COVID ‐19 associated Bell's palsy
While rare, a diagnosis of Bell's palsy should be considered in young patients who test positive for SARS-CoV-2 infection and who also present with notable neurological facial signs and symptoms suggestive of lower motor neuron-type seventh cranial nerve palsy. Key messageWhile rare, a diagnosis of Bell's palsy should be considered in young patients who test positive for SARS-CoV-2 infection and who also present with notable neurological facial signs and symptoms suggestive of lower motor neuron-type seventh cranial nerve palsy. (Source: Respirology Case Reports)
Source: Respirology Case Reports - July 25, 2023 Category: Respiratory Medicine Authors: Kei Yamasaki,
Taiki Manabe,
Yuto Iwanaga,
Ryota Akaike,
Toshinori Kawanami,
Kazuhiro Yatera Tags: CLINICAL IMAGE Source Type: research
Primary pulmonary amoebiasis mimicking lung tumour in immunocompromised patient: A case report
We present the case of an immunocompromised 40-year-old man. He complained of cough for 1 month, shortness of breath, and fever. Chest x-ray demonstrated left paracardial consolidation, possibly pneumonia or a mass. Chest CT scans with contrast revealed the presence of an abscess-mimicking tumour. CT-guided TTB and histology examinations indicated the presence of trophozoites ofE. histolytica. This patient was diagnosed with pulmonary amoebiasis. Diagnostic criteria for pulmonary amoebiasis include clinical manifestations, radiography, and microscopic examination. There was an improvement in clinical response after a 10-da...
Source: Respirology Case Reports - July 25, 2023 Category: Respiratory Medicine Authors: Andika Chandra Putra,
Bernadina Chyntia,
Emon Winardi,
Maisie Johan,
Albertus Ardian Pradwiyanto,
Renaningtyas Tambun,
Wiwien Heru Wiyono,
Fahmi Alatas Tags: CASE REPORT Source Type: research
Pulmonary extra ‐nodal mucosa‐associated lymphoid tissue (MALT) lymphoma: A rare cause of persistent lung consolidation
We present a 46-year-old lady with persistent right lower lung consolidation despite earlier treatment efforts with intravenous antibiotics for community acquired pneumonia. Apart from initial presentation with a short 3-day history of fever, cough and shortness of breath, she had remained largely asymptomatic throughout the follow-up period. Flexible bronchoscopy done ruled out infectious aetiologies but transbronchial lung biopsies showed atypical lymphocytes. A computed tomography guided core biopsy of her right lung consolidation was subsequently performed, confirming a diagnosis of pulmonary MALT lymphoma. She was pro...
Source: Respirology Case Reports - July 25, 2023 Category: Respiratory Medicine Authors: Lily Kou,
Nai ‐Chien Huan,
Larry Ellee Nyanti,
Jiunn Sheng Chin,
Nor Bahiyyah Mohamad,
Hema Yamini Ramarmuty Tags: CASE REPORT Source Type: research
Successful treatment with atezolizumab in a haemodialysis patient with large cell neuroendocrine carcinoma
In this report, a modified regimen based on IMpower 133 (carboplatin + etoposide + atezolizumab) was administered to a patient diagnosed with large cell neuroendocrine carcinoma (LCNEC) who was concurrently undergoing haemodialysis. Adverse events led to the discontinuation of carboplatin and etoposide after the first course. Nevertheless, the patient exhibite d reduction in pulmonary nodule and adrenal metastasis while receiving atezolizumab, indicating its sustained efficacy for a duration of 7 months. To the best of our knowledge, this is the first documented case demonstrating successful treatment with atezoli...
Source: Respirology Case Reports - July 20, 2023 Category: Respiratory Medicine Authors: Ryosuke Imai,
Atsushi Kitamura Tags: CASE REPORT Source Type: research
Eosinophilic pneumonia developed after dupilumab administration in a patient with atopic dermatitis
A 63-year-old woman with refractory atopic dermatitis developed a cough 4 days later, sputum, and a slight fever 2 weeks later. Chest x-ray and computed tomography scan showed infiltrative shadows with surrounding consolidation of both upper lobes. Bronchoalveolar lavage fluid eosinophil count was increased (50.0%), and histopathological findings were consistent with numerous eosinophilic infiltrations. AbstractA 63-year-old woman with refractory atopic dermatitis started treatment with dupilumab. She developed a cough 4 days later, sputum, and a slight fever 2 weeks later. Laboratory test results showed a blood ...
