Paraquat ingestion in an adult with cystic fibrosis (CF): Diagnostic and management dilemmas
We report the effects of an ingestion of paraquat by a 28 year old male with cystic fibrosis and the diagnostic and management challenges this posed in both the acute and longer term setting. AbstractN,N'-dimethyl-4,4'bipyridinium dichloride (Paraquat) is a potent herbicide used widely in agriculture. We report the effects of an ingestion of paraquat by a 28 year old male with cystic fibrosis and the diagnostic and management challenges this posed in both the acute and longer term setting. We describe the effects of direct paraquat toxicity on the lung tissue secondary to aspiration and review the long-term sequelae ...
Source: Respirology Case Reports - November 17, 2023 Category: Respiratory Medicine Authors: Ieuan E. S. Evans,
Shanal Kumar,
Megan France,
Daniel Smith,
Philip Masel,
George Tay,
Daniel Henderson,
Scott C. Bell,
David Reid Tags: CASE REPORT Source Type: research
X ‐linked inheritance of primary ciliary dyskinesia and retinitis pigmentosa due to RPGR variant: A case report and literature review
This study reviewed a case of primary ciliary dyskinesia (PCD) and retinitis pigmentosa (RP) with the relevant literature. The patient had a persistent cough, sputum, and diffuse bronchiectasis. He was diagnosed with a combination of PCD and RP, with the presence of an X-linked retinitis pigmentosa GTPase regulator (RPGR) variant confirmed through electron microscopy, retinal scan, and genetic testing. Although co-occurrence of bronchiectasis and RP is rare, PCD should be considered in cases of persistent wet cough in childhood or unidentified bronchiectasis aetiology. Ophthalmologists should consider concomitant PCD in RP...
Source: Respirology Case Reports - November 1, 2023 Category: Respiratory Medicine Authors: Aoi Kuroda,
Ho Namkoong,
Eri Iwami,
Akihiro Tsutsumi,
Takahiro Nakajima,
Hajime Shinoda,
Yusaku Katada,
Jiro Iimura,
Hisato Suzuki,
Kenjiro Kosaki,
Takeshi Terashima Tags: CASE REPORT Source Type: research
Acute pneumonitis caused by oral intake of incense
Burning incense can increase the risk of bronchitis and pneumonia due to alveolar pneumocyte degeneration and neutrophil infiltration. To our knowledge, this is the first report of pneumonitis caused by the oral intake of incense. Key messageIncense is typically burned for use, with bronchitis and pneumonia reported as potential side effects. Physicians should be cautious as inappropriate oral ingestion of incense can lead to acute pneumonitis. (Source: Respirology Case Reports)
Source: Respirology Case Reports - October 31, 2023 Category: Respiratory Medicine Authors: Kei Yamasaki,
Saki Shigemi,
Yosuke Chiba,
Takako Kawaguchi,
Hiroki Dosaka,
Yutaka Ishiguro,
Kazuhiro Yatera Tags: CLINICAL IMAGE Source Type: research
Primary benign intratracheal schwannoma: A case report and review of the literature
Schwannomas are benign tumours that originate from Schwann cells. Primary trachea tumours are uncommon. Here we report a case of primary schwannoma of the trachea in a 16 year-old male patient. AbstractShwannomas are rare benign tumours especially in tracheal. A 16-year-old male presented with a chronic cough, and a thoracic CT scan revealed a pedunculated tumour measuring approximately 11 × 13 mm in size, located 22 mm away from the main carina. Tissue sample was obtained via rigid bronchoscopy and cryobiopsy, and the pathological analysis confirmed the diagnosis of a benign nerve sheath tumour consistent wit...
