Respirology Case Reorts

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December 2023
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Case reports
Paraquat ingestion in an adult with cystic fibrosis (CF): Diagnostic and management dilemmas
Ieuan E S Evans, Shanal Kumar, Megan France, Daniel Smith, Philip Masel, George Tay, Daniel Henderson, Scott C Bell, David Reid
DOI: 10.1002/rcr2.1235

N,N'-dimethyl-4,4'bipyridinium dichloride (Paraquat) is a potent herbicide used widely in agriculture. We report the effects of an ingestion of paraquat by a 28 year old male with cystic fibrosis and the diagnostic and management challenges this posed in both the acute and longer term setting.

X ‐linked inheritance of primary ciliary dyskinesia and retinitis pigmentosa due to RPGR variant: A case report and literature review
Aoi Kuroda, Ho Namkoong, Eri Iwami, Akihiro Tsutsumi, Takahiro Nakajima, Hajime Shinoda, Yusaku Katada, Jiro Iimura, Hisato Suzuki, Kenjiro Kosaki, Takeshi Terashima
DOI: 10.1002/rcr2.1240

This study reviewed a case of primary ciliary dyskinesia (PCD) and retinitis pigmentosa (RP) with the relevant literature. The patient had a persistent cough, sputum, and diffuse bronchiectasis. He was diagnosed with a combination of PCD and RP, with the presence of an X-linked retinitis pigmentosa GTPase regulator (RPGR) variant confirmed through electron microscopy, retinal scan, and genetic testing. Although co-occurrence of bronchiectasis and RP is rare, PCD should be considered in cases of persistent wet cough in childhood or unidentified bronchiectasis aetiology. Ophthalmologists should consider concomitant PCD in RP patients.

Primary benign intratracheal schwannoma: A case report and review of the literature
Shahab Rafieian, Reza Ershadi, Hesam Amini, Alireza Samimiat, Mohsen Gholinataj Jelodar, Matin Vahedi
DOI: 10.1002/rcr2.1241

Schwannomas are benign tumours that originate from Schwann cells. Primary trachea tumours are uncommon. Here we report a case of primary schwannoma of the trachea in a 16 year-old male patient.

Endobronchial cryptococcosis with bronchial stenosis in a patient with severe asthma treated with inhaled corticosteroids: A case report
Jun Sasaki, Takashi Kinoshita, Misa Sudou, Takayuki Horii, Reiko Takaki, Masahiro Mitsuoka, Masaki Tominaga, Tomotaka Kawayama, Tomoaki Hoshino
DOI: 10.1002/rcr2.1245

Cryptococcosis typically manifests as pulmonary lesions, with endobronchial lesions occurring rarely. Inhaled corticosteroids (ICS) may be a risk factor for cryptococcosis of the larynx but not of the bronchi. We report a case of endobronchial cryptococcosis during ICS treatment for uncontrolled asthma, highlighting the importance of paying attention to central airway lesions during ICS treatment for asthma.

A case report describing the use of systemic bevacizumab in the treatment of recurrent respiratory papillomatosis with pulmonary involvement
Amy O'Brien, Eskandarain Shafuddin
DOI: 10.1002/rcr2.1246

Recurrent respiratory papillomatosis with is a rare disease caused by HPV 6 and 11. This article describes successful treatment of recurrent respiratory papillomatosis with pulmonary involvement with systemic bevacizumab.

Clinical imagess
Computed tomography manifestations of a case of varicella zoster virus (VZV) pneumonia
Minlong Zhang, Cuiping Yang, Yinghua Guo
DOI: 10.1002/rcr2.1242

We report a case of disseminated varicella zoster virus (VZV) pneumonia after renal transplantation and methylprednisolone treatment. This report highlights the computed tomography manifestations of disseminated VZV pneumonia.

Acute pneumonitis caused by oral intake of incense
Kei Yamasaki, Saki Shigemi, Yosuke Chiba, Takako Kawaguchi, Hiroki Dosaka, Yutaka Ishiguro, Kazuhiro Yatera
DOI: 10.1002/rcr2.1243

Burning incense can increase the risk of bronchitis and pneumonia due to alveolar pneumocyte degeneration and neutrophil infiltration. To our knowledge, this is the first report of pneumonitis caused by the oral intake of incense.

Incidentally discovered tracheal bronchus
Chia-Wei Chang, Chun-Han Wu
DOI: 10.1002/rcr2.1247

Congenital anomalies of the large airways are occasionally asymptomatic and are incidentally detected using radiography. Although most patients are asymptomatic, clinical conditions such as bronchial stenosis, stridor, cough, recurrent episodes of pneumonia, or malposition of the endotracheal tube may occur. Physicians should be aware of this anomaly and its possible complications.

Plastic bronchitis caused by Haemophilus influenzae
Kei Yamasaki, Toshiki Morimoto, Kohei Hashimoto, Sadanobu Yamaguchi, Masaru Kawamura, Kazuki Nemoto, Takako Kawaguchi, Takashi Tachiwada, Kazuhiro Yatera
DOI: 10.1002/rcr2.1248

Plastic bronchitis is characterized by sputum obstructing the bronchus and causing atelectasis. Bronchoscopic removal of the clogged bronchial cast is typically performed, but small-diameter bronchoscopes with narrow suction ports cannot achieve adequate suction. Suction using a bronchoscope as a guide sheath may be effective for treating plastic bronchitis in children.

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