scholarly journals Hemoptisis pada Pasien Aspergilloma Paru Kiri

2018 ◽  
Vol 4 (2) ◽  
pp. 38
Author(s):  
Gilang Muhammad Setyo Nugroho ◽  
Laksmi Wulandari
Keyword(s):  
Surgical Therapy ◽  
Lung Tissue ◽  
Physical Condition ◽  
Left Lung ◽  
Fungus Ball ◽  
Good Physical Condition ◽  
Superior Lobe ◽  
Examination Result ◽  
Life Threatening ◽  
History Of

Background: Aspergilloma is a fungus ball (misetoma) that occurs because there is a cavity in the parenchyma due to previous lung disease. This fungus ball can move inside the cavity but does not invate the cavity wall. The presence of fungus ball causes recurrent hemoptysis. Case: We present a 45-year-old female patient with left lung Aspergilloma. Diagnosis of Aspergilloma was based on histopathology from FNAB CT guiding of left pulmonary which showed Aspergillus. Patient was treated with left superior lobe lobectomy at the hospital. The examination result of anatomical patology obtained from lung tissue was aspergillosis, from GeneXpert examination lung tissue showed positive MTB with rifampisin sensitive. Post-operative condition of the patient was stable, surgical wound improved, took off drain patient. There were clinical improvements after the surgery. Discussion: Diagnosis of Aspergilloma was based on clinical, radiology, and microbiology. Aspergilloma with severe symptoms (hemoptysis massive with life-threatening or other complications that require more than 1 time hospitalisation) and good physical condition should undergo surgical therapy in the form of lobectomy in accordance with the extent of lung abnormalities. Patient got first category anti tuberculosis drugs for 6 months and fluconazole for 2 months. Conclusion: It is necessary to consider the suspicion of Aspergillus infection, in patient with history of previous tuberculosis accompanied by a history of recurrent hemoptysis. Patient with reccurent hemoptysis and good physical condition should undergo surgical therapy.

scholarly journals Clinico-radiological profile of COVID-19 in a tertiary care hospital of western Rajasthan

2021 ◽  
Vol 6 (3) ◽  
pp. 152-155
Author(s):  
Priyanka Soni ◽  
Laxman Kumar Soni ◽  
K.C Agarwal
Keyword(s):  
Tertiary Care ◽  
Left Lung ◽  
Care Hospital ◽  
Lung Involvement ◽  
Laboratory Findings ◽  
Reactive Protein ◽  
Radiological Data ◽  
Life Threatening ◽  
History Of ◽  
Novel Coronavirus

Coronavirus disease 2019 (COVID-19) is a pandemic infectious disease caused by a novel coronavirus, known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Infection by COVID-19 can result in a range of clinical outcomes, from asymptomatic to severe life-threatening course or death. The purpose of our research was to evaluate the presentation of COVID19 disease based on the clinical and radiological characteristics of our population. 100 COVID19 patients recorded by RTPCR. Clinical, biochemical and radiological data from April-May, 2021. Of the 100 patients, in our study 66% were males and 26% patients had history of recent travel. Majority of patients were asymptomatic and don’t have comorbid illness. Thrombocytopenia and lymphopenia, increased levels of lactate dehydrogenase (LDH) and serum ferritin and C-reactive protein were common in these patients. CT finding were 63% had normal CT chest. Among the 37% patients who had CT chest findings, 25% had bilateral diseases, 8% patients had right lung involvement while 4% patients have left lung involvement.  COVID-19 disease has a relatively mild course in this part of the subcontinent. Clinical and laboratory findings are similar to those found in viral diseases. Studies involving larger sample size and interventional trials are need of the hour.

Scalp Reconstruction

2019 ◽  
pp. 343-354
Author(s):  
Joseph J. Disa ◽  
Edward Ray
Keyword(s):  
Patient Compliance ◽  
Physical Condition ◽  
Systematic Approach ◽  
Free Tissue Transfer ◽  
Defect Identification ◽  
Scalp Reconstruction ◽  
Tissue Transfer ◽  
Life Threatening ◽  
History Of ◽  
Definition Of

The scalp serves both protective and aesthetic functions. Injury or loss of the scalp may lead to desiccation and osteonecrosis of the underlying calvarium as well as potentially life-threatening osteomyelitis and meningitis. Reconstruction of the scalp starts with a systematic approach, beginning with definition of the defect, identification of the reconstructive priorities, and a thorough assessment of the patient’s anatomy and history. Comorbidities, history of radiation or prior reconstruction, physical condition, and patient compliance are important factors to consider as well. Depending on each of these considerations, options available to the reconstructive surgeon include single- and multiple-stage procedures, grafts, local/regional flaps, and free tissue transfer.

