1,581 results match your criteria Aspiration Pneumonia Imaging


Direct and indirect CT imaging features of esophago-airway fistula in adults.

J Thorac Dis 2020 Jun;12(6):3157-3166

Department of Radiology, Massachusetts General Hospital, Boston, MA, USA.

Background: Esophago-airway fistula (EAF) is an abnormal connection between the esophagus and the trachea or a major bronchus. While contrast esophagography remains the primary radiographic tool for the diagnosis of EAF, computed tomography (CT) is often employed in its evaluation. A systematic analysis of CT findings of EAF in adults has not been previously published. Read More

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http://dx.doi.org/10.21037/jtd-20-244DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330784PMC

[Acute respiratory distress in a frail older patient: spontaneous tooth aspiration].

Ned Tijdschr Tandheelkd 2020 May;127(5):282-285

A 68-year-old man presented at the emergency room with acute difficulty breathing. On account of recent subarachnoidal haemorrhage the patient was a resident of a care facility, and was also being treated for acute bronchitis there. Radiographic imaging of the lungs revealed a tooth with crown and pontic to have been inhaled. Read More

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http://dx.doi.org/10.5177/ntvt.2020.05.19132DOI Listing

An unusual presentation of developmental anomalies of the cardiovascular system including tetralogy of fallot, double outlet right ventricle, patent foramen ovale and persistent right aortic arch in a Friesian calf.

BMC Vet Res 2020 Jun 30;16(1):224. Epub 2020 Jun 30.

Section of Herd Health and Animal Husbandry, School of Veterinary Medicine, Veterinary Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland.

Background: Congenital heart diseases are occasionally encountered in the bovine species. Ventricular septal defects (VSD) and atrial septal defects (ASD) are reported to be the most common; however, a vast collection have been reported [1, 2]. Congenital heart diseases is thought to represent less than 3% of all congenital abnormalities in calves [3]. Read More

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http://dx.doi.org/10.1186/s12917-020-02439-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325375PMC

Diagnosis and treatments for oropharyngeal dysphagia: effects of capsaicin evaluated by newly developed ultrasonographic method.

J Smooth Muscle Res 2020 ;56(0):46-57

Department of General Internal Medicine 2, Kawasaki Medical School, Kurashiki, Japan.

Oropharyngeal dysphagia (OD) is a common symptom in the older people, and may cause fatal complications such as aspiration pneumonia. However, there is no established treatment for OD. The relationship between the transient receptor potential vanilloid 1 (TRPV1) and substance P released by activated TRPV1 was recently demonstrated. Read More

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http://dx.doi.org/10.1540/jsmr.56.46DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7324726PMC
January 2020

A 95-year-old patient with unexpected coronavirus disease 2019 masked by aspiration pneumonia: a case report.

J Med Case Rep 2020 Jun 23;14(1):82. Epub 2020 Jun 23.

Internal Medicine and Geriatrics, "Hypertension Excellence Centre" of the European Society of Hypertension, Italian National Research Centre on Aging, Hospital "U. Sestilli", IRCCS INRCA, via della Montagnola n. 81, 60127, Ancona, Italy.

Background: Severe acute respiratory syndrome coronavirus-2 infection has become a pandemic disease (coronavirus disease 2019). The infection has moved from China to the rest of the world and Italy represents one of the most affected countries. Older adults are more susceptible to develop complications with the consequent highest mortality rates. Read More

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http://dx.doi.org/10.1186/s13256-020-02432-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309209PMC

Pulmonary complications in dogs with acute presentation of pancreatitis.

BMC Vet Res 2020 Jun 22;16(1):209. Epub 2020 Jun 22.

Department of Veterinary Sciences, Veterinary Teaching Hospital "Mario Modenato", University of Pisa, Via Livornese Lato monte, San Piero a Grado, 56122, Pisa, Italy.

Background: In humans, respiratory complications in patients with acute pancreatitis (AP) are a common life-threatening comorbidity. Since possible lung impairment has not been individually evaluated in canine AP, the aims of the present study were to: (1) describe the prevalence, types and severity of pulmonary complications in dogs with acute presentation of AP, and (2) evaluate their association with mortality. AP diagnosis was based on compatible clinical and laboratory parameters, abnormal canine pancreatic-lipase test, and positive abdominal ultrasound within 48 h from admission. Read More

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http://dx.doi.org/10.1186/s12917-020-02427-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310026PMC

T4 cervical esophageal cancer cured with modern chemoradiotherapy: A case report.

