Chlamydial Pneumonia in Infants

1986 ◽  
Vol 8 (5) ◽  
pp. 132-152
Keyword(s):  
Pleural Effusion ◽  
Clinical Findings ◽  
Radiographic Findings ◽  
Long Duration ◽  
Eosinophil Counts

In 1977, Beem and Saxon (N Engl J Med 1977; 296: 306) reported on a new infant pneumonia syndrome caused by Chlamydia. Subsequently, it was noted that these infants with pneumonia were usually less than 6 months of age. When patients with chlamydial pneumonia were compared with infants with pneumonia of other etiologies, patients with chlamydial pneumonia had a syndrome characterized by long duration (more than 1 week), symptoms of cough and congestion, absence of fever, a staccatotype cough, rales, elevated eosinophil counts, and elevated immunoglobulins. Radiographic findings were not specific for chlamydial pneumonia but were very suggestive when they occurred in an infant with the classical clinical findings. In such patients, findings included bilateral hyperexpansion and diffuse infiltrates (interstitial or nodular). In addition, areas of atelectasis and coalescence were often seen, but pleural effusion and lobar consolidation were not.

Follow-up of Osteomyelitis of Infants with Systemic Serum Parameters and Bone Scintigraphy

1996 ◽  
Vol 35 (04) ◽  
pp. 116-121 ◽  
Author(s):  
G. E Fueger ◽  
M. Vejda ◽  
R. M. Aigner
Keyword(s):  
Bone Scintigraphy ◽  
Antibiotic Treatment ◽  
Diagnostic Value ◽  
Clinical Findings ◽  
Laboratory Findings ◽  
Radiographic Findings ◽  
Serum Parameters ◽  
Wbc Count ◽  
Differential White Blood Cell

Summary Aim: To prevent orthopedic sequelae in acute hematogenous pyogenic osteomyelitis (AHPO) of infants early diagnosis, recognition of recurrence and effective therapy is needed. This retrospective study of 47 infants with bacteriologically confirmed AHPO concerned with an analysis of the diagnostic value of systemic serum parameters compared to bone scintigraphy (BSC). Methods: AHPO was characterized initially and during the course of disease by clinical findings, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), total and differential white blood cell (WBC) count, BSC, and plain radiography. Results: CRP was the most effective serum parameter for follow- up of disease. The first sign of BSC to signal adequate response to antibiotic treatment was the decrease or normalization of hyperperfusion. Escape from therapy or poor prognosis, even when the serum parameters were normalized, was signaled by the recurrence of focal hyperperfusion and the persistent or increasing local uptake ratios on the 3-h-image over 6 weeks during a course of antibiotic treatment. Conclusion: Antibiotic treatment masks the clinical presentation, and the radiographic findings, causes non-characteristic laboratory findings, but do not prevent the scintigraphic visualization; BSC and serum parameters used in the right completion are the most successful and efficient modalities for follow-up of AHPO. Maintenance of antibiotic therapy should be done until BSC findings have reverted to normal.

scholarly journals Typical and atypical CT chest imaging findings of novel coronavirus 19 (COVID-19) in correlation with clinical data: impact on the need to ICU admission, ventilation and mortality

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Doaa M. Emara ◽  
Nagy N. Naguib ◽  
M. A. Moustafa ◽  
Salma M. Ali ◽  
Amr Magdi El Abd
Keyword(s):  
Pleural Effusion ◽  
Complete Recovery ◽  
Clinical Findings ◽  
Mediastinal Lymphadenopathy ◽  
Imaging Features ◽  
Imaging Findings ◽  
Icu Admission ◽  
Mortality Outcome ◽  
Novel Coronavirus ◽  
Contrast Ct

