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infected mediastinitis

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https://www.readbyqxmd.com/read/29666703/sarcoid-like-mediastinal-lymphadenopathy-in-gynecologic-malignancy
#1
Bilal H Lashari, Megumi Asai, Gissele Randleman, Martha Sack, Rajeshkumar Patel
Noncaseating granulomas are seen surrounding tumors with varying frequency, possibly as part of an immune response to tumor cells. However, data about the association of sarcoid with gynecologic malignancy is sparse. We performed a search of our institutional database for all EBUS-TBNA biopsies conducted within the past five years that revealed granulomatous inflammation. All adult female patients with a history of gynecologic malignancy were included. Patients with a history of sarcoidosis or fungal or mycobacterial infection were excluded...
2018: Pulmonary Medicine
https://www.readbyqxmd.com/read/29665452/utility-of-glycated-hemoglobin-screening-in-patients-undergoing-elective-coronary-artery-surgery-prospective-cohort-study-from-the-e-cabg-registry
#2
Francesco Nicolini, Giuseppe Santarpino, Giuseppe Gatti, Daniel Reichart, Francesco Onorati, Giuseppe Faggian, Magnus Dalén, Sorosh Khodabandeh, Theodor Fischlein, Daniele Maselli, Saverio Nardella, Antonino S Rubino, Marisa De Feo, Antonio Salsano, Riccardo Gherli, Giovanni Mariscalco, Eeva-Maija Kinnunen, Vito G Ruggieri, Karl Bounader, Matteo Saccocci, Sidney Chocron, Juhani Airaksinen, Andrea Perrotti, Fausto Biancari
BACKGROUND: Patients with increased glycated hemoglobin (HbA1c) seem to be at increased risk of sternal wound infection (SWI) after coronary artery bypass grafting (CABG). However, it is unclear whether increased baseline HbA1c levels may affect other postoperative outcomes. MATERIAL AND METHODS: Data on preoperative levels of HbA1c were collected from 2606 patients undergoing elective isolated CABG from 2015 to 2016 and included in the prospective, multicenter E-CABG registry...
April 14, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29642833/-management-and-treatment-difficulties-of-multi-drug-resistant-pulmonary-tuberculosis-in-a-pediatric-case
#3
Selda Hançerli Törün, Emine Manolya Acar, Ayper Somer, Gonca Erköse, Dilek Şatana, Zuhal Bayramoğlu, Emine Çalışkan, Zeki Kılıçaslan
Tuberculosis continues to be a major health problem worldwide. Multidrug resistant tuberculosis (MDR-TB) infection that occurs in childhood is caused by adult MDR-TB agents which are in circulation and resistant to primary drugs. In this case report a 17-month-old child with MDR-TB who was cured after a 24-month therapy regimen was presented. Physical examination of a 17-month-old girl admitted to the hospital with the cause of recurrent pneumonia revealed a rubbery lymphadenopathy less than 2 cm in the right upper cervical region...
January 2018: Mikrobiyoloji Bülteni
https://www.readbyqxmd.com/read/29614259/isolated-mediastinal-lymphadenopathy-caused-by-rhodococcus-equi-infection
#4
Kaspar Tootsi, Hannes Tamm, Tanel Laisaar
Mediastinal lymphadenopathy is common finding in thoracic surgery, which often requires morphological confirmation to establish the definite diagnosis. The most frequent diagnoses are metastatic lung cancer, sarcoidosis, lymphoma, tuberculosis and other causes of granulomatous infections. Rhodococcus equi is a rare pathogen in humans, mostly affecting immunocompromised patients. We present a case with isolated mediastinal lymphadenopathy caused by Rhodococcus equi infection in a 71-year immunocompetent patient...
March 31, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29600097/concurrent-thymic-carcinoma-and-middle-lobe-syndrome
#5
Xi Zheng, Yue Huang, Junhe Gou, Daxing Zhu, Qinghua Zhou
Surgery is one of the first-line treatments for thymic carcinoma. Middle lobe syndrome which is irresponsive to conservative therapies also calls for surgical intervention. We reported the case of a 65-year-old male who was diagnosed with coexistent thymic carcinoma and non-obstructive middle lobe syndrome. Before the operation, we took measures including repeated sputum examination, physical therapy, postural sputum drainage and bronchodilator inhalation. After removal of the mediastinal neoplasm, venous antibiotics were used to prevent pneumonia...
