scholarly journals Chronic Pulmonary Aspergillosis: Literature Review and Demonstration of Own Observations

2021 ◽  
Vol 102 (5) ◽  
pp. 317-328
Author(s):  
N. G. Nikolaeva ◽  
O. V. Shadrivova ◽  
I. E. Itskovich ◽  
N. N. Klimko

Chronic pulmonary aspergillosis (CPA) is a severe disease that develops mainly in patients without obvious immune disorders. Computed tomography is the main instrumental method in the diagnosis of CPA, which is necessary to determine the form of the disease, to choose treatment policy, to combat complications, and to monitor therapy. This makes it important for a radiologist to understand the main aspects of timely and differential diagnosis. There are insufficient Russian studies on this problem. This paper analyzes the 2014–2020 Russian and foreign publications available in PubMed, Web of Science, Elsevier, and eLibrary electronic databases. When searching for information, the following keywords were used: “computed tomography”, “chronic pulmonary aspergillosis”, “aspergilloma”, “air-crescent symptom”, “differential diagnosis”.

Author(s):  
Cendrine Godet ◽  
François Laurent ◽  
Anne Bergeron ◽  
Catherine Begeilman ◽  
Christophe Pison ◽  
...  

2016 ◽  
Vol 69 (2) ◽  
pp. 118-126 ◽  
Author(s):  
Tsunehiro Ando ◽  
Naobumi Tochigi ◽  
Kyoko Gocho ◽  
Atsuko Moriya ◽  
Soichiro Ikushima ◽  
...  

2017 ◽  
Vol 55 (1) ◽  
pp. 74-78 ◽  
Author(s):  
Aki Sakurai ◽  
Hidekatsu Yanai ◽  
Tsuyoshi Ishida ◽  
Hiromi Kuwata ◽  
Katsuhiko Kamei ◽  
...  

2021 ◽  
Vol 102 (1) ◽  
pp. 47-56
Author(s):  
N. G. Nikolaeva ◽  
T. A. Golimbievskaya ◽  
O. V. Shadrivova ◽  
E. A. Desyatik ◽  
I. A. Bekhtereva ◽  
...  

Two cases of postoperative diagnosis of chronic pulmonary aspergillosis are presented, which were previously regarded as malignant neoplasms. A decisive role in the detection of chronic pulmonary aspergillosis is played by computed tomography, but the diagnosis should be confirmed by laboratory tests. The importance of early diagnosis of chronic pulmonary aspergillosis is associated with high risk of complications during surgery without the use of antifungal drugs.


2021 ◽  
Vol 67 (3) ◽  
pp. 26-36
Author(s):  
T. A. Korb ◽  
V. Yu. Chernina ◽  
I. A. Blokhin ◽  
O. O. Aleshina ◽  
A. V. Vorontsov ◽  
...  

This literature review focuses on the normal adrenal gland anatomy and typical imaging features necessary to evaluate benign and malignant lesions. In particular, adenoma, pheochromocytoma, metastases and adrenocortical carcinoma were discussed as some of the most common lesions. For this purpose, a review of relevant local and international literature sources up to January 2021 was conducted.In many cases, adrenal incidentalomas have distinctive features allowing characterization using noninvasive methods. It is possible to suspect a malignant nature and promptly refer the patient for the necessary invasive examinations in some cases. ­Computed tomography, especially with intravenous contrast enhancement, is the primary imaging modality because it enables differential diagnosis. Magnetic resonance tomography remains a sensitive method in lesion detection and follow-up but is not very specific for determining the malignant potential. Positron emission computed tomography also remains an additional method and is used mainly for differential diagnosis of malignant tumors, detecting metastases and recurrences after surgical treatment. Ultrasound has a limited role but is nevertheless of great importance in the pediatric population, especially newborns. Promising techniques such as radiomics and dual-energy CT can expand imaging capabilities and improve diagnostic accuracy.Because adrenal lesions are often incidentally detected by imaging performed for other reasons, it is vital to interpret such findings correctly. This review should give the reader a broad overview of how different imaging modalities can evaluate adrenal pathology and guide radiologists and clinicians.