World J Clin Cases 2020 May;8(10):1950-1957

Department of Radiation Oncology, National University Cancer Institute, National University Hospital, Tan Tock Seng Hospital, Singapore 119228, Singapore.

Background: T4 esophageal cancer portends a poor prognosis, particularly when it is complicated by a tracheoesophageal fistula (TEF) either resulting from disease or occurring as a complication of treatment. Patients with TEF that occurs during treatment are commonly treated with palliative intent because fistula-associated treatment complications such as aspiration pneumonia and mediastinitis are associated with high morbidity and mortality. To date, there is no clear evidence on the optimal treatment of T4 esophageal cancer, particularly when a TEF formation occurs. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i10.1950DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262722PMC

Cryptococcal osteomyelitis of the Zygomatic bone: a case report.

BMC Infect Dis 2020 Jun 5;20(1):399. Epub 2020 Jun 5.

Department of Otorhinolaryngology, Head and Neck Surgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.

Background: Disseminated cryptococcosis is a well-characterized complication in immunocompromised patients with cryptococcal pneumonia or meningitis; however, isolated cryptococcal osteomyelitis is a rare entity that occurs in approximately 5% of patients with cryptococcosis. Cryptococcal osteomyelitis in the head and neck region is extremely rare. To the best of our knowledge, no cases of cryptococcal osteomyelitis affecting only the zygomatic bone have been reported to date. Read More

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http://dx.doi.org/10.1186/s12879-020-05123-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275450PMC

ENDOCRINOLOGY IN THE TIME OF COVID-19: Management of thyroid nodules and cancer.

Eur J Endocrinol 2020 Jul;183(1):G41-G48

Clinic for Nuclear Medicine and Competence Centre for Thyroid Diseases, Imaging Institute of Southern Switzerland, Bellinzona, Switzerland.

Most patients with thyroid nodules and thyroid cancer (TC) referred for diagnostic work-up and treatment are not considered at higher risk of infection from SARS-CoV-2 compared to the general population. On the other hand, healthcare resources should be spared to the maximum extent possible during a pandemic. Indeed, while thyroid nodules are very common, only a small percentage are cancerous and, in turn, most thyroid cancers are indolent in nature. Read More

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http://dx.doi.org/10.1530/EJE-20-0269DOI Listing

Aspiration Pneumonia or COVID-19 Infection: A Diagnostic Challenge.

Acad Radiol 2020 07 3;27(7):1046. Epub 2020 May 3.

Department of Radiology, Medical Imaging Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

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http://dx.doi.org/10.1016/j.acra.2020.04.034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7196404PMC

Fungal Pneumonia in The Immunocompetent Host: A Possible Statistical Connection Between Allergic Fungal Sinusitis with Polyposis and Recurrent Pulmonary Infection Detected by Gastroesophageal Reflux Disease Scintigraphy.

Mol Imaging Radionucl Ther 2020 Apr;29(2):72-78

University of Notre Dame, CNI Molecular Imaging, Sydney, Australia.

Objectives: Fungal pneumonia in the immune competent host is a rarity with few reported cases in the literature. We present a series of 7 cases of recurrent fungal pneumonia in association with allergic fungal rhinosinusitis and gastroesophageal reflux disease (GERD). We hypothesised that recurrent infection may have been transported from the infected paranasal sinuses into the lung by GERD as the process was terminated by surgical fundoplication in 2 of these patients. Read More

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http://dx.doi.org/10.4274/mirt.galenos.2020.32154DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201431PMC

Diffuse large B-cell lymphoma of the rectum in a patient with Crohn's disease.

BMJ Case Rep 2020 Apr 16;13(4). Epub 2020 Apr 16.

Department of Surgery, Tallaght University Hospital, Dublin, Ireland.

A 62-year-old man presented to our institute with diarrhoea and dysuria on a background of subtotal colectomy and end ileostomy and biological therapy for Crohn's disease. He was diagnosed with urinary tract infection and acute kidney injury (AKI). Renal ultrasound suggested left hydronephrosis, with renal protocol computed tomography (CT) showing a large pelvic mass. Read More

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http://dx.doi.org/10.1136/bcr-2018-228818DOI Listing

COVID-19 Autopsies, Oklahoma, USA.

