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Respirology Case Reorts

Table of Contents for
Volume 05 Issue 2
March 2017

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Mechanical insufflation–exsufflation for an individual with Duchenne muscular dystrophy and a lower respiratory infection
Emma Koenig, Bhajan Singh and Jamie Wood
DOI: 10.1002/rcr2.210

We present the challenging case of an individual with Duchenne muscular dystrophy admitted to a tertiary hospital with a lower respiratory infection, and discuss how mechanical insufflation–exsufflation was used and could be further optimized by physiotherapists aiming to improve cough and clear secretions.

Recurrent pneumothorax related to diffuse dendriform pulmonary ossification in genetically predisposed individual
Amy Po Yu Tsai, John C English, Darra Murphy and Don D Sin
DOI: 10.1002/rcr2.211

We describe a case of recurrent spontaneous pneumothorax caused by diffuse pulmonary ossification (DPO). The patient's father also had CT evidence of DPO, suggesting that there is a heritable component to DPO.

Recurrent haemoptysis as a symptom of severe pulmonary vein stenosis – a rare complication of catheter ablation in atrial fibrillation
Jan Romantowski, Krzysztof Kuziemski, Alicja Janowicz, Alicja Siemińska, Edyta Szurowska and Ewa Jassem
DOI: 10.1002/rcr2.212

We present a case report of a 52-year-old patient with recurrent haemoptysis, dyspnoea, and fatigue, which turned out to be complication after catheter ablation in atrial fibrillation. Successful treatment with drug-eluting stent (DES) was implemented with vast clinical improvement and follow-up.

Transcaval biopsy of a mediastinal mass compressing the superior vena cava
Anthony Logaraj and Philip Edwards
DOI: 10.1002/rcr2.213

We describe a novel approach to diagnostic sampling of a mediastinal mass in a critically unwell patient using a transjugular hepatic biopsy needle. Transcaval mediastinal biopsy may represent a safer alternative to percutaneous biopsy of mediastinal masses in critically unwell patients.

Bronchial tree-shaped mucous plug in cystic fibrosis: imaging-guided management
Ignazio Salamone, Baldassare Mondello, Maria Cristina Lucanto, Simona Cristadoro, Mariangela Lombardo and Mario Barone
DOI: 10.1002/rcr2.214

This is the second report of plastic bronchitis in cystic fibrosis that resolved with mechanical removal of the mucous plug. A careful observation of computed tomography (CT) imaging may guide intervention aimed at resolution of atelectasis.

Treatment with nintedanib for acute exacerbation of idiopathic pulmonary fibrosis
Hiromi Tomioka and Hirohito Takada
DOI: 10.1002/rcr2.215

There is currently no effective treatment for acute exacerbation of idiopathic pulmonary fibrosis (IPF). We herein reported a case of an 84-year-old man with acute exacerbation of IPF that was treated with nintedanib, an intracellular inhibitor of tyrosine kinases and showed improvement of his condition.

Pulmonary benign metastasizing leiomyoma presented as acute respiratory distress
Jean Pastré, Karine Juvin, Bertrand Grand, Laure Gibault, Judith Valcke and Dominique Israël-Biet
DOI: 10.1002/rcr2.216

We report here the case of a 76-year-old woman with a previous medical history of uterine benign leiomyomas in whom benign metastasizing leiomyoma (BML), a very rare condition, was acutely revealed by a respiratory distress due to voluminous pulmonary and pleural leiomyomas requiring surgical extraction. Clinical evaluation was remarkable by resistance to medical treatment and development of rare bone localization.

Emergency surgery for lung cancer with abscess formation after transbronchial biopsy
Yusuke Takanashi, Koichi Miyashita, Shogo Tajima, Takamitsu Hayakawa, Hiroshi Neyatani and Kazuhito Funai
DOI: 10.1002/rcr2.218

Abscess formation in lung cancer after transbronchial biopsy (TBB) is a rare complication with no standard consensus on a coping strategy or prophylaxis. We describe an instructive case of lung cancer that developed into an abscess after TBB in an 80-year-old man with poorly controlled diabetes mellitus. Prompt use of meropenem failed to relieve the infection, and we successfully performed emergency left upper lobectomy thereby achieving both infection control and radical treatment for cancer.

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