An Unusual Cause of Laryngotracheobronchitis
We present a case of pseudomembranous cryptococcal laryngotracheobronchitis in an 80-year-old woman with a history of intractable cough with production of long sputum strings and severe dysphonia. Her main risk factor was considered to be the use of high-dose inhaled fluticasone, given for severe mixed asthma/chronic obstructive pulmonary disease (COPD). This is an unusual presentation of pulmonary cryptococcal disease, which commonly presents as parenchymal disease. We also present a review of the published case reports of endobronchial and laryngeal cryptococcal disease.
Authors: Antoniu SA, Rajnoveanu R, Ulmeanu R, Mihaltan F, Grigore M Abstract Introduction: In chronic obstructive pulmonary disease (COPD), inhaled long-acting antimuscarinic agents (LAMA) are effective maintenance therapies used across all severity stages of the disease. Most of them are administered via dry powder inhalers, but these devices require a potent inspiratory flow which cannot be effectively achieved by patients with advanced disease. In such patients, inhaled therapy via nebulization might be an option.Areas covered: Revefenacin is a LAMA that was specifically formulated for once daily nebulization an...
Publication date: Available online 3 April 2020Source: The Journal of Allergy and Clinical Immunology: In PracticeAuthor(s): Katarzyna Mycroft, Rafal Krenke, Katarzyna Gorska
COVID-19 can cause a pneumonia-like lung infection, with a range of symptoms from mild or absent in some to life-threatening in others.
CORONAVIRUS is a deadly infection that's easily spread among the public, and has killed more than 3,600 people in the UK. One patient has given details on her "horrible" symptoms of COVID-19, including a high fever and a dry cough. These are the signs you shouldn't ignore.
CORONAVIRUS symptoms include a new and persistent cough and a high temperature. But how can you know for sure if you do have a high temperature and is there a way to check without a thermometer?
FRIDAY, April 3, 2020 -- People with asthma and other lung diseases are at increased risk for serious complications from COVID-19, caution experts from the American Lung Association. " Everyone's health is at risk from COVID-19, and those living with...
Conclusion: According to the findings of the present study, hypertension, cardiovascular diseases, diabetes mellitus, smoking, chronic obstructive pulmonary disease (COPD), malignancy, and chronic kidney disease were among the most prevalent underlying diseases among hospitalized COVID-19 patients, respectively. PMID: 32232218 [PubMed]
In this narrative medicine essay, a resident physician with asthma describes her internal deliberations about public vs private good after a decision to retreat from direct-patient care to telemedicine to protect her health during the coronavirus pandemic.
ConclusionsSuper morbidly obese patients required fewer opioids and analgesics perioperatively. They exhibited higher comorbidities with greater anaesthesia time and ICU admissions. PACU stay time and pain scores were comparable.
ant J, Duchin JS, Clark TA, Honein MA, Reddy SC, Jernigan JA, Public Health – Seattle &King County, CDC COVID-19 Investigation Team Abstract Older adults are susceptible to severe coronavirus disease 2019 (COVID-19) outcomes as a consequence of their age and, in some cases, underlying health conditions (1). A COVID-19 outbreak in a long-term care skilled nursing facility (SNF) in King County, Washington that was first identified on February 28, 2020, highlighted the potential for rapid spread among residents of these types of facilities (2). On March 1, a health care provider at a second long-term care s...