Source: Respirology Case Reports - October 31, 2023 Category: Respiratory Medicine Authors: Shahab Rafieian,
Reza Ershadi,
Hesam Amini,
Alireza Samimiat,
Mohsen Gholinataj Jelodar,
Matin Vahedi Tags: CASE REPORT Source Type: research
Computed tomography manifestations of a case of varicella zoster virus (VZV) pneumonia
This report highlights the computed tomography manifestations of disseminated VZV pneumonia. Key messageDisseminated VZV infections is rare in healthy adults. Several studies have reported VZV reactivation and eruption happens in an immunocompromised host especially after solid organ transplantation. Nonetheless, diffuse bilateral lung VZV infections is also rare. We report a case of disseminated VZV pneumonia after renal transplantation and methylprednisolone treatment. This report highlights the computed tomography manifestations of disseminated VZV pneumonia. (Source: Respirology Case Reports)
Source: Respirology Case Reports - October 31, 2023 Category: Respiratory Medicine Authors: Minlong Zhang,
Cuiping Yang,
Yinghua Guo Tags: CLINICAL IMAGE Source Type: research
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(Source: Respirology Case Reports)
Source: Respirology Case Reports - October 31, 2023 Category: Respiratory Medicine Tags: ISSUE INFORMATION Source Type: research
Thoracic SMARCA4 ‐deficient undifferentiated tumour: Diagnostic challenges and potential for misdiagnosis in small tissue samples
We report a diagnostically challenging case of a SMARCA4-deficient undifferentiated tumour to emphasize its potential to mimic other malignant tumours on histology, especially in small biopsies and where rhabdoid morphology is lacking. A 48-year-old man, who was known for chronic obstructive pulmonary disease and polysubstance use, presented with dyspnoea and an anterior mediastinal mass that had grown rapidly over a seven-month period. The rapid growth and location in the anterior mediastinum raised clinical suspicion for lymphoma or a germ cell tumour. Microscopic examination of a transthoracic, ultrasound-guided, core n...
Source: Respirology Case Reports - October 27, 2023 Category: Respiratory Medicine Authors: Deborah Johanna Maartens,
Muhammad Saadiq Moolla,
Sibusiso Ndaba,
Sucari Susanna Catherina Vlok,
Firzana Hendricks,
Coenraad Frederik Nicolaas Koegelenberg,
Abraham Christoffel van Wyk Tags: CASE REPORT Source Type: research
Biliothorax in a patient with unresectable cholangiocarcinoma
We present the case of a patient with a history of unresectable locally advanced cholangiocarcinoma, complicated by the development of a biliothorax. AbstractBiliothorax is a rare but serious condition, as the presence of bile is damaging and can lead to empyema. Here, we report a case of a 51-year-old man recently diagnosed with unresectable cholangiocarcinoma, admitted to the hospital for malignant obstructive jaundice. After interventional management of biliary obstruction, the patient developed a significant right pleural effusion compatible with biliothorax, successfully managed with pleural drainage and antibiotic th...
Source: Respirology Case Reports - October 24, 2023 Category: Respiratory Medicine Authors: Sara Valero, Àlison Copoví,
Ignacio Boira,
Jose N. Sancho‐Chust,
Violeta Esteban,
Alejandro de la Paz,
Eusebi Chiner Tags: CASE REPORT Source Type: research
Benign endobronchial lipoma causing repeated pneumonia
Endobronchial lipomas are rare; nonetheless, physicians should consider them as a differential diagnosis in patients with repeated pneumonia. In this case, the patient's cough was ameliorated after undergoing a right basal segmentectomy. Key messageEndobronchial lipomas are rare; nonetheless, physicians should consider them as a differential diagnosis in patients with repeated pneumonia. Computed tomography and bronchoscopy are recommended for diagnosis. In this case, the patient's cough was ameliorated after undergoing a right basal segmentectomy. (Source: Respirology Case Reports)
Source: Respirology Case Reports - October 17, 2023 Category: Respiratory Medicine Authors: Yasutaka Kawasaki,
Kohei Yamamoto,
Takuya Suda,
Daisuke Saito,
Isao Matsumoto Tags: CLINICAL IMAGE Source Type: research
Comorbidity of eosinophilic chronic rhinosinusitis in chronic eosinophilic pneumonia
The comorbidity of eosinophilic chronic rhinosinusitis in chronic eosinophilic pneumonia can occur. AbstractWe aimed to elucidate details of comorbid chronic rhinosinusitis (CRS) in chronic eosinophilic pneumonia (CEP) under the collaboration between otolaryngologists and pulmonologists in a prospective study. The CEP diagnosis was performed by pulmonologists based on clinical symptoms, laboratory findings, and/or eosinophilia detected in bronchoalveolar lavage. All patients were referred to otolaryngologists before undergoing oral corticosteroid treatment for CEP. Ten CEP cases visited to otolaryngologists. All cases show...
