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 Case Report 


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Published Date
April 22, 2016

Vol. 3, Issue 2

Left Hemi-Diaphragmatic Hydatid Cyst - A Rare Presentation and Diagnostic Challenge

Haris Hakeem, Ghulam Fareed, Muhammad Irfan and Saulat Fatmi

Corresponding author: Dr. Muhammad Irfan, FCPS (Medicine), FCPS (Pulmonology), Associate Professor, Section of Pulmonary and Critical Care Medicine, Department of Medicine, Aga Khan University, Stadium Road Karachi, Pakistan

Echinococcosis or hydatid cyst disease is among the oldest diseases known to man. Common presentations include involvement of liver and lungs. Hydatid cyst in diaphragm without hepatic involvement is rare and less than 100 cases are reported in literature. We are describing a case of a young female who presented with cough anddyspnea secondary to large cysts that appeared to involve the right lung and spleen on initial imaging studies. Peroperatively, however, the presumed spleenic cystwas surprisingly found to be lying within left hemidiaphragm. Complete surgical resection of the cysts was performed with uneventful post-operative recovery.

Citation: Hakeem H, Fareed G, Irfan M, Fatmi S (2016) Left Hemi-Diaphragmatic Hydatid Cyst - A Rare Presentation and Diagnostic Challenge. Int J Respir Pulm Med 3:046.



 Case Report 


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Published Date
April 21, 2016

Vol. 3, Issue 2

A Case Report: What is the Real Cause of Death from Acute Chlorine Exposure in an Asthmatic Patient?

Toprak S and Kalkan EA

Corresponding author: Esin Akgul Kalkan, MD, Assistant Professor, Canakkale Onsekiz Mart University, Faculty of Medicine, Forensic Medicine Department, Canakkale Onsekiz Mart Universitesi, Tip Fakultesi, Adli Tip Anabilim Dali, 17020, Canakkale, Turkey

This case report presents an acute and chronic inflammation process at the same time and resulted in death following exposure to chlorine gas. A 65-years-old woman died shortly after cleaning her bathroom with a mixture of various chemicals including bleach and an acid containing product. She was declared dead when she arrives to hospital. She is a non-smoker and has no significant medical history other than asthma. Toxicological analysis showed that paracetamol, methylprednisolone, venlafaxine and its metabolite O-desmethylvenlafaxine were detected in blood.

Citation: Toprak S, Kalkan EA (2016) A Case Report: What is the Real Cause of Death from Acute Chlorine Exposure in an Asthmatic Patient? Int J Respir Pulm Med 3:045.



 Original Research 


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Published Date
April 19, 2016

Vol. 3, Issue 2

Prevalence of Depression/Anxiety among Medicare Beneficiaries with Chronic Obstructive Pulmonary Disease and Association with Acute Exacerbations

Christopher M. Blanchette, Melissa Roberts, Hans Petersen and Anne Fuhlbrigge

Corresponding author: Christopher M. Blanchette, PhD, MBA, Associate Professor of Public Health Sciences, College of Health & Human Services, University of North Carolina at Charlotte, 9201 University City Blvd., CHHS 476, Charlotte, NC 28223, USA

A prevalent cohort of Medicare beneficiaries aged 65+ with COPD (chronic bronchitis, emphysema, bronchiectasis, chronic airway obstruction) was constructed from a 5% sample of Medicare beneficiaries. Existence of depression/anxiety was identified via healthcare services or prescription drug claims. Baseline characteristics were assessed (1/1/2006-6/31/2006) and patients followed from first depression/anxiety claim until 12/31/2007 for all-cause and respiratory-related healthcare cost and utilization. Prevalence estimates of co-occurring COPD and depression/anxiety were approximated.

Citation: Blanchette CM, Roberts M, Petersen H, Fuhlbrigge A (2016) Prevalence of Depression/Anxiety among Medicare Beneficiaries with Chronic Obstructive Pulmonary Disease and Association with Acute Exacerbations. Int J Respir Pulm Med 3:044.



