scholarly journals Primary Pulmonary Hydatid Disease

2018 ◽  
Vol 6 (2) ◽  
pp. 105-107 ◽  
Author(s):  
Md Tarek Alam ◽  
Sadia Saber ◽  
Rafa Faaria Alam ◽  
Mohammad Monower Hossain
Keyword(s):  
Weight Loss ◽  
Mass Effect ◽  
Final Diagnosis ◽  
Organ System ◽  
Parasitic Disease ◽  
The World ◽  
Pulmonary Hydatid Disease ◽  
Work Up ◽  
Pulmonary Echinococcosis ◽  
Tomography Scan

Echinococcosis is a parasitic disease endemic in many parts of the world. Liver is the most common affected organ followed by lungs. However, the infestation of the latter is usually secondary to another infected organ system. Symptoms are not specific and can be produced by the mass effect or cyst complications. In the article we are reporting a case of pulmonary echinococcosis in a middle aged male, where the patient presented with symptoms of fever, cough with expectoration, weight loss and dysponea. An extensive work-up showed no other foci of infestation, hence final diagnosis was done based on chest radiography and tomography scan findings and was successfully treated with Albendazole.Bangladesh Crit Care J September 2018; 6(2): 105-107

scholarly journals A case report on Sarcoidosis

2015 ◽  
Vol 22 (2) ◽  
pp. 225-228
Author(s):  
Sudip Ranjan Deb ◽  
Ratul Sarkar ◽  
Pratyay Hasan ◽  
Shegufta Mishket Mukerrama ◽  
Prianka Baral ◽  
...  
Keyword(s):  
Clinical Manifestations ◽  
Organ System ◽  
Mediastinal Lymphadenopathy ◽  
Unknown Aetiology ◽  
Multisystem Disease ◽  
Medical College ◽  
Subcutaneous Nodules ◽  
The World ◽  
Diagnostic Work ◽  
Work Up

Sarcoidosis is a multisystem disease that may involve almost any organ system. Infiltration with non-caseating granulomas is the hallmark of the disease, and it may result in various clinical manifestations. Since the first description of the disease by British dermatologist Jonathan Hutchison in 1869, sarcoidosis has been seen in almost every part of the world and continues to engender considerable interest among clinicians because of its unknown aetiology, protean manifestations, and variable course and prognosis. Here we report a 65-year old woman who presented to us with a rather atypical presentation of sarcoidosis- subcutaneous nodules. Later, on subsequent diagnostic work-up, she was found to have bilateral hilar and mediastinal lymphadenopathy and pulmonary reticular lesions. It is a bit unusual to have only subcutaneous nodules as the presenting complaint of sarcoidosis without any prominent systemic and respiratory symptoms, which is what prompted this report. DOI: http://dx.doi.org/10.3329/jdmc.v22i2.21549 J Dhaka Medical College, Vol. 22, No.2, October, 2013, Page 225-228

scholarly journals Complicated Pulmonary Hydatid Disease:

2015 ◽  
Vol 5 (1) ◽  
pp. 47-52
Author(s):  
Shaza A. Samargandy
Keyword(s):  
Hydatid Disease ◽  
Parasitic Infection ◽  
Primary Treatment ◽  
Water Lily ◽  
Surgical Interventions ◽  
Remarkable Recovery ◽  
Pastoral Communities ◽  
Pulmonary Hydatid Disease ◽  
Pulmonary Echinococcosis ◽  
Tomography Scan

Hydatid disease is a zoonotic parasitic infection that is more prevalent in the developing world and among pastoral communities. This report discusses this case along with a brief review of the pulmonary echinococcosis literature. This is a case report of a pulmonary hydatid disease in a young man whose disease course was complicated by spontaneous pneumothorax and empyema. His chest computerized tomography scan revealed the characteristic (Water Lily sign) which is pathognomonic for pulmonary hydatidosis. With proper anti-helminthic and antibiotic treatment along with surgical management, the patient made a remarkable recovery. Pulmonary hydatidosis in not uncommon in this region. Diagnosis can be reached through careful history, imaging, and serological testing. Primary treatment is pharmacological, but surgical interventions may be warranted in select cases.

