ABSTRACT
Swyer-James-MacLeod syndrome is a radiological entity characterised by hyperlucency of one or more lobes or of the entire lung associated with decreased number and diameter of ipsilateral peripheral pulmonary vessels resulting in difficult visibility of the arterial network, and unobstructed bronchial system. We report the case of a 12-year-old girl who presented with chief complaint of pain in the chest. Chest radiograph (postero-anterior view) showed hyperlucent left lung field with increased lung volume and shift of the mediastinum to the right side. Contrast-enhanced computed tomography (CECT) of the chest showed hyperlucency and diminished vascularity in the upper lobe and lingula of left lung with hyperinflation of the pulmonary parenchyma. On the basis of clinical and radiological findings, the patient was diagnosed to have Swyer-James-MacLeod syndrome.
ABSTRACT
Idopathic pulmonary artery aneurysm (PAA) is a rare lesion. Clinical experience with this condition is limited and current knowledge is mainly derived from autopsy findings. We report a patient who came to us with complaints of chest pain, breathlessness on exertion and pedal oedema and was diagnosed to have PAA.
Subject(s)
Adrenergic beta-Antagonists/therapeutic use , /diagnosis , Diagnosis, Differential , Diuretics/therapeutic use , Echocardiography , Follow-Up Studies , Humans , Male , Middle Aged , Myocardial Ischemia/diagnosis , Myocardial Ischemia/drug therapy , Pulmonary Artery/diagnostic imaging , Pulmonary Artery/diagnostic imaging , Tomography, X-Ray Computed , Treatment Outcome , Treatment RefusalABSTRACT
Summary: Opportunistic infections are common complications of advanced immuno-deficiency in individuals with Human Immunodeficiency Virus (HIV) infection. Following involvement of the lung, the central nervous system (CNS) is the second most commonly affected organ. We report two cases of concurrent cryptococcal meningitis and tuberculosis (TB) in HIV infected persons. A high suspicion of multiple opportunistic infections should be kept in mind in HIV seropositive individuals.
Subject(s)
AIDS-Related Opportunistic Infections/drug therapy , AIDS-Related Opportunistic Infections/microbiology , AIDS-Related Opportunistic Infections/physiopathology , Adult , Anti-Retroviral Agents/administration & dosage , Antifungal Agents/administration & dosage , Antitubercular Agents/administration & dosage , Coinfection , Cryptococcus neoformans/isolation & purification , HIV Infections/complications , HIV Infections/drug therapy , Humans , Male , Meningitis, Cryptococcal/complications , Meningitis, Cryptococcal/drug therapy , Meningitis, Cryptococcal/physiopathology , Treatment Outcome , Tuberculosis, Pulmonary/drug therapy , Tuberculosis, Pulmonary/diagnostic imagingABSTRACT
Hepatic tuberculosis is one of the rare forms of extra-pulmonary tuberculosis. The focal or nodular form presenting as tuberculoma or abscess is uncommon. Hepatic tuberculosis without involvement of lungs or other organs is even rarer. We report a rare case of primary tubercular liver abscess without involvement of any other organ of body.