Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0344329 (collapse)
 28,634 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A 20-y-old African-American female with Streptococcus pyogenes pharyngitis presented with tension pyopneumothorax. Her illness began with fever and sore throat that persisted for several days. She then developed a left neck swelling, followed by difficult swallowing and cough. Subsequently, she developed shortness of breath that became severe. On physical examination fever (39.2 degrees C), exudative pharyngitis, tenderness and swelling in the left anterior cervical area were noted. Chest X-ray revealed left side pneumothorax, air-fluid level and near-complete collapse of the left lung with displacement of the heart and trachea to the right. Computed tomography scan of the neck revealed swelling and enhancement of the sternocleidomastoid muscle with loculated fluid collection, inflammation in the left anterior medial neck displacing the trachea extending into the mediastinum and the left apex. Thoracentesis revealed purulent fluid; Gram stain showed Gram-positive cocci in chains; culture yielded pure growth of Streptococcus pyogenes. She was treated with high dose penicillin, several chest tubes and intra-pleural injections of streptokinase with gradual resolution. This complication has not been described previously in Streptococcus pyogenes pharyngitis.
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PMID:Pyopneumothorax: a complication of Streptococcus pyogenes pharyngitis. 1105 68

A total of 1210 patients with spontaneous pneumothorax (SP) and spontaneous pyopneumothorax (SPP)' were treated at the Surgery Unit of the Santariskes Tuberculosis and Lung Diseases Hospital in 1960-1997. Of them, 533 (45.7%) patients had the conditions of tuberculous origin and 657 (54.3%) had nonspecific SP. Treatment with punctures was indicated for closed SP and degrees I and II collapse. If it was ineffective, the authors applied drainage 4-5 days later. The indications for this treatment were ineffective punctures, open and tension SP, pleural fluid, and SPP. If following 5-6 days of aspiration, the lung did not restore, surgery was made. A total of 1108 (91.6%) patients fully recovered and 102 (8.4%) died.
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PMID:[The diagnosis and treatment of spontaneous pneumothorax of different etiologies]. 1107 52

Ruptured pulmonary hydatid cyst may sometimes cause complications like empyema, bronchopleural fistula, and collapsed lung. These complications may mislead the diagnosis and treatment if prior evidence of cyst has not been documented before rupture. We present a case of a young male who presented with complete collapse of left lung with pyopneumothorax and bronchopleural fistula which was misdiagnosed as pulmonary tuberculosis. He was referred to us from peripheral hospital for pneumonectomy when his condition did not improve after six months of antitubercular chemotherapy and intercostals drainage. On investigation, CT scan revealed significant pleural thickening and massive pneumothorax restricting lung expansion. Decortication of thickened parietal and visceral pleura revealed a ruptured hydatid endocyst, and repair of leaking bronchial openings in floor of probable site of rupture in left upper lobe helped in the complete expansion of the collapsed lung followed by uneventful recovery.
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PMID:Ruptured hydatid cyst with an unusual presentation. 2260 91