Source: Respirology Case Reports - July 18, 2023 Category: Respiratory Medicine Authors: Kei Kanata,
Toshihiro Shirai,
Koshiro Ichijo,
Masahiro Uehara Tags: CASE REPORT Source Type: research
An effective case of bronchoscopic balloon dilatation for tuberculous bronchial stenosis
This study presents the case of an older patient with tuberculous bronchial stenosis treated with repeated balloon dilatation to aid clinicians in persistent atelectasis and respiratory failure. AbstractEndobronchial tuberculosis often causes bronchial stenosis. Balloon dilation is a minimally invasive and effective bronchoscopic intervention for bronchial stenosis; however, reports on balloon dilation in older individuals are limited. We present a case of a 77-year-old woman with endobronchial tuberculosis and clarify the efficacy and safety of balloon dilation. She presented with dyspnea, right lung atelectasis, and resp...
Source: Respirology Case Reports - July 18, 2023 Category: Respiratory Medicine Authors: Yukari Ichikawa,
Koji Kurokawa,
Shiho Furusho,
Yasuto Nakatsumi,
Masahide Yasui,
Nobuyuki Katayama Tags: CASE REPORT Source Type: research
Rifampicin ‐induced acute tubulointerstitial nephritis during pulmonary tuberculosis treatment: A case report
We report a case of a 41-years old man being treated for pulmonary tuberculosis and presenting with tubulointerstitial nephritis associated with rifampicin. We focus on diagnosis features and therapeutic challenges. (Source: Respirology Case Reports)
Source: Respirology Case Reports - July 18, 2023 Category: Respiratory Medicine Authors: Chirine Moussa,
Samia Esbaa,
Houda Rouis,
Nada Sellami,
Meriam Hajji,
Yoldez Houcine,
Amel Khattab,
Ibtihel Khouaja,
Ines Zendah,
Sonia Ma âlej Tags: CASE REPORT Source Type: research
A case of bilateral pneumothorax following computer ‐tomography guided transthoracic biopsy in a woman with suspected pulmonary cancer
This report describes a patient-case where a woman had undergone a computer-tomography guided biopsy. Approximately 4 hours following discharge the patient was admitted to the emergency ward with severe chest pain and dyspnea. Chest x-ray revealed bilateral pneumothorax and subcutaneous emphysema at the biopsy site. Pleural drainage was administered on the patient's right side. Another chest x-ray following drainage showed regression of pneumothorax on both sides thus indicating communicating pleural cavities. Medical history revealed that the patient had been thymectomized 2 years earlier and a computer tomography visu...
Source: Respirology Case Reports - July 18, 2023 Category: Respiratory Medicine Authors: Erik S ören Halvard Hansen,
Meyya Bouazzi,
Klaus Richter Larsen,
Annemette Abield‐Nielsen,
Oli Jacob Dalsgaard,
Kasper Eibye Tags: CASE REPORT Source Type: research
A case of tracheobronchopathia ostochondorplastica
We present an interesting case of a 55 year old man who presented with history of weight loss, cough and right sided chest pain. CT showed right upper lobe cavity. He was evaluated with possibility of TB, malignancy or vasculitis. Fibreoptic bronchoscopy was done that showed a ‘stony cave’ trachea. Histopathology confirmed the dia gnosis to be ‘Tracheobronchopathia osteochondroplastica (TO)’. He was treated with antibiotics for his infection with total resolution of chest sahdows. He is managed conservatively for his TO. Key messageTracheobronchopathia osteochondroplastica (TO) is a disorder caused by the accumu...
Source: Respirology Case Reports - July 11, 2023 Category: Respiratory Medicine Authors: Asmita A. Mehta,
Aditya Ashok,
Nithya Haridas,
Akhilesh Kunoor,
Jyotsana Yesodharan Tags: CLINICAL IMAGE Source Type: research
Clinical outcome of supervised pulmonary telerehabilitation program among adult patients with post ‐acute COVID‐19 symptoms (PACS): A case series
Here we report the outcome of nine subjects with post-acute COVID-19 symptoms (PACS) who underwent 24 sessions of supervised pulmonary telerehabilitation. An improvised telerehabilitation PR was formulated to accommodate home confinement during the pandemic. Exercise capacity and pulmonary function were assessed using a cardiopulmonary exercise test, pulmonary function test, and St. George Respiratory Questionnaire (SGRQ). The clinical outcome shows improved exercise capacity on the 6-minute walk test for all patients, and most had improvement in VO2 peak and SGRQ. Seven patients improved in forced vital capacity and six i...