Am J Clin Pathol 2020 05;153(6):725-733

Department of Pathology, Cleveland Clinic, Cleveland, OH.

Objectives: To report the methods and findings of two complete autopsies of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) positive individuals who died in Oklahoma (United States) in March 2020.

Methods: Complete postmortem examinations were performed according to standard procedures in a negative-pressure autopsy suite/isolation room using personal protective equipment, including N95 masks, eye protection, and gowns. The diagnosis of coronavirus disease 2019 (COVID-19) was confirmed by real-time reverse transcriptase polymerase chain reaction testing on postmortem swabs. Read More

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http://dx.doi.org/10.1093/ajcp/aqaa062DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184436PMC

[Severe pneumonia and delirium in a 90-year-old male patient with postdeglutition regurgitation].

Internist (Berl) 2020 Apr;61(4):411-415

Abteilung für Geriatrie, Zentrum für Allgemeinmedizin und Geriatrie, Universitätsmedizin Mainz, Langenbeckstraße 1, 55131, Mainz, Deutschland.

Pneumonia and in particular aspiration pneumonia, is a common disease in geriatrics. These aspirations are often due to dysphagia, which is frequently first noticed in the context of a geriatric assessment. The reasons for dysphagia are manifold. Read More

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http://dx.doi.org/10.1007/s00108-020-00771-7DOI Listing

Hospital-acquired Pneumonia and Ventilator-associated Pneumonia in Children: A Prospective Natural History and Case-Control Study.

Pediatr Infect Dis J 2020 Mar 2. Epub 2020 Mar 2.

University of California, San Dieg School of Medicine and Rady Children's Hospital San Diego, San Diego, California.

Background: Clinical trials for antibiotics designed to treat hospital-acquired and ventilator-associated bacterial pneumonias (HABP/VABP) are hampered by making these diagnoses in a way that is acceptable to the United States Food and Drug Administration and consistent with standards of care. We examined laboratory and clinical features that might improve pediatric HABP/VABP trial efficiency by identifying risk factors predisposing children to HABP/VABP and describing the epidemiology of pediatric HABP/VABP.

Methods: We prospectively reviewed the electronic medical records of patients <18 years of age admitted to intensive and intermediate care units (ICUs) if they received qualifying respiratory support or were started on antibiotics for a lower respiratory tract infection or undifferentiated sepsis. Read More

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http://dx.doi.org/10.1097/INF.0000000000002642DOI Listing

Effectiveness of Swallowing Care on Safe Oral Intake Using Ultrasound-Based Observation of Residues in the Epiglottis Valley: A Pragmatic, Quasi-Experimental Study.

Healthcare (Basel) 2020 Feb 27;8(1). Epub 2020 Feb 27.

Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 1130033, Japan.

The demand for methods to ensure safe oral consumption of food and liquids in order to prevent aspiration pneumonia has increased over the last decade. This study investigated the safety of swallowing care selected by adding ultrasound-based observation, evaluated its efficacy, and determined effective content of selected swallowing care. The study employed a pragmatic quasi-experimental research design. Read More

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http://dx.doi.org/10.3390/healthcare8010050DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151232PMC
February 2020

Idiopathic Lipoid Pneumonia: An incidental finding in autopsy specimen.

Autops Case Rep 2020 Jan-Mar;10(1):e2020143. Epub 2020 Jan 30.

Department of Pathology, Pt. B.D. Sharma PGIMS, Rohtak, India.

Lipoid pneumonia is a rare form of pneumonia which was initially described to be caused by inhalation or aspiration of fatty substances. Certain autopsy studies have reported the incidence to be 1.0-2. Read More

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http://dx.doi.org/10.4322/acr.2020.143DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004259PMC
January 2020

Riluzole-induced interstitial lung disease is a rare and potentially life-threatening adverse event successfully treated with high-dose steroid therapy: Case reports and review of the literature.

J Neurol Sci 2020 Mar 27;410:116650. Epub 2019 Dec 27.

Department of Neurology, National Center Hospital, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-higashi, Kodaira, Tokyo 187-8551, Japan.

