scholarly journals A 75-Year-Old Female with Hemoptysis and Recurrent Respiratory Infections

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Mary S. Baker ◽  
Khalil Diab
Keyword(s):  
Respiratory Infections ◽  
Interesting Case ◽  
Lung Abscess ◽  
Chest Ct ◽  
Lower Lobectomy ◽  
Recurrent Respiratory Infections ◽  
Amoxicillin Clavulanate ◽  
History Of ◽  
One Year ◽  
Multiple Episodes

This paper describes the case of a 75-year-old female who presented with significant hemoptysis over a 7–10 day period. She had a history of a left lower lobectomy 10 years prior for a “lung abscess.” She subsequently had multiple episodes of cough, fevers, and possible pneumonia treated with multiple courses of Amoxicillin and Amoxicillin/Clavulanate. Review of her chest CT upon presentation to the hospital showed a large necrotic lingular infiltrate, which had been progressively increasing in size over at least one year. Bronchoscopy showed a yellowish, soft round body in the superior lingular subsegment. Endobronchial and transbronchial biopsies showedactinomycesspecies. This is a very interesting case of indolent actinomycosis which we suspect had a very slow progressive course secondary to the multiple courses of antibiotics that the patient was treated with.

scholarly journals Rheumatoid Arthritis, Kartagener’s Syndrome, and Hyperprolactinemia: Who Started It?

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Hussein Halabi ◽  
Israa Mulla
Keyword(s):  
Rheumatoid Arthritis ◽  
Dopamine Agonists ◽  
Respiratory Infections ◽  
Case Reports ◽  
Experimental Treatment ◽  
Chronic Stimulation ◽  
Recurrent Respiratory Infections ◽  
Kartagener's Syndrome ◽  
History Of ◽  
Stimulation Of

We report a case of an 18-year-old girl who presented to our hospital with history of recurrent respiratory infections, amenorrhea, and symmetric polyarthritis. She was diagnosed with rheumatoid arthritis (RA), Kartagener’s syndrome (KS), and hyperprolactinemia. There have been very few case reports in the literature of RA occurring in the setting of KS, theoretically proposed to be due to chronic stimulation of the immune system by recurrent infections. Furthermore, hyperprolactinemia has been hypothesized to mirror RA disease activity and case reports of treatment with dopamine agonists have led to the speculation of whether or not they represent a new line of experimental treatment in the future. Our patient was found to have both KS and hyperprolactinemia together in the setting of RA, and based on our literature search, this is the first reported case of such a combination. This strikes a very intriguing question: are these three conditions interlinked by a yet to be defined association? And treatment of which condition leads to the resolution of the other?

scholarly journals Mediastinum Lymph Node Hydatidosis.

2014 ◽  
pp. 28-28
Author(s):  
Yassine Ouadnouni ◽  
Marouane Lakranbi ◽  
Mohamed Smahi
Keyword(s):  
Lymph Node ◽  
Cystic Lesion ◽  
Chest Ct ◽  
Cystic Lesions ◽  
Surgical Exploration ◽  
Left Chest ◽  
History Of ◽  
One Year ◽  
Chest Ct Scan ◽  
Mediastinum Lymph Node

A 55 year old woman, presented to our hospital with a one year history of coughing and left chest pain. A chest CT-scan showed mediastinal, pleural and pulmonary cystic lesions evoking hydatidosis. Surgical exploration found a cystic lesion of the aorta-pulmonary window.

scholarly journals Unilateral pulmonary hypoplasia in an adult patient

2018 ◽  
Vol 88 (1) ◽  
Author(s):  
Dimitrios Papadopoulos ◽  
Panagiotis Misthos ◽  
Maria Chorti ◽  
Vlasios Skopas ◽  
Alexandra Nakou ◽  
...  
Keyword(s):  
Pulmonary Hypoplasia ◽  
Respiratory Infections ◽  
Imaging Technique ◽  
Lung Parenchyma ◽  
X Ray ◽  
Recurrent Respiratory Infections ◽  
Abnormal Chest ◽  
Cystic Changes ◽  
History Of ◽  
Chest X Ray

