Sujets)
Sujet âgé , Anticoagulants/usage thérapeutique , Arthroplastie prothétique de hanche/effets indésirables , Femelle , Fractures de la hanche/chirurgie , Humains , Hydropneumothorax/étiologie , Hydropneumothorax/imagerie diagnostique , Poumon/imagerie diagnostique , Embolie pulmonaire/traitement médicamenteux , Embolie pulmonaire/étiologie , Embolie pulmonaire/imagerie diagnostique , TomodensitométrieRésumé
As manifestações pulmonares catameniais apresentam-se de maneira variada. Podem ser identificadas como quadro de dor torácica, hidrotórax, hidropneumotórax ou pneumotórax, que acontecem durante o período menstrual. O pneumotórax catamenial, a manifestação mais freqüente, é um tipo pouco comum de pneumotórax espontâneo no qual há acúmulo recorrente de ar na cavidade torácica durante a menstruação. Foi descrito inicialmente em 1958 por Maurer et al. Incide principalmente entre a terceira e a quarta décadas de vida. Várias hipóteses são aventadas para explicar as possíveis causas dessa afecção. Também são várias as controvérsias acerca do tratamento mais adequado.
Sujets)
Humains , Femelle , Adulte , Hémothorax/étiologie , Hydropneumothorax/étiologie , Menstruation , Pneumothorax/étiologie , Endométriose , Hémothorax/chirurgie , Hémothorax/traitement médicamenteux , Hydropneumothorax/chirurgie , Hydropneumothorax/traitement médicamenteux , Pneumothorax/chirurgie , Pneumothorax/traitement médicamenteuxRésumé
Pleural involvement in nocardiosis is rarely reported from India. A case of hydropneumothorax due to Nocardia asteroides in a patient with diabetes mellitus is reported. Tube thoracostomy drainage and therapy with trimethoprim-sulphamethoxazole for seven months prevented reaccumulation of pleural fluid and improved the general condition but failed to expand the lung. Bronchoscopy may be useful if multiple sputum examinations are negative in diagnosing pulmonary nocardiosis.
Sujets)
Humains , Hydropneumothorax/étiologie , Maladies pulmonaires/complications , Mâle , Adulte d'âge moyen , Infections à Nocardia/complications , Nocardia asteroidesRésumé
A case of pulmonary hydatid disease which ruptured to produce a hydropneumothorax is reported. Radiologically the patient presented with an oval opacity which enlarged with an appearance of air crescent. Diagnosis was established by cytological examination of aspirated pleural fluid and an histopathological examination of tissue found in the drainage tube. The patient was managed conservatively with intercostal drainage, albendazole therapy and other supportive measures.