Tracheobronchopathia osteochondroplastica: a cause of chronic cough and haemoptysis

2021 ◽  
Vol 14 (4) ◽  
pp. e240125
Author(s):  
Talha Shahzad ◽  
Nadeem Rizvi ◽  
Sabeeh Siddiqui ◽  
Rashida Ahmed
Keyword(s):  
Chronic Cough ◽  
Good Health ◽  
Final Diagnosis ◽  
Fibreoptic Bronchoscopy ◽  
Histopathological Analysis ◽  
Shortness Of Breath ◽  
Recurrent Pneumonia ◽  
History Of ◽  
Membranous Wall ◽  
Tracheobronchopathia Osteochondroplastica

Tracheobronchopathia osteochondroplastica (TPO) is a rare disorder of the tracheopulmonary tree characterised by osseous and cartilaginous submucosal nodules projecting into the tracheal lumen, sparing the posterior tracheal membranous wall. Symptoms are non-specific and may include dry cough, hoarseness, dyspnoea, recurrent pneumonia and occasionally haemoptysis. A fibreoptic bronchoscopy showing multiple tracheal nodules followed by pathological biopsy is required to reach the final diagnosis. Here, we report two cases of TPO, both with history of biomass fuel exposure and almost similar clinical presentions with chronic cough, shortness of breath and intermittent haemoptysis. They both underwent fibreoptic bronchoscopy showing multiple tracheal nodules whose histopathological analysis showed the diagnosis of TPO. Both patients were treated conservatively and remained in good health afterwards. Physicians should be aware about the need of advanced surgical procedures including endotracheal stent placement in more severe cases.

scholarly journals Gastrointestinal symptoms as antecedent signs of severe acute respiratory syndrome coronavirus 2 infection

2021 ◽  
Vol 18 (4) ◽  
pp. 323-325
Author(s):  
Aleksandra Młodożeniec ◽  
◽  
Paulina Szul ◽  
Agnieszka Gala-Błądzińska ◽  
◽  
...  
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Respiratory Symptoms ◽  
Gastrointestinal Symptoms ◽  
Final Diagnosis ◽  
Shortness Of Breath ◽  
Chain Reaction ◽  
Acute Infectious Disease ◽  
History Of ◽  
Polymerase Chain ◽  
Loss Of Appetite

Introduction. The coronavirus disease 2019 (COVID‑19) is an acute infectious disease of the respiratory system caused by severe acute respiratory syndrome coronavirus (SARS‑CoV‑2). Most patients present with typical, respiratory symptoms. Common signs include cough, fever, dyspnea and shortness of breath. In this case we provide atypical indications of COVID-19, which may occur earlier than respiratory symptoms. Aim. This case is an example of an unusual course of SARS-CoV-2 infection. Description of the case. This article describes a case of a 63-year-old man and his wife, a 60-year old woman who were admitted to the emergency department with a few days’ history of gastrointestinal symptoms. Both patients presented with the digestive symptoms of nausea, diarrhea and loss of appetite. They denied abdominal pain and the loss of smell or taste. Due to suspicion of SARS-CoV-2 infection a nasopharyngeal swabs of both patients was taken. The results of real- time reverse transcriptase-polymerase chain reaction were positive. When the final diagnosis of COVID-19 was established they were transported to another hospital. Conclusion. COVID-19 may manifest with atypical indications such a nausea and diarrhea. An atypical indications of COVID-19 may occur earlier than respiratory symptoms. It is important for clinicians to remain alert.

Cryodebulking of endobronchial hamartoma via fibreoptic bronchoscopy and literature review

2020 ◽  
Vol 13 (8) ◽  
pp. e235316
Author(s):  
Boon Hau Ng ◽  
Andrea Ban Yu-Lin ◽  
Hsueh Jing Low ◽  
Mohamed Faisal
Keyword(s):  
Literature Review ◽  
Histopathological Examination ◽  
Fibreoptic Bronchoscopy ◽  
Lobe Bronchus ◽  
Recurrent Pneumonia ◽  
Rare Tumour ◽  
Segmental Bronchus ◽  
History Of ◽  
Pulmonary Hamartoma

Endobronchial hamartoma is a rare tumour. We report a 65-year-old woman with a history of recurrent pneumonia. Bronchoscopy revealed a 1 cm endobronchial mass obstructing the left upper lobe bronchus. Histopathological examination was consistent with a pulmonary hamartoma. This lesion was successfully debulked endoscopically with the use of a flexible cryoprobe without any complications. This case highlights both the importance of investigating recurrent pneumonia and the usefulness of endoscopic recanalisation in an obstructed segmental bronchus.

scholarly journals Caecal Epiploic Appendagitis Masquerading Clinically as an Acute Appendicitis: A Case Report and Brief Literature Review

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Tallat Ejaz ◽  
Eltaib Saad ◽  
Andik Nabil ◽  
James Slattery
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Iliac Fossa ◽  
Lower Abdominal Pain ◽  
Good Health ◽  
Final Diagnosis ◽  
Epiploic Appendagitis ◽  
Rebound Tenderness ◽  
History Of ◽  
The Right

