable and valid. Objectives: Our first aim was to compare predicted thoracic gas volume (Vtgpred) with measured thoracic gas volume (Vtgmeas) using the BOD POD in people living with HIV/AIDS (PLWHA) in Southwest Ethiopia. The second aim was to determine the effect of thoracic gas volume (Vtg) measurement ways on estimation of body fat (BF) using the BOD POD in PLWHA in Southwest Ethiopia. Method: Cross-sectional study was conducted on 68 PLWHA who had follow up at Jimma University Specialized Hospital (JUSH). Subjects were collected using convenience sampling technique. Agreement between the methods was tested using paired t-test, Pearson’s correlation, linear regression, and Bland-Altman plot. Result: Much percent of study subjects were malnourished (60.3%). Vtg and percent body fat (%BF) did not differ significantly (p>0.05) between the two modes of assessment (predicted and measured). Strong correlation was observed between Vtgpred and Vtgmeas (r=0.82, p<0.001). Correlation between predicted %BF (%BFpred) and measured %BF (%BFmeas) was also strong(r=0.92, p<0.001). The regression of Vtgmeas(Y) against Vtgpred (X) (Y=- 0.369+1.140X, R2=0.68, SEE=0.015) did not significantly deviated from the line of identity. Similarly, the regression of %BFmeas (Y) against %BFpred (X=1·70+0.94X, R2=0·96) did not significantly deviated from the line of identity. Bland- Altman plot of the differences against the mean of Vtgpred and Vtgmeas and the differences against the mean of %BFpred and %BFmeas showed no systematic differences. Conclusion: The BOD-POD is a reliable technique to predict Vtg and body composition in PLWHA in Southwest Ethiopia. Therefore, researchers and clinicians can confidently use the predicted Vtg and body fat in place of the measured ones in PLWHA in Southwest Ethiopia.","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"21 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2017-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85414516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel signaling mechanisms for airway remodeling and hyper-responsiveness in chronic obstructive pulmonary disease (COPD)","authors":"Yong-Xiao Wang","doi":"10.4172/2161-105X-C1-023","DOIUrl":"https://doi.org/10.4172/2161-105X-C1-023","url":null,"abstract":"","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80772771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Induced Sputum and Fibre-Optic Bronchoscopy (Fob) in theEarly Diagnosis of Sputum Smear Negative Suspected Cases of PulmonaryTuberculosis under Rntcp Settings-A Study Conducted in Southern Part ofRajasthan","authors":"Atul Luhadia, M. Kapur, S. Luhadia, Rishi Sharma, G. Chhabra, Shubhkaran Sharma","doi":"10.4172/2161-105X.1000410","DOIUrl":"https://doi.org/10.4172/2161-105X.1000410","url":null,"abstract":"Background: FOB is an invasive procedure. It is costly, and is not widely available in the developing countries. In resource poor settings, where transmission of TB is high, sputum induction with hypertonic saline can be useful in adding to the diagnostic yield. \u0000Materials and Methods: A prospective study conducted from 2015 to 2016, comprising of 100 patients fulfilling study criteria. Patients with respiratory symptoms and CXR showing suspicious of pulmonary tuberculosis and in whom two sputum smear samples ( Morning and Spot) were negative for acid fast bacilli were included and at randomly divided into 2 groups of induced sputum and bronchoscopy. Sputum induction was done by using 3 ml of 3% hypertonic saline through nebulizer and bronchoscopy was performed under local anesthesia. \u0000Results: Out of 100 patients, 60 were in induced sputum group and 40 in bronchoscopy group. Induced sputum smear examination detected acid fast bacilli in 27 patients (45%) and acid fast bacilli detected from BAL in 26 patients (65%). Though the diagnostic yield with induced sputum was inferior to FOB, but looking to the cost effectiveness, safety and practical applicability of induced sputum, it can be used in patients of all age groups, new and retreatment suspected cases of initial sputum negative pulmonary tuberculosis for the diagnosis even at peripheral health centers.","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"24 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81438814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pleuropulmonary Amoebiasis: Know to Think About","authors":"A. Aissa, M. Hachicha, Abderrahmen Daadoucha, I. Othmen, S. Aissa, H. Barhoumi, M. Benzarti, R. Alouini","doi":"10.4172/2161-105X.1000409","DOIUrl":"https://doi.org/10.4172/2161-105X.1000409","url":null,"abstract":"Amoebiasis is the third leading cause of mortality due to parasitic infection worldwide after malaria and schistosomiasis. The direct pulmonary Entamoeba histolytica is rarer than reactive events called “neighborhood”. We report the role of imaging in the diagnostic orientation in a case of amoebic pleuropulmonary damage (associated with serology and parasitology). Before an excavated pulmonary lesion, imaging can be a great contribution in the working diagnosis of pulmonary parasite Entamoeba histolytica.","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"50 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83391781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Machine Learning Algorithms Dramatically Improve the Accuracy and Timeto Diagnosis of Pulmonary Embolisms","authors":"Youqub Kashif, Mian Zayn, L. Gary","doi":"10.4172/2161-105X.1000408","DOIUrl":"https://doi.org/10.4172/2161-105X.1000408","url":null,"abstract":"Acute pulmonary embolism is a common diagnostic challenge across the all hospitals in the US. Diagnosis can be delayed due to a number of variables including, but not limited to, the diagnostic time in medical imaging. The presented algorithm offers a solution to such delays by allowing treating physicians an accurate preliminary report. This gained time advantage should translate into a faster treatment response by the ED team. Moreover, the algorithm is designed to accurately depict pulmonary artery and veins and accounts for respiratory artifact during scan acquisition. As second and third pass search is initiated, the algorithm continues to “learn” upon the subsequent pass. Hence, each application is produces greater diagnostic accuracy. We hope this abstract clearly outlines how the latest developments in machine learning algorithms can aid in diagnostic fidelity of acute embolic events.","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"115 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79447681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Very Rare Case of Malignant Pleural Effusion Caused by EsophagealCancer","authors":"J. Bronnert, M. Respondek, M. Grade","doi":"10.4172/2161-105X.1000406","DOIUrl":"https://doi.org/10.4172/2161-105X.1000406","url":null,"abstract":"An 82-year-old man was admitted to our hospital from a geriatric clinic because of recurrent pleural effusion. Physical examination showed the patient was afebrile and haemodynamically stable with no evidence of acute respiratory distress.","PeriodicalId":90449,"journal":{"name":"Austin journal of pulmonary and respiratory medicine","volume":"5 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2017-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90398103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}