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Respirology Case Reorts

Table of Contents for
Volume 05 Issue 4
July 2017

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Case Reports

Lenalidomide-induced eosinophilic pneumonia
Andrew Toma, Aaron P Rapoport, Allen Burke & Ashutosh Sachdeva
DOI: 10.1002/rcr2.233

Lenalidomide-induced pulmonary toxicity is previously reported; however, eosinophilic pneumonia as a distinct pathological entity is a unique presentation and we report such a case along with a review of the literature.

Empyema associated with Campylobacter curvus infection
Yukihiro Horio, Yoshiki Shiraishi, Nobuo Watanabe, Shigeaki Inoue, Tadashi Imanishi & Koichiro Asano
DOI: 10.1002/rcr2.234

We report the first case of thoracic empyema associated with Campylobacter curvus infection. In reviewing this case, we discovered two clinically important issues: (1) oral C. curvus can be associated with abscess in the respiratory system, and (2) genetic analysis of hypervariable regions of 16S rRNA is necessary to identify this microorganism.

Cytokine profiles of amyopathic dermatomyositis with interstitial lung diseases treated with mycophenolate
Masachika Hayashi, Ami Aoki, Katsuaki Asakawa, Takuro Sakagami, Toshiaki Kikuchi & Toshinori Takada
DOI: 10.1002/rcr2.235

We report the details of cytokine profiles in the case of a Japanese patient diagnosed with interstitial lung disease associated with amyopathic dermatomyositis and anti-melanoma differentiation-associated gene 5 antibodies, and treated with mycophenolate.

Multimodal imaging findings in an adult case of Swyer-James-MacLeod syndrome
Hitoshi Kawasuji, Kensuke Suzuki, Hideaki Furuse, Takeshi Tsuda, Yasuaki Masaki & Hirokazu Taniguchi
DOI: 10.1002/rcr2.236

Swyer-James-Macleod syndrome (SJMS) is an uncommon obliterative lung disease that is defined radiologically as hyperlucency of a part of or the entire lung. We present a case of SJMS in a patient who showed unique multimodal imaging findings.

A hol(e)y predicament
Shaiva Ginoya Meka, Daniel Shelden, Amy Mertens, Paul Christensen & Meet Patel
DOI: 10.1002/rcr2.237

A 72-year-old female with tachycardia suffers a cardiac arrest associated with refractory hypoxaemia. She is found to have a large ostium primum atrial septal defect complicated by Eisenmenger syndrome. Late presentation of congenital heart defects and nitric oxide as a salvage therapy for persistent hypoxaemia are discussed.

An uncommon cause of miliary pattern of pulmonary nodules – diffuse pulmonary meningotheliomatosis
Vivek Jayaschandran, Sandra Gjorgova-Gjeorgjievski and Haamid Siddique
DOI: 10.1002/rcr2.238

We present the case of a 74-year-old asymptomatic female referred to the pulmonary clinic for evaluation of incidentally detected diffuse bilateral pulmonary nodules. A transbronchial biopsy established a diagnosis of diffuse pulmonary meningotheliomatosis, obviating the need for further invasive workup. She remains stable after more than 2 years of follow-up.

Severe acute asthma caused by Chlamydophila pneumoniae infection
Yoshinari Endo, Toshihiro Shirai, Mika Saigusa and Eisuke Mochizuki
DOI: 10.1002/rcr2.239

Asthma exacerbation is associated with respiratory infections, including those by viruses and atypical bacteria. We herein report a case of severe acute asthma in an adult caused by Chlamydophila pneumoniae infection.

A chest wall mass after breast carcinoma surgery: a simple diagnosis?
Fabrizio Minervini, Ladina Greuter, Peter Kestenholz, Tino Schneider, Christine Gutmann and André Emanuel Dutly
DOI: 10.1002/rcr2.240

Chest wall tuberculosis is a very rare condition with few cases reported in the literature. The aim of this article is to report a patient operated for chest wall tumefaction and to review the literature.

Osimertinib administration via nasogastric tube in an EGFR-T790M-positive patient with leptomeningeal metastases
Takayuki Takeda, Hideki Itano, Mayumi Takeuchi, Yurika Nishimi, Masahiko Saitoh and Sorou Takeda
DOI: 10.1002/rcr2.241

We present the case of a lung cancer patient with a diagnosis of leptomeningeal metastasis and epidermal growth factor receptor mutation (cerebrospinal fluid testing showed L858R + T790M double mutations), with poor performance status (PS) and dysphagia. Osimertinib suspension was administered through a nasogastric tube. PS improved to 1 with oral intake possible after 20 days and further improvements were observed by gadolinium-enhanced magnetic resonance imaging. The patient remains progression-free for 10 months after osimertinib administration.

Post-tuberculosis mycetoma: bronchoscopic removal
Liam J Chawke, Eoin B Hunt, Marcus P Kennedy and Desmond M. Murphy
DOI: 10.1002/rcr2.243

A pulmonary mycetoma is a fungus ball that fills a pre-existing cavity in the lung. We propose the use of cryotherapy for the removal of these mycetomas in suitable patients.


DOI: 10.1002/rcr2.242

This article corrects: Respiratory bronchiolitis-associated interstitial lung disease secondary to electronic nicotine delivery system use confirmed with open lung biopsy