A 46-year-old female presented to our emergency department (ED) with a 2-day history of right lower abdominal pain which was associated with nausea and anorexia. Abdominal examination revealed tenderness in the right iliac fossa (RIF) with rebound tenderness and a localized guarding. Urine dipstick was normal, and the pregnancy test was negative. Her laboratory investigations were significant only for a CRP of 16.6. A presumptive clinical diagnosis of acute appendicitis was suggested based on the given history and relevant physical signs. However, an abdominal computed tomography (CT) scan revealed an epiploic appendagitis of the caecum with a normal-looking appendix. She was managed conservatively and responded well and was discharged after 2 days in good health. Though being a relatively rare case of acute localized right-sided lower abdominal pain, caecal epiploic appendagitis should be considered as one of the differential diagnoses with the final diagnosis reached usually by the radiological findings due to the nonspecific nature of clinical and laboratory features.

scholarly journals A Patient With a Chronic Cough: An Unexpected Case of Calcium Pill Aspiration

2019 ◽  
Vol 7 ◽  
pp. 232470961982877 ◽  
Author(s):  
Pooja Poudel ◽  
Andrew Chu ◽  
Kanish Mirchia ◽  
Manju Paul
Keyword(s):  
Chronic Cough ◽  
Medical Condition ◽  
Delayed Diagnosis ◽  
Shortness Of Breath ◽  
Long Period ◽  
Diagnostic Bronchoscopy ◽  
Life Threatening ◽  
History Of ◽  
Prompt Action

Foreign body aspiration is a life-threatening medical condition that requires prompt action. Delayed diagnosis is associated with long-term serious complication often leading to death. In adults, it can remain undetected for a long period of time. The patient gives a long history of a cough, which clinicians often ignore. A chest radiograph is unreliable to exclude the disease as it may not show radiolucent objects. Diagnostic bronchoscopy is necessary to exclude the disease. We report a case of 70-year-old woman who had a 1-month history of a cough and was admitted for shortness of breath, and on further evaluation, we incidentally detected calcium tablets in her bronchus. The present case demonstrates the need for early bronchoscopy especially when the cause of a chronic cough is not known.

scholarly journals Woman with lower back pain, SIADH and a twist of Lyme

2018 ◽  
pp. bcr-2018-225801
Author(s):  
Omid Salaami ◽  
Dennis Michael Manning
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Good Health ◽  
Final Diagnosis ◽  
Laboratory Evaluation ◽  
Presenting Symptoms ◽  
Lower Back ◽  
Autoimmune Conditions ◽  
History Of ◽  
Recent Diagnosis

A 62-year-old woman was admitted with a 3-week history of atraumatic bilateral lower back pain, progressive ascending flaccid paralysis, hyponatraemia and constipation. She was otherwise in good health with only a recent diagnosis of acute gastroenteritis that preceded her presenting symptoms. Her initial laboratory evaluation was consistent with Syndrome of Inappropriate Antidiuretic Hormone (SIADH) but was otherwise unremarkable. MRI of the spine revealed bilateral diffuse nerve root enhancement from at least C6 to the conus level, suggesting an inflammatory process. Lumbar puncture demonstrated high protein (629 mg/dL) with marked pleocytosis (363 cells/mcL) incompatible with albuminocytological dissociation typically seen in Guillain-Barre syndrome. A thorough diagnostic evaluation was undertaken to explore potential infectious, malignant and autoimmune conditions. Lyme disease serology (ELISA and Western Blot, IgM and IgG) was positive leading to a final diagnosis of lymphocytic meningoradiculitis or Bannwarth syndrome.

scholarly journals Evaluation of chronic cough in children aged 2 year to 12 years

2020 ◽  
Vol 7 (4) ◽  
pp. 853
Author(s):  
Debbata Srikanth ◽  
Gangadhar B. Belavadi
Keyword(s):  
Chronic Cough ◽  
Complete Blood Count ◽  
Mantoux Test ◽  
Respiratory Morbidity ◽  
Barium Swallow ◽  
Differential Count ◽  
P Value ◽  
Collapse Lung ◽  
Recurrent Pneumonia ◽  
History Of

