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Case Reports in Pulmonology

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https://www.readbyqxmd.com/read/27891283/streptococcus-intermedius-causing-necrotizing-pneumonia-in-an-immune-competent-female-a-case-report-and-literature-review
#1
Faris Hannoodi, Israa Ali, Hussam Sabbagh, Sarwan Kumar
We report a case of a 52-year-old immunocompetent Caucasian female treated for necrotizing Streptococcus intermedius pneumonia and review available literature of similar cases. Our patient presented with respiratory failure and required hospitalization and treatment in the intensive care unit. Moreover, she required surgical drainage of right lung empyema as well as decortication and resection. The review of literature revealed three cases of S. intermedius pneumonia, one of which was a mortality. Comparison of the published cases showed a highly varied prehospital course and radiological presentations, with a symptomatic phase ranging from 10 days to five months...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27882259/right-lung-agenesis-with-tracheal-stenosis-due-to-complete-tracheal-rings-and-postpneumonectomy-like-syndrome-treated-with-tissue-expander-placement
#2
Yashwant Agrawal, Sandeep Patri, Jagadeesh K Kalavakunta
Congenital lung agenesis is an extremely rare condition with an estimated prevalence of 34 in 1,000,000 live births. It is often associated with other congenital malformations of the skeletal, cardiovascular, urogenital, and gastrointestinal systems. We discuss the case of a 5-month-old who presented with increasing stridor over 1 month. Imaging revealed right lung agenesis, complete dextromalposition of heart, and compression of distal trachea. An intrathoracic saline tissue expander was placed which marked improved distal tracheal stenosis...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27660729/biphasic-malignant-pleural-mesothelioma-masquerading-as-a-primary-skeletal-tumor
#3
James Benjamin Gleason, Basheer Tashtoush, Maria Julia Diacovo
Biphasic malignant pleural mesothelioma is a rare malignant tumor, usually presenting as a pleural-based mass in a patient with history of chronic asbestos exposure. We herein report a case of a 41-year-old man who presented with chest pain and had a chest computed tomography (CT) scan suggestive of a primary skeletal tumor originating from the ribs (chondrosarcoma or osteosarcoma), with no history of asbestos exposure. CT-guided core needle biopsies were diagnosed as malignant sarcomatoid mesothelioma. Surgical resection and chest wall reconstruction were performed, confirming the diagnosis and revealing a secondary histologic component (epithelioid), supporting the diagnosis of biphasic malignant mesothelioma...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27630781/systemic-air-embolism-associated-with-pleural-pigtail-chest-tube-insertion
#4
Emad Alkhankan, Ahmad Nusair, Rida Mazagri, Mohammed Al-Ourani
Pleural pigtail catheter placement is associated with many complications including pneumothorax, hemorrhage, and chest pain. Air embolism is a known but rare complication of pleural pigtail catheter insertion and has a high risk of occurrence with positive pressure ventilation. In this case report, we present a 50-year-old male with bilateral pneumonia who developed a pneumothorax while on mechanical ventilation with continuous positive airway pressure mode. During the placement of the pleural pigtail catheter to correct the pneumothorax, the patient developed a sudden left sided body weakness and became unresponsive...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27610260/postpartum-tuberculosis-a-diagnostic-and-therapeutic-challenge
#5
Vijay Kodadhala, Alemeshet Gudeta, Aklilu Zerihun, Odene Lewis, Sohail Ahmed, Jhansi Gajjala, Alicia Thomas
Tuberculosis (TB) infection in pregnant women and newborn babies is always challenging. Appropriate treatment is pivotal to curtail morbidity and mortality. TB diagnosis or exposure to active TB can be emotionally distressing to the mother. Circumstances can become more challenging for the physician if the mother's TB status is unclear. Effective management of TB during pregnancy and the postpartum period requires a multidisciplinary approach including pulmonologist, obstetrician, neonatologist, infectious disease specialist, and TB public health department...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27579206/subcutaneous-and-pulmonary-dirofilariasis-with-evidence-of-splenic-involvement
#6
Adarsha Selvachandran, Raymond J Foley
Cases of human dirofilariasis have been reported in several countries around the world, including a large number in the Atlantic and Gulf Coast regions of the United States. Most commonly, these cases have subcutaneous or pulmonary involvement; however, there have been few reports of dirofilariasis involving structures such as large vessels, mesentery, the spermatic cord, and liver. We present a case of an unusual presentation of human dirofilariasis presenting as a shoulder abscess and what is presumed to be pulmonary and splenic involvement in a 55-year-old female...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27525149/endobronchial-cartilage-rupture-a-rare-cause-of-lobar-collapse
#7
Osama Dasa, Nauman Siddiqui, Mohammed Ruzieh, Toseef Javaid
Endobronchial cartilage rupture is a rare clinical condition, which can present in patients with severe emphysema with sudden onset shortness of breath. We present a case of a 62-year-old male who presented to our emergency department with sudden onset shortness of breath. Chest X-ray showed lung hyperinflation and a right lung field vague small density. Chest Computed Tomography confirmed the presence of right middle lobe collapse. Bronchoscopy revealed partial right middle lobe atelectasis and an endobronchial cartilage rupture...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27493823/erratum-to-endobronchial-enigma-a-clinically-rare-presentation-of-nocardia-beijingensis-in-an-immunocompetent-patient
#8
Nader Abdel-Rahman, Shimon Izhakian, Walter G Wasser, Oren Fruchter, Mordechai R Kramer
[This corrects the article DOI: 10.1155/2015/970548.].