Pulmonary hypoplasia (PH) is a developmental anomaly of the lung parenchyma, characterized by a decrease in the number and size of airways, alveoli and vessels. We present a case of a 31-year-old patient with a history of chronic productive cough and frequent respiratory infections, who was referred for investigation of abnormal chest x-ray. The combination of chest computed tomography (CT) and bronchoscopy set the diagnosis of left pulmonary hypoplasia and the patient was treated surgically with a left pneumonectomy. PH is usually diagnosed immediately after birth, causing severe respiratory failure with high mortality. The less severe, unilateral forms can possibly survive by causing compensatory hyperinflation of the other lung and remain undiagnosed until adulthood, presenting either asymptomatic or with symptoms of chronic bronchitis and recurrent respiratory infections. Chest CT is considered the imaging technique of choice for the diagnosis and for the differential diagnosis from other congenital or acquired conditions. The treatment is usually conservative, although surgical resection is indicated in cases of severe cystic changes and intense symptomatology.

scholarly journals Risk factors for asthma exacerbation among Hajj pilgrims: a case study from DKI Jakarta, Indonesia

2020 ◽  
Vol 29 (2) ◽  
Author(s):  
Anshari Saifuddin ◽  
Ujainah Zaini Nasir ◽  
Iris Rengganis ◽  
Hamzah Shatri
Keyword(s):  
Risk Factors ◽  
Lung Function ◽  
Influenza Vaccination ◽  
Asthma Exacerbation ◽  
Respiratory Infections ◽  
Transmission Rate ◽  
Fitness Level ◽  
History Of ◽  
Grade Ii ◽  
One Year

BACKGROUND Hajj pilgrims are prone to asthma exacerbation because of the high transmission rate of respiratory infections, severe environmental factors, and high-intensity activities during the Hajj. Well-controlled asthma status and preventive efforts prior to the Hajj could reduce such exacerbations. This research aimed to determine the risk factors of asthma exacerbation during the Hajj to help establish preventive measures. METHODS Participants were evaluated at community health centers (puskesmas) through history taking, physical examination, and spirometry. The risk factors examined included a history of exacerbation one year before the Hajj, obesity, comorbidities (e.g., diabetes mellitus, hypertension, coronary heart disease), lung function, smoking, fitness level, and influenza vaccination. Asthma exacerbation while in Saudi Arabia was determined through direct observations by authors and physicians assigned to Hajj pilgrim groups and analysis of data obtained from questionnaires distributed to the pilgrims before their departure. Odds ratios (OR) were calculated using logistic regression. RESULTS Among 68 pilgrims with asthma, exacerbation occurred in 27 (40%) pilgrims. Risk of asthma exacerbation was significantly increased in the pilgrims with a history of exacerbation one year before the Hajj (OR = 4.27; 95% confidence interval [CI] = 1.156–15.829; p = 0.029) and obesity grade II (OR = 4.02; 95% CI = 1.151–14.097; p = 0.029). Other factors, including smoking, comorbidities, lung function, fitness level, obesity grade I, and influenza vaccination, were not significantly related to exacerbation. CONCLUSIONS Obesity grade II and history of asthma exacerbation one year before the Hajj are strong factors for asthma exacerbation during Hajj pilgrims.

scholarly journals Laryngotracheobronchial papillomatosis: chest CT findings

2017 ◽  
Vol 43 (4) ◽  
pp. 259-263 ◽  
Author(s):  
Helena Ribeiro Fortes ◽  
Felipe Mussi von Ranke ◽  
Dante Luiz Escuissato ◽  
Cesar Augusto Araujo Neto ◽  
Gláucia Zanetti ◽  
...  
Keyword(s):  
Respiratory Infections ◽  
Lung Parenchyma ◽  
Pulmonary Involvement ◽  
Chest Ct ◽  
Ct Scans ◽  
Lung Nodules ◽  
Inclusion Criteria ◽  
Air Trapping ◽  
Recurrent Respiratory Infections ◽  
Ct Findings

