A case of unilateral bronchospasm during pleurodesis in a patient with a history of recurrent pneumothorax and asthma is presented. The etiology of this event is not clear; however, it likely includes reflex parasympathetic bronchoconstriction due to physical stimulation of the pleural surface during pleurodesis. Treatment involved independent lung ventilation, ...

We reviewed 103 cases of isolated complete atrioventricular septal defect. These cases represented 4.4% of the cases of congenital heart disease diagnosed in our hospital by catheterisation and angiography during 1971-88. Most children (n = 76) had Down's syndrome. Banding of the pulmonary artery was performed in seven cases and ...

A case of a primary sarcoma of the right superior pulmonary vein is described. To the best of the authors' knowledge, this is the first report of successful surgical management of this unusual tumor. The tumor was confined to the superior pulmonary vein and the presentation was that of a ...

We report the case of a relatively young man with multiple and fatal thrombosis associated with essential thrombocythaemia. The clinical and laboratory examinations performed before his death were in agreement with the diagnostic criteria proposed by PVSG. The autopsy revealed myocardial infarction and pulmonary embolisms. This case suggests that young ...

Asbestos bodies (AB) have long been recognized in light microscopic (LM) sections of pulmonary hilar lymph nodes (LN) from patients with asbestos-related diseases, but the presence of AB on LM has not been correlated with the lung AB burden. The purpose of the present study was to determine whether AB ...

There have been three previous case reports of fat embolism syndrome (FES) after lipectomy. We present a case of FES diagnosed by pulmonary angiography. It seems likely that there is an incidence of subclinical fat embolization after liposuction, but conservative patient selection and aggressive postoperative management can lessen the morbidity ...

Pulmonary toxicity is a well recognised side effect of anticancer agents particularly bleomycin, cyclophosphamide, methotrexate, and busulphan. In contrast this problem has been infrequently reported following MOPP (nitrogen mustard, vincristine, prednisolone, procarbazine) chemotherapy for Hodgkin's disease and has been attributed principally to the procarbazine. We report a further instance of ...

To evaluate the pathogenetic roles of immune complexes and alveolar hyaline membrane in idiopathic interstitial pneumonia (IIP), immunohistological and ultrastructural studies of the kidney and lung were performed in 23 cases of IIP, 19 cases of autoimmune diseases, 17 cases of interstitial pneumonia other than IIP, and 11 cases of ...

A case is presented of a postpartum woman in whom hypertension and pulmonary edema developed after administration of bromocriptine mesylate. Caution is advised when there is additional recent use of cocaine because of a suggested potentiating action of cocaine on the development of adverse cardiovascular and cerebral sequelae in postpartum ...

This report describes two newborn males with posterior urethral valves, perirenal urinomas and respiratory distress. A 400 cc urinoma was drained percutaneously with resolution of respiratory symptoms in the first case. A 120 cc urinoma was drained in the second case but the infant died of pulmonary hypoplasia at 22 ...

An unusual case of severe hemichorea in an elderly hypertensive woman, precipitating acute pulmonary edema, is presented. There were small cystic infarctions in the contralateral neostriatum and thalamus, and intact subthalamic nuclei. The clinicopathologic correlation of hemichorea and hemiballismus is reviewed, and its relationship with the results of recent neuroanatomic ...

We report a case of infantile myofibromatosis in a male infant with involvement of the lungs and subcutaneous tissue. We studied our case by light microscopy, immunohistochemistry and electron microscopy. The results reveal that this entity is of a myofibroblastic nature. We reviewed 165 cases including our case. We believe ...

Between February 1985 and January 1987, sixty cases of pulmonary infection in immunocompromised host were seen at the Department of Medicine, Ramathibodi hospital. The underlying causes were: thirty-four cases with hematologic malignancies, nine with autoimmune diseases, seven with aplastic anemia, three with non-hematologic malignancies, and seven following corticosteroid therapy. Infectious ...

We describe four cases of actinomycotic intracavitary lung colonization and review the literature on the subject. Aspergillus fumigatus, A. niger, A. flavus, Pseudallescheria boydii are responsible for the majority of fungi intracavitary lung colonization (fungus ball). The similarities in clinical symptom (haemoptysis) and radiologic feature (pulmonary air meniscus) of fungus ...

In this report, we describe a case of lymphangiomatosis that mimicked lymphangioleiomyomatosis in a 20-year-old woman. Lung biopsy specimens showed proliferation of anastomosing lymphatic channels in the visceral pleura and dilated peribronchiolar and septal lymphatic channels. During 8 years of follow-up, this process behaved like lymphangioleiomyomatosis with reticulonodular infiltrates and ...

Scopulariopsis brevicaulis is a common soil saprobic mould. Occasionally, S. brevicaulis has been reported as an etiologic agent of human disease. The spectrum of human mycoses includes toenail infection, hypersensitivity pneumonitis, fungus ball formation in a preformed pulmonary cavity, and, most recently, documented deep tissue infections in immunocompromised hosts. A ...

