1/7. CT diagnosis of delayed presentation of congenital diaphragmatic hernia simulating massive pleuropneumonia.A case of an 11-month-old infant with a delayed presentation of congenital diaphragmatic hernia is reported. Incarceration of the herniated colon caused a misleading appearance on the chest X-ray which was interpreted as massive pleuropneumonia. Computed tomography, performed because of continuing deterioration in the clinical condition, showed fluid-filled bowel loops in the chest and dilated bowel loops with air-fluid levels in the abdomen, suggesting the correct diagnosis.- - - - - - - - - - ranking = 1keywords = pleuropneumonia (Clic here for more details about this article) |
2/7. hemothorax under thrombolytic therapy with recombinant tissue: plasminogen activator (rt-PA) in a 16-year-old girl.We present the case of a 16-year-old girl with an extended thrombosis of the femoral and iliac vein and the inferior vena cava during pleuropneumonia; predisposing risk factors for thrombophilia were: use of contraceptives, nicotine abuse and congenital deficiency of antithrombin iii (not previously diagnosed). thrombolytic therapy with recombinant tissue plasminogen activator (rt-PA; initial dose: 0.08 mg/kg/h) was started. 2 days later--after diagnosis of an extended hemothorax: 1500 ml blood were obtained after thoracocentesis, transfusion of packed red blood cells was necessary--rt-PA was stopped, with only heparin (400 U/kg/d) being administered. 36 h later--the thrombosis had not yet changed--the thrombolytic therapy with rt-PA was continued in a markedly reduced dose (0.015 mg/kg/d) with no further bleeding complications. 8 days later--after successful thrombolysis--t-PA was stopped, heparin was given for another 10 days, then cumarin was administered orally.- - - - - - - - - - ranking = 0.2keywords = pleuropneumonia (Clic here for more details about this article) |
3/7. breast milk transmission of a Panton-Valentine leukocidin-producing staphylococcus aureus strain causing infantile pneumonia.We report on a 38-day-old infant who developed pleuropneumonia due to a staphylococcus aureus strain responsible for familial furunculosis, which was acquired by maternal breast-feeding. All isolates from the infant and parents were genetically related by randomly amplified polymorphic dna analysis and produced Panton-Valentine leukocidin.- - - - - - - - - - ranking = 0.2keywords = pleuropneumonia (Clic here for more details about this article) |
4/7. Fatal course of pulmonary absidia sp. infection in a 4-year-old girl undergoing treatment for acute lymphoblastic leukemia.absidia sp. is a rare etiologic agent responsible for infectious complications in immunosuppressed patients. The authors describe a 4-year-old girl with acute lymphoblastic leukemia complicated with pleuropneumonia caused by an absidia infection during the induction of remission. A review of the published reports in current literature is included for comparison. To the authors' knowledge only six cases of primary pulmonary absidiomycosis have been published. Despite its uncommon pulmonary presentation, mucormycosis should be considered in patients with an immunosuppressing illness and positive risk factors and when a pulmonary lesion is not responding to appropriate antibiotic therapy.- - - - - - - - - - ranking = 0.2keywords = pleuropneumonia (Clic here for more details about this article) |
5/7. A renal transplant patient with intractable hiccups and review of the literature.Intractable hiccups in transplanted patients may be caused by various medical conditions including infections. We report a case of a 44-year-old man who suffered from intractable hiccups after cadaveric kidney transplantation. We identified 3 different hiccup periods with different causes: 1) steroid and anesthetics use, 2) severe ulcerose herpetic and mycotic esophagitis, and 3) pleuropneumonia caused by nosocomial methicillin-resistant staphylococcus epidermidis and pulmonary abscess requiring thoracic surgery.- - - - - - - - - - ranking = 0.2keywords = pleuropneumonia (Clic here for more details about this article) |
6/7. pneumocystis carinii pleuropneumonia after aerosolized pentamidine prophylaxis.We observed an atypical Pneumocystis infection with spontaneous pneumothorax, bronchopleural fistulae, an apical cyst and Pneumocystis pleuritis after aerosolized pentamidine prophylaxis in an AIDS patient. These findings suggest a failure of pentamidine aerosol in controlling active Pneumocystis infection in peripheral pulmonary areas. A relapse of pneumocystis carinii pneumonia (PCP) must be suspected when pneumothorax occurs during secondary prophylaxis with aerosolized pentamidine. It should always be confirmed by bronchoalveolar lavage or transbronchial or open biopsy. Cases presenting as atypical Pneumocystis pneumonia may additionally reveal extrapulmonary dissemination of Pneumocystis infection.- - - - - - - - - - ranking = 0.8keywords = pleuropneumonia (Clic here for more details about this article) |
7/7. Traumatic rupture of right diaphragm presenting as pleuropneumonia.We present a case of rupture of the right diaphragm, due to an automobile accident, discovered after a period of eight years and presenting a clinical picture of pleuropneumonia. The radiologic appearances of traumatic hernia of the diaphragm are more difficult to appreciate on the right side because of the presence of the liver and delayed symptoms. This may be dangerous or sometimes fatal.- - - - - - - - - - ranking = 1keywords = pleuropneumonia (Clic here for more details about this article) |