29,247 results match your criteria Pleural Effusion


Abdominal Lymphoma Presenting as Terminal Ileitis: A Case Report.

J Emerg Med 2019 Apr 16. Epub 2019 Apr 16.

Department of Emergency Medicine, Cincinnati Children's Hospital and Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.

Background: Most pediatric patients with lymphoma do not have classic symptoms of fever, night sweats, and weight loss. Lymphoma can present as vague symptoms and may mimic common pediatric abdominal emergencies. In this case report, we present a child who presented with abdominal pain and who was initially misdiagnosed as having a surgical emergency. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07364679193013
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http://dx.doi.org/10.1016/j.jemermed.2019.03.004DOI Listing
April 2019
2 Reads

Commentary: Noncardiac uses of chest ultrasonography other than pleural effusion.

Indian J Radiol Imaging 2019 Jan-Mar;29(1):98

Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Singapore.

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http://dx.doi.org/10.4103/ijri.IJRI_102_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6467039PMC

"Honeycomb" pattern of gallbladder wall thickening - A forward step in early diagnosis of "Severe Dengue Fever".

Indian J Radiol Imaging 2019 Jan-Mar;29(1):14-18

Department of Radiology, Apollo Hospitals International Limited, Gandhinagar, India.

Aims And Objectives: To study "Honeycomb" pattern of gallbladder wall thickening (GBWT) in dengue fever (DF) and to assess its clinical significance in early diagnosis of severe DF.

Materials And Methods: A total 244 patients of DF were studied, 84 patients were classified as severe DF, 61 patients as DF with warning signs, and 99 patients as DF without warning signs. Abdominal ultrasound was performed for assessment of GBWT patterns, hepatomegaly, splenomegaly, pancreatic enlargement, ascites, pleural effusion, and other additional findings were recorded in severe DF cases. Read More

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http://dx.doi.org/10.4103/ijri.IJRI_363_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6467033PMC

Treatment of malignant pleural effusions: the case for localized immunotherapy.

J Immunother Cancer 2019 Apr 18;7(1):110. Epub 2019 Apr 18.

Department of Cardiothoracic Surgery, Division of Thoracic and Foregut Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Malignant pleural effusions (MPE) are a common terminal pathway for many cancers, with an estimated United States incidence of more than 150,000 cases per year. MPE is an aggressive disease with a uniformly fatal prognosis and a life expectancy of only 3 to 12 months. The development of an effective targeted therapy represents a pressing unmet need. Read More

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https://jitc.biomedcentral.com/articles/10.1186/s40425-019-0
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http://dx.doi.org/10.1186/s40425-019-0590-4DOI Listing
April 2019
1 Read

Vitamin K deficiency-induced hemorrhagic shock after thoracentesis: a case report.

BMC Gastroenterol 2019 Apr 18;19(1):58. Epub 2019 Apr 18.

Honjoudaiichi Hospital, 110, Iwabuchishita, Yurihonnjou, Akita, 015-8567, Japan.

Background: Vitamin K deficiency results in serious coagulation dysfunction, but hemorrhagic shock is rare. Herein, we describe a case of vitamin K deficiency and abnormality in the path of the intercostal artery, the combination of which led to hemorrhagic shock.

Case Presentation: An 83-year-old woman was hospitalized for suspected gallstones. Read More

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https://bmcgastroenterol.biomedcentral.com/articles/10.1186/
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http://dx.doi.org/10.1186/s12876-019-0978-0DOI Listing
April 2019
1 Read

Outpatient talc administration via indwelling pleural catheters for malignant effusions.

Curr Opin Pulm Med 2019 Apr 16. Epub 2019 Apr 16.

Academic Respiratory Unit, University of Bristol, Bristol, UK.

Purpose Of Review: Malignant pleural effusion is a common cause of breathlessness and signifies advanced disease. Common options for definitive pleural intervention include insertion of an indwelling pleural catheter (IPC) or talc pleurodesis.

Recent Findings: Administration of graded talc through an IPC offers an increased chance of pleurodesis compared with IPC drainage alone and is not associated with a significant risk of adverse events. Read More

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http://dx.doi.org/10.1097/MCP.0000000000000587DOI Listing
April 2019
1 Read

Phase 1 trial of intrapleural LTI-01; single chain urokinase in complicated parapneumonic effusions or empyema.