Riluzole (RZ)-induced interstitial lung disease (RZ-ILD) is a rare and potentially life-threatening adverse event in amyotrophic lateral sclerosis (ALS) patients, which is rarely reported. Therefore, the optimal treatment for RZ-ILD is unclear. We describe herein three Japanese cases of ALS complicated with RZ-ILD, of which two were successfully treated with high-dose steroid therapy. Read More

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http://dx.doi.org/10.1016/j.jns.2019.116650DOI Listing

Presentation of an H-type tracheoesophageal fistula in an adolescent male with cystic fibrosis: A case report and review of literature.

Clin Imaging 2020 Mar 30;60(1):38-47. Epub 2019 Nov 30.

St. Christopher's Hospital for Children, Department of Pediatric Pulmonology, Philadelphia, PA, United States of America.

Congenital TEFs without esophageal atresia are rare but may occur more frequently than previously documented in literature. Careful history is required to suspect the diagnoses, as most patients will present with coughing associated with solid or liquids, recurrent unexplained pulmonary infections and complaints with eating. Some patients may show signs of chronic airway changes from recurrent aspiration pneumonia at the time of presentation. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.11.007DOI Listing

A 65-Year-Old Man with Pulmonary Opacities and Worsening Cough.

Chest 2019 12;156(6):e117-e120

Division of Pulmonary, Critical Care, and Sleep Medicine, UC Davis School of Medicine; and VA Northern California Healthcare System, Sacramento, CA. Electronic address:

Case Presentation: A 65-year-old man was referred for evaluation of several years of chest congestion and cough productive of yellow sputum as well as recently noted abnormalities on chest imaging. He denied dyspnea, weight loss, fevers, chills, or hemoptysis. He had no history of systemic illness, pneumonia, other respiratory illness, gastroesophageal reflux, or sinusitis. Read More

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http://dx.doi.org/10.1016/j.chest.2019.05.041DOI Listing
December 2019

Reliability of gastric suctioning compared with ultrasound assessment of residual gastric volume: a prospective multicentre cohort study.

Anaesthesia 2020 03 4;75(3):323-330. Epub 2019 Dec 4.

Department of Anaesthesia and Intensive Care, APCSe VetAgro Sup UPSP 2016.A101, Marcy-l'Etoile, France.

We aimed to compare the reliability of aspiration via a nasogastric tube with ultrasound for assessment of residual gastric volume. Sixty-one adult patients who were mechanically ventilated and received continuous enteral feeding through a nasogastric tube for > 48 h were included. A first qualitative and quantitative ultrasound examination of the gastric antrum was followed by gastric suctioning, performed by an operator blinded to the result of the ultrasound examination. Read More

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http://dx.doi.org/10.1111/anae.14915DOI Listing

Fluoroscopic-guided nasogastric tube placement in patients with advanced head and neck cancers.

J Formos Med Assoc 2019 Nov 21. Epub 2019 Nov 21.

Department of Medical Imaging, National Taiwan University Cancer Center, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan. Electronic address:

Background/purpose: Enteral feeding, mainly by using a nasogastric tube (NGT), is generally favored over parenteral supplementation in head and neck cancer (HNC) patients with dysphagia. However, the placement of a NGT, either blindly or by endoscopy, is technically challenging in these patients due to the obstructive mass and the altered regional anatomy. The aim of this retrospective study was to estimate the clinical feasibility and safety of fluoroscopic-guided NGT placement in patients with advanced HNC. Read More

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http://dx.doi.org/10.1016/j.jfma.2019.11.003DOI Listing
November 2019

Esophageal Dysphagia in the Elderly.

Curr Treat Options Gastroenterol 2019 Dec;17(4):534-553

Department of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, 395 W. 12th Avenue, 2nd floor, Columbus, OH, USA.

Purpose Of Review: With a globally aging population, dysphagia is a growing health concern among elderly. Increasing reflux disease has contributed to an increased prevalence of dysphagia from peptic strictures and esophageal cancer. Dysphagia can lead to malnutrition and aspiration pneumonia, causing considerable morbidity and mortality. Read More

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http://dx.doi.org/10.1007/s11938-019-00264-zDOI Listing
December 2019

Integrative Korean medicine treatment for temporomandibular joint disorder-induced dysphagia leading to aspiration pneumonia: A case report (CARE-compliant).