Background: Chronic cough is a common complaint in children which causes distress and affects the quality of life of parents and children. While cough may be seen as a common condition of childhood without serious consequences, ignoring a cough that may be the sole presenting symptom of an underlying illness can lead to delayed diagnosis and progression to a chronic respiratory morbidity. Aims and objectives of the study was to evaluate the specific diagnosis and prognosis of chronic cough in children aged 2 to 12 years.Methods: A prospective study was done in 100 children with chronic cough (history of cough >4 weeks) at Narayana Hospital, Nellore. Routine investigations like complete blood count with differential count, Mantoux test, sputum examination, and X ray chest and other investigations like bronchoscopy, HIV, CT scan chest and paranasal sinuses, barium swallow, endoscopy and biopsy whenever needed. Pearson Chi square test carried out to quantify significance difference, p value <0.05, considered significant.Results: The mean duration of chronic cough was 56.27 days (1-5 months). Most of the children belonged to <6 years age with higher boys’ prevalence. Breathlessness and fever noticed in 79% cases; it was found mostly in pneumonia cases as compared to other diagnosis (p=0.001). Sputum production noticed in 4, which found to be bronchiectasis. 1 case noticed with regurgitation, which is gastro oesphageal reflux disease. History of triggers for the symptoms of cough, wheeze and breathlessness is found to have a significant correlation with asthma (p=0.000). Asthma in 14% of cases, of which 12 were mild persistent and 2 were moderate persistent. Tuberculosis was diagnosed in 14% cases, Pneumonia in 12% cases, and Bronchiectasis in 12 cases. Undernourished children noticed in 56%, maximum number in tuberculosis group. Asthma was associated with pneumonia, mucous plug obstruction and collapse lung. Recurrent pneumonia was associated with airway anomaly, gastro esophageal reflux disease.Conclusions: It should be remembered that a prolonged cough can be indicative of a more serious underlying condition, and always warrants thorough investigation. 

scholarly journals Endometriosis Mimicking a Cecum Mass with Complete Bowel Obstruction: An Infrequent Cause of Acute Abdomen

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Gabriel A. Molina ◽  
Darwin R. Ramos ◽  
Alberto Yu ◽  
Patricio A. Paute ◽  
Paul S. Llerena ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Preoperative Diagnosis ◽  
Malignant Tumors ◽  
Signs And Symptoms ◽  
Final Diagnosis ◽  
Intestinal Involvement ◽  
History Of ◽  
Ovarian Abscess ◽  
Fertile Women

Endometriosis is a common entity among fertile women which unfortunately manifests through variable symptomatology. Intestinal involvement in endometriosis is quite common and can simulate several diseases such as Crohn’s disease, appendicitis, tubo-ovarian abscess, or malignant tumors. Intestinal obstruction due to endometriosis is rare, and preoperative diagnosis is difficult because the signs and symptoms are nonspecific and can be easily confused. In the case of patients without a history of endometriosis, diagnosis is further complicated. We present a case of a 41-year-old female patient. She presented to the emergency room with complete bowel obstruction and a mass in the cecum. Surgery was decided, and the patient underwent full recovery. Endometriosis was the final diagnosis for the observed condition.

scholarly journals Tuberculosis presenting as dacryoadenitis in the USA

2019 ◽  
Vol 12 (11) ◽  
pp. e231694 ◽  
Author(s):  
Harry Ross Powers ◽  
Mark Anthony Diaz ◽  
Julio C Mendez
Keyword(s):  
Correct Diagnosis ◽  
Developed Countries ◽  
Histopathological Analysis ◽  
Orbital Mass ◽  
Antituberculosis Therapy ◽  
The Usa ◽  
History Of ◽  
Patient’S History ◽  
High Degree ◽  
Filipino Woman

A 25-year-old Filipino woman living in the USA was evaluated for a 5-month history of left eye pain and a subsequent orbital mass. Histopathological analysis of the lacrimal mass showed a mixed inflammatory process with necrotising granulomas and positive cultures for Mycobacterium tuberculosis. She was treated with antituberculosis therapy, with resolution of symptoms. Tuberculosis dacryoadenitis is extremely rare in the USA and other developed countries. It requires a high degree of clinical suspicion with special attention to the patient’s history to make the correct diagnosis. It can be treated successfully with antituberculosis therapy.

scholarly journals Benign Focal Epilepsy of Childhood and Gastroesophagael Reflux

1994 ◽  
Vol 8 (1) ◽  
pp. 45-48
Author(s):  
Anne G Sheehan ◽  
Sherry Pelensky ◽  
Colin Van Orman ◽  
Steven R Martin
Keyword(s):  
Gastroesophageal Reflux ◽  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Chronic Cough ◽  
Focal Epilepsy ◽  
Sudden Infant Death ◽  
Acute Onset ◽  
Sudden Infant ◽  
Recurrent Pneumonia ◽  
Essentially Normal

Gastroesophageal reflux has been associated with, and implicated in, a number of conditions, including respiratory disease (recurrent pneumonia, chronic cough, asthma), sudden infant death syndrome, dysphagia and central nervous disorders. An eight-year-old girl presented with an acute history that suggested gastroesophageal reflux. An esophageal motility study was abnormal and 24 h pH study demonstrated gastroesophageal reflux. Before the manometric study, a seizure was observed and subsequent neurological evaluation confirmed the diagnosis of benign focal epilepsy of childhood, which was treated with carbamazepine. The symptoms resolved after eight weeks and the repeat reflux investigations were essentially normal. Oropharyngeal symptoms are common in benign focal epilepsy of childhood, a condition which is very responsive to therapy. Symptoms suggestive of this diagnosis - acute onset, with unusual oropharyngeal sensations, or seizures-occurring mainly at night may initially be confused with gastroesophageal reflux. Benign focal epilepsy of childhood should be considered in reflux presenting outside infancy.

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