JCI Insight 2019 Apr 18;5. Epub 2019 Apr 18.

Background: Current dosing of intrapleural fibrinolytic therapy (IPFT) in adults with complicated parapneumonic effusion (CPE) / empyema is empiric, as dose-escalation trials have not previously been conducted. We hypothesized that LTI-01 (scuPA), which is relatively resistant to PA inhibitor-1 (PAI-1), would be well-tolerated.

Methods: This was an open-label, dose-escalation trial of LTI-01 IPFT at 50,000-800,000 IU daily for up to 3 days in adults with loculated CPE/empyema and failed pleural drainage. Read More

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http://dx.doi.org/10.1172/jci.insight.127470DOI Listing

Tension hydrothorax secondary to small cell lung cancer.

Respirol Case Rep 2019 Jul 6;7(5):e00420. Epub 2019 Apr 6.

Department of Surgery Dartmouth Hitchcock Medical Center Lebanon New Hampshire USA.

Malignant tension hydrothorax is rare. Here we present a malignant tension hydrothorax secondary to small cell lung cancer (SCLC). To our knowledge, this is the first report of this entity. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/rcr2.420
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http://dx.doi.org/10.1002/rcr2.420DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451749PMC
July 2019
2 Reads

Refractory exudative pleural effusion in patients with chronic kidney disease not receiving dialysis: A case report.

Clin Case Rep 2019 Apr 19;7(4):675-679. Epub 2019 Feb 19.

Division of Nephrology, Department of Internal Medicine, School of Medicine, Jeju National University Hospital Jeju National University Jeju City Korea.

Although exudative pleural effusion can be caused by infections, malignancies, and connective tissue diseases, we need to consider uremic pleural effusion and pleuritis in differential diagnosis of exudative lymphocyte predominant pleural effusion in patients with chronic kidney disease not receiving dialysis. Read More

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http://dx.doi.org/10.1002/ccr3.2069DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452446PMC

Unexpected massive pleural effusion leading to discovery of left subclavian artery rupture during transcatheter aortic valve implantation.

J Cardiol Cases 2019 Apr 13;19(4):136-139. Epub 2019 Feb 13.

Department of Medicine, Teikyo University School of Medicine, Tokyo, Japan.

An 89-year-old woman underwent transcatheter aortic valve implantation (TAVI) for severe aortic valve stenosis, based on a logistic European System for Cardiac Operative Risk Evaluation of 59.6% and Society of Thoracic Surgeons risk score of 17.1%. Read More

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http://dx.doi.org/10.1016/j.jccase.2018.12.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451059PMC
April 2019
1 Read

The Impact of Continuous Positive Airway Pressure upon Pleural Fluid Pressures during Thoracentesis.

Respiration 2019 Apr 17:1-5. Epub 2019 Apr 17.

University of Arkansas for Medical Sciences and the Central Arkansas Veterans Healthcare System, Little Rock, Arkansas, USA.

Background: Excessive drop of pleural pressure (Ppl) during therapeutic thoracentesis may be related to adverse events and/or to repeated procedures due to incomplete drainage.

Objective: This was a pilot study of the impact of the application of continuous positive airway pressure (CPAP) at +5 cm H2O upon the Ppl profile during thoracentesis.

Methods: This was a prospective, controlled study of 49 consecutive adults who underwent thoracentesis. Read More

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http://dx.doi.org/10.1159/000496610DOI Listing
April 2019
2 Reads

Cytology Microarray on Cell Block Preparation: A Novel Diagnostic Approach in Fluid Cytology.

J Cytol 2019 Apr-Jun;36(2):79-83

Department of Pathology, Burdwan Medical College, Burdwan, India.

Background: The cytological examination of serous body effusions to diagnose and stage malignancy is well accepted in clinical medicine. Conventional smear (CS) and cell block (CB) study has to be complemented with immunohistochemistry (IHC) for a definitive diagnosis of malignancy and also to differentiate it from reactive mesothelial cells. Cytology microarray (CMA) is a modification of tissue microarray which involves core needle biopsy of multiple cell blocks and embedding it in a single block. Read More

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http://www.jcytol.org/text.asp?2019/36/2/79/251450
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http://dx.doi.org/10.4103/JOC.JOC_15_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425782PMC
April 2019
2 Reads

Early experiences with the use of continuous erector spinae plane blockade for the provision of perioperative analgesia for pediatric liver transplant recipients.