2015 ◽  
Vol 45 (4) ◽  
pp. 128-132 ◽  
Author(s):  
H. Benjelloun ◽  
N. Zaghba ◽  
N. Yassine ◽  
A. Bakhatar ◽  
M. Karkouri ◽  
...  

2014 ◽  
Vol 1 (1) ◽  
pp. 17 ◽  
Author(s):  
Alaoui Lamrani Youssef ◽  
Badr Alami ◽  
Ferdaous Sahnoun ◽  
Meriem Boubbou ◽  
Imane Kamaoui ◽  
...  

Lymphangioleiomyomatosis (LAM) is a rare idiopathic disorder of unclear origin, which almost exclusively occurs to women before menopause. It is characterized by nonneoplastic diffuse proliferation of atypical immature smooth muscle cells around small airways and vessels. We report the case of a 64-year-old woman kept for chronic progressive dyspnea related to a diffuse LAM.The discussion includes a literature review that describes the physiopathology, clinical features, chest computed tomography aspects, and differential diagnosis regarding this rare disease.Through this case report, pulmonary LAM should be included in the list of differential diagnoses for cases of pulmonary cystic lesions, even in postmenopausal women. 


2020 ◽  
Vol 6 (2) ◽  
pp. 75 ◽  
Author(s):  
Felix Bongomin ◽  
Lucy Grace Asio ◽  
Joseph Baruch Baluku ◽  
Richard Kwizera ◽  
David W. Denning

Chronic pulmonary aspergillosis (CPA) is a spectrum of several progressive disease manifestations caused by Aspergillus species in patients with underlying structural lung diseases. Duration of symptoms longer than three months distinguishes CPA from acute and subacute invasive pulmonary aspergillosis. CPA affects over 3 million individuals worldwide. Its diagnostic approach requires a thorough Clinical, Radiological, Immunological and Mycological (CRIM) assessment. The diagnosis of CPA requires (1) demonstration of one or more cavities with or without a fungal ball present or nodules on chest imaging, (2) direct evidence of Aspergillus infection or an immunological response to Aspergillus species and (3) exclusion of alternative diagnoses, although CPA and mycobacterial disease can be synchronous. Aspergillus antibody is elevated in over 90% of patients and is the cornerstone for CPA diagnosis. Long-term oral antifungal therapy improves quality of life, arrests haemoptysis and prevents disease progression. Itraconazole and voriconazole are alternative first-line agents; voriconazole is preferred for patients with contra-indications to itraconazole and in those with severe disease (including large aspergilloma). In patients co-infected with tuberculosis (TB), it is not possible to treat TB with rifampicin and concurrently administer azoles, because of profound drug interactions. In those with pan-azole resistance or intolerance or progressive disease while on oral triazoles, short-term courses of intravenous liposomal amphotericin B or micafungin is used. Surgery benefits patients with well-circumscribed simple aspergillomas and should be offered earlier in low-resource settings.


Author(s):  
Muhammad Yousaf ◽  
Petr Bris

A systematic literature review (SLR) from 1991 to 2019 is carried out about EFQM (European Foundation for Quality Management) excellence model in this paper. The aim of the paper is to present state of the art in quantitative research on the EFQM excellence model that will guide future research lines in this field. The articles were searched with the help of six strings and these six strings were executed in three popular databases i.e. Scopus, Web of Science, and Science Direct. Around 584 peer-reviewed articles examined, which are directly linked with the subject of quantitative research on the EFQM excellence model. About 108 papers were chosen finally, then the purpose, data collection, conclusion, contributions, and type of quantitative of the selected papers are discussed and analyzed briefly in this study. Thus, this study identifies the focus areas of the researchers and knowledge gaps in empirical quantitative literature on the EFQM excellence model. This article also presents the lines of future research.


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