Medicine (Baltimore) 2019 Nov;98(46):e18013

Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Kyung Hee University, 23 Kyungheedae-ro Dongdaemun-Gu, Seoul, South Korea.

Introduction: Severe temporomandibular joint disorder (TMD) could induce dysphagia, which could lead to aspiration pneumonia. However, no clinical study has reported that TMD-related dysphagia could result in aspiration pneumonia. Integrative Korean medicine (KM) is suggested to be an effective treatment for patients with severe TMD. Read More

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http://dx.doi.org/10.1097/MD.0000000000018013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6867746PMC
November 2019
5 Reads

Pneumatosis Intestinalis Presenting as Small Bowel Obstruction without Bowel Ischemia after Mechanical Ventilation.

Acute Crit Care 2019 Feb 17;34(1):81-85. Epub 2017 Jan 17.

Department of Surgery, Chosun University Hospital, Gwangju, Korea.

Pneumatosis intestinalis (PI) is a rare condition of the presence of gas within the bowel walls. PI is associated with numerous underlying diseases, ranging from life-threatening to innocuous conditions. PI is believed to be secondary to coexisting disorders in approximately 85% of all cases. Read More

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http://dx.doi.org/10.4266/acc.2016.00311DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849051PMC
February 2019

Distal esophageal sphincter achalasia in a Labrador retriever dog with polypoid gastric mucosal hyperplasia and pyloric stenosis.

Can Vet J 2019 Nov;60(11):1183-1188

Pride Veterinary Centre, Riverside Road, Derby, Derbyshire DE24 8HX, United Kingdom.

An 11-year-old, neutered female, Labrador retriever dog was presented with a history of intractable vomiting, regurgitation, and coughing. Computed tomography (CT) imaging identified marked hypertrophy of the distal esophagus with a suspicion of distal esophageal achalasia, based on the observation of a "bird beak" appearance. This was later confirmed on a fluoroscopic swallow study. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805033PMC
November 2019
1 Read

The Avant Rehabilitation Program and Cerebrolysin for Treatment of Post-Stroke Dysphagia: A Case Report.

J Med Life 2019 Jul-Sep;12(3):236-238

Stroke Department,Military Hospital 103, Hanoi, Vietnam.

Dysphagia is recorded in approximately a third of ischemic stroke patients and is associated with malnutrition, aspiration, and pneumonia. We report a case study that assessed dysphagia (GUSS, Gugging Swallowing Screen), paralysis (MRC, Medical Research Council), and disability (mRS, modified Rankin Scale) in the AVANT program (Austrian Vietnamese Advancement Neurorehabilitation Treatment) - a collaboration program between Vietnam and Austria to standardize and systemize neurorehabilitation after stroke practice in Vietnam. Read More

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http://dx.doi.org/10.25122/jml-2019-1008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6814879PMC
December 2019
1 Read

Establishing a Methodology for Ultrasound Evaluation of Pharyngeal Residue in the Pyriform Sinus and Epiglottic Vallecula.

Respir Care 2020 Mar 29;65(3):304-313. Epub 2019 Oct 29.

Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Background: Assessing the presence of pharyngeal residue in the pyriform sinus and epiglottic vallecula is important because insufficient pharyngeal clearance is a risk factor for aspiration pneumonia. Improvements in the performance of ultrasound to visualize the pyriform sinus and epiglottic vallecula are needed. The aim of this study was to establish a method to visualize the pyriform sinus and epiglottic vallecula with ultrasound to detect pharyngeal residue. Read More

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http://dx.doi.org/10.4187/respcare.07002DOI Listing
March 2020
1 Read

Severe symptomatic hyponatraemia secondary to bowel preparation.

BMJ Case Rep 2019 Oct 25;12(10). Epub 2019 Oct 25.

Emergency Department, Roma Hospital, Roma, Queensland, Australia.

​A 62-year-old woman presented to a rural Australian hospital for a planned admission to receive bowel preparation 1 day prior to an upper endoscopy and colonoscopy. This admission was complicated by seizures and reduced levels of consciousness in the setting of hyponatraemia secondary to bowel preparation. Given the limited resources in a remote/rural Australian hospital, transfer to a tertiary level hospital was required for review and management of this rare complication of bowel preparation. Read More

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http://dx.doi.org/10.1136/bcr-2019-230385DOI Listing
October 2019
1 Read

Abdominal compartment syndrome following posterior lumbar fusion in a patient with previous abdominal surgery.