Reg Anesth Pain Med 2019 Apr 16. Epub 2019 Apr 16.

Department of Anesthesiology - Division of Pediatric Anesthesiology, Washington University in Saint Louis School of Medicine, Saint Louis, Missouri, USA.

Objective: Pediatric liver transplantation presents a number of anesthetic challenges, especially in providing adequate perioperative analgesia. In an effort to reduce opioid consumption and improve functional outcomes following pediatric liver transplantation, we have instituted a novel analgesia protocol centered on the provision of continuous regional analgesia with erector spinae plane (ESP) blockade.

Cases: We describe preincisional bilateral ESP catheter placement in two pediatric patients undergoing orthotopic liver transplantation. Read More

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http://dx.doi.org/10.1136/rapm-2018-100253DOI Listing
April 2019
1 Read

Human Herpes-8 virus copy to cell ratio: A diagnostic tool in primary effusion lymphoma.

J Clin Virol 2019 Mar 22;116:7-10. Epub 2019 Mar 22.

Virus Reference Department, National Infection Service, Public Health England, 61 Colindale Ave, London, NW9 5HT, United Kingdom. Electronic address:

Primary effusion lymphoma (PEL) is a serious sequel to Human Herpes Virus 8 (HHV8) infection in the immunosuppressed host. Usually requiring a cytological diagnosis, body cavity effusions are often referred for investigation for possible PEL. Although absence of HHV8 effectively refutes this, the presence of HHV8 DNA, though indicative is not diagnostic. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S13866532193006
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http://dx.doi.org/10.1016/j.jcv.2019.03.013DOI Listing
March 2019
2 Reads

[Post Radiotherapy Lesions of the Heart Valves. Principles of Diagnosis and Results of Treatment].

Kardiologiia 2019 Apr 12;59(3):36-42. Epub 2019 Apr 12.

A. N. Bakoulev Scientific Center for Cardiovascular Surgery.

Background: The use of radiation therapy for the treatment of tumors of the chest сan lead to the development of cardiac pathology, including that of the valves and coronary arteries.

Study Aim: to analyze the specifics of post-radiation lesions of the valvular apparatus and coronary arteries, and to assess the immediate results and risks of surgical correction of detected defects. Materials and  methods. Read More

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http://dx.doi.org/10.18087/cardio.2019.3.10239DOI Listing
April 2019
1 Read

[Mufangji Decoction formula tracing and its effect on emergency and severe cases].

Authors:
Xing-Jiang Xiong

Zhongguo Zhong Yao Za Zhi 2019 Jan;44(2):388-400

Guang'anmen Hospital,China Academy of Chinese Medical Sciences Beijing 100053,China.

Mufangji Decoction is a famous herbal formula from Synopsis of Golden Chamber. However,it is easy to be misunderstood due to so its unique compatability. The syndromes treated by Mufangji Decoction included the following aspects:(1) in terms of modern medicine,it could be used to treat acute and chronic heart failure,heart failure aggravated by lung infection,chronic obstructive pulmonary disease acute episode,pulmonary heart disease,bilateral pleural effusion,acute attack of gout,rheumatic fever,rheumatoid arthritis,and rheumatoid arthritis;(2) in terms of symptoms,it could be used to treat asthma,chest tightness,wheeze impacting prostration and dyspnea impacting sitting posture; gastric distention; dark face,cyanotic,and mitral valvular face; edema of head and extremities; dry mouth,thirsty,unwilling to wear thick clothes,intolerance of heat,and irritable; fatigue,shortness of breath,poor appetite,constipation,less urine,yellow color,poor response to diuretics,and diuretic resistance; fast heart rate,which is hard to be controlled by Western medicine and has no response to Zhenwu Decoction; dark red tongue,dry tongue with yellow fur,rapid pulse,or deep tight pulse. Read More

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http://www.cnki.net/kcms/doi/10.19540/j.cnki.cjcmm.2019.0009
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http://dx.doi.org/10.19540/j.cnki.cjcmm.2019.0009DOI Listing
January 2019
2 Reads

Usefulness of ultrasound in the management of acute respiratory distress syndrome.