scholarly journals Aplasia - Congenital Lung Abnormality with Non-Development

2012 ◽  
Author(s):  
Catherine Rivera ◽  
Douglas Gardenhire
Keyword(s):  
Lung Tissue ◽  
Left Lung ◽  
The Elderly ◽  
Chronic Obstructive ◽  
Class Iii ◽  
Obstructive Pulmonary Disease ◽  
Case Presentation ◽  
Lung Abnormalities ◽  
History Of

The following case presentation is of a 75-year-old male who presented to the emergency department with chronic obstructive pulmonary disease (COPD) exacerbation, secondary to pneumonia, and a history of a congenital left lung abnormality with non-development. Since the first report by de Pozzis in 1673, more than 200 cases of lung abnormalities with non-development have been recorded.1,2 The first proposed classification of underdevelopment of the lung was introduced by Schneider in 1912: Class I Agenesis - total absence of bronchus and lung, Class II Aplasia - rudimentary bronchus without lung tissue, and Class III Hypoplasia - bronchial hypoplasia and variable but reduced amount of lung tissue.1,2 The rarity of reports and applicable literature involving congenital lung abnormalities with non-development in the elderly, such as pulmonary aplasia, prompted this case presentation.

scholarly journals Pulmonary Mucormycosis in Chronic Lymphocytic Leukemia and Neutropenia

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Izza Mir ◽  
Sijan Basnet ◽  
David Ellsworth ◽  
Elan Mohanty
Keyword(s):  
Chronic Lymphocytic Leukemia ◽  
Fungal Infection ◽  
Amphotericin B ◽  
Thoracoscopic Surgery ◽  
Left Lung ◽  
Lymphocytic Leukemia ◽  
Pulmonary Mucormycosis ◽  
Life Threatening ◽  
History Of ◽  
Video Assisted Thoracoscopic Surgery

Pulmonary mucormycosis is a rare life-threatening fungal infection associated with high mortality. We present the case of a 61-year-old man with history of chronic lymphocytic leukemia who presented with fever and cough, eventually diagnosed with pulmonary mucormycosis after right lung video-assisted thoracoscopic surgery. The patient was successfully treated with amphotericin B and right lung pneumonectomy; however, he later died from left lung pneumonia.

scholarly journals Spontaneous hemopneumothorax after laparoscopy: a case report and literature review

2020 ◽  
Vol 48 (7) ◽  
pp. 030006052092532
Author(s):  
Zhenyan Gao ◽  
Qing Wang ◽  
Juntao Shi ◽  
Huihua Cao ◽  
Yugang Wu ◽  
...  
Keyword(s):  
Left Lung ◽  
Radical Resection ◽  
Bloody Stool ◽  
Left Chest ◽  
Clinical Disorder ◽  
Life Threatening ◽  
Rectal Mass ◽  
History Of ◽  
Adhesive Band ◽  
Spontaneous Hemopneumothorax

Background Spontaneous hemopneumothorax (SHP) is defined as the accumulation of >400 mL of blood in the pleural cavity in association with spontaneous pneumothorax. This rare clinical disorder may be life-threatening. Case presentation A 71-year-old woman presented with a 1-month history of recurrent bloody stool, and electronic colonoscopy suggested a rectal mass. Laparoscopic radical resection of rectal cancer was performed. Two days later, she developed chest tightness, shortness of breath, and slight pain in the left chest. Emergency chest radiography revealed mild left pneumothorax and pleural effusion. SHP was suspected and a thoracic drain was inserted. However, the patient developed hemorrhagic shock 3 hours after drainage. She underwent emergency video-assisted thoracic surgery (VATS), which revealed left lung tip rupture with bleeding and adhesive band fracture at the top of the left thoracic cavity. The ruptured lung tissue was removed and electrocoagulation at the adhesion band was performed for hemostasis. The patient was discharged on postoperative day 11. At the time of this writing, she had developed no SHP recurrence or any other complications. Conclusions This case shows that conservative treatment may have serious consequences in patients with SHP. Thus, chest X-ray examination and VATS should be performed in patients with SHP.

scholarly journals 1109 Huge aortic aneurysm after surgical repair of coarctation

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
M M De La Torre Carpente ◽  
B Redondo Bermejo ◽  
T M Perez Sanz ◽  
M A Acuna Lorenzo ◽  
M I Revilla Martinez ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Thoracic Aorta ◽  
Subclavian Artery ◽  
Lung Tissue ◽  
Left Lung ◽  
Aortic Aneurysms ◽  
Coarctation Of Aorta ◽  
Transverse Diameter ◽  
Descending Thoracic Aorta ◽  
Superior Lobe