Abstract Background The aim of this study was to highlight the typical and atypical chest CT imaging features at first presentation in 120 patients who were proved to be COVID-19 by PCR and to correlate these findings with the need for ICU admission, ventilation, and mortality. We retrospectively included 120 patients 71 males (59.2%) and 49 females (40.8%) with a mean age of 47.2 ± 14.4 years. Patients subjected to clinical assessment, CBC, PCR for COVID-19, and non-contrast CT chest at first presentation. Typical and atypical imaging findings were reported and correlated with the clinical findings of the patients, the need for ICU admission, ventilation, and mortality. Results Clinically, fever was seen in 112 patients followed by dry cough in 108 patients and malaise in 35 patients. The final outcome was complete recovery in 113 cases and death in 7 cases. Typical CT findings included bilateral peripheral ground-glass opacities (GGO) in 74.7%, multilobar affection in 92.5% while atypical findings such as homogeneous consolidation, pleural effusion, mediastinal lymphadenopathy, and single lobar affection were found in 13.4, 5, 6.7, and 7.5% respectively. A statistically significant association between the presence of white lung, pleural effusion, peripheral GGO, and the need for ICU admission as well as mechanical ventilation was noted. The death was significantly higher among elderly patients; however, no significance was found between the imaging features and mortality. Conclusion CT features at first presentation can predict the need for ICU admission and the need for ventilation but cannot predict the mortality outcome of the patients.

Evaluation of Biological Behavior of Keratocyst Odontogenic Tumor Based on Clinical Findings, Histology, and Radiographic Findings Through Epidemiologic Survey at São Leopoldo de Mandic C.P.O.

2014 ◽  
Vol 117 (2) ◽  
pp. e206
Author(s):  
LUCAS CORREA HOMSE ◽  
RAFAEL CLAUDINO LINS ◽  
ANAMARIA DE LIMA LARANJEIRA ◽  
MILENA BORTOLOTTO FELIPPE SILVA ◽  
SILVIA CRISTINA MAZETI TORRES ◽  
...  
Keyword(s):  
Clinical Findings ◽  
Odontogenic Tumor ◽  
Biological Behavior ◽  
Radiographic Findings ◽  
Epidemiologic Survey

scholarly journals The relation of the pleural thickening in tuberculosis pleurisy with the activity of adenosine deaminase

2005 ◽  
Vol 63 (2) ◽  
Author(s):  
B. Uskul ◽  
H. Turker ◽  
C. Ulman ◽  
M. Ertugrul ◽  
A. Selvi ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Adenosine Deaminase ◽  
Pleural Fluid ◽  
Clinical Findings ◽  
X Rays ◽  
Biochemical Tests ◽  
Pleural Thickening ◽  
Group I ◽  
Immunological Mechanisms ◽  
Tuberculosis Pleurisy

Selvi, A. Kant, S. Arslan, M. Ozgel. Background: Residual pleural thickening (RPT) still occurs in most patients with tuberculosis pleurisy despite advances in the treatment of tuberculosis. The aim of this study was to evaluate the significance of RPT in tuberculosis pleurisy with the patients clinical findings, biochemical and microbiological properties of pleural effusion and with the total adenosine deaminase (ADA) and isoenzymes levels. Methods: 121 tuberculosis pleurisy patients were evaluated retrospectively. According to posteroanterior chest x-rays, the 63 (52%) cases with the thickness 2 mm or more in lower lateral hemithorax were grouped as I and the 58 (48%) cases without pleural thickness were grouped as II. The amount of pleural effusion was classified into small, medium or massive according to their chest x-rays. In both groups; sex, age, symptoms score, bacteriological and biochemical tests and ADA levels were recorded. Results: 81 (67%) male and 40 (33%) female, overall 121 patients were enrolled into the study. RPT was found higher in males (p=0.014) and the increase ran parallel with the amount of cigarette smoking (p=0.014). RPT was found to be lower in small effusions (p=0.001). The group with RPT, the serum albumin was found lower (p=0.002), pleural fluid total protein (p=0.047) and the ratio of pleural fluid protein to serum protein (p=0.002) were found higher. In group I, total ADA: 69.5±38.9 IU/L and ADA2: 41.3±31.6 IU/L were higher than the cases without RPT (p=0.032, p=0.017, respectively). Conclusions: We suggest that the immunological mechanisms are effective in the development of pleural thickening.