scholarly journals Primary pulmonary Echinococcosis: A case report

2016 ◽  
Vol 9 (1) ◽  
pp. 66
Author(s):  
Md. Rafiqul Alam ◽  
Md. Abul Kalam Azad ◽  
Zia Uddin Ahmed ◽  
Md. Mizanur Rahman Khan ◽  
Ferdous Jahan ◽  
...  
Keyword(s):  
Case Report ◽  
Middle Age ◽  
Pulmonary Involvement ◽  
Parasitic Disease ◽  
Positive Serology ◽  
The World ◽  
One Year ◽  
Pulmonary Echinococcosis

Echinococcosis is a parasitic disease endemic in many parts of the world. Liver is the most common affected organ followed by lungs. Primary pulmonary involvement is very rare. In this case report, we are going to present a case of primary pulmonary echinococcosis in a middle age female. She was presented with cough and haemoptysis. She was initially labeled and treated as a case of consolidation with different antibiotics in appropriate dose and duration without clinical and radiological improvement. So she was evaluated further and diagnosed as a case of primary pulmonary echinococcosis on the basis of histopathology and positive serology for Echinococcal antigen. She was advised to take oral Albendazole 400mg 12 hourly for one year with regular follow-up.

scholarly journals Malignant pericardial effusion complicated by cardiac tamponade under atezolizumab

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110360
Author(s):  
Lardinois Benjamin ◽  
Goeminne Jean-Charles ◽  
Miller Laurence ◽  
Randazzo Adrien ◽  
Laurent Terry ◽  
...  
Keyword(s):  
Pericardial Effusion ◽  
Cardiac Tamponade ◽  
Cardiac Toxicity ◽  
Checkpoint Inhibitors ◽  
Final Diagnosis ◽  
Pericardial Fluid ◽  
Malignant Pericardial Effusion ◽  
Typical Cell ◽  
High Fluorescence ◽  
Tomography Scan

Immune-related adverse events including cardiac toxicity are increasingly described in patients receiving immune checkpoint inhibitors. We described a malignant pericardial effusion complicated by a cardiac tamponade in an advanced non-small cell lung cancer patient who had received five infusions of atezolizumab, a PDL-1 monoclonal antibody, in combination with cabozantinib. The definitive diagnosis was quickly made by cytology examination showing typical cell abnormalities and high fluorescence cell information provided by the hematology analyzer. The administration of atezolizumab and cabozantinib was temporarily discontinued due to cardiogenic hepatic failure following cardiac tamponade. After the re-initiation of the treatment, pericardial effusion relapsed. In this patient, the analysis of the pericardial fluid led to the final diagnosis of pericardial tumor progression. This was afterwards confirmed by the finding of proliferating intrapericardial tissue by computed tomography scan and ultrasound. This report emphasizes the value of cytology analysis performed in a hematology laboratory as an accurate and immediate tool for malignancy detection in pericardial effusions.

scholarly journals Pulmonary echinococcosis: A rare pseudotumour of the lung

Rare Tumors ◽  
2021 ◽  
Vol 13 ◽  
pp. 203636132110097
Author(s):  
Kristina Greimelmaier ◽  
Thomas Hager ◽  
Vasily Moskalenko ◽  
Stefan Mueller-Huelsbeck ◽  
Henning Feist ◽  
...  
Keyword(s):  
Central Europe ◽  
Hydatid Disease ◽  
Cystic Echinococcosis ◽  
Frozen Section ◽  
Lung Abscess ◽  
Thoracic Pain ◽  
Primary Lung Carcinoma ◽  
Pulmonary Manifestations ◽  
Pulmonary Hydatid Disease ◽  
Pulmonary Echinococcosis

Cystic echinococcosis is a widely endemic helminthic disease worldwide but occurs only rarely in Central Europe. Humans are infected as ‘aberrant’ hosts by Echinococcus granulosus and develop cysts in numerous different organs. 20%–30% of the affected individuals develop hydatid disease in the lungs with associated complications including pleuritis, lung abscess and pneumothorax. Radiologically, the pulmonary lesions of cystic echinococcosis occasionally pose difficulties in the differential diagnosis of primary lung carcinoma or metastatic disease and vice versa. Herein we report on a case of pulmonary hydatid disease in a 25-year-old Iraqi male presenting with a cystic lesion of the lung associated with thoracic pain and involuntary weight loss. Despite of its rare occurrence in Central Europe, clinicians, radiologists and pathologists should be aware of this entity and its pulmonary manifestations. During frozen section examination, imprint cytology specimens may facilitate the detection of the pathogens.

