Rheumatoid Arthritis Associated Interstitial Lung Disease in KwaZulu-Natal, South Africa: A Retrospective 5-Year Review
Hosam Ghammo, Mohammed Mitha, Catherine Connolly and Kennedy Nyamande
Article Type: Research Article | First Published: May 25, 2020
The demographic distribution, symptom profile and treatment outcomes in Rheumatoid arthritis associated interstitial lung disease (RA-ILD) has not been well described in South Africa due to a paucity of data. The aim of the study was to determine the demographic profile of the disease, symptom and radiological presentation, as well as treatments used and their outcomes at Inkosi Albert Luthuli Central Hospital (IALCH), a specialised public government hospital treating the majority of patients wi...
Acute Liver Injury: Due to a Rare Case Accompanied by Cardiac and Pulmonary Complications
Fatih Zengin, Vafa Suleymanova, Mehmet Rasih Sonsoz and Mustafa Erelel
Article Type: Case Report | First Published: September 30, 2019
One of the most important causes of acute hepatitis is vascular pathologies of the liver. There are several well-recognized forms of vascular injury to the liver, including Budd-Chiari syndrome, ischemic hepatitis, hepatic infarction and passive congestion due to hemodynamic instability. We present a case of acute liver injury accompanied by hemodynamic and respiratory pathologies. A 53-year-old lady was admitted to the emergency department with complaints of abdominal pain, nausea, vomiting for...
Effectiveness and Safety of Tunneled Pleural Catheter Placement in Patients with Malignant Pleural Effusions
Francisco Leon-Roman, Beatriz Pintado-Cort, Diana Chiluiza-Reyes, Edwin Mercedes- Noboa, Carmen Rodriguez-Calle, Diurbis Velasco-Alvarez, Andrea Perez-Figuera, Esther Barbero-Herranz, Paola Arrieta-Narvaez, Carlos Almonacid-Sanchez, Andres Quezada-Loaiza, Beatriz Prieto-Gonzalez and Deisy Barrios-Barreto
Article Type: Review article | First Published: September 26, 2019
Malignant pleural effusion (PE) is a frequent complication that worsens the quality of life and prognosis of patients with end-stage oncologic disease. Preceded only by parapneumonic PE, malignancy is one of the most common causes of pleural exudates and lung cancer accounts for as much as 37% of these cases. We used the modified scale of the Medical Research Council (mMRC) to assess for degree of dyspnea, the scale of the Eastern Cooperative Oncology Group (ECOG) to measure the functional capac...
Posterior Vitreous Detachment Prevalence in Patients with Chronic Obstructive Pulmonary Disease
Hatice Daldal, Musa Yigit and Yavuz Bardak
Article Type: Original Article | First Published: August 31, 2019
142 eyes of 71 consecutive patients with COPD who are applied to ophthalmology clinic were included in the retrospective study from January 2012 to August 2013. Trauma, ophthalmologic surgery history, diabetic retinopathy, uveitis, chorioretinitis, retinitis pigmentosa, retinal detachment and tears in the anamnesis and ophthalmologic examination were excluded from study. The visual acuity of the patients was assessed using Snellen chart. Intraocular pressure was measured with applanation tonomet...
Management of Obstructive Bronchial Fibrolipoma Bronchoscopically
Sinem Nedime Sokucu, Cengiz Ozdemir, Ozlem Kahya, Seda Tural Onur and Levent Dalar
Article Type: Case Report | First Published: August 29, 2019
Lipomas are unsual tumors endobroncially and they make 0.1 - 0.5% of lung tumors. Diagnosis is often misleading due to these non-specific symptoms and the appearance of the mass on imaging studies. Biopsy is the key feature for the diagnosis. The treatment for endobronchial lipoma is surgical or endoscopic resection. Early treatment may prevent distal lung damage. A patient with a mass lesion as a coincidental finding after chest trauma diagnosed as endobronchial fibrolipomatosis. Endobronchial ...