Alveolar proteinosis is a relatively rare disease of unclear pathogenesis associated with opportunistic-infections. Although nocardiosis is the most frequent one, only 22 cases have been reported previously and are reviewed here. We present a patient with alveolar proteinosis with nocardiosis treated as an emergency with bilateral bronchopulmonary lavage and antibiotics. ...

In four cases of pulmonary toxoplasmosis occurring in patients with acquired immunodeficiency syndrome, Toxoplasma sp. was discovered in bronchoalveolar-lavage fluid (three cases) and in lung biopsy specimen (one case) by using the following methods: direct examination of smears stained with eosine-methylene blue fast stain, indirect immunofluorescence assay, and inoculation of ...

Immunoglobulins (IgG, IgA & IgM) levels were estimated in 50 bacillary cases of geriatric pulmonary tuberculosis (PTB) and 25 healthy controls of comparable age group by single radial immunodiffusion technique. All Igs were raised in PTB cases, the rise being directly proportional to the radiological extent of disease. Exudative cases ...

Two cases are reported in which accidental inhalation of barium contrast medium occurred owing to disordered swallowing in elderly women. In each case there was a pulmonary inflammatory reaction followed within a few hours by death. Experimental and clinical reports of barium inhalation are reviewed and the hazard of aspiration ...

A 33-year-old man with a two-year history of asthma and sinusitis presented with wheezing, pleuritis, bilateral pleural effusions, and patchy basilar infiltrates on chest roentgenogram. Laboratory studies revealed peripheral blood eosinophilia, and pulmonary function studies showed an obstructive pattern which was bronchodilator responsive. Thoracocentesis yielded an acidotic exudative effusion with ...

Six cases of pulmonary nocardiosis and 11 cases of cutaneous and soft tissue nocardiosis have been reported in Israel since 1965. All three pathogenic species, Nocardia asteroides, N. brasiliensis and N. caviae, were implicated. About one-half of the patients were immunosuppressed at the time of diagnosis. Three patients died. The ...

Although persistence of the embryonic fifth aortic arch is considered a rare congenital malformation, analysis of the records of the cardiopathological collections of the Brompton and Killingbeck Hospitals reveals 6 examples in approximately 2000 specimens, an incidence amongst our material of 1 in 330. Since our review of the literature ...

We encountered three infant patients with bronchopulmonary foregut malformation. Two of them were associated with oesophageal atresia, and the remaining one with jejunal atresia. Two of the patients showed total lung sequestration, and the rest showed intralobar sequestration. 37 paediatric cases of this type were reviewed from the literature. Total ...

The clinical course of a patient bitten by a widow spider (Latrodectus indistinctus Pickard-Cambridge (Araneae: Theridiidae] is described. Although this spider is common in southern Africa, case reports are rare. To date details of the development of pulmonary oedema after a bite have not been published in South Africa.

We describe a woman with the 'flu' like syndrome and haemolysis whilst on a supervised daily rifampicin regimen for the treatment of pulmonary tuberculosis. Although these are known complications of rifampicin therapy, they often occur when therapy is intermittent or interrupted. Hence the case we describe is unique and is ...

We report a case of baby powder inhalation (BPI), causing adult respiratory distress syndrome (ARDS) in a 16-month-old girl, with follow-up after six years. Pulmonary function studies in the child and her monozygotic twin, used as a control, were normal. The testing consisted of diffusing capacity to carbon monoxide and ...

The role of mechanical fixation of the chest wall in the treatment of flail chest remains controversial. We report a case of flail chest resulting from major sternal resection. The application of a temporary external stabilization device improved pulmonary mechanics by decreasing the respiratory rate from 36/min to 10/min while ...

The present study was performed to clarify the relation of cause and effect between pleural effusion and hypoplastic lung in the human fetus. In six cases with a duration of less than two weeks between the initial diagnosis of pleural effusion and delivery, lung weights were within the mean weight ...

Reported is a rare case of total anomalous pulmonary venous connection (TAPVC) where veins from each lung joined a homolateral confluence. From each confluence, a vein descended into the abdomen, the vein from the right lung joining the ductus venosus, while the vein from the left joined the portal vein. ...

Lipoid pneumonia (LP) is an uncommon entity with the characteristic radiographic features and histologic findings of alveoli filled with vacuolated, lipid-laden histiocytes. We questioned whether bronchoalveolar lavage (BAL) could be useful in the confirmation of LP. We examined lipid stains (oil-red O) in BAL specimens from 18 cases, representing a ...

We report a case which illustrates occupational sensitivity to Papain with life-threatening anaphylaxis. In addition to urticaria and angioedema and glottic symptoms, the patient demonstrated annoying intermittent problems mimicking rheumatoid, gastrointestinal, cardiac, and pulmonary disease. All symptoms and signs disappeared after he removed himself from direct occupational exposure to Papain, ...

A 19-year-old student with non-symptomatic pneumatosis cystoides intestinalis in the right colon is presented. He had no history of any pulmonary or other disease. According to a review of the literature there is no rational for any treatment or specific follow-up in patients with a non-symptomatic pneumatosis cystoides intestinalis.

