ABSTRACT
The authors discuss the etiology, pathomechanisms, radiological features of lipid pneumonia. The role of bronchoalveolar lavage is stressed in determining this diagnosis. A case is presented of a patient receiving paraffin oil for chronic constipation. The diagnosis was made after identifying the lipid droplets (Sudan III stain) in alveolar macrophages sampled by BAL.
Subject(s)
Pneumonia, Lipid/diagnosis , Aged , Bronchoalveolar Lavage Fluid/cytology , Humans , Male , Pneumonia, Lipid/etiologyABSTRACT
A case of chronic necrotic aspergillosis was discussed. Diagnostic and therapeutic difficulties were described in patient with an insufficiency of immune response mainly in polymorphonuclear leukocytes function.
Subject(s)
Aspergillosis/diagnosis , Lung Diseases, Fungal/diagnosis , Aspergillosis/immunology , Chronic Disease , Humans , Immune Tolerance , Lung Diseases, Fungal/immunology , Male , Middle Aged , NecrosisABSTRACT
Four cases of Wegener's granulomatosis were presented. Pathologic lesions and symptoms were observed in numerous organs but in all patients upper airways, lungs and kidneys were involved. Patients were observed from 3 to 12 years and two patients are still alive after more than 10.5 years.
Subject(s)
Granulomatosis with Polyangiitis/diagnosis , Adolescent , Adult , Combined Modality Therapy , Diagnosis, Differential , Dyspnea/diagnosis , Dyspnea/etiology , Dyspnea/therapy , Epistaxis/diagnosis , Epistaxis/etiology , Epistaxis/therapy , Female , Granulomatosis with Polyangiitis/complications , Granulomatosis with Polyangiitis/therapy , Humans , Kidney Failure, Chronic/diagnosis , Kidney Failure, Chronic/etiology , Kidney Failure, Chronic/therapy , Male , Middle Aged , Nasal Obstruction/diagnosis , Nasal Obstruction/etiology , Nasal Obstruction/therapy , Time FactorsABSTRACT
54 cases of Wegener's granulomatosis published in Polish literature in 1959-1990 are presented. There were 37 women and 17 men from 17 to 70 years of age. The diagnosis was histologically proved during life in 30 cases and by autopsy in 14 others. In 10 patients it was based on clinical symptoms only. Diagnosis was established after 1 months to 4 years of symptoms, mean equals 10.3 months. The delay of diagnosis was caused by the ineffectiveness of biopsy, usually from the upper airways and also by the wrong interpretation of histopathological pictures. All patients had upper airways disease, 56% of patients had lung involvement, 66% renal lesions, 37%--eye changes, 35% skin lesions and 11%--nervous system involvement. In addition in 83% of patients systemic symptoms were observed. The prognosis of WG ameliorate with the time of publications due to cyclophosphamide and other cytotoxic drugs introduction to WG treatment.
Subject(s)
Granulomatosis with Polyangiitis/diagnosis , Adolescent , Adult , Aged , Antineoplastic Agents/administration & dosage , Diagnosis, Differential , Eye Diseases/diagnosis , Female , Granulomatosis with Polyangiitis/mortality , Granulomatosis with Polyangiitis/therapy , Humans , Kidney Diseases/diagnosis , Lung Diseases/diagnosis , Male , Middle Aged , Prognosis , Renal Dialysis , Skin Diseases/diagnosis , Time FactorsSubject(s)
Helminthiasis/diagnosis , Lung Diseases, Parasitic/diagnosis , Lung/parasitology , Protozoan Infections/diagnosis , Animals , Anthelmintics/therapeutic use , Antiprotozoal Agents/therapeutic use , Cestode Infections/classification , Cestode Infections/diagnosis , Cestode Infections/drug therapy , Helminthiasis/classification , Helminthiasis/drug therapy , Humans , Lung Diseases, Parasitic/classification , Lung Diseases, Parasitic/drug therapy , Nematode Infections/classification , Nematode Infections/diagnosis , Nematode Infections/drug therapy , Protozoan Infections/classification , Protozoan Infections/drug therapy , Trematode Infections/classification , Trematode Infections/diagnosis , Trematode Infections/drug therapyABSTRACT
A routine neurological examination, electromyography studies and conductance in sensory and motoric fibres of upper and lower extremity peripheral nerves, was carried out in 65 subjects with small cell lung cancer prior instituting chemotherapy. None of the patients demonstrated metabolic changes nor toxic injury to the neurological system. The results of the neurological examination led to suspicion of neuropathy in 22 (34%) which was later confirmed by the electromyographic studies. In 12 subjects only EMG abnormalities were found allowing to diagnose a subclinical phase of neuropathy. Altogether 52% of the subjects demonstrated injury of the peripheral nervous system. Sensory neuropathy was observed in 6 patients, motor-sensory in 7, motoric neuropathy in 12. In one of the subjects from the latter group a myasthenic syndrome of the Eaton-Lambert type was found. In 7 patients the EMG results suggested injury of the anterior horn cells, in two further patients the clinical and EMG data suggested injury of the peripheral and spinal column.
Subject(s)
Carcinoma, Small Cell/complications , Lung Neoplasms/complications , Neuromuscular Diseases/etiology , Peripheral Nervous System Diseases/etiology , Adult , Aged , Electromyography , Female , Humans , Male , Middle Aged , Neural Conduction , Neurologic Examination , Neuromuscular Diseases/diagnosis , Peripheral Nervous System Diseases/diagnosisABSTRACT
A 20-year-old body-builder died from pulmonary embolism. The diagnosis was delayed because he concealed long-term taking of anabolic steroids.
Subject(s)
Exercise , Methandrostenolone/adverse effects , Physical Education and Training , Pulmonary Embolism/mortality , Adult , Humans , Male , Methandrostenolone/administration & dosage , Pulmonary Embolism/chemically induced , Pulmonary Embolism/diagnosis , Time FactorsABSTRACT
Pulmonary echinococcosis (hydatid disease) is not rare in endemic regions. In Poland it is rare, seen mainly in subjects returning from endemic areas. The intermediate host includes a variety of mammals-sheep, cows, and also humans. The definite host is the dog and is the main source of ova. A case of a 52 year old male is presented who lived in Argentina for a few years. Radiological examination disclosed two pulmonary cysts. Additionally one was also present in the spleen. The diagnosis was made basing of findings form radiological examinations. CT-scan, and serological studies. It was further confirmed during the surgical removal of the affected lung parenchyma. Leaving the spleen cysts is a risk factor it may be the source for further seeding of ova. Mebendazol therapy was instituted, which will be continued in the future. The patient will remain under observation.