Int J Crit Illn Inj Sci 2019 Jan-Mar;9(1):11-15

Department of Critical Care, King Hamad University Hospital, Al Muharaq, Kingdom of Bahrain.

Acute respiratory distress syndrome (ARDS) is a life-threatening disease. Different imaging techniques have been used to diagnose and guide the ventilatory management of patients with ARDS. Chest ultrasound is a reliable tool to identify interstitial syndrome, lung consolidation, lung collapse, and pleural effusion. Read More

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http://www.ijciis.org/text.asp?2019/9/1/11/253758
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http://dx.doi.org/10.4103/IJCIIS.IJCIIS_30_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6423925PMC
April 2019
2 Reads

Urinothorax: A rare complication of percutaneous nephrostomy.

Radiol Case Rep 2019 Jun 3;14(6):729-733. Epub 2019 Apr 3.

Louisiana State University Health Sciences Center, Diagnostic Radiology, 1542 Tulane Avenue, Room 343, New Orleans, LA 70112-2784 USA.

We present a case of a urinothorax resulting from treatment of genitourinary pathology. The presentation, diagnosis, and management of a 46-year-old female with an urinothorax are discussed. Urinothorax is a rare cause of a pleural effusion, most commonly arising from a traumatic etiology. Read More

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http://dx.doi.org/10.1016/j.radcr.2019.03.022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447739PMC
June 2019
1 Read

Nonchylous bilateral pleural effusion in a newborn: A rare case.

J Res Med Sci 2019 25;24:11. Epub 2019 Feb 25.

Department of pediatric, Student's Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.

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http://www.jmsjournal.net/text.asp?2019/24/1/11/252889
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http://dx.doi.org/10.4103/jrms.JRMS_799_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421884PMC
February 2019
2 Reads

Effectiveness of Video-Assisted Thoracoscopic Surgery in Undiagnosed Exudative Pleural Effusions.

Turk Thorac J 2019 Apr 9. Epub 2019 Apr 9.

Department of Thoracic Surgery, University of Health Sciences İstanbul Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey.

Objectives: Undiagnosed pleural effusions mostly require histologic studies for a definite diagnosis. In addition, malignant pleural effusions responsible for a significant part of exudative pleurisy need palliative therapy The purpose of our study is to research the effectiveness of video-assisted thoracoscopic surgery in definitive diagnosis and palliative treatment of unexplained non-parapneumonic exudative pleural effusions.

Materials And Methods: The study included 263 patients with non-parapneumonic exudative pleurisy, which could not be diagnosed by an initial clinical, radiological, biochemical, microbiological, and cytological investigation in three centers. Read More

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http://turkthoracj.org/eng/makale/1106/154/Full-Text
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http://dx.doi.org/10.5152/TurkThoracJ.2018.18133DOI Listing
April 2019
2 Reads

Thymidine kinase 1 concentration in pleural effusion is a diagnostic marker and survival predictor for malignant pleural effusion.

J Clin Lab Anal 2019 Apr 15:e22901. Epub 2019 Apr 15.

Department of Medical Oncology, Fuyang People's Hospital, Fuyang, China.

Objective: Thymidine kinase 1 (TK1) is a key enzyme in the pyrimidine salvage pathway. Increased TK1 concentration correlates with cell division. TK1 is an emerging biomarker in cancer diagnosis; however, its effectiveness in diagnosis and management for malignant pleural effusion (MPE) is unclear. Read More

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http://dx.doi.org/10.1002/jcla.22901DOI Listing
April 2019
1 Read

[Thoracentesis in Primary Care].

Semergen 2019 Apr 11. Epub 2019 Apr 11.

Servicio de Neumología, Complejo Hospitalario Clínico-Universitario de Santiago, Estructura Organizativa de Xestión Integrada de Santiago de Compostela, Santiago de Compostela, España; Grupo interdisciplinar de investigación en Neumología, Instituto de Investigaciones Sanitarias de Santiago de Compostela (IDIS), Santiago de Compostela, España.

