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Query: UMLS:C0019079 (hemoptysis)
 6,129 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Between 1976 and 1986 one hundred and ten children with pulmonary hydatid disease were treated surgically. Sixty five of the patients were males and 45 were females. We diagnosed hydatid cyst in 36 cases submitted in our clinic with hemoptysis. Thirty of the patients had cough, 16 had chest pain and dyspnea, 12 had purulent sputum and 8 cases had fever and anaphylactic phenomena. In most of the patients hydatid cysts were localised in the right lung. However, they had affinity for the lower lobes of both lungs, rather than the upper lobes. The radiological examination was found to be the most reliable diagnostic method. In the majority of our cases we performed thoracotomy + cystotomy + capitonnage, while in some cases we performed resection, like cystectomy, wedge resection and lobectomy. We did not encounter any serious operative and postoperative complications, except for one pleural empyema and a single case of mortality.
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PMID:The hydatid cyst of the lung in children and results of surgical treatment. 230 29

Eighty consecutive patients undergoing pulmonary resection at the University College Hospital, Ibadan were studied to determine the factors predictive of postoperative morbidity and mortality. The operative mortality was 10% while complications occurred in 66% of the patients. Complications were significantly more frequent (p less than 0.01) in those with benign disease (73%) than with malignant conditions (31%). Benign disease and pneumonectomy were predictors of wound infection (p less than 0.05 & p less than 0.02 respectively); haemoptysis and pneumonectomy, predictors of bronchopleural fistula (p less than 0.02 and p less than 0.05 respectively); benign disease predictor of empyema (p less than 0.02); and age over 50 years predictor of mortality (p less than 0.01). It is concluded that improved care of patients with these predictive factors would result in reduction of morbidity and mortality.
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PMID:Post-operative complications in pulmonary resections. 248 10

3 cases of endobronchial foreign body (EFB) in adult patients which main feature was a delay in diagnosis, are presented. The aspiratory accident was not well evaluated by the patients. There were several complications (hemoptysis, pneumonia, and empyema) during the interval from the aspiration to the extraction, these being the reasons for inducing diagnosis. The mechanism of aspiration and the treatment is discussed.
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PMID:[Endobronchial foreign bodies in adults. A report of 3 cases with a prolonged evolution]. 256 22

Between 1974 and 1987, 14 patients (10 male and 4 female) underwent thoracotomy for treatment of pulmonary mycosis. They were studied on their clinical findings and surgical treatment. The median age was 48 years (range 19 to 71 years). Fourteen cases consisted of 9 aspergillosis and 5 cryptococcosis. None of them was either debilitated or immunosuppressed before falling ill. Five of the 14 patients had other pulmonary disease and 11 had symptoms; i.e. hemoptysis or bloody sputum in 4 cases, chest pain in 3, fever in 3, cough and sputum in 2. Nine aspergillosis consisted of 4 aspergilloma, 3 aspergillus pneumonia and 2 aspergillus empyema. Three cases of aspergillosis occurred in preexisting cavity. Five cryptococcosis consisted of 3 pseudotumorous, 1 disseminated small nodular, and 1 infiltrative types. Preoperative diagnosis was as follows; pulmonary mycosis 5, pulmonary tuberculosis 4, lung cancer 3, empyema 1 and hydropneumothorax 1. Four patients underwent partial resection, 8 lobectomy, 1 pneumonectomy, 1 muscle prombage and thoracoplasty. The prognosis is satisfactory. All patients are alive and has no recurrence. On histopathological examination, in aspergilloma cases, invasion of aspergillus to surrounding lung tissue was not seen. In addition to well-known fact that blood-borne dissemination hardly occurred in aspergilloma in contrast to cryptococcosis. These findings suggest that aspergilloma and solitary lesion of cryptococcosis should be resected, and adjuvant chemotherapy should be accompanied for cryptococcosis.
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PMID:[A study on clinical findings and surgical treatment of pulmonary mycosis]. 260 Apr 62

The authors analysed 116 hospitalized patients who, in their routine cytologic examination of the sputum, had also a cytomorphologic finding of lymphocytes. The greatest majority of these patients, 63 of them or 54.3% suffered from malignant neoplasm. Out of these 63 patients, 53 of them or 45.7% suffered from primary bronchial carcinoma, whereas 10 patients or 8.6% had non-Hodgkin's lymphoma, metastatic lung cancer of extrathoracic primary localization, Hodgkin's lymphoma, while two patients were supposed to have lung neoplasm. Our study also revealed that 14 patients (out of 116 hospitalized patients) or 12.0% suffered from broncho-pleuropneumonia, 13 or 11.2% from an active pulmonary tuberculosis, 7 or 6.0% from a chronic obstructive bronchitis, 5.1% from sarcoidosis, 3.4% from post tuberculosis pulmonary changes while 2.5% of the patients were found to have a pleural empyema. One case of bronchial asthma, tuberculous pleurisy, bronchiectasis, hamartoma, hemoptysis and a pulmonary infarction were found as well. Due to their own experience the authors conclude that the lymphocytes in the sputum were found to be the most frequent in patients suffering from primary bronchial carcinoma, broncho-pleuropneumonia and pulmonary tuberculosis but that they could also be found in many others pathologic changes of pulmonary parenchyma.
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PMID:[Lymphocytes in sputum]. 263 95

