RESUMEN
A 28-year-old female, home-maker presented to our department with a four-year history of intermittent episodes of cough and haemoptysis. She had no history of fever, weight loss or expectoration. Physical examination was unremarkable.
Asunto(s)
Adulto , Broncoscopía/métodos , Diagnóstico Diferencial , Femenino , Humanos , Neoplasias Pulmonares/diagnóstico , Teratoma/diagnóstico , Tomografía Computarizada por Rayos X/métodosRESUMEN
Strongyloides stercoralis is a nematode endemic in tropical and subtropical regions. In immunocompetent subjects, pulmonary disease caused by the parasite is unremarkable but the same can be life threatening in immunocompromised subjects. Though described in literature it is rarely seen in Indian subjects. We report a patient with ARDS due to Strongyloides stercoralis complicating non-Hodgkin's lymphoma with neutropenia.
Asunto(s)
Anciano , Albendazol/uso terapéutico , Animales , Protocolos de Quimioterapia Combinada Antineoplásica/efectos adversos , Antiparasitarios/uso terapéutico , Ciclofosfamida/efectos adversos , Doxorrubicina/efectos adversos , Resultado Fatal , Humanos , Ivermectina/uso terapéutico , Linfoma no Hodgkin/complicaciones , Masculino , Insuficiencia Multiorgánica/etiología , Neutropenia/etiología , Prednisolona/efectos adversos , Síndrome de Dificultad Respiratoria/etiología , Strongyloides stercoralis/aislamiento & purificación , Estrongiloidiasis/complicaciones , Vincristina/efectos adversosRESUMEN
Carcinoid tumour is a rare entity accounting for less than two percent of bronchial neoplasms. The clinical presentation is highly variable and rarely, it may present as a solitary pulmonary nodule. More offten, it presents as a central endobronchial tumour. The peripheral type of carcinoid tumour is relatively rare.
Asunto(s)
Adolescente , Tumor Carcinoide/diagnóstico , Diagnóstico Diferencial , Femenino , Humanos , Neoplasias Pulmonares/diagnósticoRESUMEN
BACKGROUND: Most of the sleep related breathing disorders currently in India are both under diagnosed and under treated. The exact prevalence of sleep disordered breathing (SDB) in our country is not clearly known and this is partly due to lack of awareness amongst physicians and lack of formal epidemiological data from Indian subcontinent. Several international agencies have emphasised the urgent need for medical training at all levels in sleep medicine, so as to include an exposure to the broader aspects of sleep medicine. OBJECTIVE: To assess the knowledge of practicing chest physicians on the issues related to sleep disordered breathing in the local set-up. METHODS: A standardised questionnaire with strong face validity was utilised for this purpose to interview 65 physicians at their work place. RESULTS: The overall awareness about sleep disordered breathing amongst the practicing physicians in Hyderabad, Secunderabad and the neighbouring district of Warangal was poor. There was no association between professsional qualifications and level of awareness. Furthermore, the awareness was found to be similarly low both amongst young and middle aged physicians and this was statistically significant (p<0.001). CONCLUSION: The overall awareness about sleep disordered breathing amongst practicing physicians in and around Hyderabad is rather poor.
Asunto(s)
Adulto , Competencia Clínica , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neumología , Encuestas y Cuestionarios , Sueño , Apnea Central del SueñoRESUMEN
A 20-year-old male, presented with cough, haemoptysis, breathlessness and wheezing for the past one month. Contrast enhanced computerised tomographic (CECT), scan of chest and fibreoptic bronchoscopy revealed an endotracheal mass that on histopathological examination showed adenoid cystic carcinoma of trachea. Magnetic resonance imaging (MRI) scan of chest confirmed involvement of adjacent prevertebral, para-oesophageal and subcarinal lymph nodes rendering the tumour inoperable.