Case Of Abscess Of Lung Treated By Bronchoscopic Aspiration And Lavage

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teria such as the Nocardia species [4]. The defect of the

lesion, 7 cm in diameter, in the right upper lobe of the lung (figure 1). Bronchoscopic examination revealed no abnormalities, but gram straining of the bronchoalveolar lavage fluid and biopsy spec-imens showed gram-positive, filamentous and branched bacteria, which were fluorescent with Uvitex 2B (R&R, Kander, Ger-many).


bronchoscopic aspirates, and bronchoalveolar lavage are preferred over sputum cultures. In culture-negative tissue, polymerase chain reaction can detect the presence of Mucor via Mucorales 18S ribosomal DNA; this allows speciation, and can guide antifungal therapy (6). In our patient, Mycobacterium tuberculosis was excluded at the outset of

Bronchoscopy and Associated Procedures Coding in ICD-10-PCS

transbronchial biopsy to a code for lung tissue excision when there is no evidence that actual lung tissue was excised. This will change the DRG on the case. Consider the following: A patient has a mass of the left upper lobe lung and is scheduled for bronchoscopic biopsy. The physician states that the patient is scheduled for a

Who needs chest physiotherapy? Moving from anecdote to - BMJ

Silver HM. In: Abscess of the lung due to wire nail. Transactions of the American Pediatric Society 1908;20:209 12. Chest physiotherapy aiming to remove an impacted object from the main bronchi is gen-erally regarded as being of no value and as hav-ing potentially dangerous consequences.25 The object could be mobilised further into a central


CLINICAL CASE Page 4 RX UPDATES Page 6 NEWS AND NOTES Page 7 Dear colleagues: July 1st ushers a new academic and fiscal year. As usual, a new crop of trainees are joining the Department. The aca-demic credentials of this group are impeccable. This new res-idents have a mean Step 1 score on USMLE of 92. These


Similar to the pulmonary involvement of our case, Vignon-Pennamen et al.4 reported a patient with typical cutaneous ulcers and pulmonary abscess-like cavities reflecting involve-ment of PG, which showed healing of both skin and lung lesions after corticosteroid therapy. Velasco-Tamariz et al.5 presented a case of PG associated with IgA gammopathy

Does the Bronchoscope Propagate Infection?

bronchoscopic secretions and repeat tuberculin skin test became positive. However, her surgically resected lung specimens did not show growth of mycobacteria. The patient was treated with isoniazid, 300 mg daily, for 12 months. Another case of bronchoscopically transmitted infection caused by M tuberculosis from

Open Access Journals Scientific Conferences and Events

parenchymal or endobronchial tuberculosis, bronchoalveolar lavage (BAL) and sputum smears and culture have a low yield. Conventional transbronchial needle aspiration (TBNA) has variable yield in diagnosis of TML [4]. Histological and microbiological confirmation of TML is a relative challenge for conventional bronchoscopy.

SurgicalTreatment Pulmonary Abscess in ChildrenunderTen Years

dyspnea, one hadfever (case 1),andonehadpurulentsputum(case 3). Leukocytosiswasobservedin five of thetenandanemiain three. The locations of the ten pulmonary abscesses were as follows: seven in the right lung (five in the lower lobe and two in the upper lobe); andthreein theleft lung(two in thelowerlobeandonein the upper lobe).

Ventilator associated pneumonia (VAP): An Impossible

response to antibiotics), lung abscess, necrotizing pneumonia, and non-bacterial lung disease (fever and infiltrates, initially suspected of being bacterial pneumonia, with a final diagnosis other than bacte-rial lung disease, established by other diagnostic means) In Wimberly s sample, none of the sub-jects had VAP.

Chronic lung abscess due Pasteurella multocida

A case of chronic lung abscess due to Thepatient wastreated with doxy- bronchial lavage fluid, including cultures for

Cushing Syndrome due to Ectopic ACTH Secretion Presenting

We presented a case of ectopic ACTH secretion in a 60-year-old patient presenting with hypokalemia, lower limb edema and multilobar consolidations with left apical and right lower lobe lung masses with normal bronchoscopy and a bronchoal-veolar lavage that was negative for malignancy, but grew No-cardia species.

Descending necrotizing mediastinitis caused by Streptococcus

CASE REPORT Open Access Descending necrotizing mediastinitis caused by Streptococcus constellatus in an immunocompetent patient: case report and review of the literature Rui-hai Ye1, Jun-chao Yang1, Hui-hua Hong1, Yu-ping Mao2, Yuan-hong Zhu1, Yu Cao1 and Zhen Wang1* Abstract Descending necrotizing mediastinitis is a severe infection of the

Primary pulmonary lymphoma mimicking a refractory lung

The current study presents a case of primary pulmo - nary lymphoma (PPL) mimicking refractory lung abscess that was diagnosed at autopsy. An 80-year-old male with clinically inapparent aspiration presented with a large cavitated mass and pleural effusion. A lung abscess and empyema was diagnosed,


A case of an epithelialized lung abscess in a patient with non-Hodgkin s lymphoma and chronic chest infection is In April 1993, a 52-year-old man was admitted with fever.