Spinal Cord Ser Cases 2019 16;5:47. Epub 2019 May 16.

1Department of Neurosurgery, Gangnam Severance Hospital, Spine and Spinal Cord Institute, Yonsei University College of Medicine, 211 Eonjuro, Gangnam-gu, Seoul, 06273 Korea.

Introduction: Perioperative complications associated with spinal fusion have been investigated steadily to reduce morbidity and mortality. Although there are several reports reviewing abdominal complications occurring with anterior spinal fusion, complications related to posterior spinal fusion (PSF) are rare. However, abdominal compartment syndrome (ACS) after PSF could be the most fatal and unpredictable complication in spinal surgery. Read More

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http://dx.doi.org/10.1038/s41394-019-0191-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786363PMC
June 2020
1 Read

Progressive multifocal leukoencephalopathy in idiopathic CD4 lymphocytopenia: A case report and review of literature.

Neuropathology 2019 Dec 4;39(6):467-473. Epub 2019 Oct 4.

Department of Neurology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Progressive multifocal leukoencephalopathy (PML) is a rare demyelinating disease due to a lytic infection of oligodendrocytes caused by polyoma virus (JC virus) infection. PML usually occurs in a setting of severe immunosuppression and is most commonly associated with human immunodeficiency virus (HIV) infection. Idiopathic CD4 lymphocytopenia is a very rare cause of PML and only a few cases have been reported in the literature. Read More

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http://dx.doi.org/10.1111/neup.12599DOI Listing
December 2019
1 Read

Alternating flexed-extended posturing in progressive supranuclear palsy.

Neurol Int 2019 Sep 18;11(3):8257. Epub 2019 Sep 18.

Division of Neurology, Respirology, Endocrinology and Metabolism, Department of Internal Medicine, University of Miyazaki, Japan.

A 69-year-old man who had been bedridden in nursing home because of a 5- year history of progressive supranuclear palsy (PSP) was admitted due to aspiration pneumonia. Besides neck dystonia in extension, he showed "alternating flexed-extended posturing", in which the arm was flexed on one side and extended on the other. Magnetic resonance imaging of the brain revealed global cerebral atrophy that predominantly affected the cortex and midbrain. Read More

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http://dx.doi.org/10.4081/ni.2019.8257DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6763747PMC
September 2019
1 Read

Permanent lesion to the corticospinal tract after therapy with capecitabine.

BMJ Case Rep 2019 Sep 18;12(9). Epub 2019 Sep 18.

Department of Neurology, University Hospital Schleswig-Holstein, Lübeck, Germany.

Capecitabine is an oral fluoropyrimidine used to treat solid tumours such as colorectal and breast cancer. A rare but severe side effect is capecitabine-induced leukoencephalopathy, including bilateral lesion to the corticospinal tract. However, neurological symptoms due to capecitabine treatment are usually reported to be reversible after discontinuation of capecitabine. Read More

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http://dx.doi.org/10.1136/bcr-2019-231248DOI Listing
September 2019
1 Read

Spectrum of 18F-FDG Uptake in Bilateral Lung Parenchymal Diseases on PET/CT.

Clin Nucl Med 2020 Jan;45(1):e15-e19

From the Department of Nuclear Medicine, AIIMS, New Delhi, India.

Bilateral lung parenchymal involvement is seen in infective as well as noninfective conditions, appearing as focal or diffuse lung disease. PET/CT with FDG helps in characterization (increased glucose utilization is seen by both inflammatory and neoplastic cells). In this article, we describe the spectrum of patterns of FDG uptake and associated CT changes involving bilateral lung parenchyma. Read More

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http://dx.doi.org/10.1097/RLU.0000000000002758DOI Listing
January 2020
1 Read
3.931 Impact Factor

Point of care ultrasound in thoracic malignancy.

Ann Transl Med 2019 Aug;7(15):350

Department of Interventional Pulmonology, Medical College of Georgia, Augusta University, Augusta, GA, USA.