Source: Respirology Case Reports - July 6, 2023 Category: Respiratory Medicine Authors: Nikko John Dalisay,
Bernice Ong ‐ dela Cruz,
Percival Punzal,
Ma. Encarnita Limpin Tags: CASE SERIES Source Type: research
Lane ‐Hamilton syndrome
We report the uncommon case of the development of idiopathic pulmonary hemosiderosis almost a decade after the diagnosis of celiac disease. Delayed diagnosis led to recurrent episodes of large volume hemoptysis despite immunosuppressive therapy due to ongoing ingestion of gluten. High doses of glucocorticoids accompanied by a cell cycle inhibitor mycophenolate mofetil were required for treatment. A strict gluten free diet is vital to control the disease. We highlight the importance of identifying this syndrome and definitive treatment, including avoidance of dietary triggers in addition to conventional immunosuppressive th...
Source: Respirology Case Reports - July 5, 2023 Category: Respiratory Medicine Authors: Audrey K. Grech,
Christiaan Yu Tags: CASE REPORT Source Type: research
Bilateral endobronchial metastases from hepatocellular carcinoma (HCC): A case report with literature review
We describe a case of a 62-year-old male who first presented with pulmonary symptoms secondary to bilateral endobronchial metastatic disease from newly diagnosed hepatocellular carcinoma. AbstractHepatocellular carcinoma presenting with endobronchial metastases is extremely rare, with less than 15 cases reported over the last 4 decades. We describe a case of a 62-year-old male who first presented with pulmonary symptoms secondary to bilateral endobronchial metastatic disease from newly diagnosed hepatocellular carcinoma. (Source: Respirology Case Reports)
Source: Respirology Case Reports - July 4, 2023 Category: Respiratory Medicine Authors: Leping Koay,
Hwei Yee Lee,
Huiying Xu,
Chee Kiang Phua Tags: CASE REPORT Source Type: research
Hypercalcemia in metastatic parathyroid carcinoma followed by hypocalcemia after resection: A case report
Parathyroid carcinoma is rare. This is a valuable case in which the serum calcium level was controlled by surgery. The patient also developed post-operative hypocalcaemia, which should be reported. AbstractA 72-year-old man was diagnosed with hypercalcaemia 13 years ago. He was diagnosed with hyperparathyroidism associated with a parathyroid tumour and surgery was performed. Postoperatively, his serum calcium levels, which had once normalized, rose again. Medical treatment for hypercalcaemia failed to control the condition. A chest computed tomography showed multiple pulmonary nodules which were diagnosed as pulmonary m...
Source: Respirology Case Reports - July 4, 2023 Category: Respiratory Medicine Authors: Takuya Ohashi,
Mitsumasa Kawago,
Yoshimitsu Hirai,
Yumi Yata,
Aya Fusamoto,
Hideto Iguchi,
Takahito Nakaya,
Megumi Kiyoi,
Miwako Miyasaka,
Mari Kawaji,
Yuki Furuta,
Yoshiharu Nishimura Tags: CASE REPORT Source Type: research
Telomere biology disorder presenting acutely with pulmonary fibrosis and hepatopulmonary syndrome in a young adult male
A 33-year-old man presented with acute dyspnoea and orthodeoxia. CT chest showed established pulmonary fibrosis in a usual interstitial pneumonia pattern and additional investigations revealed oesophageal varices and portal hypertensive gastropathy from liver cirrhosis. Telomere length testing demonstrated short telomeres (<1st percentile) with a gene panel identifying a pathogenic variant in TERT and a variant of uncertain significance in PARN. AbstractA 33-year-old man presented with acute dyspnoea and profound hypoxaemia, and had clubbing, greying of hair, orthodeoxia and fine inspiratory crackles. CT chest showed es...
Source: Respirology Case Reports - June 30, 2023 Category: Respiratory Medicine Authors: Samantha Chin ‐Yun Kung,
Olivia Dixon,
Sarah Kentwell,
Raja S. Vasireddy,
Jonathan Rodgers,
Yuming Ding,
Tony Rahman,
Caroline Tallis,
Ian A. Yang,
John A. Mackintosh Tags: CASE REPORT Source Type: research
Issue Information
(Source: Respirology Case Reports)
Source: Respirology Case Reports - June 30, 2023 Category: Respiratory Medicine Tags: ISSUE INFORMATION Source Type: research