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27478673/primary-pulmonary-amebiasis-complicated-with-multicystic-empyema
#9
Ali Zakaria, Bayan Al-Share, Khaled Al Asad
Amebiasis is a parasitic infection caused by the protozoan Entamoeba histolytica. While most infections are asymptomatic, the disease could manifest clinically as amebic dysentery and/or extraintestinal invasion in the form of amebic liver abscess or other more rare manifestations such as pulmonary, cardiac, or brain involvement. Herein we are reporting a case of a 24-year-old male with history of Down syndrome who presented with severe right side pneumonia complicated with multicystic empyema resistant to regular medical therapy...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27413568/a-case-of-tuberculous-meningitis-with-tuberculoma-in-nonimmunocompromised-immigrant
#10
Parth Rali, Hammad Arshad, Eric Bihler
We present a case of tuberculous (TB) meningitis in nonimmunocompromised immigrant worker who initially presented with headache and later with generalized tonic clonic seizures and disseminated tuberculosis.
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27213070/an-unusual-association-in-an-uncommon-disease-two-cases-of-spontaneous-pneumomediastinum-associated-with-pneumorrhachis
#11
Luís Martins, Patrícia Dionísio, Susana Moreira, Alda Manique, Isabel Correia, Cristina Bárbara
Pneumomediastinum, the presence of free air in the mediastinum, is described as spontaneous pneumomediastinum when there is no apparent cause such as trauma, surgery, interventional procedures, or intrathoracic infections. Pneumorrhachis is a rare clinical condition, consisting of intraspinal air. The main causes are iatrogenic, traumatic, and nontraumatic. Spontaneous mediastinum is usually associated with subcutaneous emphysema and, occasionally, with pneumothorax; however, its association with pneumorrhachis is extremely rare...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27190667/severe-acute-pulmonary-toxicity-associated-with-brentuximab-in-a-patient-with-refractory-hodgkin-s-lymphoma
#12
Yasmin Sabet, Saul Ramirez, Elizabeth Rosell Cespedes, Marimer Rensoli Velasquez, Mateo Porres-Muñoz, Sumit Gaur, Juan B Figueroa-Casas, Mateo Porres-Aguilar
Acute pulmonary toxicity associated with brentuximab appears to be a rare but serious adverse effect that can be potentially fatal. We report the case of a twenty-nine-year-old female with Hodgkin's lymphoma who was treated with brentuximab and later presented with severe acute pulmonary toxicity; she improved after the discontinuation of brentuximab and administration of antibiotics and glucocorticoid therapy. Currently there is very little data in the literature in regard to the clinical manifestations and characteristics of patients taking brentuximab and the potential development of acute severe pulmonary toxicity, as well as the appropriate therapeutic approach, making this particular case of successful treatment and resolution unique...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27144046/mediastinal-mature-teratoma-revealed-by-empyema
#13
Mohammed Raoufi, Laila Herrak, Anas Benali, Leila Achaachi, Mustapha El Ftouh, Salma Bellarbi, Charaf Tilfine, Firdaous Taouarsa
Teratomas are germ cell tumors, manifested with a great variety of clinical features; the most common extragonadal site is the anterior mediastinum. In this case, we report the patient with a large mature mediastinal teratoma with several components of ectodermal and endothermal epithelium. A 24-year-old female patient presented with history of persistent chest pain and progressively aggravating dyspnea for the previous 3 months. A chest X-ray showed a large opacity of the entire left hemithorax. Transcutaneous needle aspiration revealed a purulent fluid...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27110422/stent-in-stent-technique-for-the-treatment-of-proximal-bronchial-restenosis-after-insertion-of-metallic-stents-a-report-of-two-cases
#14
Benjamin Bondue, Pascal Schlossmacher, Christiane Knoop, Isabelle Etienne, Sylvie Luce, Youri Sokolow, Dimitri Leduc
Endoscopic treatment of a bronchial restenosis previously treated by insertion of a partially covered self-expandable metallic stent (SEMS) can be difficult. Classically, after recanalization of the bronchus, the stent is removed and replaced by a more adapted one. We report on two cases of proximal bronchial restenosis treated by insertion of an additional stent inside the lumen of the previously inserted stent using the stent-in-stent (SIS) technique. The indications for the initial stent were malignancy in Patient 1 and posttransplant bronchial stenosis in Patient 2...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27088026/tinf2-gene-mutation-in-a-patient-with-pulmonary-fibrosis
