Journal of bronchology & interventional pulmonology
-
J Bronchology Interv Pulmonol · Jan 2010
Treatment of infection associated with tunneled pleural catheters.
Chronic indwelling tunneled pleural catheters are increasingly used for the treatment of malignant pleural effusions. Some common complications of these catheters include empyema and local site infection. Empyema is generally treated with the removal of the pleural catheter and the administration of systemic antibiotics. We propose a different and more conservative but effective method of the treatment of infected tunneled pleural catheters.
-
J Bronchology Interv Pulmonol · Oct 2009
Bispectral index monitoring of midazolam sedation during flexible bronchoscopy.
Flexible bronchoscopy could be an uncomfortable examination for some patients. The purpose of this study was to examine the patient characteristics associated with "patient satisfaction" with sedation during flexible bronchoscopy. ⋯ We suggest that the BIS value during flexible bronchoscopy is associated with the satisfaction of patients and they may be able to predict patients' satisfaction.
-
J Bronchology Interv Pulmonol · Apr 2009
Bilateral lemierre syndrome secondary to periodontitis: a case report and review of the literature.
Lemierre syndrome is the typical presentation of human necrobacillosis. It is characterized by an initial infection, progressing to septic thrombophlebitis, septicemia, and multisystem embolic necrotic abscesses. It is usually caused by Fusobacterium necrophorum, but its pathophysiology remains obscure. A case of bilateral Lemierre syndrome secondary to periodontitis is reported. ⋯ A case is reported of extensive bilateral septic thrombophlebitis of the deep neck veins secondary to periodontal disease. To the best of my knowledge, this is the first case of bilateral Lemierre syndrome due to periodontal disease reported in the literature. It highlights the typical septic thrombophlebitis of Lemierre syndrome and its protean manifestations, such as hepatitis and rhabdomyolysis. This presentation also underscores the significance of thorough dental examinations in febrile patients. With respect to anticoagulation therapy in Lemierre syndrome, though still not established, there is some evidence of utility with no untoward effects.
-
J Bronchology Interv Pulmonol · Apr 2009
Subcutaneous emphysema: an unusual presentation of foreign body aspiration.
Two cases of subcutaneous emphysema owing to foreign body aspiration are described. In case 1, a 2½-year-old boy presented with complaints of respiratory distress, cough, and swelling over neck. Computed tomography scan of neck and thorax revealed subcutaneous emphysema along with emphysematous changes of left lung. ⋯ Both of the patients underwent bronchoscopic removal of the foreign body from the left main bronchus. At present both are asymptomatic and doing well. Subcutaneous emphysema is rare as a manifestation of foreign body aspiration and this cause should be kept in mind, even in the absence of forthcoming history of aspiration.