Psychogenic stuttering: A case and review

2016 ◽  
Vol 33 (S1) ◽  
pp. S386-S387 ◽  
Author(s):  
A. Almada ◽  
R. Simões ◽  
M. Constante ◽  
P. Casquinha ◽  
M.J. Heitor
Keyword(s):  
Social Life ◽  
Sudden Change ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Motor Abilities ◽  
Negative Results ◽  
The Social ◽  
Competing Interest ◽  
Work Up ◽  
Tomography Scan

IntroductionStuttering is a speech disorder characterized by involuntary repetition, prolongation or cessation of a sound. This dysfluency may be developmental or acquired. Acquired dysfluency can be classified as neurogenic or psychogenic.ObjectivesThis case report aims to describe and discuss a case of psychogenic stuttering, providing an updated review on this disorder.MethodsIn and outpatient interviews were performed by Neurology and Psychiatry. Investigation to exclude organic causes included lab exams, electrocardiogram, electroencephalography, computed tomography scan and magnetic resonance imaging. A literature review in Science Direct database, with the keywords “psychogenic stuttering”, was also conducted.ResultsA 63-year-old man was admitted to the Beatriz Ângelo Hospital with an acute stuttering. Speech was characterized by the repetition of initial or stressed syllables, little affected by reading out loud or singing. Comprehension, syntaxes and semantic were not compromised, as weren’t sensory and motor abilities. During admission, stuttering characteristics changed. Multiple somatic complaints and stress prior to the onset and bizarre secondary behaviors were also detected. Work-up didn’t show an organic etiology for that sudden change. An iatrogenic etiology was considered, as sertraline and topiramate were started for depression 1 month before. However, the stuttering pattern, the negative results, the psychological and the social life events suggested a psychogenic etiology.ConclusionsPsychogenic stuttering finds its origin in psychological or emotional problems. It is best classified as a conversion reaction. The differential diagnosis between psychogenic and neurological stuttering can be challenging.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Protein-losing enteropathy as precursor of inflammatory bowel disease: a review of the literature

2021 ◽  
Vol 14 (1) ◽  
pp. e238802
Author(s):  
Fritz Ruprecht Murray ◽  
Bernhard Morell ◽  
Luc Biedermann ◽  
Philipp Schreiner
Keyword(s):  
Inflammatory Bowel Disease ◽  
Liver Cirrhosis ◽  
Female Patient ◽  
Bowel Disease ◽  
Final Diagnosis ◽  
Gastrointestinal Diseases ◽  
Review Of The Literature ◽  
Protein Losing Enteropathy ◽  
Inflammatory Bowel ◽  
Work Up

We report the case of a 63-year-old female patient with liver cirrhosis who presented with symptoms of severe hypoalbuminaemia and diarrhoea. After ruling out other causes of hypoalbuminaemia and confirmation of an elevated faecal α-1 antitrypsin clearance, the diagnosis of protein-losing enteropathy (PLE) could be established. Since PLE is a syndrome caused by various diseases, classified into erosive and non-erosive gastrointestinal diseases or lymphatic obstruction, an extensive work-up was necessary, establishing the final diagnosis of Crohn’s disease.

Primary leptomeningeal lymphoma masquerading as infectious tubercular meningitis

2021 ◽  
Vol 14 (9) ◽  
pp. e243574
Author(s):  
Salini Sumangala ◽  
Thidar Htwe ◽  
Yousuf Ansari ◽  
Lidia Martinez- Alvarez
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Correct Diagnosis ◽  
Central Nervous System Lymphoma ◽  
Final Diagnosis ◽  
Csf Analysis ◽  
Antitubercular Treatment ◽  
Lymphoma Treatment ◽  
Work Up ◽  
Timely Treatment

Primary central nervous system lymphoma (PCNSL) is infrequent and often poses diagnostic conundrums due to its protean manifestations. We present the case of a South Asian young man presenting with raised intracranial pressure and a lymphocytic cerebrospinal fluid (CSF) with pronounced hypoglycorrhachia. Progression of the neuro-ophthalmic signs while on early stages of antitubercular treatment led to additional investigations that produced a final diagnosis of primary leptomeningeal lymphoma. Treatment with chemoimmunotherapy (methotrexate, cytarabine, thiotepa and rituximab (MATRix)) achieved full radiological remission followed by successful autologous transplant. This case highlights the difficulties and diagnostic dilemmas when PCNSL presents as a chronic meningeal infiltrative process. While contextually this CSF is most often indicative of central nervous system tuberculosis and justifies empirical treatment initiation alone, it is essential to include differential diagnoses in the investigation work-up, which also carry poor prognosis without timely treatment. High suspicion, multidisciplinary collaboration and appropriate CSF analysis were the key for a correct diagnosis.