January 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29593993/fetal-primary-hydrothorax-with-spontaneous-resolution
#6
Vera Trocado, J P Coutinho-Borges, Mariana Carlos-Alves, Joaquim Santos, Paula Pinheiro
Fetal primary hydrothorax is a rare congenital anomaly with an estimated incidence of 1:10.000-15.000 pregnancies, with an unpredictable clinical course, ranging from spontaneous resolution to fetal death. We present a case of a unilateral fetal pleural effusion identified at 35th gestational week. A 37 year-old woman (G2P1) presented to our routine term pregnancy evaluation. The pregnancy had been otherwise uneventful. At ecographic evaluation a large anechogenic fluid collection was identified in the right fetal hemithorax, with atelectasis of right lung, displacing the heart and mediastinal structures to the contralateral hemithorax...
July 2017: Case Reports in Women's Health
https://www.readbyqxmd.com/read/29587922/-the-mediastinal-infection-after-esophagectomy-is-uncommon-but-important
#7
Junfeng Liu
No abstract text is available yet for this article.
April 20, 2018: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
https://www.readbyqxmd.com/read/29587920/-treatment-experience-of-continuous-negative-pressure-drainage-in-the-acute-anterior-mediastinal-infection-of-oropharyngeal-origined
#8
Anping Chen, Gang Xu, Jian Li, Yongxiang Song, Qingyong Cai
BACKGROUND: Mediastinal infection is a serious infection of mediastinal connective tissue, with more complications and higher mortality. Application of broad-spectrum antibiotics and nutritional support, early sufficient drainage is the key to successful treatment. In the mode of drainage, this paper discusses the application of continuous negative pressure drainage technique to treat acute anterior mediastinal infection of severe mouth pharynx source, and the good results are summarized and shared...
April 20, 2018: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
https://www.readbyqxmd.com/read/29579436/tubercular-esophagocutaneous-fistula-rare-case-report
#9
Rahul R Prabhu Desai, Sanjivani Keny, Durga Lawande
Tubercular esophagocutaneous fistula is a rare entity with only about five cases reported so far. It can be as a result of primary involvement of esophagus by tuberculosis or due to spread of infection from adjacent structures like lungs or mediastinal lymph nodes. The fistula usually heals with initiation of antitubercular therapy and surgery is rarely required. Here we report a case of 65-year-old diabetic male who developed esophagocutaneous fistula secondary to caseation of mediastinal lymph nodes and was successfully treated with antitubercular treatment...
April 2018: Indian Journal of Tuberculosis
https://www.readbyqxmd.com/read/29577925/the-society-of-thoracic-surgeons-2018-adult-cardiac-surgery-risk-models-part-1-background-design-considerations-and-model-development
#10
David M Shahian, Jeffrey P Jacobs, Vinay Badhwar, Paul A Kurlansky, Anthony P Furnary, Joseph C Cleveland, Kevin W Lobdell, Christina Vassileva, Moritz C Wyler von Ballmoos, Vinod H Thourani, J Scott Rankin, James R Edgerton, Richard S D'Agostino, Nimesh D Desai, Liqi Feng, Xia He, Sean M O'Brien
BACKGROUND: The last published version of the Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database (ACSD) risk models were developed in 2008 based on patient data from 2002 to 2006 and have been periodically recalibrated. In response to evolving changes in patient characteristics, risk profiles, surgical practice, and outcomes, STS has now developed a set of entirely new risk models for adult cardiac surgery. METHODS: New models were estimated for isolated coronary artery bypass grafting surgery (CABG, n = 439,092), isolated aortic or mitral valve surgery (n = 150,150), and combined valve + CABG (n = 81,588) procedures...