Source: Respirology Case Reports - October 17, 2023 Category: Respiratory Medicine Authors: Hiroatsu Hatsukawa,
Masaaki Ishikawa,
Tomoyuki Hirai,
Kazuo Endo,
Emiko Saito,
Hirotaka Matsumoto,
Kouya Okazaki Tags: CASE SERIES Source Type: research
Malignant pleural mesothelioma with resolution of pleural effusion
In malignant pleural mesothelioma patients, pleural effusion may improve during the course of the disease. Pleural effusion with nodular shadows bordering the pleura should be followed up even if the pleural effusion improves. Key messageIn malignant pleural mesothelioma patients, pleural effusion may improve during the course of the disease. Pleural effusion with nodular shadows bordering the pleura should be followed up even if the pleural effusion improves. (Source: Respirology Case Reports)
Source: Respirology Case Reports - October 16, 2023 Category: Respiratory Medicine Authors: Sayaka Nishida,
Kazutoshi Toriyama,
Makiko Yomota,
Yukio Hosomi Tags: CLINICAL IMAGE Source Type: research
Sarcoidosis following COVID infection: A case series
Here we present three cases of sarcoidosis following COVID-19 infection. AbstractHere we describe three cases of sarcoidosis which were diagnosed following COVID infection. Treating clinicians should consider post-COVID-19 sarcoidosis in their differential, as it represents a potentially treatable cause of persistent symptomatology. (Source: Respirology Case Reports)
Source: Respirology Case Reports - October 13, 2023 Category: Respiratory Medicine Authors: David J. F. Smith,
Jamilah Meghji,
Mufaddal Moonim,
Clare Ross,
Patrizia Viola,
Melissa Wickremasinghe,
Laura E. Gleeson Tags: CASE SERIES Source Type: research
Educating patients with upper limb dysfunction on self ‐adjustment of the CPAP/NPPV mask: A case series
We provided instruction on CPAP/NPPV mask self-adjustment to three patients with severe upper extremity dysfunction, offering a simple procedure and support tailored to their individual needs. This approach allows for independence in mask adjustment despite limited upper extremity mobility and benefits both patients and health care providers by sharing knowledge. AbstractWe share our experiences of instructing three patients with severe upper limb dysfunction on how to self-adjust CPAP/NPPV masks. In Case 1, we simplified the procedure by suturing a part of the headband as the left forearm was amputated. In Case 2, the pat...
Source: Respirology Case Reports - October 12, 2023 Category: Respiratory Medicine Authors: Tomoko Kuroda,
Kazushige Ichikawa,
Satoshi Hinata,
Kaoru Chiba,
Ken Okabayashi,
Yuko Asato,
Hiromi Aono,
Kazuyoshi Marumo Tags: CASE SERIES Source Type: research
A case of tuberculous pleurisy characterized by bleeding and necrosis documented by medical thoracoscope
We present a rare case where chronic inflammation of fibrous tissue with bleeding, necrosis, and exudation were observed during a medical thoracoscopy as manifestations of tuberculous pleurisy. Key messageTuberculous pleurisy is a main cause of pleural effusions. The main histological abnormalities in pleural biopsy of tuberculous pleurisy are caseating granulomas and epithelioid cell granuloma. In our case, chronic inflammation of fibrous tissue with bleeding, necrosis, and exudation were observed during a medical thoracoscopy as manifestations of tuberculous pleurisy. (Source: Respirology Case Reports)
Source: Respirology Case Reports - October 11, 2023 Category: Respiratory Medicine Authors: Minlong Zhang,
Cuiping Yang,
Yinghua Guo Tags: CLINICAL IMAGE Source Type: research
Pneumorrhachis secondary to exacerbation of asthma: A case report and literature review
We present a case of spontaneous pneumorrhachis in the context of a viral exacerbation of asthma, followed by a systematic literature review of all available cases of pneumorrhachis in asthma exacerbation. A total of 25 case studies reported pneumorrhachis in 28 asthma patients, all of whom presented with concomitant pneumomediastinum. Investigation and exclusion for other potential aetiologies of pneumorrhachis such as trauma or infection occurred to varying extents and may depend on clinical presentation and degree of suspicion. No other contributing aetiologies were demonstrated in this review, and no patients required ...
Source: Respirology Case Reports - October 10, 2023 Category: Respiratory Medicine Authors: Chris Zi ‐Fan Zhao,
Nadia Poci,
Daniel Niewodowski,
Amy Baker,
Christine McDonald Tags: CASE REPORT Source Type: research