Quantitative Analysis of COVID-19 Patients

2021 ◽  
pp. 218-242
Author(s):  
Soobia Saeed ◽  
N. Z. Jhanjhi ◽  
Memood Naqvi ◽  
Mamoona Humayun ◽  
Vasaki Ponnusamy
Keyword(s):  
Artificial Intelligence ◽  
Weight Loss ◽  
Quantitative Analysis ◽  
High Resolution ◽  
Computerized Tomography ◽  
Respiratory Infections ◽  
Disease Outbreaks ◽  
Weight Loss Program ◽  
Pulmonary Lesions ◽  
The World

A new coronavirus-CoV-2 virus has caused disease outbreaks in many countries, and the number of cases is increasing rapidly through transmission from person to person. Clinical acoustics for SARS-CoV-2 patients are crucial to distinguish them from other respiratory infections. Symptomatic sufferers can also have pulmonary lesions on the photographs. A computerized tomography study in patients with suspected COVID-19 pneumonia consists of using a high-resolution approach (HRCT). Artificial intelligence applications need to be useful in categorizing the illness to an awesome severity and integrating the structured file, organized consistent with subjective issues, with objective and quantitative checks of the amount of the lesions. Data indicate the statistical document of the world in trendy. This method, with the aid of a coloring map, identifies floor glass in submission processing and separates it from consolidation and units it as a percentage in respect to the balanced weight loss program.

scholarly journals Disseminated Intravascular Coagulation as an Initial Manifestation of Metastatic Prostate Cancer Emergently Treated with Docetaxel-Based Chemotherapy

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Kavita Agrawal ◽  
Nirav Agrawal ◽  
Levin Miles
Keyword(s):  
Prostate Cancer ◽  
Weight Loss ◽  
Disseminated Intravascular Coagulation ◽  
Metastatic Prostate Cancer ◽  
Degradation Products ◽  
Specific Antigen ◽  
Mass Effect ◽  
Whole Body ◽  
Initial Manifestation ◽  
Intravascular Coagulation

A 70-year-old male presented with hematuria and bruising of arms and legs for the last three days. He also complained of urinary frequency and hesitancy and weight loss of 40 pounds over a span of four months. Initial blood tests showed prothrombin time (PT) of 25.1 seconds, international normalized ratio (INR) of 2.5, partial thromboplastin time (PTT) of 43.9 seconds, fibrinogen of 60 mg/dl, fibrin degradation products (FDP) of more than 20 μg/ml, and platelets of 88,000/μl. The impression was disseminated intravascular coagulation (DIC). A search was initiated to determine the underlying etiology precipitating DIC. Due to urinary symptoms and weight loss, prostate-specific antigen (PSA) was ordered. PSA was elevated at 942 μg/dl. Computed tomography (CT) of the abdomen and pelvis without contrast showed an enlarged prostate with mass effect on the bladder base, left-sided hydronephrosis, and numerous enlarged pelvic lymph nodes. A bone scan of the whole body showed increased sclerosis of the L3 vertebral body. There was a concern for metastatic prostate cancer precipitating DIC. On first admission, our patient’s DIC was stabilized with FFP and cryoprecipitate transfusions. He refused chemotherapy, and degarelix was not economically feasible. Accordingly, he was started on androgen deprivation therapy (ADT), bicalutamide, and leuprolide as an inpatient, pending the tissue biopsy. The patient refused a prostate biopsy. A bone marrow biopsy was performed which confirmed metastatic prostate adenocarcinoma. The patient was stable for discharge with a plan for outpatient chemotherapy. Subsequently, he was lost to follow-up with the oncology. Six months after the initial presentation, he was readmitted with hematuria. Repeat PSA worsened to 1,970 μg/dl. Blood work was consistent with acute DIC. He refused chemotherapy again. So, he was restarted on ADT. However, his hematuria and DIC panel were worsening. He was emergently started on docetaxel as an inpatient (after patient agreement). Within three days of starting chemotherapy, his hematuria resolved and DIC panel showed consistent improvement.

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