Chronic tuberculous rhinosinusitis in a patient with widespread destructive pulmonary tuberculosis

2001 ◽  
Vol 82 (3) ◽  
pp. 209-209
Author(s):  
I. F. Mahmutov ◽  
R. A. Zalyaliev ◽  
G. Yu. Batrhanova ◽  
N. E. Kondratieva ◽  
L. I. Kamalov

We observed a case of chronic left-sided maxillary rhinosinusitis of tuberculous etiology. K., 57 years old, has been registered with the State Medical Institution "Phthisiology" for infiltrative pulmonary tuberculosis since 1998.He was repeatedly treated in a tuberculosis hospital and outpatient with short courses. In January 2000, he was admitted to the Kazan City Tuberculosis Hospital due to complaints of cough with scant sputum, weakness, shortness of breath during physical exertion; negative X-ray dynamics was also observed. After clinical, radiological, laboratory and bacteriological examination methods, he was clinically diagnosed with infiltrative tuberculosis of the upper lobe of the left lung in the phase of decay and contamination of CD (+).

2021 ◽  
Vol 22 (2) ◽  
pp. 84-88
Author(s):  
T. I. Kutergina ◽  
◽  
O. V. Andreeva ◽  
E. F. Turovinina ◽  
T. M. Kleshchevnikova ◽  
...  

Aim. To evaluate the effectiveness of the early start of medical rehabilitation, after a coronavirus infection, with the use of telemedicine technologies at the polyclinic stage. Material and methods. A study was conducted on the basis of the State Medical Institution “City Polyclinic No. 17” with the participation of 65 patients who had pneumonia against the background of COVID-19 infection at the age of 29 to 81 years inclusive, the average age was 54 ± 13.0 years, receiving rehabilitation at the 3rd stage using telemedicine technologies. Results. The Department of Medical Prevention and Rehabilitation of the INPR of the Tyumen State Medical University has developed a “Program of medical rehabilitation of patients who have suffered a new coronavirus infection at the polyclinic stage with the use of telemedicine technologies”. Implemented and implemented on the basis of the State Medical Institution “City Polyclinic No. 17” in Tyumen. Earlier, the beginning of rehabilitation measures at the outpatient stage in patients after pneumonia on the background of COVID-19 infection eliminates shortness of breath in patients with a mild course, with a moderate-severe and severe course restores by 60%. Recovery of muscle strength was noted in all patients. Positive dynamics in the normalization of the psychoemotional background and improvement of the quality of life were reliably obtained. Conclusion. Medical rehabilitation with the use of telemedicine technologies is an effective approach of the healthcare system in restoring the health status of patients who have suffered a coronavirus infection.


1929 ◽  
Vol 25 (4) ◽  
pp. 454-456
Author(s):  
S. A. Smirnov

Dr. M. S. Znamensky. A case of removing a bullet from the left lung of a serviceman who was accidentally (blind) wounded from a machine gun during shooting practice at a distance of about a kilometer. Entrance hole on the anterior axillary line on the left. After the injury - severe shortness of breath, there was no hemoptysis, constant pain in the left side, deep breaths are especially painful. Fluoroscopy: a bullet not deformed in the left half of the chest, pointed outwards. When inhaled, it shifts downward. When viewed from the front, the bullet is vaguely contoured and appears larger than its normal size; from the rear it is clearly contoured and of normal size. Its level is the VIII rib at the back. The bullet was extracted under the direct control of X-rays through an incision in the back, along the 8th rib with partial excision of the last and adjacent 9th. Before opening the pleura, there are three sutures fixing the lungs. When the pleura was opened, the lung was grasped with fenestrated forceps and removed from the wound. The bullet was found in the extracted part of the lung at a depth of sant, under the visceral pleura in the granulating cavity. The lung wound was sutured with catgut sutures and fixed to the pleural wound. Iodoform graduate. Stitches for muscles and skin. The postoperative course is smooth and by the time of the demonstration (after about a month after the operation) the patient feels quite satisfactory. The X-ray tube was placed under the table, the screen, wrapped in a pillowcase with a cut out window, was superimposed on top. Lighting - for specific moments of the operation. Debate: Prof. P. M. Krasin, M. O. Friedland and V. L. Bogolyubov and pre-doc. VA Gusynin, who attributed the success of the operation to the skillful use in Kazan conditions for the first time of X-rays as a controller of the course of the operation.


2021 ◽  
Vol 34 (1) ◽  
pp. 75-79
Author(s):  
ASM Zakir Hossain ◽  
Md Hafizur Rahman

The unilateral destroyed lung is an important cause of morbidity and mortality. The commonest cause of destroyed lung is total post tuberculous sequelae. Primary lung tumors, mediastinal masses, vascular abnormalities, and some others are considered to be other causes of lung destruction. A study was undertaken at the National Institute of Diseases of the Chest and Hospital (NIDCH) on 600 cases from January 2016 to December 2020 to evaluate the etiopathogenesis of unilateral lung destruction and to evaluate hilar structures & the nature and extent of parenchymal damage. The study was performed on 600 patients with unilateral lung destruction, of whom 416(69.33%) had left lung destruction. Pulmonary tuberculosis was found to be the cause in 504(84%) patients. All patients had an X-ray chest and CT scan of the chest (contrast CT/ HRCT). However, 96(16%) non-tuberculous patients had their main bronchi occluded with extraluminal compression or by the intraluminal lesion. TAJ 2021; 34: No-1: 75-79