ABSTRACT To evaluate the findings on chest CTs in 16 patients (8 men and 8 women) with laryngotracheobronchial papillomatosis. Methods: This was a retrospective study involving patients ranging from 2 to 72 years of age. The evaluation of the CT scans was independently performed by two observers, and discordant results were resolved by consensus. The inclusion criteria were presence of abnormalities on the CT scans, and the diagnosis was confirmed by anatomopathological examination of the papillomatous lesions. Results: The most common symptoms were hoarseness, cough, dyspnea, and recurrent respiratory infections. The major CT findings were nodular formations in the trachea, solid or cavitated nodules in the lung parenchyma, air trapping, masses, and consolidation. Nodular formations in the trachea were observed in 14 patients (87.5%). Only 2 patients had lesions in lung parenchyma without tracheal involvement. Only 1 patient had no pulmonary dissemination of the disease, showing airway involvement only. Solid and cavitated lung nodules were observed in 14 patients (87.5%) and 13 (81.2%), respectively. Masses were observed in 6 patients (37.5%); air trapping, in 3 (18.7%); consolidation in 3 (18.7%); and pleural effusion, in 1 (6.3%). Pulmonary involvement was bilateral in all cases. Conclusions: The most common tomography findings were nodular formations in the trachea, as well as solid or cavitated nodules and masses in the lung parenchyma. Malignant transformation of the lesions was observed in 5 cases.

Lung abscess due to aspirated vomitus

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Saad Farooq ◽  
◽  
Ebrahim Hasan Khan ◽  
Keyword(s):  
African American ◽  
Physical Examination ◽  
African American Male ◽  
Lower Lobe ◽  
Lung Abscess ◽  
Chest Ct ◽  
Amoxicillin Clavulanate ◽  
The Right

Our patient was a 41-year-old African American male who came in with a cough, hemoptysis, and body aches for two days. He was vitally stable and physical examination did not reveal any abnormality. A Chest CT revealed a lung abscess at base of the right lower lobe. He was initially treated with ampicillin-sulbactam which was then converted to amoxicillin-clavulanate and he completely recovered on this regimen.Further history revealed that he was using marijuana and had an episode of vomiting which he aspirated and that was the likely cause of his lung abscess.

scholarly journals Case Management for COVID-19 Pneumonia: Literature Review

2020 ◽  
Vol 13 (2) ◽  
pp. 100-109
Author(s):  
Eka Nurhayati ◽  
Arum Pratiwi
Keyword(s):  
Literature Review ◽  
Respiratory Infections ◽  
Case Reports ◽  
Chest Ct ◽  
Definitive Treatment ◽  
Urine Test ◽  
Laboratory Examination ◽  
History Of ◽  
Lung Infections ◽  
Chest Ct Scan

Introduction: Coronavirus is a collection of viruses that can infect the respiratory system. In many cases, this virus only causes mild respiratory infections, such as flu. However, this virus can also cause severe respiratory infections, such as lung infections (pneumonia). The method is a literature review research in the form of case reports through the search of accredited journal sites such as Scientdirect and Elsevier with the keyword COVID-19 pneumonia in the period of 2015-2020. Research Results: in handling COVID-19 cases each country has its own way which consists of a physical examination, blood laboratory examination, chest CT scan, swab test, urine test, oxygen installation, mechanical ventilation, Extracorporeal Membrane Oxygention (ECMO) ), as well as the administration of drugs Ceftriaxone, Azithromycin, Piramivir, iopinavir-Ritonavir, Nafamostat and Intravenous Immune Globulin (IVIG), each patient differs based on history of illness. Conclusion: every region and every country has its own way of handling COVID-19 cases because until now there has been no definitive treatment or vaccine that can treat cases of COVID-19 that have struck all over the world.

scholarly journals Unusual Detection of Tuberculosis in a Woman with Down's Syndrome

2010 ◽  
Vol 13 (1) ◽  
pp. 59-62
Author(s):  
D Pešut ◽  
S Raljević ◽  
Tomić Slijepčević
Keyword(s):  
Respiratory Infections ◽  
Down's Syndrome ◽  
Down’S Syndrome ◽  
Diagnostic Procedures ◽  
First Line ◽  
X Ray ◽  
Recurrent Respiratory Infections ◽  
History Of ◽  
Chest X Ray ◽  
The Right

Unusual Detection of Tuberculosis in a Woman with Down's SyndromeA woman with Down's syndrome (DS) had sub-febrile temperature, nodular/patchy shadows on the chest X-ray over the right pulmonary base, and a history of recurrent respiratory infections. She was pale, asthenic, uncommunicative, mildly anemic and the erythrocyte sedimentation rate was 80/first hour. The tuberculin skin test (TST) PPD3 was negative. Mycobacterium tuberculosis was isolated from oral mucosal brushing, sensitive to the first line anti-tuberculosis drugs. Patients with DS and other mental disabilities need special care and attention during diagnostic procedures for tuberculosis (TB).

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