Diagnostic Yield of Fiberoptic Bronchoscopy for the Evaluation of Chronic Cough in Patients with Normal Chest X-Ray
Zainab Syed, Ro- Jay Reid and Roberto Solis
Article Type: Research Article | First Published: July 25, 2019
Approximately 30 million annual clinic visits are attributed to cough in the United States. Moreover, evaluation and management of persistent cough in pulmonary clinics account for roughly 40% of patient volume. The most common etiologies are: Upper airway cough syndrome (UACS), asthma, non-asthmatic eosinophilic bronchitis (NAEB) and gastro-esophageal reflux disease (GERD) - all of which are treatable. However, despite avoidance of triggers and medical therapy, there remains an elusive diagnosi...
A Case of Pregnancy in a Patient with Idiopathic Fibrosing Mediastinitis
Jeffrey Miller and Jean Elwing
Article Type: Case Report | First Published: July 11, 2019
We report a case of a 36-years-old female with known Fibrosing Mediastinitis (FM) suspected from prior Histoplamosis infection who presented for medical induction of first pregnancy. The case centers on the outpatient and peripartum management of pregnant patients in the setting of FM with consideration given to method of delivery and anesthetic options during delivery....
Unilateral Pleural Effusion, Secondary to Germinal Teratoma: A Case Report
Ramirez-Galindo Maria del Rayo, Isis Areli Lopez-Garcia, Marlenne Perales-Garcia and Fernando Vazquez-Alaniz
Article Type: Case Report | First Published: June 17, 2019
Pleural Effusion is a common medical problem with more than 50 recognized causes including disease local to the pleura or underlying lung, systemic conditions, organ dysfunction, and drugs. The majority of malignant PEf is caused by metastatic disease: Most commonly lung cancer in men and breast cancer in women. However, few germinal teratomas have been reported as the main cause of unilateral PEf....
From Triumph to Tribulation: A Granulomatous Polyangiitis Case Report
Albert Iruthiaraj Lourdesamy Anthony, Zainal Abidin Ibrahim and Li-Cher Loh
Article Type: Case Report | First Published: June 14, 2019
We report the case of a 62-years-old woman with symptoms of cough and significant loss of weight with radiological findings to support a left lower lobe lung mass. The patient was initially suspected to have metastatic lung malignancy until biopsy results suggested necrotizing granulomatous inflammation. A diagnosis of limited GPA was made when the cytoplasmic antineutrophil cytoplasmic antibodies, (c-ANCA) and antiproteinase-3 antibodies (anti-PR3) was elevated. The patient was treated with com...
Allergic Bronchopulmonary Aspergillosis Mimicking Lung Cancer: A Case Report
S Guerrini, M D'Ascanio and A Ricci
Article Type: Case Report | First Published: June 14, 2019
Allergic bronchopulmonary aspergillosis (ABPA) is an immunologically mediated lung disease caused by principally spores of Aspergillus fumigatus especially in asthmatic patients. Various set of diagnostic criteria has been advocated in different studies without a prevailing definition Treatment is based mainly on oral corticosteroids with the possible addition of antifungal agents....
Primary Ciliary Dyskinesia (PCD) Registry in Alberta, Canada: Initial Results
Ronly Har-Even Cohn and Israel Amirav
Article Type: Review Article | First Published: June 13, 2019
Primary Ciliary Dyskinesia (PCD) is a rare, genetically heterogeneous and multi-organ disorder, caused by impaired structure and/or function of motile cilia. Impaired ciliary function results in recurrent upper and lower respiratory tract infections (due to ineffective clearance of mucous secretions and inhaled particles). Clinical manifestations of PCD are diverse and include recurrent and chronic infections in the lung, ear, nasal and sinus and involvement of other systems such as cardiovascul...
Seric Markers and Cell Profile in Blood and Sputum in Chronic Obstructive Pulmonary Disease Exacerbations (AECOPD)
Juliana Gjerazi, Eritjan Tashi, Irma Tashi and Jul Bushati
Article Type: Research Article | First Published: June 01, 2019
AECOPD have major implications on the quality of life, morbidity and mortality of COPD patients. In addition to their assessment on clinical presentation, which can be variable and difficult to predict, a large number of biomarkers are used. Inflammation increases during exacerbations of COPD and there are changes in systemic markers like CRP, IL 6 and PARC/CC18, as well as the cell structure in sputum and blood. The aim of this study was to investigate the diagnostic and prognostic value of pla...