Suppurative complications to aspiration pneumonia occur if the initial aspiration and subsequent pneumonitis go unrecognized or untreated. Anaerobic cavitary disease is typically an indolent process, whereas necrotizing pneumonia is more fulminant and deadly. Rarely are aggressive diagnostic measures necessary in the community-acquired setting. Most patients, even with necrotizing pneumonia, respond well to high-dose penicillin and show clinical improvement within a week to 10 days. Clindamycin may be preferred in cases of severe underlying disease or when penicillin fails to yield signs of recovery. The presence of empyema not only increases the duration of therapy but also is fraught with complications and carries a higher mortality rate (20 vs 5 per cent). Necrotizing pneumonia and pulmonary abscess that develop in the nursing home or hospital setting require a more aggressive diagnostic approach, and broad-spectrum antibiotic coverage is necessary. In spite of these measures and appropriate antibiotic selection, nosocomial-acquired disease carries a mortality rate of 30 to 50 per cent. Surgical intervention, once the mainstay of therapy, is now reserved for patients with complications such as massive hemoptysis, failure to respond to chest tube thoracostomy in the presence of empyema, abscess drainage that fails with postural drainage, and diagnosis of carcinoma.
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PMID:Aspiration pneumonia, necrotizing pneumonia, and lung abscess. 265 1

An unusual case of Campylobacter fetus subspecies fetus bacteremia was presented. A twenty four year old male was admitted to our hospital due to abdominal pain, general malaise, diarrhea, high fever, and hemoptysis. He was alcoholic and fond of eating raw liver. He had a history of partial gastrectomy and disturbance of pancreatic function. He showed pulmonary empyema, pleuritis, thrombophlebitis of lower legs, jaundice, hepatomegaly, diarrhea, pneumothorax, and low T3 low T4 syndrome. C. fetus subsp. fetus was detected from the venus blood and pleural effusion on admission. He was successfully treated by gentamicin, chloramphenicol, and minocycline. This is the fourth case of C. fetus subsp. fetus bacteremia in the Japanese literature. This microanerophilic gram negative curved bacillus has been increasingly associated with human disease and relapsing in nature, so protracted antimicrobial therapy was recommended.
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PMID:[A case report of Campylobacter fetus subspecies fetus bacteremia]. 269 82

One hundred and two aspiration or drainage procedures were reviewed to determine the value of portable sonographic and real-time needle guidance systems. While the majority of thoracenteses or abdominal paracenteses were performed without the aid of real-time guidance, these systems were instrumental in the development of new procedures such as percutaneous cholecystostomy and in the drainage of small fluid collections in critical areas. Portable sonographic guidance was used in 32 cases, mostly for thoracentesis or abdominal paracentesis, but it had its greatest value in guiding drainage procedures at the bedside in critically ill patients. These portable drainage procedures included four cholecystostomies, one nephrostomy, drainage of two abdominal abscesses, and two empyema drainages. Complications included one case of an enterocutaneous fistula and one case of hemoptysis after thoracentesis. The failure rate was less than 7%. The use of portable real-time sonographic and needle-guidance systems has a direct impact on improving patient care.
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PMID:Portable real-time sonographic and needle guidance systems for aspiration and drainage. 353 58

Two patients, each with an infected descending thoracic aortic fistula, are described. The first patient had a postpneumonitic empyema. Thoracostomy tube drainage resulted in obliteration of the empyema cavity. Upon slight withdrawal of the tube, 49 days after its insertion, massive pulsating bleeding occurred through the sinus tract. The bleeding was controlled with manual pressure at the entry site of the chest tube, and the patient was operated upon immediately. A descending aortic defect, 3 cm long X 1.5 cm wide, at the site of the thoracostomy tube was primarily closed. Ten months after the surgical procedure, the patient has had no difficulty referable to her aortic erosion. In the second patient, 9 months after removal of the T-10 vertebra (which had a large cell tumor) and replacement of the vertebra with Dunn's metallic device, hemoptysis and left lower lobe consolidation developed. Aortography demonstrated a lobulated false aneurysm, 4 cm wide X 6 cm long, at the site of Dunn's device. A 16-mm graft was sutured end to side to the descending aorta just distal to the left subclavian artery and to the abdominal aorta below the renal arteries. The false aneurysm was then removed, the two ends of the aorta were sutured, and the stumps were covered with omental graft. Nine months after the repair the patient has had no difficulty referable to the aortic surgery.
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PMID:Infected descending aortic fistula. 371 43

Bacillus species are identified as pathogens in lung and pleural space infections with increasing frequency. We report a patient who developed life-threatening complications of Bacillus cereus pneumonia, including massive hemoptysis, acute respiratory failure, tension pneumothorax, empyema, and bronchopleural fistula. We also review the pertinent literature concerning the associated underlying disorders, complications, and therapy of Bacillus species pulmonary infections.
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PMID:Life-threatening complications associated with Bacillus cereus pneumonia. 391 26


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