RESUMO
A 42-year-old man was directly admitted to the ICU with respiratory failure and hypotension. Two weeks prior and just after returning from Bangladesh, he presented to a polyclinic with fever, right knee pain, and generalized aches, for which he received oral antibiotics. He was a farmer, had diabetes, never smoked, and consumed alcohol occasionally.
Assuntos
Artrite Infecciosa/etiologia , Articulação do Joelho , Melioidose/complicações , Insuficiência Respiratória/etiologia , Choque Séptico/complicações , Adulto , Artrite Infecciosa/diagnóstico , Artrite Infecciosa/etnologia , Bangladesh/etnologia , Burkholderia pseudomallei/isolamento & purificação , Diagnóstico Diferencial , Humanos , Kuweit/epidemiologia , Masculino , Melioidose/diagnóstico , Melioidose/etnologia , Radiografia Torácica , Insuficiência Respiratória/diagnóstico , Insuficiência Respiratória/etnologia , Choque Séptico/diagnóstico , Choque Séptico/etnologia , Líquido Sinovial/microbiologia , Tomografia Computadorizada por Raios X , ViagemAssuntos
Broncopatias/etiologia , Equinococose Pulmonar/complicações , Adulto , Animais , Anticorpos Anti-Helmínticos/análise , Broncopatias/diagnóstico , Broncoscopia , Diagnóstico Diferencial , Equinococose Pulmonar/diagnóstico , Echinococcus granulosus/imunologia , Seguimentos , Humanos , Masculino , Tomografia Computadorizada por Raios XAssuntos
Coriocarcinoma/secundário , Neoplasias Pulmonares/secundário , Adulto , Biomarcadores Tumorais/sangue , Coriocarcinoma/diagnóstico , Diagnóstico Diferencial , Evolução Fatal , Humanos , Neoplasias Pulmonares/diagnóstico , Masculino , Neoplasias Retroperitoneais/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
This is a brief case report of invasive multicentric mucinous adenocarcinoma presented at a rather young age with bronchorrhea and persistent consolidation that ended up with the patient demise; nevertheless, we demonstrate relevant radiological and pathological features with emphasis on the new classification of bronchioloalveolar carcinoma, a term that should no longer be in use.
RESUMO
Multiple myeloma, a disorder commonly encountered in elderly patients, represents a malignant proliferation of plasma cells that primarily affects bone marrow. Pleural effusion as the presenting manifestation of the disease is uncommon. The authors report a case of multiple myeloma with unusual features presenting at a relatively young age with massive spontaneous hemothorax and multiple thoracic masses completely obscuring rib shadow on plain chest imaging. The patient demonstrated a good response to melphalan chemotherapy without recurrence of effusion or the need for additional chemical or surgical pleural interventions.