 Original Article 


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Published Date
March 31, 2016

Vol. 3, Issue 2

Platelet to Lymphocyte Ratio as a Novel Prognostic Marker in Male Patients with Chronic Obstructive Pulmonary Disease

Sezgi Sahin Duyar, Yalcin Solak, Dilek Tekis, Jale Karakaya, Ferit Kuscu and Asuman Erarslan

Corresponding author: Sezgi Sahin Duyar, Karaman State Hospital, Department of Pulmonology, Alacaatlı Mahallesi 3373/2 Sokak Gezgin 1 Sitesi Yasamkent, Ankara, Turkey

Neutrophil to lymphocyte ratio(NLR) and platalet to lymphocyte ratio (PLR) are recently defined novel inflammatory markers which are readily available. Their prognostic signifigance has been shown for a number of inflammatory diseases. A recent study evaluated the role of NLR in patients with chronic obstructive pulmonary disease(COPD). Thus, we aimed to investigate the relations between NLR, PLR and severity of COPD in male patients who had stable disease.

Citation: Duyar SS, Solak Y, Tekis D, Karakaya J, Kuscu F, et al. (2016) Platelet to Lymphocyte Ratio as a Novel Prognostic Marker in Male Patients with Chronic Obstructive Pulmonary Disease. Int J Respir Pulm Med 3:043.



 Review Article 


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Published Date
March 17, 2016

Vol. 3, Issue 2

Respiratory Allergy as a Contributory Factor in the Development of Vocal Fold Nodules

Anica Jokic, Gordana Mumovic, Maja Buljcik-Cupic and Olga Popov-Dragin

Corresponding author: Gordana Mumovic, Department of Ear, Nose and Throat Diseases, University of Novi Sad, Medical Faculty, Clinical Centre of Vojvodina, Serbia

Increasing evidence in the literature indicates that respiratory allergies are often a hidden contributory factor in vocal dysfunction. Although the precise allergic pathophysiological process within the vocal folds is not yet determined, modern understanding suggests that allergic changes in the lining of the larynx are an integral part of a systemic respiratory allergic reaction.

Citation: Jokic A, Mumovic G, Buljcik-Cupic M, Popov-Dragin O (2016) Respiratory Allergy as a Contributory Factor in the Development of Vocal Fold Nodules. Int J Respir Pulm Med 3:042.



 Review Article 


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Published Date
March 15, 2016

Vol. 3, Issue 2

Palliation of Refractory Dyspnea in a Patient with End Stage COPD (Chronic Obstructive Pulmonary Disease)

Sidra Anwar and Amy Case

Corresponding author: Amy A. Case, MD, FAAHPM, Palliative Medicine Fellowship Program Director, Associate Professor of Medicine, Division of Geriatrics and Palliative Medicine, VA Western New York Healthcare System and University at Buffalo, USA

Mr. M was a 74-year-old male Korean War veteran who presented to the hospital with an acute exacerbation of his Chronic Obstructive Pulmonary Disease (COPD). The patient had a 50 pack-year history of smoking and continued to smoke one-and-a-half packs of cigarettes per day. He was frail with barrel chest and pursed lip breathing, tachypnea, and dyspneic at rest. He was on Albuterol, Ipratropium bromide, and Fluticasone propionate, in addition to home oxygen 3 liters, 24 hours per day. Recent pulmonary function test revealed a FEV1 of 26%, air trapping and markedly diminished diffusion capacity.

Citation: Anwar S, Case A (2016) Palliation of Refractory Dyspnea in a Patient with End Stage COPD (Chronic Obstructive Pulmonary Disease). Int J Respir Pulm Med 3:041.



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Journal of Family Medicine and Disease Prevention (ISSN: 2469-5793)
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International Journal of Immunology and Immunotherapy (ISSN: 2378-3672)
International Journal of Medical Nano Research (ISSN: 2378-3664)
International Journal of Neurology and Neurotherapy (ISSN: 2378-3001)
International Archives of Nursing and Health Care (ISSN: 2469-5823)
International Journal of Ophthalmology and Clinical Research (ISSN: 2378-346X)
International Journal of Oral and Dental Health (ISSN: 2469-5734)
International Journal of Pathology and Clinical Research (ISSN: 2469-5807)
International Journal of Pediatric Research (ISSN: 2469-5769)
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