Abstract A 51-year-old male presented to hospital with hemoptysis. The patient had been diagnosed of coarctation of the aorta and aortic aneurysm distal to the coarctation. In 1998 he underwent surgical correction with a a left subclavian artery bypass to the descending thoracic aorta and the aneurysm was excluded with a dacron graft. He denied hypertension. A thoracic CT performed during this episode, revealed a huge aneurysm in the descending thoracic aorta with a maximal transverse diameter of 13 cm and anteroposterior diameter of 13 cm. The length of the aneurysm was 11.5 cm. Inside the aneurysm there was a big thrombus with several peripheral layers of calcium. The vessel lumen had a diameter of 5.5 cm. The subclavian bypass had no stenosis. The right subclavian artery had an aberrant origen. The aneurysm compressed the left atrium, the left pulmonary artery, left lung tissue and the left main bronchus with a segmentary compressive atelectasis. There was a "ground-glass" pattern in the posterior region of the left superior lobe suggesting pulmonary bleeding. There was no evidence of enlargement of bronchial arteries. Neither were bronchiectasis. Thus, the patient was diagnosed of high suspicion of fistula between aorta and bronchi of the left superior lobe. He was referred to a centre specializing in treatment of coarctation and he was offered a debranching plus TEVAR procedure. Open surgery was not an option due to high risk. The patient refused the intervention. Discussion adults with aortic coarctation should undergo intervention when the gradient across the coarctation is greater than or equal to 20 mmHg and there is hypertension, when there is an altered blood pressure response during exercise or in case of hypertrophic left ventricle. Treatment options are surgery, stent and balloon angioplasty. Complications following intervention include recoarctation, aortic aneurysm, aortic dissection and hypertension. Therefore, it is mandatory to follow up these patients closely and regularly after an intervention either surgical or percutaneous. Digging up in our patient history we found a previous CT in 2009, at that moment transversal diameter of the aneurysm was 9.4 cm and the anteroposterior 12.4 cm. There were no more data after 2009 till 2019. Aortic aneurysms are a rare cause of hemoptysis with a very bad prognosis if not treated. Though CT and MR may suggest that there is a fistula, the aortography is the gold standard technique. Another mechanisms related to hemoptysis are the rupture of small vessels because of the compression of lung tissue or bronchial collapse with subsequent infection. In this case, maybe the big thrombus helped to avoid the rupture of the aneurysm into the left bronchi which would be fatal. Conclusion Patients with repaired coarctation of aorta should be followed regularly, whatever procedure is performed, because some of the complications following repair can have a bad prognosis. Abstract 1109 Figure. hugeaneurysmEuroEcho2019

scholarly journals GESTATIONAL TROPHOBLASTIC NEOPLASIA (GTN) WITH HYPERTIROIDISM (CASE REPORT)

2019 ◽  
Vol 26 (2) ◽  
Author(s):  
Devi Rahmadhona ◽  
Betty Agustina Tambunan
Keyword(s):  
Left Kidney ◽  
Malignant Lesion ◽  
Left Lung ◽  
Thyroid Stimulating Hormone ◽  
Ca 125 ◽  
Villous Trophoblast ◽  
Life Threatening ◽  
History Of ◽  
Invasive Mole ◽  
Loss Of Appetite

Introduction. Gestationaltrophoblastic neoplasia(GTN) is a malignant lesion arising from placental villous and extra-villous trophoblast, occuring in 1:40,000 pregnancies. Invasive mole and choriocarcinoma are the vast majority of GTN, produce substantial amounts of human chorionic gonadotropin (hCG). Hyperthyroidism in GTN is due to stimulation of thyroid gland by hCG which has a similar structure with thyroid stimulating hormone (TSH).Case. A 28-year-old female, suspected with choriocarcinoma and anemia, had history of recurrent vaginal bleeding in 8 months, accompanied with loss of appetite, weight loss, palpitation and tremor. Physical examination: pulse rate 114x/minutes, respiration rate 26x/minutes, temperature 38 0C, conjunctival anemia and dyspneu. Laboratory: anemia, leukocytosis, hypoalbuminemia, hypokalemia, increase ofLDH, increase of bhCG >1,500,000 mIU/mL, T4 14.1 ug/dL (4.40-10.90 ug/dL), FT4 1.95 ng/dL (0.89-1.76 ng/dL), and decrease of TSH. Abdominal CT Scan suggested uterine mass suspected as malignancy infiltrating to rectum with metastatic features in liver, base of left lung, spleen and left kidney. Increased CA-125, and metastatic features of lung right paracardial and left suprahilar from Chest X-ray were found.Discussion.GTN diagnostic criteria include: increased bhCG examined ³4 x; increased bhCG ³3 weekly examination; histology diagnosis of choriocarcinoma; increased bhCG > 20,000 more than 4 weeks post evacuation and the presence of metastasis. Hyperthyroidism in GTN is potentially life threatening because of heart failure and thyroid storm.Conclusion.Hyperthyroidism increases morbidity and mortality in GTN patient, so periodic thyroid examination is essential to prevent further complication of hyperthyroidism.  