March 22, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29577924/the-society-of-thoracic-surgeons-2018-adult-cardiac-surgery-risk-models-part-2-statistical-methods-and-results
#11
Sean M O'Brien, Liqi Feng, Xia He, Ying Xian, Jeffrey P Jacobs, Vinay Badhwar, Paul A Kurlansky, Anthony P Furnary, Joseph C Cleveland, Kevin W Lobdell, Christina Vassileva, Moritz C Wyler von Ballmoos, Vinod H Thourani, J Scott Rankin, James R Edgerton, Richard S D'Agostino, Nimesh D Desai, Fred H Edwards, David M Shahian
BACKGROUND: The Society of Thoracic Surgeons (STS) uses statistical models to create risk-adjusted performance metrics for Adult Cardiac Surgery Database (ACSD) participants. Because of temporal changes in patient characteristics and outcomes, evolution of surgical practice, and additional risk factors available in recent ACSD versions, completely new risk models have been developed. METHODS: Using July 2011 to June 2014 ACSD data, risk models were developed for operative mortality, stroke, renal failure, prolonged ventilation, mediastinitis /deep sternal wound infection (DSWI), reoperation, major morbidity or mortality composite, and prolonged postoperative length of stay (PLOS) or short PLOS among patients who underwent isolated coronary artery bypass grafting (CABG; n = 439,092), aortic or mitral valve surgery (n = 150,150), or combined valve + CABG (n = 81,588)...
March 22, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29577003/emergency-repair-of-a-perforated-mycotic-aneurysm-with-a-self-made-pericardial-tube-graft
#12
Nawras Diab, Clarence Pingpoh, Matthias Siepe, Friedhelm Beyersdorf, Ahmed Kharabish, Martin Czerny
A 63-year-old female with a history of kidney transplantation was admitted for emergency repair of a perforated mycotic aneurysm of the right subclavian artery (RSA) in combination with a paravertebral and posterior mediastinal abscess. After resection of the aneurysm and after radical local debridement, orthotopic repair was performed with a self-made pericardial tube graft from the brachiocephalic bifurcation to the thoracic outlet. The paravertebral and posterior mediastinal abscess was drained. The postoperative course was uneventful...
January 2018: Thoracic and Cardiovascular Surgeon Reports
https://www.readbyqxmd.com/read/29567048/-central-venous-access-for-cancer-chemotherapy
#13
Eric Desruennes, Frédéric Gomas
The tip of a long term central venous access should be located at the junction of the superior vena cava with the right atrium in order to reduce the incidence of dysfunction and venous thromboses. Picc-lines have their place for treatments of less than 6 months with obvious advantages in terms of discretion and comfort. Long-term sequential chemotherapy is an indisputable indication of an implantable port, while long-term parenteral nutrition is an indication of a tunneled cuffed catheter. In case of mediastinal compression, the risk-benefit ratio favors femoral access...
March 19, 2018: La Presse Médicale
https://www.readbyqxmd.com/read/29563378/infective-endocarditis-associated-with-atopic-dermatitis
#14
Shigeaki Aoyagi, Takeshi Oda, Kumiko Wada, Eiji Nakamura, Tomokazu Kosuga, Hiroshi Yasunaga
We report a case of aortic valve infective endocarditis (IE) in a 24-year-old man with atopic dermatitis (AD). He had a history of balloon valvuloplasty for a stenotic bicuspid aortic valve, and had dental caries but no invasive dental procedure before the onset of IE. On admission, skin lesions of AD with itching and scratches were found on the neck, trunk, and extremities. Echocardiography showed a vegetation on the aortic valve with mild steno-regurgitation, but extension of IE to the annulus was not detected...
March 20, 2018: International Heart Journal
https://www.readbyqxmd.com/read/29556229/respiratory-manifestations-of-the-activated-phosphoinositide-3-kinase-delta-syndrome
#15
REVIEW
Alison M Condliffe, Anita Chandra
The activated phosphoinositide 3-kinase δ syndrome (APDS), also known as p110δ-activating mutation causing senescent T cells, lymphadenopathy, and immunodeficiency (PASLI), is a combined immunodeficiency syndrome caused by gain-of-function mutations in the phosphoinositide 3-kinase (PI3K) genes PIK3CD (encoding p110δ: APDS1 or PASLI-CD) and PIK3R1 (encoding p85α: APDS2 or PASLI-R1). While the disease is clinically heterogeneous, respiratory symptoms and complications are near universal and often severe...
