Clinics and practice
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Clinics and practice · Jul 2011
Case ReportsLobar flexible fiberoptic lung lavage: therapeutic benefit in severe respiratory failure in pulmonary alveolar proteinosis and influenza A H1N1 pneumonia.
Lobar fiberoptic lung lavage is a well-known procedure used in primary pulmonary alveolar proteinosis (PAP); the use of this procedure has increased in the recent years. This procedure has also been used in other pulmonary diseases such as desquamative interstitial pneumonia with good results. ⋯ Moreover, a rapid and progressive improvement in the computed tomography of the lungs was observed. Flexibile fiberoptic bronchoscopic lobar lavage is a simple, safe procedure used not only in milder disease, but also in particular severe cases in which the physiological derangement of whole lung lavage would not be tolerated by patient or when extra-corporeal membrane oxygenation is not available.
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Clinics and practice · Mar 2011
ReviewPolysubstance abuse related subacute urinary retention and Hutch diverticulum of urinary bladder.
The present case highlights the presentation and management of hyperkalemia and acute renal failure secondary to polysubstance abuse related subacute urinary retention due to α-adrenergic and μ-receptor activation in a patient with Hutch diverticulum.
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Clinics and practice · Mar 2011
Case ReportsGroup B streptococcus endocarditis associated with multiple pulmonary septic emboli.
Endocarditis is a rare presentation of group B streptococcal infection. Its association with pulmonary septic embolism was only barely studied and limited data is available up to date. ⋯ The patient was treated with ceftriaxone and azythromycin with good response and complete recovery without any further complications. In the event of a diagnosed case of group B streptococcus endocarditis, there should be a low threshold for the suspicion of septic pulmonary emboli especially in cases with right valves involvement.