Infiltrados pulmonares tras iniciar tratamiento con infliximab para la enfermedad de Still del adulto / Pulmonary infiltrates after initiation of treatment with infliximab for adult Still’s disease

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[Chronic thromboembolic pulmonary hypertension associated with endomyocardial fibrosis of the right ventricle]. / Hipertensión pulmonar tromboembólica crónica asociada a fribrosis endomiocárdica del ventrículo derecho.

Chronic thromboembolic pulmonary hypertension is a rare sequela to an acute untreated or recurrent pulmonary embolism. The mechanisms that underlie the failure to resolve the thrombus are still uncertain. As most patients are not diagnosed until a relatively late stage, little is known about the course of their illness. We report the case of a 51-year-old woman who had previously been diagnosed with and operated on for endomyocardial fibrosis of the right ventricle and who developed chronic thromboembolic pulmonary hypertension several years later.

Hipertensión pulmonar tromboembólica crónica asociada a fibrosis endomiocárdica del ventrículo derecho / Chronic thromboembolic pulmonary hypertension associated with endomyocardial fibrosis of the right ventricle

La hipertensión pulmonar tromboembólica crónica es una secuela infrecuente de la embolia pulmonar aguda no tratada o recurrente. Los mecanismos subyacentes para el fallo de resolución del trombo son todavía inciertos. La mayoría de los pacientes se diagnostican en un estadio tardío de la enfermedad, por lo que su historia natural no es completamente conocida. Presentamos el caso de una paciente de 51 años diagnosticada e intervenida de fibrosis endomiocárdica del ventrículo derecho que, tras varios años de evolución, desarrolló hipertensión pulmonar tromboembólica crónica (AU)

[Superior vena cava syndrome secondary to intracavitary implantation of a pacemaker]. / Síndrome de vena cava superior secundario a implantación de marcapasos intracavitario.

The appearance of superior vena cava syndrome secondary to benign disease is rare, and it is extremely rare for this condition to develop as a result of the presence of intraluminal catheters. We report two cases of superior vena cava syndrome secondary to implantation of intracavitary pacemakers. We discuss different types of treatment.

Síndrome de vena cava superior secundario a implantación de marcapasos intracavitario / Superior vena cava syndrome secondary to intracavitary implantation of a pacemaker

La aparición de un síndrome de vena cava superior secundario a enfermedad benigna es poco frecuente y, dentro de esta entidad, es casi excepcional que sea debido a la presencia de catéteres intraluminales. Presentamos 2 casos de síndrome de vena cava superior secundario a la implantación de marcapasos cardíacos intracavitarios, y se discuten los distintos tipos de tratamiento (AU)

Parálisis diafragmática bilateral idiopática. Tratamiento con Bi-PAP / Idiopathic bilateral diaphragm paralysis: Bi-PAP treatment

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[Multifocal inflammatory pseudotumor of the lung with good response to corticoids]. / Seudotumor inflamatorio multifocal del pulmón con buena respuesta a corticoides.

A 75-year-old woman was admitted to our hospital with persistent fever, productive cough and systemic symptoms of two months' duration. A chest film showed bilateral infiltration in the form of subpleural plaques with multiple satellite nodules in both lung fields. The biopsy specimens taken by thoracoscopy were compatible with inflammatory pulmonary pseudotumor. Lung resection was ruled out because the lesions were bilateral and corticosteroid treatment was instated. The clinical and radiologic response was excellent and the patient was asymptomatic after 30 months of low-dose corticoid therapy.

[Varicella pneumonia in a healthy adult. Review of risk factors and treatment]. / Neumonia varicelosa en un adulto sano. Revisión de factores de riesgo y tratamiento.

We present the case of a healthy adult patient without underlying risk factors, who developed bilateral pneumonia and respiratory failure during an outbreak in his family of infection by the Varicella-Zoster virus. IV. acyclovir treatment was begun with good clinical and radiological response and improvement in blood-oxygen levels. We review below risk factors and patients susceptible to treatment with acyclovir.

[Pulmonary abscess and pleural empyema caused by Legionella pneumophila in kidney transplant recipient]. / Absceso pulmonar y empiema pleural por Legionella pneumophila en un paciente trasplantado renal.

A kidney transplanted patient developed a nosocomial pneumonia and pleural empyema due to Legionella pneumophila. Despite erythromycin and rifampin treatment the patient died. The diagnosis was made by direct fluorescent antibody staining of pleural fluid.

[Bronchiolitis obliterans with organized pneumonia: apropos 2 new cases]. / Bronquiolitis obliterante con neumonía organizativa: a propósito de dos nuevos casos.

We present two cases of bronchiolitis obliterans organizing pneumonia (BOOP) with different clinical and radiological characteristics. In one case, the chest X-ray demonstrated bilateral migrating infiltrates. The pathology showed bronchiolar and intra-alveolar occupation by granulation tissue in both cases. It should be noted that both patients responded well to treatment with prednisone although alterations in gas exchange persisted in one case.