Tuberculosis in the elderly takes on new significance. The case of an 87-year-old female nursing home resident is presented. She was admitted to the hospital with atypical pulmonary manifestations and right pleural effusion. Tuberculin skin tests were negative. The patient deteriorated and died. Disease due to Mycobacteria tuberculosis was discovered ...

In certain geographic areas, among which most South European countries are included, brucellosis continues to be an important health problem. Despite the disease's continued high prevalence, the advances made in its diagnosis and treatment have contributed to the rarity of different focal locations, such as the lung. Formerly, these occurrences ...

Although amyloidosis of the respiratory tract is well recognized, pleural involvement is very rare with only two cases being reported in the past. We report a case of primary amyloidosis with pleural effusion and suggest that pleural involvement and pleural effusion be added to the classification of pulmonary amyloidosis, and ...

The occurrence of rhabdomyomatous dysplasia of the lung in a macerated term baby with multiple congenital anomalies is described. The hypoplastic right lung revealed abundant striated muscle in the alveolar septa and bronchial walls of the middle and lower lobes. A brief review of the literature is followed by a ...

We report on a patient with febrile illness, right unilateral paratracheal widening, pulmonary infiltrates, pleural effusions, exanthema and diarrhea. The right paratracheal widening was due to lymph node enlargement confirmed by CT scan. Symptoms disappeared subsequently without specific treatment. On the basis of serological tests, we are able to diagnose ...

Pulmonary blastoma is a rare lung tumor composed of epithelial and mesenchymal elements; the latter element may show various patterns of differentiation toward mature tissue, such as cartilage, smooth muscle, and bone. Rhabdomyoblastic differentiation in pulmonary blastoma is quite rare; only five such cases have been reported. We report two ...

Hamman and Rich are generally considered to have been the first to describe idiopathic pulmonary fibrosis (IPF) as a new clinical and pathological entity. However, several earlier reports in the German-language literature described autopsy findings consistent with IPF from a contemporary point of view. The author discusses these and later ...

Glucose tolerance tests were performed in 80 cases; 30 with active pulmonary tuberculosis, 24 with nonspecific pulmonary infection and 26 controls. The new criteria were used for the diagnosis of impaired glucose tolerance (IGT). There was IGT in 4 cases in the tuberculous group, in 3 cases in the nonspecific ...

Nine cases of fetuses with pleural effusions are presented in which the diagnosis was made by ultrasound before the thirtieth week of gestation. A ratio of lung span to hemithorax diameter was calculated and ranged from 0.44 to 0.77 (mean 0.60). At autopsy, pulmonary hypoplasia was confirmed in all cases ...

Eight cases with stage IV allergic bronchopulmonary aspergillosis (ABPA) (corticosteroid-dependent asthma stage) were observed for a total of 82 patient years with individual patients observed for 7 to 19 years (mean 10.2) years. One case is the first case of ABPA diagnosed in the United States in 1967. A second ...

We describe four cases of active pulmonary tuberculosis with hypercalcemia. The hypercalcemia developed three to eight weeks after the patients were admitted to the hospital, when clinical improvement due to specific drug therapy for the infection was also evident. The abnormality persisted for three to seven weeks and subsided spontaneously. ...

While acromioclavicular joint injury is not uncommon, a complete posterior dislocation in which the distal clavicle penetrates and is entrapped by the trapezius muscle is among the most rare. Early open reduction with reconstruction of the periosteal-muscular envelope as well as repair of the coracoclavicular ligaments permitted a rapid and ...

Pulmonary blastoma (PB) has been considered a very rare primary lung malignant neoplasm. In children, it is one of the rarest cancers reported. To my knowledge, there are only 24 pediatric cases of PB in patients ranging from 2 months to 15 years of age, representing one-fourth of all reported ...

Patients with osteogenic sarcoma are at a very high risk of developing pulmonary metastatic disease. Bleomycin has recently been reported to cause pulmonary nodules mimicking metastatic disease. Our case adds what we believe to be the first report in the pediatric literature and describes new findings that we believe are ...

Report of two new pediatric cases of pulmonary alveolar microlithiasis (PAM). PAM is a rare disease of unknown etiology; not more than 38 cases have been reported aged less than 18 years. The essential features of this disease are (1) a characteristic radiographic appearance of a sand-like opacity of both ...

Cystic fibrosis commonly is regarded as a disease of childhood associated with severe pulmonary and pancreatic pathological conditions. We report on a previously healthy 45-year-old man who was diagnosed as having cystic fibrosis after presentation with primary azoospermia. The literature is reviewed. Although references are made to late presentations of ...

We present a case of slowly progressive Aspergillus infection occurring in a partially immunocompromised host. The histologic pattern mimicked bronchocentric granulomatosis as seen in allergic bronchopulmonary aspergillosis, but the clinical history, spread of disease in the face of steroid therapy, peculiar granulomatous response to the organisms, and large numbers of ...