Thoracentesis is a simple test with few complications that provides relevant information in the diagnosis of a pleural effusion, through a correct interpretation of the pleural fluid analysis. An interesting initiative would be to incorporate this technique by those Primary Care teams that treat serious and complex patients, with difficulties in moving to specialised centres far from their homes. In this context, a good knowledge of the diagnostic possibilities offered by the pleural fluid analysis could be very useful in the hands of well trained staff to establish the aetiology of a pleural effusion and be able to initiate, as quickly as possible, its treatment. Read More

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http://dx.doi.org/10.1016/j.semerg.2019.02.005DOI Listing
April 2019
3 Reads

Significant impact of pneumococcal conjugate vaccination on pediatric parapneumonic effusion: Italy 2006-2018.

Vaccine 2019 Apr 10. Epub 2019 Apr 10.

Department of Health Sciences, University of Florence and Meyer Children's University Hospital, Viale Pieraccini 24, 50139 Florence, Italy. Electronic address:

Etiology and serotyping of parapneumonic effusion (PPE) and the impact of vaccination was evaluated over a 12-year period, before and after the PCV13 introduction (2011) for Italian children From 0 to 16 years of age. Five hundred and two children were evaluated; 226 blood and 356 pleural fluid samples were obtained and tested using Realtime-PCR and culture. In the pre-PCV13 era S. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0264410X193045
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http://dx.doi.org/10.1016/j.vaccine.2019.04.012DOI Listing
April 2019
5 Reads

Chrysin ameliorates ANTU-induced pulmonary edema and pulmonary arterial hypertension via modulation of VEGF and eNOs.

J Biochem Mol Toxicol 2019 Apr 11:e22332. Epub 2019 Apr 11.

Department of Neurology, the Second Clinical Hospital of Jilin University, Changchun, Jilin, China.

Alpha-naphthylthiourea (ANTU), a rodenticide induces lung toxicity. Chrysin a flavonoid possesses antioxidant, anti-inflammatory, and antihypertensive potential. The aim of this study was to evaluate the efficacy of chrysin against ANTU-induced pulmonary edema (PE) and pulmonary arterial hypertension (PAH) in laboratory rats. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/jbt.22332
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http://dx.doi.org/10.1002/jbt.22332DOI Listing
April 2019
4 Reads
1.925 Impact Factor

Thoracic Complications of Bariatric Surgeries: Overlooked Entities.

Obes Surg 2019 Apr 10. Epub 2019 Apr 10.

Thoracic Surgery Division, Department of Surgery, King Fahad Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Introduction: Bariatric surgeries are increasingly performed to treat obesity worldwide. The currently available literature on these surgeries mainly focuses on their abdominal complications, giving less attention to their thoracic ones. Hence, the present work aimed to highlight the thoracic complications associated with bariatric surgeries. Read More

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http://dx.doi.org/10.1007/s11695-019-03868-7DOI Listing
April 2019
1 Read

Patterns of onset and outcome of cryptogenic organizing pneumonia after allogeneic hematopoietic stem cell transplantation.

Int J Hematol 2019 Apr 10. Epub 2019 Apr 10.

Department of Hematology and Oncology, Konan Kosei Hospital, 137 Omatsubara, Takaya-cho, Konan, Aichi, 483-8704, Japan.

Cryptogenic organizing pneumonia (COP) after allogeneic hematopoietic stem cell transplantation (HSCT) is characterized by frequent recurrence. Few studies have examined onset and recurrence patterns of COP after HSCT. We investigated the clinical features of COP after HSCT in a single-center retrospective study including 165 consecutive patients who underwent allogeneic HSCT. Read More

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http://dx.doi.org/10.1007/s12185-019-02643-9DOI Listing
April 2019
1 Read

Can Right Heart Failure Cause Pleural Effusion?

Arch Bronconeumol 2019 Apr 7. Epub 2019 Apr 7.

Servicio de Neumología, Complejo Hospitalario Universitario de Santiago, Santiago de Compostela, La Coruña, España; Grupo Interdisciplinar de Investigación en Neumología, Instituto de Investigaciones Sanitarias de Santiago (IDIS), Santiago de Compostela, La Coruña, España.

