scholarly journals A solitary pulmonary nodule caused by Mycobacterium avium with pleural effusion and pleuritis after transbronchial biopsy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Shigenari Nukaga ◽  
Hiroaki Murakami ◽  
Kazuma Yagi ◽  
Ryosuke Satomi ◽  
Takahiko Oyama ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Pulmonary Disease ◽  
Mycobacterium Avium ◽  
Pulmonary Nodule ◽  
Solitary Pulmonary Nodule ◽  
Thoracoscopic Surgery ◽  
Lower Lobe ◽  
Japanese Woman ◽  
Transbronchial Biopsy ◽  
Parietal Pleura

Abstract Background Pleural effusion and pleuritis are uncommon manifestations of Mycobacterium avium complex pulmonary disease. Pleuritis caused by Mycobacterium avium complex pulmonary disease presenting as a solitary pulmonary nodule is extremely rare. The pathogenesis of Mycobacterium avium complex pleuritis has not been elucidated. However, it has been suggested that secondary spontaneous pneumothorax from Mycobacterium avium complex pulmonary disease is one of the causes of Mycobacterium avium complex pleuritis. Case presentation A 67-year-old Japanese woman who presented with a solitary pulmonary nodule developed a transient pneumothorax after transbronchial biopsy. A definitive diagnosis of solitary pulmonary nodule could not be made on bronchoscopy, so video-assisted thoracoscopic surgery was performed 1 month after bronchoscopy. On the day of hospitalization for the procedure, a left-sided pleural effusion appeared on a chest radiograph. Thickening of the parietal and visceral pleura and numerous scattered white small granules were seen on thoracoscopy. Histologic examination of the resected left lower lobe and a biopsy of the parietal pleura showed Mycobacterium avium complex solitary pulmonary nodule and Mycobacterium avium complex pleuritis. Conclusion Iatrogenic pneumothorax can be a cause of pleuritis in a patient with Mycobacterium avium complex pulmonary disease. Clinicians should watch for the appearance of secondary pleuritis after transbronchial biopsy even in a patient with localized disease such as Mycobacterium avium complex solitary pulmonary nodule.

scholarly journals Update on Pulmonary Ossifications in the Differential Diagnosis of Solitary Pulmonary Nodules

2021 ◽  
Vol 10 (20) ◽  
pp. 4795
Author(s):  
Jan F. Gielis ◽  
Lawek Berzenji ◽  
Vasiliki Siozopoulou ◽  
Marloes Luijks ◽  
Paul E. Y. Van Schil
Keyword(s):  
Differential Diagnosis ◽  
Pulmonary Nodule ◽  
Solitary Pulmonary Nodule ◽  
Lower Lobe ◽  
Pulmonary Nodules ◽  
Solitary Pulmonary Nodules ◽  
Pulmonary Surgery ◽  
Pubmed Database ◽  
Post Mortem Findings ◽  
The Right

Pulmonary ossifications have often been regarded as rare, post-mortem findings without any clinical significance. We have investigated the occurrence of pulmonary ossifications in patients undergoing thoracic procedures, and how this may affect the differential diagnosis of solitary pulmonary nodules. In addition, we have performed a literature search on the occurrence and possible pathogenesis of these ossifications. From January 2008 until August 2019, we identified pulmonary ossifications in 34 patients who underwent elective pulmonary surgery. Pre-operative imaging was unable to differentiate these ossifications from solid tumors. A definitive diagnosis was made by an experienced pathologist (VS, ML). The PubMed database was researched in December 2019 with the search terms “pulmonary ossifications”; “heterotopic ossifications”; and “solitary pulmonary nodule”. In total, 27 patients were male, with a mean age of 63 ± 12 years (age 41 to 82 on diagnosis). All lesions were identified on thoracic CT and marked for resection by a multidisciplinary team. A total of 17 patients were diagnosed with malignancy concurrent with ossifications. There was a clear predilection for the right lower lobe (12 cases, 35.3%) and most ossifications had a nodular form (70.6%). We could not identify a clear association with any other pathology, either cancerous or non-cancerous in origin. Oncologic or pulmonary comorbidities did not influence patient survival. Pulmonary ossifications are not as seldom as thought and are not just a curiosity finding by pathologists. These formations may be mistaken for a malignant space-occupying lesion, both pre-and perioperatively, as they are indistinguishable in imaging. We propose these ossifications as an underestimated addition to the differential diagnosis of a solitary pulmonary nodule.

Four cases of pulmonary Mycobacterium avium intracellulare complex presenting as a solitary pulmonary nodule and a review of other cases in Japan

Respirology ◽  
2006 ◽  
Vol 11 (3) ◽  
pp. 317-321 ◽  
Author(s):  
Yoshihiro KOBASHI ◽  
Minoru FUKUDA ◽  
Kouichiro YOSHIDA ◽  
Naoyuki MIYASHITA ◽  
Yoshihito NIKI ◽  
...  
Keyword(s):  
Mycobacterium Avium ◽  
Pulmonary Nodule ◽  
Solitary Pulmonary Nodule ◽  
Mycobacterium Avium Intracellulare

scholarly journals Recurrent pleural effusion in a young woman: calcifying fibrous tumour of the pleura

