RESUMO
Abnormalities in pulmonary functions in a group of ten patients with tropical pulmonary eosinophilia were analysed. Mild obstruction was observed in four, restrictive pattern in three, combined defect in one and two had normal study. Except in one patient in whom mild obstructive defect persisted, functions in all others reverted to normal on treatment with diethylcarbamazine.
Assuntos
Adolescente , Adulto , Monóxido de Carbono , Volume Expiratório Forçado , Humanos , Masculino , Capacidade de Difusão Pulmonar , Eosinofilia Pulmonar/fisiopatologia , Mecânica Respiratória , Capacidade Pulmonar Total , Capacidade VitalRESUMO
A series of 44 cases of staphylococcal pulmonary infection in children is reported. Their clinical features and characteristic roentgenological manifestations have been discussed.
Assuntos
Criança , Pré-Escolar , Empiema/etiologia , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Doenças Pleurais/complicações , Pneumonia Estafilocócica/complicações , Pneumotórax/etiologiaRESUMO
The radiological appearances of 49 cases of aspergilloma seen over a period of 6 years among 36,340 hospital admissions are described. All the 49 patients had pulmonary tuberculosis as underlying disease with 6 (12.2%) having bacteriologically active disease. One patient had concomitant allergic bronchopulmonary aspergillosis (ABPA). Upper zone distribution, large cavity size, moderately thick cavity wall and overlying pleural thickening were some of the prominent features observed. Two cases of multiple (3 each) and 4 of bilateral aspergilloma were seen. Of 57 aspergillomas 47 were round or oval, 7 oblong, 2 polypoidal and 1 lobulated. Positional movement was observed in 30 cases. Spontaneous lysis was seen in one case. Tomography and lordotic view were found to be very useful techniques when postero-anterior films were unrevealing. The radiologic diagnosis of aspergilloma was confirmed by demonstration of serum precipitins against aspergilli in 44 cases.
Assuntos
Adulto , Idoso , Aspergilose/etiologia , Aspergillus fumigatus/isolamento & purificação , Feminino , Humanos , Pneumopatias Fúngicas/etiologia , Masculino , Pessoa de Meia-Idade , Tuberculose Pulmonar/complicaçõesRESUMO
An eleven-year-old boy attended this hospital with complaints of low grade fever and dry cough of three months duration. There was no history of any prolonged illness in the past. Child had BCG and other immunisation at appropriate age. General physical examination, respiratory system, cardiovascular system and other systems revealed no abnormal findings.
Assuntos
Criança , Diagnóstico Diferencial , Granuloma/diagnóstico , Granuloma de Células Plasmáticas/diagnóstico , Humanos , Pneumopatias/diagnóstico , Masculino , Nódulo Pulmonar Solitário/diagnósticoRESUMO
Prevalence of anaerobic bacterial infection in 120 sputum positive cases of pleuro-pulmonary tuberculosis was found to be 53.3 per cent-either as pure or mixed with aerobes. Bacteroides fragilis and B. Melaninogenicus were isolated in 19 (26.6%) and 12 (18.72%) cases respectively. Sensitivity studies showed that these were most sensitive to metronidazole followed by rifampicin and kanamycin. The possibility of anaerobic infection may be considered in patients of pulmonary tuberculosis who do not respond to routine treatment.