RESUMO
Cobalt alone and in combination with tungsten carbide known as hard metal is capable of causing lung damage. This may vary from development of pulmonary oedema to asthma and fibrosing alveolitis. We report a case of giant cell interstitial pneumonitis caused by exposure to cobalt dust which was not identified as the etiological agent initially and hence led to progression of the disease. The patient subsequently improved following cessation of exposure and treatment with oral corticosteriods, thereby stressing the importance of occupational history in all cases of interstitial pulmonary fibrosis.
Assuntos
Adulto , Cobalto/efeitos adversos , Células Gigantes/efeitos dos fármacos , Humanos , Doenças Pulmonares Intersticiais/induzido quimicamente , Masculino , Doenças Profissionais/induzido quimicamente , Tomografia Computadorizada de EmissãoRESUMO
An 85 years old female presented with acute pain and weakness in left lower extremity and doppler evidence of femoropopliteal block was made which subsequently proved fatal. Necropsy revealed extensive amyloid deposition in the heart and amyloid angiopathy in rest of the organs.
Assuntos
Idoso , Idoso de 80 Anos ou mais , Amiloide/análise , Amiloidose/metabolismo , Feminino , Cardiopatias/metabolismo , HumanosRESUMO
It was observed from the literature that the incidence, clinical and radiological features of the mediastinal bronchogenic cysts are different in adults than in infant population. Five cases of bronchogenic cysts in the middle mediastinum were studied over a period of 22 years. The cysts were carina-based in four cases and paratracheal in one case. The airway compression was observed in four cases due to cysts. In case one the cyst compressed the right pulmonary artery and vein as well as both mainstem bronchi causing their stenosis and bulged into the left atrial chamber.
Assuntos
Adulto , Cisto Broncogênico/diagnóstico , Evolução Fatal , Feminino , Seguimentos , Humanos , Lactente , Masculino , Doenças do Mediastino/diagnóstico , Pessoa de Meia-IdadeRESUMO
A case of idiopathic hypereosinophilic syndrome (HES) is presented. The patient had been symptomatic and had documented peripheral blood eosinophilia for 9 years. The patients having only pulmonary involvement, seem to have a good prognosis and hence must be considered as a separate subgroup of HES.
Assuntos
Adulto , Anti-Inflamatórios/uso terapêutico , Humanos , Síndrome Hipereosinofílica/complicações , Masculino , Prednisolona/uso terapêutico , Eosinofilia Pulmonar/tratamento farmacológicoAssuntos
Aorta Torácica/patologia , Carcinoma Broncogênico/patologia , Carcinoma de Células Escamosas/patologia , Feminino , Humanos , Pulmão/patologia , Neoplasias do Mediastino/patologia , Mediastino/patologia , Pessoa de Meia-Idade , Células Neoplásicas Circulantes , Pericárdio/patologia , Síndrome da Veia Cava Superior/patologiaRESUMO
We report a young patient who had massive pericardial effusion and tamponade diagnosed clinically and by echocardiography as the presenting manifestation of underlying malignancy. Pericardial and lymphnode biopsy revealed features of mucoepidermoid carcinoma and bronchoscopy localised the primary to be in the left main bronchus.