Ultrasonography is a safe, efficient and cost-effective mode of imaging that can assist clinicians with important treatment decisions and provide procedural guidance. Today, point of care ultrasound plays an essential role in the assessment of benign and malignant conditions of chest, both in the outpatient and inpatient setting. Small, ultra-portable, affordable units can now be carried in the coat pocket. Read More

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http://dx.doi.org/10.21037/atm.2019.05.53DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6712247PMC
August 2019
2 Reads

A case of pulmonary actinomycosis presented with endobronchial involvement.

Respir Med Case Rep 2019 29;28:100930. Epub 2019 Aug 29.

Department of Internal Medicine, Filiates General Hospital, Greece.

Pulmonary actinomycosis is a rare infectious disease, which is characterized by a wide range of symptoms and no specific imaging findings and may be confused with neoplasia, tuberculosis or pneumonia. Endobronchial involvement of actinomycosis may be caused by aspiration of foreign bodies or broncholithiasis and may bronchoscopically masquerade as malignancy. A case of 68-year-old man is reported, who presented with productive cough and fever and had no response to antibiotic therapy with moxifloxacin. Read More

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http://dx.doi.org/10.1016/j.rmcr.2019.100930DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6733995PMC
August 2019
6 Reads

Aerodigestive disorders in dogs evaluated for cough using respiratory fluoroscopy and videofluoroscopic swallow studies.

Vet J 2019 Sep 27;251:105344. Epub 2019 Jul 27.

University of Missouri, College of Veterinary Medicine, Department of Veterinary Medicine and Surgery, 900 East Campus Drive, Columbia, MO 65211, USA. Electronic address:

Aerodigestive diseases, hybrid disorders representing a pathologic link between respiratory and alimentary tracts, may manifest with respiratory signs without gastrointestinal signs. These are underdiagnosed in dogs due to poor clinical recognition and diagnostic limitations. We hypothesize that a subset of dogs presenting for cough without gastrointestinal signs would have occult aerodigestive disorders identified using videofluoroscopic swallow study (VFSS). Read More

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http://dx.doi.org/10.1016/j.tvjl.2019.105344DOI Listing
September 2019
7 Reads

Swallowing-related outcomes associated with late lower cranial neuropathy in long-term oropharyngeal cancer survivors: cross-sectional survey analysis.

Head Neck 2019 11 23;41(11):3880-3894. Epub 2019 Aug 23.

Department of Head and Neck Surgery, The University of Texas M.D. Anderson Cancer Center, Houston, Texas.

Background: The purpose of this study was to quantify the association of late lower cranial neuropathy (late LCNP) with swallowing-related quality of life (QOL) and functional status among long-term oropharyngeal cancer (OPC) survivors.

Methods: Eight hundred eighty-nine OPC survivors (median survival time: 7 years) who received primary treatment at a single institution between January 2000 and December 2013 completed a cross-sectional survey (56% response rate) that included the MD Anderson Dysphagia Inventory (MDADI) and self-report of functional status. Late LCNP events ≥3 months after cancer therapy were abstracted from medical records. Read More

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http://dx.doi.org/10.1002/hed.25923DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240804PMC
November 2019
2 Reads

Aussagekraft und Limitation des Röntgenbildes bei Früh- und Neugeborenen.

Authors:
Andreas Leenen

Rofo 2019 Sep 20;191(S 02):S116-S119. Epub 2019 Aug 20.

Katholisches Kinderkrankenhaus Wilhelmstift Hamburg, Abteilung für Bildgebende Diagnostik.

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http://dx.doi.org/10.1055/a-0943-1248DOI Listing
September 2019

Akute pulmonale Infektionen – was ist wann typisch?

Authors:
M Ballmann

Rofo 2019 Sep 20;191(S 02):S105. Epub 2019 Aug 20.

Universitätsmedizin Rostock, Kinder- und Jugendklinik.

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http://dx.doi.org/10.1055/a-0943-0945DOI Listing
September 2019

Clinico-radiologic Features of Lung Disease Associated With Aspiration Identified on Lung Biopsy.

Chest 2019 12 6;156(6):1160-1166. Epub 2019 Aug 6.

Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN. Electronic address:

Background: Aspiration-related lung diseases are commonly diagnosed presumptively based on the clinical context and radiologic findings. Limited data exist on the spectrum of clinico-radiologic presentations associated with aspiration.

