Case Of Pleurisy Research Articles

A Case of Pleurisy as Immune-related Adverse Events of Neoadjuvant Nivolumab and Chemotherapy After Lobectomy

A Case of Pleurisy as Immune-related Adverse Events of Neoadjuvant Nivolumab and Chemotherapy After Lobectomy

A rare case of presumptive pleural toxocariasis.

Toxocariasis is a cosmopolitan helminthiasis linked to contamination with Toxocara cati or Toxocara canis. Only six isolated cases of pleural toxocariasis have been reported in the literature. We describe a case of pleurisy with isolated eosinophilia varying between 600 and 1500/mm3 likely linked o presumptive toxocariasis in a 72-year-old patient. Our patient was admitted to hospital with severe dyspnoea, asthenia and diarrhoea. Imaging studies confirmed right unilateral pleurisy without any parenchymal involvement. Serology of serum and pleural fluid was positive for anti-Toxocara antibodies by ELISA and immunoblotting. Treatment by pleural drainage and anti-parasitic medication with albendazole for 8days resulted in the resolution of symptoms. A decrease in the levels of polynuclear eosinophils and total IgE confirmed the clinical resolution. The presence of hypereosinophilia in pleural fluid should evoke a diagnosis of pleural toxocariasis. Clinical symptoms and imaging are non-specific, but positive serology for anti-Toxocara antibodies in serum and pleural fluid can confirm the diagnosis.

Pyopneumothorax from coinfection by Trichomonas tenax and Geotrichum capitatum in a child from China: a case report

BackgroundTrichomonas tenax may appear in the oral cavity of humans due to poor dentition or oral hygiene. Pyopneumothorax is a serious complication of lower respiratory tract infections that very rarely can be caused by a trichomonad species in predisposed individuals. We report a rare case of pleurisy due to T. tenax with coinfection by a fungus.Case presentationWe describe a 16-year-old patient with cerebral palsy who presented with severe pyopneumothorax. T. tenax was identified by microscopic examination of the pleural effusion and next-generation sequencing. We also identified Geotrichum capitatum in the pleural effusion and bronchoalveolar lavage fluid cultures. Treatment with voriconazole and metronidazole successfully eliminated these pathogens and relieved the clinical symptoms. A literature review indicated this is the first reported case of pleurisy due to T. tenax with coinfection by a fungus.ConclusionThe rarity of pyopneumothorax caused by T. tenax coinfection with a fungus should not be overlooked in the clinic. These patients should be and treated in a timely manner.

Group infection of tuberculosis in a private extra-school tutoring institute

1) Two students of different high-schools were found to have pulmonary tuberculosis by school medical examination. These two students learned in the same private extra-school tutoring institute when they were junior high-school students. Assuming this event as a group infection of tuberculosis in the extra-school tutoring institute, we performed an extraordinary examination on the teachers working there. 2) In the extraordinary examination, a patient who could be judged as the source of infection was found. 3) As a result of extraordinary examination on students learning in the institute, a bimodal distribution was noted in the size of tuberculin test, compared with the results of tuberculin test at the first grade of junior high-school, the reaction was amplified. Twenty four students were subjected to chemoprophylaxis. 4) One case of pleurisy occurred from a student recommended chemoprophylaxis by the ad hoc committee on epidemic of tuberculosis, and the recommendation was neglected by an attending physician.

A case of pleurisy associated with antibodies to Rickettsia conorii

Rickettsia conorii is endemic in Mediterranean area. We describe an unusual sace of R. Conorii infection, which concerns a farmer with clinical, radiological and cytological findings of pleurisy without evidence of malignancy. An elevated antibody titre for R. Conorii was observed, using an indirect immunofluorescent antibody test. After treatment with Doxycycline, the patient presented a significant improvement of his clinical and radiological image and a four-fold decrease of the antibody titre for R. conorii.

Community-acquired methicillin-resistant Staphylococcus aureus infections in France: emergence of a single clone that produces Panton-Valentine leukocidin.