2018 ◽  
pp. bcr-2018-226282 ◽  
Author(s):  
Joy C Edlin ◽  
Lorna Elizabeth Donovan ◽  
Clare Alexander ◽  
Robin Kanagasabay
Keyword(s):  
Pleural Effusion ◽  
Thoracoscopic Surgery ◽  
Lower Lobe ◽  
Chest Ct ◽  
Left Hemithorax ◽  
Contrast Enhanced ◽  
History Of ◽  
Rare Benign Tumour ◽  
Recurrent Pleural Effusion ◽  
Complete Collapse

We present the case of a 23-year-old woman with a long-standing history of recurrent left-sided pleural effusion unrelated to her menstrual cycle. At her last presentation, non-contrast-enhanced chest CT showed a pleural effusion and a lower left hemithorax mass, both large enough to cause complete collapse of the lower lobe and partial collapse of the upper lobe. Thoracoscopic surgery revealed a multilobulated mass originating from the dome of the diaphragm with pleural deposits. Histopathology diagnosed this as a calcifying fibrous tumour of the pleura, a rare benign tumour with excellent prognosis when completely excised.

scholarly journals Concomitant tuberculosis and hydatid cyst in a solitary pulmonary nodule of left lower lobe

2009 ◽  
Vol 2009 (sep06 2) ◽  
pp. bcr0420091738-bcr0420091738 ◽  
Author(s):  
M. Y M Saeed ◽  
A. H Ahmed ◽  
N. B Elhassan ◽  
A. M Elhassan
Keyword(s):  
Hydatid Cyst ◽  
Pulmonary Nodule ◽  
Solitary Pulmonary Nodule ◽  
Lower Lobe ◽  
Left Lower Lobe

scholarly journals PneumocystisPneumonia Presenting as an Enlarging Solitary Pulmonary Nodule

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Krunal Bharat Patel ◽  
James Benjamin Gleason ◽  
Maria Julia Diacovo ◽  
Nydia Martinez-Galvez
Keyword(s):  
Pulmonary Nodule ◽  
Solitary Pulmonary Nodule ◽  
Wedge Resection ◽  
Lower Lobe ◽  
Granulomatous Inflammation ◽  
B Cell Lymphoma ◽  
Ground Glass ◽  
Hematologic Neoplasm ◽  
Life Threatening ◽  
Immunodeficiency Syndrome

Pneumocystispneumonia is a life threatening infection that usually presents with diffuse bilateral ground-glass infiltrates in immunocompromised patients. We report a case of a single nodular granulomatousPneumocystispneumonia in a male with diffuse large B-cell lymphoma after R-CHOP therapy. He presented with symptoms of productive cough, dyspnea, and right-sided pleuritic chest pain that failed to resolve despite treatment with multiple antibiotics. Chest X-ray revealed right lower lobe atelectasis and CT of chest showed development of 2 cm nodular opacity with ground-glass opacities. Patient underwent bronchoscopy and biopsy that revealed granulomatous inflammation in a background of organizing pneumonia pattern with negative cultures. Respiratory symptoms resolved but the solitary nodular opacity increased in size prompting a surgical wedge resection which revealed granulomatousPneumocystispneumonia infection. This case is the third documented report ofPneumocystispneumonia infection within a solitary pulmonary nodule in an individual with hematologic neoplasm. AlthoughPneumocystispneumonia most commonly occurs in patients with HIV/acquired immunodeficiency syndrome and with diffuse infiltrates, the diagnosis should not be overlooked when only a solitary nodule is present.

scholarly journals Concomitant thoracoscopic surgery for solitary pulmonary nodule and atrial fibrillation

2017 ◽  
Vol 26 (3) ◽  
pp. 402-406
Author(s):  
Rongxin Lu ◽  
Ju Mei ◽  
Dongfang Zhao ◽  
Zhaolei Jiang ◽  
Haibo Xiao ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Nodule ◽  
Solitary Pulmonary Nodule ◽  
Thoracoscopic Surgery

scholarly journals A Rare Case of Bronchial Anthracofibrosis with Pleural Anthracosis Presented as Recurrent Pleural Effusion

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Rajesh Kumar Yadav ◽  
Jitendra Kumar Saini ◽  
Prabhpreet Sethi ◽  
Rohit Sarin
Keyword(s):  
Pleural Effusion ◽  
Lower Lobe ◽  
Middle Lobe ◽  
Left Lower Lobe ◽  
Second Hand Smoke ◽  
Parietal Pleura ◽  
Lobe Bronchus ◽  
Breath Sounds ◽  
Left Pleural Effusion ◽  
Cardiac Evaluation

A fifty-eight-year-old, nonsmoker Indian male presented with recurrent left pleural effusion. He had history of dry cough, exertional breathlessness for the last two years. He denied any occupational exposure or second hand smoke exposure. His physical examination demonstrated decreased breath sounds on the left side of chest. Cardiac evaluation was unremarkable. Diagnostic pleural aspiration revealed straw coloured fluid, exudative, and nonmalignant in nature. CT-imaging of the chest demonstrated left pleural effusion, nodular parenchymal infiltrates in bilateral lungs, plate like atelectasis in the left lower lobe. Bronchoscopy showed diffuse airway pigmentation, right middle lobe opening, and left lower lobe bronchus pigmented and stenosed. Semi-rigid pleuro-videoscopy revealed diffuse black coloured deposits over visceral pleura and focally scattered deposits over parietal pleura. Spirometry showed mild airway obstruction with moderate impairment in diffusion capacity.

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