Methods: This study reviewed all cases of aspiration identified on lung biopsy encountered at the Mayo Clinic between 2003 and 2017. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00123692193142
Publisher Site
http://dx.doi.org/10.1016/j.chest.2019.07.018DOI Listing
December 2019
6 Reads

Barium Contrast Aspiration.

J Am Osteopath Assoc 2019 Aug;119(8):541

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http://dx.doi.org/10.7556/jaoa.2019.097DOI Listing
August 2019
1 Read

Chronic radiation-associated dysphagia in oropharyngeal cancer survivors: Towards age-adjusted dose constraints for deglutitive muscles.

Authors:

Clin Transl Radiat Oncol 2019 Sep 15;18:16-22. Epub 2019 Jun 15.

Objectives: We sought to model chronic radiation-associated dysphagia (RAD) in patients given intensity-modulated radiation therapy (IMRT) for oropharyngeal squamous cell cancer (OPSCC) as a function of age and dose to non-target swallowing muscles.

Methods: We reviewed 300 patients with T1-T4 N0-3 M0 OPSCC given definitive IMRT with concurrent chemotherapy. Chronic RAD was defined as aspiration or stricture on videoflouroscopy/endoscopy, gastrostomy tube, or aspiration pneumonia at ≥12 months after IMRT. Read More

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http://dx.doi.org/10.1016/j.ctro.2019.06.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6610668PMC
September 2019
3 Reads

Brain Metastasis Mimicking Brain Abscess in ALK-Positive Non-Small-Cell Lung Cancer.

Case Rep Oncol Med 2019 17;2019:9141870. Epub 2019 Jun 17.

Department of Respiratory Medicine, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.

Brain metastasis frequently develops in non-small-cell lung cancer (NSCLC). Here, we report a patient who developed brain metastasis from -positive NSCLC which mimicked brain abscess. He was admitted for suspected obstructive pneumonia nine months after curative lung resection. Read More

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http://dx.doi.org/10.1155/2019/9141870DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604465PMC
June 2019
6 Reads

Food bolus-forming ability predicts incidence of aspiration pneumonia in nursing home older adults: A prospective observational study.

J Oral Rehabil 2020 Jan 26;47(1):53-60. Epub 2019 Aug 26.

Institute for Frontier Science Initiative, Kanazawa University, Ishikawa, Japan.

Background: Food boluses in the pharynx without enough bolus formation sometimes cause aspiration among older adults; however, the relationship between food bolus-forming ability and incidence of aspiration pneumonia is unclear.

Objective: To investigate the relationship between food bolus-forming ability and incidence of aspiration pneumonia by evaluating the condition of chew-swallow managing food transported into the pharynx.

Methods: A prospective observational study conducted in a nursing home for the elderly between April 2016 and February 2018. Read More

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http://dx.doi.org/10.1111/joor.12861DOI Listing
January 2020
4 Reads

Lung Ultrasound for Initial Diagnosis and Subsequent Monitoring of Aspiration Pneumonia in Elderly in Home Medical Care Setting.

Gerontol Geriatr Med 2019 Jan-Dec;5:2333721419858441. Epub 2019 Jun 21.

Hirosaki University School of Medicine and Hospital, Japan.

The number of aspiration pneumonia cases has increased in recent times. A definitive diagnosis of aspiration pneumonia is difficult in resource-limited settings where radiological equipment is unavailable. We report the initial diagnosis and subsequent monitoring of aspiration pneumonia in a home medical care setting. Read More

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http://dx.doi.org/10.1177/2333721419858441DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6589965PMC
June 2019
6 Reads

Exogenous lipid pneumonia in old people caused by aspiration: Two case reports and literature review.

Respir Med Case Rep 2019 26;27:100850. Epub 2019 Apr 26.

Department of Respiratory Medicine, Affiliated Hospital of Jining Medical University, Jining, Shandong, 272029, People's Republic of China.

Background: Exogenous lipoid pneumonia is a rare entity, the diagnosis is often missed or delayed.

Objective: To investigate the clinical characteristics of exogenous lipid pneumonia in elderly patients, improve the efficiency of early diagnosis and treatment of this disease.

Methods: Retrospectively analyzed the clinical information and imaging data of these 2 exogenous lipid pneumonia patients, reviewed related literature. Read More

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http://dx.doi.org/10.1016/j.rmcr.2019.100850DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522775PMC
April 2019
4 Reads