To characterize the clinical and bacteriologic characteristics of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infections, we reviewed 14 cases that were diagnosed in previously healthy patients during an 18-month period in France. Eleven patients had skin or soft-tissue infections. Two patients died of CA-MRSA necrotizing pneumonia. A case of pleurisy occurred in a child who acquired CA-MRSA from his mother, who had a breast abscess. The Panton-Valentine leukocidin genes and the lukE-lukD leukocidin genes were detected in all 14 isolates. The clonal origin of all of the isolates was demonstrated on the basis of their pulsotypes and antibiotic resistance profiles. All isolates had an agr3 allele. The combination of the Panton-Valentine leukocidin determinant (which encodes a virulence factor for primary skin infection and pneumonia) with the mecA gene (which confers antibiotic resistance and epidemicity) appears to have created a superadapted S. aureus strain that is spreading in the community.

Les complications chirurgicales de la néphrectomie chez le donneur vivant

Renal transplantation from a living donor is now considered the best treatment for chronic renal failure. We reviewed the operative complications in 38 living related donor nephrectomies performed at our institution over the past 14 years. The mean age of our donors was 30 years old with age range between 18 and 58 years old and female predominance (55.2%). These swobs were realized by a posterolateral lumbar lombotomy with resection of the 11 third. The left kidney was removed in 34 donors (90%), surgical complications were noted in 39.4% of the cases: one case of wound of inferior vena cava (2.6%), one case of release of the renal artery clamp (2.6%), four cases of pleural grap (10.5%), one case of pneumothorax (2.6%), one case of pleurisy (2.6%), three cases of urinary infection (7.8%), three cases of parietal infection (7.8%) and one case of patient pain at the level of the wound (2.6%). There were no mortalities. We conclude that the morbidity of living donnor nephrectomy is negligeable compared with the advantages for the recepient.

Eosinophilic pleural effusion and pericarditis with effusion in an allergic subject: Report of a case treated with pyribenzamine

A case of pleurisy and pericarditis in a hypersensitive individual is described in which the significant features were the onset with cardiac arrhythmia, pneumonitis followed by pleurisy with effusion, and pericarditis with effusion, 80 per cent eosinophiles in the cell count of the pleural fluid, failure of reaction to the antibiotics, absence of proof of viral etiology, and recovery associated with the administration of Pyribenzamine. It is not known whether the recovery was spontaneous or resulted from the use of this antihistamine drug. To our knowledge this is the first report in which an attempt was made, with apparent success, to utilize the antihistamine drugs in therapy in such a case. These features, with the other clinical data discussed, even without positive pathological findings or the reproduction of the clinical picture by a specific agent, seem sufficient to add this case to the accumulating literature illustrating a hyperergic etiology of cardiovascular disease. In the absence of death with postmortem studies or in cases of localized arteritis involving organs not readily accessible for biopsy, histological proof is impossible and reliance must be placed on clinical evaluation.

A peculiar failure of hemolytic action in a strain of hemolytic streptococcus

This strain, W 12, isolated from a case of pleurisy has been described by Williams,1 Valentine and Mishulow,2 and Mishulow.3 It is unusual in many respects. In blood-agar pour plates, it forms a rosette or complex colony unlike most beta hemolytic streptococci. It has the characteristics of the beta type in that microscopic examination shows that the red cells about the colony are completely dissolved, although the hemolyzed zone develops slowly, being very narrow after 24 hours' incubation and increasing in diameter to 3 mm. after 48 hours. The relatively feeble hemolytic capacity of this strain was also shown by the general absence of demonstrable hemolysin in the supernatant broth of centrifuged broth cultures. After 68 hours' growth in glucose broth, it reaches a H-ion concentration of PH 4.7, which is more acid than the reaction produced by the majority of strains of human origin.

A Case of Pleurisy with Effusion, Treated by Intrapleural Injection of Formalin

A Case of Pleurisy with Effusion, Treated by Intrapleural Injection of Formalin

Notes on a Case of Pleurisy with an Unusual Amount of Effusion

Notes on a Case of Pleurisy with an Unusual Amount of Effusion

Clinical Lecture on a Case of Pleurisy

Clinical Lecture on a Case of Pleurisy

Case of Pleurisy, Followed by Phlebitis and Pulmonary Abscesses

Case of Pleurisy, Followed by Phlebitis and Pulmonary Abscesses