A 57 Year-old Man With Prolonged Shortness of Breath and Fevers

Mar 04, 2019 treated with amiodarone almost exclusively following thoracic surgery. Diuresis that does not result in clearing of pulmonary infiltrates should increase consideration of APT.2,4 Most progressing lung parenchymal disorders will eventually be evaluated by a bronchoscopic evaluation. In the setting of APT, on bronchoalveolar lavage, the presence


system must be treated in order to provoke the passage of the stone into a large bronchus. This took place in the case quoted after five bronchoscopic treatments. Pulmonary abscess.- In the treatment of pulmonary abscesses an understanding of bronchoscopotherapy is necessary. Its mechanism is not simple; its action is not of a

Management ofmassive haemoptysis with the bronchoscope and

Management of massive haemoptysis with the rigid bronchoscope andcold saline lavage operative procedures performed, treatment given, and available follow-up. Results All patients stopped bleeding during the endos,

Endobronchial carcinoid tumor in a Crohn disease patient treated

needle aspiration was performed (Figure 4). Pathology was consistent with a well differentiated atypical carcinoid tumor. Cultures of bronchoalvear lavage obtained during bronchoscopy revealed Mycobacterium fortuitum infection, suggesting that the smaller nodules were infectious in Case Report

Mycobacterium tuberculosis at a comprehensive cancer centre

bronchoscopic diagnostic yields compared to sputum cultures [20]. For patients with a high pre-test probability of coexisting tuberculosis and cancer, trans-thoracic fine needle aspiration or evaluation of surgically obtained lung tissue may facilitate a timely diagnosis [21]. In conclusion, tuberculosis was rare in the

The Journal of the Japan Society for Bronchology Vol. 39/Nos

A Case of Lung Adenocarcinoma with Mediastinal Lymph Node Metastasis Diagnosed by Endobronchial Ultrasound-guided Transbronchial Needle Aspiration (EBUS-TBNA) After Resection of Colon Cancer and Metastatic

Conservative management of empyema-complicated post

The primary diseases were lung cancer [10], lung abscess [1], organizing pneumonia [1], and aspergillosis [1]. Early fistula ( ≤30 days postoperatively) occurred in 8 cases and late fistula (>30 days postoperatively) in 5 cases. Two patients underwent debridement to ascertain complete drainage. Chest tubes retained from 7 to 114 days (mean

Pulmonary nocardiosis in immunocompetent patients: can COPD

always clear. Nocardiosis should be treated for 6 12 months [3, 10]. However, the duration of therapy also depends on the immunosuppressive agents and the underlying condition (e.g. COPD, HIV infection and solid organ transplantation). In conclusion, this case report describes a rare and new aetiology of pulmonary infection caused by N

論文編 標題 (英) 第一作者(中) 第一作者服務單位 (中) Thoracic Oncology

PA07 A case of Melting Ice Cube Sign 李忠恕 林口長庚 胸腔內科 PA08 A live Leech across the vocal cord with removal successfully by bronchoscopy - A case report 陳靜宜 義大醫院 PA09 Virtual bronchoscopy-guided transbronchial biopsy for aiding the diagnosis of peripheral lung lesions 黃國揚 彰化基督教醫院胸腔內科 PA10

Aspergillus fumigatus Empyema, Arthritis, and Calcaneal

CASE REPORT A 64-year-old man underwent a bilateral lung transplant for chronic obstructive pulmonary disease. Ten months following the transplant, the patient received antithymocyte globulin treatment for rejection. Because Aspergillus flavus and Aspergil-lus fumigatus were recovered from bronchoscopic lavage fluid

CASE REPORT An African woman with pulmonary cavities: TB or

Cavitary lung lesions in patients from developing countries are mostly caused by tuberculosis (TB). However, when TB cannot be confirmed, a primary lung abscess caused by anaerobic bacteria from the mouth should be considered, especially in patients with poor dentition. We present a case of a Sudanese woman with a cavitary lung lesion and

Diagnosis, treatment and prognosis of lung abscess

lung abscess (n=48) that were treated by Yellin A et al during a 5-year period (1978-1982) underwent success-ful percutaneous drainage, without any complications or relapse after 2-5 years of monitoring.29 The percutaneous procedure is usually selected for lung abscesses with diameters greater than 4-8 cm and is


Case definition: For both situations of care (mentioned below*) Massive haemoptysis has been described as the expectoration of an amount of blood ranging from 100 ml to more than 1,000 ml over a period of 24 hours, and the most widely used criterion is the production of 300 600 ml per day (1,2,12,13). A life-threatening