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http://dx.doi.org/10.1016/j.arbres.2019.02.006DOI Listing
April 2019
1 Read

Yellow nail syndrome resulting from cardiac mitral valve replacement.

J Cardiothorac Surg 2019 Apr 11;14(1):72. Epub 2019 Apr 11.

Department in cardiac surgery hospital of Damascus university, Damascus, Syria.

Background: Yellow nail syndrome is a rare disease with unknown etiology, Attributed to functional anomalies or disturbance in lymphatic drainage. This condition is characterized by triad of nail discoloration, respiratory or intrathoracic manifestations and lymphedema.

Case Presentation: Twenty days after mitral valve replacement for severe rheumatic mitral valve stenosis, 39 years old woman presented with face tenderness and hearing problems besides stuffy and clogged nose and underwent routin rhinosinusitis therapy. Read More

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https://cardiothoracicsurgery.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13019-019-0903-1DOI Listing
April 2019
6 Reads

Misdiagnosis of scrub typhus complicated by hemophagocytic syndrome.

BMC Pediatr 2019 Apr 10;19(1):102. Epub 2019 Apr 10.

Second Affiliated Hospital of Wenzhou Medical University, Wen Zhou, China.

Background: This study sought to analyze the cases of clinical misdiagnosis of scrub typhus complicated by hemophagocytic syndrome.

Methods: We retrospectively reviewed the medical records for diagnoses, clinical course, chest X-ray findings, laboratory data, and antibiotic therapy.

Results: All nine patients were misdiagnosed at the outpatient department between 07/2009 and 07/2017. Read More

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http://dx.doi.org/10.1186/s12887-019-1475-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458710PMC
April 2019
1 Read

Management of severe Falciparum malaria on a mission: A case report.

Authors:
Manuel Monti

Monaldi Arch Chest Dis 2019 Jan 29;89(1). Epub 2019 Jan 29.

Emergency Department, Local Health Unit "Umbria 1".

A sailor for forty-two years, in military service on the Italian aircraft carrier, while on a mission in sub-Saharan Africa, came to a physician due to fatigue with a fever, flu-like illness and headache for 6 days. The temperature was 38.8°C, BP 80/145 mmHg and RR 30/min. Read More

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https://monaldi-archives.org/index.php/macd/article/view/963
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http://dx.doi.org/10.4081/monaldi.2019.963DOI Listing
January 2019
4 Reads

Idiopathic Eosinophilic Pleural Effusion Treated Successfully with Corticosteroid Therapy: A Clinical Case Report.

Cureus 2019 Jan 29;11(1):e3975. Epub 2019 Jan 29.

Internal Medicine, Tribhuvan University Institute of Medicine, Kathmandu, NPL.

A pleural effusion is defined to be eosinophilic when 10% or more of the white blood cells in pleural fluid are eosinophils. Despite the multitude of studies enumerating the causes of eosinophilic pleural effusion (EPE), 14%-25% of such cases remain idiopathic even after thorough work-up. We report a case report of a 28-year-old never smoker male from the Rukum district of Nepal who presented to the emergency department (ED) with a chief complaint of shortness of breath associated with a low grade fever, nonproductive cough, and pleuritic right-sided chest pain for two weeks. Read More

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http://dx.doi.org/10.7759/cureus.3975DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440551PMC
January 2019
1 Read

Chyle test is not a valuable laboratory index in identifying chylothorax after pulmonary resection and lymph node dissection for primary non-small cell lung cancer.

J Cancer Res Ther 2019 ;15(2):324-328

Department of Thoracic Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong Province, People's Republic of China.

Objective: Chyle test is widely used to identify chylothorax after pulmonary resection and lymph node dissection for primary non-small cell lung cancer (NSCLC). Low accuracy of chyle test in identifying chylothorax is rarely reported. This observational study was designed to identify the diagnostic value of chyle test. Read More

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http://dx.doi.org/10.4103/jcrt.JCRT_249_18DOI Listing
January 2019
2 Reads

Risk factors for postoperative pulmonary complications in the treatment of non-degenerative scoliosis by posterior instrumentation and fusion.

Eur Spine J 2019 Apr 8. Epub 2019 Apr 8.

Department of Orthopedic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, GongTiNanLu 8#, Chaoyang District, Beijing, 100020, China.

