RESUMO
Two cases of pneumonia associated with chicken pox in previously healthy patients are described. Their known risk factor was heavy smoking. Both were treated successfully with parenteral aciclovir, although one presented a restrictive spirometric pattern with lowered DLCO that became normal 3 months after discharge.
Assuntos
Varicela/complicações , Pneumonia Viral/etiologia , Aciclovir/uso terapêutico , Adulto , Fatores Etários , Varicela/diagnóstico , Varicela/tratamento farmacológico , Humanos , Masculino , Pneumonia Viral/diagnóstico , Pneumonia Viral/tratamento farmacológico , Fumar/efeitos adversos , EspirometriaRESUMO
Acute respiratory failure secondary to Coxiella burnetii infection is an extremely rare but serious complication that usually has a good prognosis after appropriate treatment. We describe a female patient who developed acute respiratory failure secondary to Coxiella burnetii pneumonia requiring mechanical ventilation and antibiotic therapy.
Assuntos
Pneumonia por Rickettsiaceae/complicações , Febre Q/complicações , Insuficiência Respiratória/etiologia , Doença Aguda , Adulto , Doxiciclina/uso terapêutico , Quimioterapia Combinada , Feminino , Humanos , Pneumonia por Rickettsiaceae/diagnóstico , Pneumonia por Rickettsiaceae/tratamento farmacológico , Febre Q/diagnóstico , Febre Q/tratamento farmacológico , Insuficiência Respiratória/diagnóstico , Insuficiência Respiratória/tratamento farmacológicoRESUMO
We present the case of a 42-year-old patient with a pheochromocytoma, whose clinical form of presentation was extremely rare, due to the high secretion of adrenalin compared to noradrenaline. We stress the relevance of the anamnesis for the diagnosis of this pathology, as well as the problems regarding its clinical, anaesthetic and surgical management. In addition, we review the literature.
Assuntos
Neoplasias das Glândulas Suprarrenais/metabolismo , Epinefrina/metabolismo , Feocromocitoma/metabolismo , Neoplasias das Glândulas Suprarrenais/diagnóstico , Adulto , Feminino , Humanos , Feocromocitoma/diagnósticoRESUMO
We present one case of osteochondroplastic tracheobronchopathy in a patient with right laterocervical tumoration as a manifestation of a normofunctional nodular goiter detected in a thyroid morphofunctional study, and tracheal stenosis secondary both to the goiter and the tracheobronchial process. The coincidence of these two processes, probably fortuitous, has never been described before.