#15
T W Hoffman, J J van der Vis, M F M van Oosterhout, H W van Es, D A van Kessel, J C Grutters, C H M van Moorsel
Pulmonary fibrosis is a frequent manifestation of telomere syndromes. Telomere gene mutations are found in up to 25% and 3% of patients with familial disease and sporadic disease, respectively. The telomere gene TINF2 encodes an eponymous protein that is part of the shelterin complex, a complex involved in telomere protection and maintenance. A TINF2 gene mutation was recently reported in a family with pulmonary fibrosis. We identified a heterozygous Ser245Tyr mutation in the TINF2 gene of previously healthy female patient that presented with progressive cough due to pulmonary fibrosis as well as panhypogammaglobulinemia at age 52...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27022496/tracheobronchomegaly-as-a-cause-of-bronchiectasis-in-an-adult
#16
Vishnukanth Govindaraj, Madhusmita Mohanty Mohapatra, Balla Nagamalli Kumar, Suryakala Narayanasami
Mounier-Kuhn syndrome (MKS) is a rare congenital anomaly characterized by dilated trachea and main bronchi due to atrophy of the elastic fibers and smooth muscle cells of the trachea and major airways. Patients of MKS can have varied presentation. The diagnosis is established radiologically and bronchoscopically. There is no specific treatment for MKS. We present an adult man with MKS who presented with recurrent respiratory tract infection. The diagnosis was confirmed by imaging study and fiberoptic bronchoscopy...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/26989548/community-acquired-moraxella-catarrhalis-bacteremic-pneumonia-two-case-reports-and-review-of-the-literature
#17
Miguel Angel Ariza-Prota, Ana Pando-Sandoval, Marta García-Clemente, David Fole-Vázquez, Pere Casan
Moraxella (formerly Branhamella) catarrhalis was discovered at the end of the nineteenth century, and for many decades it was considered to be a harmless commensal of the upper respiratory tract. It is a Gram-negative, aerobic diplococcus considered to be the third most common pathogen isolated in childhood sinusitis and otitis media and in adult chronic lower respiratory disease, as well as an etiological agent of pneumonia in immunosuppressed patients or those with chronic obstructive pulmonary disease. Moraxella catarrhalis pneumonia is rarely associated with bacteremia...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/26989547/key-features-in-the-management-of-pulmonary-carcinosarcoma
#18
Nikolaos Panagiotopoulos, Davide Patrini, Benjamin Adams, Jonathan Pararajasingham, Rajeev Shukla, Elaine Borg, Martin Hayward, David Lawrence
Pulmonary carcinosarcoma represents a category of extremely rare tumours accounting for 0.1% of all lung malignancies. It is defined as a poorly differentiated non-small-cell carcinoma that contains a component of sarcoma or sarcoma-like elements. These biphasic tumours typically have a poor prognosis due to late diagnosis and early metastases. Preoperative tissue diagnosis is usually difficult due to the heterogeneity of the tumour, with biopsies often just reflecting one element of the tumour. By means of a case illustration and review of the literature, we discuss the optimal management of patients with pulmonary carcinosarcoma...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/26989546/acute-respiratory-failure-due-to-neuromyelitis-optica-treated-successfully-with-plasmapheresis
#19
Massa Zantah, Timothy B Coyle, Debapriya Datta
Neuromyelitis Optica (NMO) is a demyelinating autoimmune disease involving the central nervous system. Acute respiratory failure from cervical myelitis due to NMO is known to occur but is uncommon in monophasic disease and is treated with high dose steroids. We report a case of a patient with NMO who developed acute respiratory failure related to cervical spinal cord involvement, refractory to pulse dose steroid therapy, which resolved with plasmapheresis.
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/26955496/mucous-membrane-pemphigoid-with-tracheal-involvement
#20
Arash Minaie, Salim R Surani
34-year-old African American female with history of pemphigoid presented with hemoptysis. Patient was found to have mucous membrane pemphigoid involving the oropharynx and extending to trachea, till just above main stem carina. Four other cases described mucosal pemphigoid involving the trachea. We hereby present a brief review of current consensus on management of mucous membrane pemphigoid with airway involvement.
2016: Case Reports in Pulmonology
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