scholarly journals Catheter Ablation of Life-Threatening Ventricular Arrhythmias in Athletes

Medicina ◽  
2021 ◽  
Vol 57 (3) ◽  
pp. 205
Author(s):  
Nicola Tarantino ◽  
Domenico G. Della Rocca ◽  
Nicole S. De Leon De La Cruz ◽  
Eric D. Manheimer ◽  
Michele Magnocavallo ◽  
...  
Keyword(s):  
Catheter Ablation ◽  
Ventricular Arrhythmias ◽  
Individual Factors ◽  
Substantial Part ◽  
Arrhythmogenic Substrate ◽  
Life Threatening ◽  
History Of ◽  
Anatomic Distribution ◽  
Artery Disease ◽  
Surveillance Analysis

A recent surveillance analysis indicates that cardiac arrest/death occurs in ≈1:50,000 professional or semi-professional athletes, and the most common cause is attributable to life-threatening ventricular arrhythmias (VAs). It is critically important to diagnose any inherited/acquired cardiac disease, including coronary artery disease, since it frequently represents the arrhythmogenic substrate in a substantial part of the athletes presenting with major VAs. New insights indicate that athletes develop a specific electro-anatomical remodeling, with peculiar anatomic distribution and VAs patterns. However, because of the scarcity of clinical data concerning the natural history of VAs in sports performers, there are no dedicated recommendations for VA ablation. The treatment remains at the mercy of several individual factors, including the type of VA, the athlete’s age, and the operator’s expertise. With the present review, we aimed to illustrate the prevalence, electrocardiographic (ECG) features, and imaging correlations of the most common VAs in athletes, focusing on etiology, outcomes, and sports eligibility after catheter ablation.

Intraorbital Abscess: A Rare Cause of Orbit Compression

FACE ◽  
2021 ◽  
pp. 273250162110050
Author(s):  
Samuel Ruiz ◽  
Rizal Lim
Keyword(s):  
Pediatric Population ◽  
Rare Complication ◽  
Disease Process ◽  
Rare Condition ◽  
External Drainage ◽  
Direct Extension ◽  
Life Threatening ◽  
History Of ◽  
High Index Of Suspicion ◽  
Prompt Diagnosis

Introduction: Intraorbital abscess is a rare complication of rhinosinusitis that affects most commonly the pediatric population. It is thought to be caused by direct extension or venous spread of infections from contiguous sites and can lead to life-threatening complications, like permanent visual loss and cerebral abscesses. Objectives: Intraorbital abscess is a rare condition that requires prompt diagnosis and treatment to avoid serious complications. Our objectives are to provide an overview of this rare disease process and its management including our successful treatment experience. Case Description: We present a 2 case report of a 13-year-old pediatric male and a 66-year-old male with history of chronic sinusitis who presented with a right intraorbital abscess successfully treated with external drainage with decompression of the orbit. Conclusion: When intraorbital abscess is encountered, a high index of suspicion is needed to allow prompt and accurate diagnosis for this infrequent condition. Timely surgical drainage of the abscess is needed to prevent the development of fatal complications.

scholarly journals Asymptomatic mediastinal extra-adrenal paraganglioma as a cause of sudden death: a case Report

2019 ◽  
Vol 14 (1) ◽  
pp. 564-567
Author(s):  
Qiancheng Xu ◽  
Yingya Cao ◽  
Hongzhen Yin ◽  
Rongrong Wu ◽  
Tao Yu ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Case Report ◽  
Respiratory Failure ◽  
Pressure Drop ◽  
Thoracic Cavity ◽  
Severe Hypotension ◽  
Life Threatening ◽  
History Of ◽  
Posterior Mediastinal ◽  
Extra Adrenal Paraganglioma

AbstractA 23-year-old female patient was referred for treatment of a posterior mediastinal tumour. There was no history of hypertension or headache and no other complaints. The patient’s blood pressure increased to 210/125 mmHg after surgically manipulating the tumour, subsequently reversing to severe hypotension (25/15 mmHg) immediately after the tumour was removed. The life-threatening and irreversible blood pressure drop was difficult to treat with fluid and vasopressors, and the patient ultimately died of cardio-respiratory failure. Asymptomatic paraganglioma can be non-functional but can also be fatal. For any lump in the thoracic cavity, paraganglioma should be ruled out.

Sign in / Sign up

Export Citation Format

Share Document