2018: Frontiers in Immunology
https://www.readbyqxmd.com/read/29548913/zipfix-versus-conventional-sternal-closure-one-year-follow-up
#16
Pouya Nezafati, Ali Shomali, Mahdi Kahrom, Sahar Omidvar Tehrani, Minoo Dianatkhah, Mohammad Hassan Nezafati
BACKGROUND: The present study aimed to compare postoperative complications commonly revealed after sternotomy closure by new sternal ZipFix™ (Synthes GmbH, Oberdorf, Switzerland) implant and conventional steel wire. METHODS: Among the initial 360 subjects, 326 patients enrolled in this randomised control trial who were candidates for cardiac surgery from April 2014 to March 2015. After the surgery, the sternal closure was randomly done with poly-ether-ether-ketone (PEEK) based sternal ZipFix (ZF) on the sternal body (n=168) or with conventional wires (CWs) (n=158)...
February 8, 2018: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/29546549/identification-of-mycobacterium-species-and-rhodococcus-equi-in-peccary-lymph-nodes
#17
Amanda Bonalume Cordeiro de Morais, Carmen Alicia Daza Bolaños, Ana Carolina Alves, Cássia Yumi Ikuta, Gustavo Henrique Batista Lara, Marcos Bryan Heinemann, Rogério Giuffrida, Fernando Paganini Listoni, Mateus de Souza Ribeiro Mioni, Rodrigo Garcia Motta, Shinji Takai, Márcio Garcia Ribeiro
Mycobacterium species and the virulence-associated proteins (vapA, vapB, and vapN genes) of Rhodococcus equi isolated from 330 lymph nodes of collared peccaries (Tayassu tajacu) and white-lipped peccaries (Tayassu pecari) intended for human consumption were investigated. Thirty-six (10.9%) R. equi strains were isolated; 3.3% (n = 11/330) were from white-lipped peccary lymph nodes, and 7.6% (25/330) were from collared peccary lymph nodes. Among the 11 isolates of R. equi from the white-lipped peccaries, 90...
March 15, 2018: Tropical Animal Health and Production
https://www.readbyqxmd.com/read/29536456/the-costa-study-sternal-closure-in-high-risk-patients-a-prospective-randomized-multicenter-trial
#18
Tetyana Leinberger, Claudia Heilmann, Stefan Sorg, Matthias Mueller, Sami Kueri, Claudia Schmoor, Matthias Siepe, Friedhelm Beyersdorf
BACKGROUND:  Median sternotomy in patients with risk factors for wound healing is associated with high rates of postoperative wound infections and sternum instability. METHODS:  A total of 338 patients with elective first median sternotomy and at least four predefined risk factors were randomized between Sternal Talon (Gebrüder Martin GmbH & Co. KG-KLS Martin Group, Tuttlingen, Germany) and wire cerclage. The primary end point was mediastinitis and/or sternal instability within 30 ± 5 days, and the secondary end points were mediastinitis and/or sternal instability within 60 ± 5 days; incidence of pneumonia during hospitalization within the first 30 (±5) days and chest pain intensity...
February 2, 2018: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/29519857/clinical-presentation-and-pathology-of-suspected-vector-transmitted-african-horse-sickness-in-south-african-domestic-dogs-from-2006-to-2017
#19
Nicolize O'Dell, Luke Arnot, Chris Eric Janisch, Johan Ca Steyl
African horse sickness (AHS) is a fatal vector transmitted viral disease of horses caused by the African horse sickness virus (AHSV). This disease is characterised by circulatory and respiratory failure, resulting from vascular endothelial injury affecting many organs. The susceptibility of dogs to AHS has been demonstrated in the past following experimental infection through consumption of infected horse meat. clinical cases of AHS in dogs (cAHS) have been documented, without a history of ingesting infected horse meat, over a period of 12 years...
March 8, 2018: Veterinary Record
https://www.readbyqxmd.com/read/29516896/mediastinal-ganglionar-tuberculosis-postcardiac-transplantation
#20
João Bruno Ribeiro Machado Lisboa, Guilherme de Abreu Rodrigues, Diego Corsetti Mondadori, João Paulo Cassiano de Macedo, Orival De Freitas Filho, Paulo Manuel Pêgo-Fernades
The diagnosis and treatment of tuberculosis (TB) in transplanted receivers presents several challenges. TB is an opportunistic infection with high morbidity and mortality in solid organs of transplanted patients, therefore, the diagnosis difficulties. A case of a 30-year-old male, heart transplanted patient, who after being submitted to mediastinoscopy, obtained a result of lymph node TB.
January 2018: International Journal of Mycobacteriology
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