Simulation Training on Mechanical Ventilation Using a High-Fidelity Ventilator Mannequin for Residents and Respiratory Therapists
Yasmin Leigh, Christian de Elia, Murali Krishna, La Tanya Taylor, Rachel Morales, Beth Kellogg and Frank Salvatore
Article Type: Research Article | First Published: June 01, 2019
Simulation-based education is thought to be more effective than traditional teaching and recent studies have described its benefits on physician performance in several clinical areas. Despite this, not many studies have researched the benefits of simulation training in teaching mechanical ventilation. With that said, this study was composed to assess the approach of mannequin simulation- based training as a method to provide an interactive learning experience for residents and respiratory therap...
An Investigation of Various Inspiratory Times and Inflation Pressures during Airway Pressure Release Ventilation
Tim W Gilmore, Robert E Walter, Patrick C Hardigan, Clifton F Frilot II and Guy M Nehrenz
Article Type: Original Research Article | First Published: May 16, 2019
There are few recommendations how best to apply certain modes of mechanical ventilation, and the application of Airway Pressure Release Ventilation (APRV) requires strategic implementation of specific inspiratory (I-time) and expiratory times (E-time) and particular mean airway pressures (MAWP), neither of which is standardized. We sought to identify whether an ideal I-time or MAWP could be identified to favor more positive clinical outcomes. A retrospective analysis of archived electronic healt...
The Bronchoscopy Role for Malignant Central Airway Obstruction
Francisco Leon-Roman, Alfonso Lopez-Frias Lopez-Jurado, Beatriz Pintado-Cort, Joaquin Asensio-Sanchez, Edwin Mercedes-Noboa, Beatriz Prieto-Gonzalez and Deisy Barrios-Barreto
Article Type: Clinical Case Report | First Published: April 26, 2019
We present the case of an active smoking 44-years-old woman (10 pack/years) diagnosed with lung adenocarcinoma T4N3M1a (stage IV) in the right upper lobe (RUL) in January 2017. She received four cycles of cisplatin-pemetrexed and radiosurgery of brain metastasis. The patient had a body mass index (BMI) of 28, with no other significant comorbidities. In July 2017, tumoral growth with secondary airway stenosis and invasion of the superior vena cava was evidenced. Given the progression of the disea...
Forced Mid-Expiratory Flow Can Predict Ventilatory Limitation and Exercise Capacity
Mandeep Hundal, Christian Ghattas, Lori Lyn Price, Peter Lacamera and John Unterborn
Article Type: Original Research Article | First Published: April 03, 2019
Exercise limitation associated with most lung diseases is multifactorial and is due to complex interactions between impaired ventilatory, cardiovascular, and peripheral muscle responses. Cardiopulmonary exercise tests (CPETs) are often required to ascertain the primary cause of exercise limitation particularly in patients with multiple co-morbidities. CPETs are generally offered only at tertiary care medical centers. To evaluate if forced expiratory flow from 25% to 75% of vital capacity (FEF25-...
Tropical Pulmonary Eosinophilia: An Epidemiological and Clinical Review
Joanna V Santeliz
Article Type: Review Article | First Published: February 11, 2019
Pulmonary diseases associated with parasitic infections of the lung are unusual. However, the rise in immunosuppressive conditions such as HIV/AIDS, use of antineoplastic agents and post-transplant medications among others associated with the phenomenon of globalization which entails frequent traveling and migration, has raised their prevalence both in immunocompromised and immunocompetent individuals. Tropical pulmonary eosinophilia (TPE) is a neglected tropical disease of predominantly filaria...
Is A Body Shape Index (ABSI) Predictive of Lung Functions?
Mohsen Soltanifar, Chandima Karunanayake, Dinesh Khadka, Raina Henderson, Niels Konehnck, Sylvia Abonyi, James A Dosman, Punam Pahwa, Mark Fenton and the First Nations Lung Health Project and Saskatchewan Rural Health Research Teams
Article Type: Research Article | First Published: January 19, 2019
The available spirometric lung function equations in Canadian context have been limited to age and height as predictors and Caucasian ethnicity. The plausible equations with other individual predictors and First Nations populations are missing in the current literature. To set an initial investigation in terms of study sample size and simple reference spirometric equations on the association of the set of conventional predictors in companion with two new predictors BMI and ABSI with spirometric ...