Decortication, thoracic omentalization, and pericardiectomy for treatment of severe fibrosing pleuritis in a cat

2022 ◽  
pp. 1-6
Author(s):  
Danny Sack ◽  
Philip Hyndman ◽  
Melissa Milligan ◽  
Daniel Spector
Keyword(s):  
Pleural Effusion ◽  
Surgical Management ◽  
Multimodal Analgesia ◽  
Clinical Findings ◽  
Acute Onset ◽  
Thoracic Wall ◽  
Thoracic Radiography ◽  
Pulmonary Atelectasis ◽  
Clinically Normal ◽  
Lung Lobes

Abstract CASE DESCRIPTION A 5-year-old spayed female domestic shorthair cat was evaluated because of an acute onset of dyspnea and open-mouthed breathing. CLINICAL FINDINGS Thoracic radiography revealed pleural effusion and signs consistent with restrictive pleuritis, and results of preoperative CT were consistent with diffuse, severe restrictive pleuritis, bilateral pleural effusion, and pulmonary atelectasis. Thoracocentesis yielded a red, turbid fluid that was identified as chylous effusion with chronic inflammation. TREATMENT AND OUTCOME Exploratory thoracotomy revealed diffuse, severe fibrous adhesions between the mediastinum, heart, lung lobes, and thoracic wall, with a thick fibrous capsule enveloping all lung lobes. Surgical treatment consisted of complete pleural decortication, pericardiectomy, and thoracic omentalization. The cat remained hospitalized for 6 days, receiving oxygen supplementation, multimodal analgesia, and supportive care. Long-term home care consisted of prednisolone administration, rutin supplementation, and provision of a low-fat diet. At recheck examinations 3-, 7-, and 20-weeks postoperatively, the cat remained tachypneic, but was otherwise clinically normal without dyspnea or respiratory distress. Follow-up thoracic radiography revealed improved pulmonary expansion, decreased pleural effusion, and resolved pneumothorax. CLINICAL RELEVANCE Surgical management of fibrosing pleuritis secondary to idiopathic chylothorax in cats has historically resulted in poor outcomes. This report details the first successful use of complete decortication in the surgical management of severe fibrosing pleuritis in a cat.

Abstract 17710: Phrenic Nerve Injury Despite High-Output Pacing in Patients Undergoing Radiofrequency Catheter Ablation of Atrial Fibrillation

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Brett Izzo ◽  
Miki Yokokawa ◽  
Krit Jongnarangsin ◽  
Hamid Ghanbari ◽  
Rakesh Latchamsetty ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Phrenic Nerve ◽  
Maximum Output ◽  
Radiographic Findings ◽  
Long Duration ◽  
Mapping System ◽  
3D Mapping System ◽  
Rf Energy ◽  
The Right ◽  
High Output

Introduction: High-output pacing has been advocated as a strategy to avoid injury to the phrenic nerve (PN) during antral pulmonary vein (PV) isolation. We assessed the hypothesis that pacing does not prevent PN injury in patients undergoing radiofrequency (RF) ablation of atrial fibrillation (AF). Methods: The medical records of 198 consecutive patients (age=63±12 years, 129 men, ejection fraction=57±10%, LA=44±6mm, paroxysmal=49%) undergoing their first ablation procedure for AF were reviewed. All patients underwent antral PV isolation using a 3D mapping system (CARTO XP or CARTO 3) and a 3.5 mm irrigated-tip ablation catheter (maximum power, 25 W). Prior to RF energy delivery, high-output pacing (20 mA @ 10 ms, maximum output) was performed to asses for PN capture. Sites that afforded PN capture were avoided and RF energy was delivered at adjacent sites without PN capture. The 3-D maps were reviewed to identify the prevalence and sites of PN capture. Results: High-output pacing along the anterior right antrum resulted in PN capture in 35 patients (18%). The most common site with a positive response was the crux between the upper and lower PVs (60%), followed by the right superior PV (43%), and the right inferior PV (20%). Of the patients with PN capture, 49% had only one site of capture, 20% with two sites, and 31% had 3 or more sites. All PVs were isolated at the end of the procedure. Two patients (1%) developed PN injury (symptom onset on the day after the procedure), which was confirmed on radiography. In neither case was there evidence of PN capture during the procedure. Symptoms resolved in both patients within 3 months, with normalization of radiographic findings. Conclusions: High-output pacing along the anterior right PV antrum yields PN capture in roughly one-fifth of the patients undergoing PV isolation. Despite a negative response to pacing and alteration of the lesion set, PN injury may occur. The reason for this discordance is unknown, but may include the possibility that the capture threshold of the PN exceeds the maximum output of the stimulator, or that RF energy may injure the pericardiophrenic artery, which accompanies the PN. Avoiding high-power or long-duration lesions and high contact force in this region may minimize the risk of PN injury.

scholarly journals The intravenous regional block on Sudeck's atrophy - About the clinical findings and radiographic findings.