2018 ◽  
Vol 40 (4) ◽  
pp. 332-335
Author(s):  
P V Kuzyk ◽  
M A Savchyna ◽  
S G Gychka

Aim: To describe the case of rare benign lymphoproliferative disorder — pulmonary nodular lymphoid hyperplasia in the patient with previous pulmonary tuberculosis. Materials and Methods: In the case of pulmonary nodular lymphoid hyperplasia clinical, laboratory, instrumental and morphological examination was performed. Results: 44-year-old woman in 7 years after successfully treated infiltrative drug-susceptible tuberculosis of the right lung, was hospitalized with a suspected tumor of the left lung root. The patient underwent left-sided pneumonectomy with lymph nodes dissection. The results of histopathological and immunohistochemical studies evidenced on nodular lymphoid hyperplasia of the left lung. Conclusion: Pulmonary nodular lymphoid hyperplasia is a rare lymphoproliferative disorder of the lung with favorable prognosis. For the purpose of differential diagnosis, it is necessary to apply immunohistochemistry.


2019 ◽  
Vol 48 (21) ◽  
pp. 7122-7129 ◽  
Author(s):  
Chia-Jui Chang ◽  
You-Chiuan Chu ◽  
Hao-Yu Yan ◽  
Yen-Fa Liao ◽  
Hao Ming Chen

The state-of-art RuO2 catalyst for the oxygen evolution reaction (OER) is measured by using in situ X-ray absorption spectroscopy (XAS) to elucidate the structural transformation during catalyzing the reaction in acidic and alkaline conditions.


Thorax ◽  
2010 ◽  
Vol 65 (10) ◽  
pp. 863-869 ◽  
Author(s):  
A. P. Ralph ◽  
M. Ardian ◽  
A. Wiguna ◽  
G. P. Maguire ◽  
N. G. Becker ◽  
...  

2011 ◽  
Vol 2011 ◽  
pp. 1-6
Author(s):  
Aristida Georgescu ◽  
Crinu Nuta ◽  
Simona Bondari

Unilateral primary pulmonary hypoplasia is rare in adulthood (UPHA); it is characterized by a decreased number of bronchial segmentation and decreased/absent alveolar air space. Classical chest X-ray may be confusing, and the biological tests are unspecific. We present a case of UPHA in a 60-year-old female, smoker, with 3 term normal deliveries, who presented with late recurrent pneumonias and bronchiectasis-type symptomathology, arterial hypertension, and obesity. Chest X-rays revealed opacity in the left lower pulmonary zone, an apparent hypoaerated upper left lobe and left deviation of the mediastinum. Preoperatory multidetector computer tomography (MDCT) presented a small retrocardiac left lung with 5-6 bronchial segmentation range and cystic appearance. After pneumonectomy the gross specimen showed a small lung with multiple bronchiectasis and small cysts, lined by hyperplasic epithelium, surrounded by stromal fibrosclerosis. We concluded that this UPHA occurred in the 4–7 embryonic weeks, and the 3D MDCT reconstructions offered the best noninvasive diagnosis.


2014 ◽  
Vol 117 (5) ◽  
pp. 535-543 ◽  
Author(s):  
Justin A. R. Lang ◽  
James T. Pearson ◽  
Arjan B. te Pas ◽  
Megan J. Wallace ◽  
Melissa L. Siew ◽  
...  

At birth, the transition to newborn life is triggered by lung aeration, which stimulates a large increase in pulmonary blood flow (PBF). Current theories predict that the increase in PBF is spatially related to ventilated lung regions as they aerate after birth. Using simultaneous phase-contrast X-ray imaging and angiography we investigated the spatial relationships between lung aeration and the increase in PBF after birth. Six near-term (30-day gestation) rabbits were delivered by caesarean section, intubated and an intravenous catheter inserted, before they were positioned for X-ray imaging. During imaging, iodine was injected before ventilation onset, after ventilation of the right lung only, and after ventilation of both lungs. Unilateral ventilation increased iodine levels entering both left and right pulmonary arteries (PAs) and significantly increased heart rate, iodine ejection per beat, diameters of both left and right PAs, and number of visible vessels in both lungs. Within the 6th intercostal space, the mean gray level (relative measure of iodine level) increased from 68.3 ± 11.6 and 70.3 ± 7.5%·s to 136.3 ± 22.6 and 136.3 ± 23.7%·s in the left and right PAs, respectively. No differences were observed between vessels in the left and right lungs, despite the left lung not initially being ventilated. The increase in PBF at birth is not spatially related to lung aeration allowing a large ventilation/perfusion mismatch, or pulmonary shunting, to occur in the partially aerated lung at birth.


1986 ◽  
Vol 67 (1) ◽  
pp. 26-28
Author(s):  
G. I. Volodina ◽  
V. M. Semenov

A total of 189 patients, including 180 (95.2%) with tuberculosis and 9 (4.8%) with malignant tumours of the respiratory organs were studied. Twelve people had focal TB, 109 had infiltrative TB, 21 had disseminated TB, 11 had cavernous TB, 25 had fibrotic cavernous TB and 2 had other forms.


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