RESUMO
Non-hodgkin's lymphoma has varied presentations. Malignant lymphoma arising in chronic pyothorax is very rare and has been reported from Japan. We report a case of non-hodgkin's lymphoma presenting as empyema thoracis.
Assuntos
Adulto , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Diagnóstico Diferencial , Empiema Pleural/diagnóstico , Empiema Tuberculoso/diagnóstico , Humanos , Linfoma não Hodgkin/diagnóstico , MasculinoRESUMO
A 65-year-old female was evaluated for suspected bronchogenic carcinoma. The chest x-ray revealed a left parahilar opacity with a raised left dome of diaphragm. Fiberbronchoscopy showed an oedematous and hyperemic left main bronchus but no growth was visualised. Bronchial biopsy did not show any evidence of neoplasm. However, the bronchial aspirate smear examination showed one microfilaria. Post bronchoscopic roentgenogram done on the next day revealed clearing of left parahilar shadow and a normal diaphragm. The patient responded well to 300 mg of diethylcarbamazine given in divided doses for 3 weeks.
Assuntos
Administração Oral , Idoso , Animais , Líquido da Lavagem Broncoalveolar/parasitologia , Broncoscopia , Dietilcarbamazina/administração & dosagem , Feminino , Filariose/diagnóstico , Humanos , Microfilárias/isolamento & purificação , Radiografia TorácicaRESUMO
A case of bilateral hydatid lung disease is reported who presented with a history of short duration and large opacities in both lung fields. A trial of medical treatment with albendazole 400 mg BD for 6 weeks failed. The patient was managed by surgical intervention which also ultimately established the diagnosis of hydatid disease.
Assuntos
Adulto , Equinococose Pulmonar/diagnóstico , Humanos , MasculinoRESUMO
Fine needle aspiration cytology (FNAC) and open biopsy of same enlarged lymph nodes were performed in 59 patients with lymphadenopathy. When histopathological and cytological examinations were compared, an accuracy of 91.5% was achieved with FNAC in the cases of lymphadenopathy of various etiologies. Thus, fine needle aspiration cytology being reliable, safe, rapid and economical procedure, is useful as an outdoor diagnostic procedure for diagnosing lymphadenopathy of various etiologies.
Assuntos
Adulto , Biópsia por Agulha , Feminino , Humanos , Linfonodos/patologia , Doenças Linfáticas/patologia , MasculinoRESUMO
Adenosine deaminase (ADA) activity in pleural fluids was studied in 47 patients with pleural effusion of different etiology. Patients were divided into two groups: Group I - Tuberculous pleural effusion (21 patients): Group II - Non tuberculous effusion (26 patients) and these included malignant pleural effusion (9 cases), synpneumonic pleural effusion (9 cases) and transudative pleural effusion (8 cases). The mean ADA activity was 64.67 IU/L +/- 21.68 in group I and 6.99 +/- 3.69 in Group II. Increased mean pleural fluid ADA activity in tuberculous pleural effusion was highly significant (p < 0.001) when compared with pleural effusion of non-tuberculous etiology. Based on lowest value of ADA activity found in tuberculous pleural effusion (30 IU/L), the test has a sensitivity and specificity of 1.
Assuntos
Adenosina Desaminase/análise , Ensaios Enzimáticos Clínicos , Humanos , Derrame Pleural/diagnóstico , Tuberculose Pulmonar/complicaçõesRESUMO
An unusual rare case of pathological type of acquired hernia of lung is presented with a brief review of the pathogenesis and classification of lung hernias. Clinical features, roentgen findings and treatment are also discussed.