1986 ◽  
Vol 34 (3) ◽  
pp. 1023-1027
Author(s):  
Osamu Higuchi ◽  
Masanori Nakashima ◽  
Kouzaburou Umeda ◽  
Hironobu Akune ◽  
Akio Inoue
Keyword(s):  
Clinical Findings ◽  
Radiographic Findings ◽  
Sudeck's Atrophy ◽  
Regional Block

Bilateral tibial agenesis and syndactyly in a cat

2016 ◽  
Vol 29 (04) ◽  
pp. 277-282
Author(s):  
Carla Murino ◽  
Giovanni Della Valle ◽  
Gerardo Fatone ◽  
Francesco Di Dona
Keyword(s):  
Congenital Anomaly ◽  
Clinical Findings ◽  
Abnormal Development ◽  
Case Description ◽  
Limb Deformity ◽  
Radiographic Findings ◽  
Limb Deformities ◽  
Congenital Limb ◽  
Pelvic Limb ◽  
Congenital Limb Deformities

SummaryCase description: A three-year-old cat was referred to the Veterinary Teaching Hospital, University of Naples, Italy. The cat had severe pelvic limb deformity, and abnormal development of all four paws.Clinical findings: Radiographs revealed bilateral tibial agenesis, syndactyly, and digital hypoplasia.Treatment and outcome: No treatment was instituted because of the severity of the injury, the adaptation of the cat to the abnormal condition, and the owner's refusal to permit any treatment.Clinical relevance: Congenital limb deformities are rarely reported in the cat and tibial agenesis is considered a very rare disease. This congenital anomaly is well documented and classified in man, and it has been associated with other abnormalities in more complex syndromes. This paper reports clinical and radiographic findings in a cat affected by bilateral complete tibial agenesis associated with other congenital anomalies.

scholarly journals Comparative study of transthoracic ultrasound and chest X-ray in the postoperative period of thoracic surgery

2017 ◽  
Vol 4 (9) ◽  
pp. 2925
Author(s):  
Julián A. Traslaviña ◽  
Manuel M. Martínez ◽  
Maria J. Olivera ◽  
Ramón M. Balsalobre
Keyword(s):  
Pleural Effusion ◽  
Thoracic Surgery ◽  
Postoperative Period ◽  
Kappa Index ◽  
Radiographic Findings ◽  
X Ray ◽  
Pulmonary Consolidation ◽  
Diagnostic Concordance ◽  
Transthoracic Ultrasound

Background: Chest radiography is currently the reference technique in postoperative follow-up of thoracic surgery. However, routine use (almost daily) has been repeatedly questioned. Moreover, transthoracic ultrasound, besides being a useful technique in pleuropulmonary pathology offers additional advantages over the radiograph. The aim of this study is to analyse the diagnostic agreement between radiographic and ultrasound techniques in the postoperative follow-up of thoracic surgery.Methods: Observational, prospective study, in the postoperative period of thoracic surgery, to study the concordance between the ultrasound and radiographic findings. Sixty patients were evaluated during the postoperative period with the two diagnostic tests, first the lung ultrasound of the 2 hemithorax and then the chest radiograph. Each patient had an ultrasound and an X-ray. The sonographer and radiologist have independently assessed the occurrences of pneumothorax, pleural effusion, pulmonary consolidation, and interstitial pattern.Results: The Cohen kappa index for pneumothorax was 0.706 (p <0.001), for pleural effusion 0.588 (p <0.001), for interstitial pattern 0.471 (p <0.001) and for pulmonary consolidation 0.282 (p 0.002).Conclusions: The diagnostic concordance between radiographic and ultrasound techniques in the postoperative period of thoracic surgery is substantial for pneumothorax, pleural effusion and interstitial pattern, and  fair for pulmonary consolidation.

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