Purpose: The aim of this study was to evaluate the prevalence and risk factors for postoperative pulmonary complications (PPC) after posterior instrumentation and fusion (PIF) in patients with non-degenerative scoliosis.

Methods: We retrospectively evaluated 703 patients (224 males, 479 females) diagnosed with non-degenerative scoliosis who underwent PIF in our center from January 2010 to January 2018. Preoperative, perioperative, demographic data, surgical methods and radiographic parameters were extracted and analyzed to identify risk factors for PPC. Read More

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http://dx.doi.org/10.1007/s00586-019-05968-5DOI Listing
April 2019
1 Read

Radical aggressive treatment among non-small cell lung cancer patients with malignant pleural effusion without extra-thoracic disease.

J Thorac Dis 2019 Feb;11(2):595-601

Thoracic Oncology Unit, Instituto Nacional de Cancerología (INCan), Mexico City, Mexico.

Malignant pleural effusion (MPE) is an indicator of advanced disease (stage M1a) in patients with non-small cell lung cancer (NSCLC). Typically, these patients are candidates for palliative treatment. There is a lack of evidence about the radical surgical treatment in carcinomatous pleuritis with massive effusion. Read More

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http://dx.doi.org/10.21037/jtd.2019.01.36DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409261PMC
February 2019
2 Reads

One-stage video-assisted thoracic surgery for bilateral multiple pulmonary nodules.

J Thorac Dis 2019 Feb;11(2):535-541

Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

Background: At present, we have many diagnostic methods, but there are no specific guidelines on the diagnosis and treatment of bilateral multiple pulmonary nodules (BMPNs). Clinically, one-stage video-assisted thoracic surgery (VATS) for BMPNs is not the usual treatment.

Methods: We retrospectively analyzed the clinical data of 18 patients with bilateral pulmonary nodules who underwent one-stage VATS from January 2016 to Jun 2018 in the Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, at the Huazhong University of Science & Technology. Read More

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http://dx.doi.org/10.21037/jtd.2019.01.10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409284PMC
February 2019
2 Reads

Incidence of malignancy and survival in patients with idiopathic pleuritis.

J Thorac Dis 2019 Feb;11(2):386-392

Department of Respiratory Medicine, Naestved Hospital, Naestved, Denmark.

Background: The long-term outcome after non-diagnostic thoracoscopy (idiopathic pleuritis) has not been investigated in nationwide studies, and the survival has never been estimated. Therefore, we decided to investigate the three-year incidence of malignancy and survival of patients with idiopathic pleuritis.

Methods: Retrospective, register-based, nationwide study of patients undergoing diagnostic video-assisted thoracoscopic surgery (VATS) thoracoscopy ≤30 days after thoracentesis, using The National Patient Registry and The Danish Cancer Registry. Read More

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http://jtd.amegroups.com/article/view/26441/20035
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http://dx.doi.org/10.21037/jtd.2018.12.136DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409269PMC
February 2019
4 Reads

Primary tumor location is an important predictor of survival in pulmonary adenocarcinoma.

Cancer Manag Res 2019 21;11:2269-2280. Epub 2019 Mar 21.

Department of Radiation Oncology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan, Shandong, China,

Purpose: The prognostic value of tumor location in pulmonary adenocarcinoma (ADC) is controversial. We compared the prognosis and relevant data between central-type ADC (CT-ADC) and peripheral-type ADC (PT-ADC) in order to identify the reasons for the different outcomes between them and to improve the treatment strategy and prognosis of these two types.

Patients And Methods: Data of 256 patients with pathologically diagnosed ADC were retrospectively reviewed. Read More

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http://dx.doi.org/10.2147/CMAR.S192828DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6432898PMC
March 2019
1 Read

A rare case of Gorham-stout syndrome involving the thoracic spine with progressive bilateral chylothorax: a case report.

BMC Musculoskelet Disord 2019 Apr 9;20(1):154. Epub 2019 Apr 9.

The Third Affiliated Hospital of Zunyi Medical University, Zunyi, China.

Background: Gorham-Stout syndrome (GSS) with spinal involvement is extremely rare, and bilateral chylothorax as a complication is usually fatal. In our case, pleural effusion appeared in the left hemithorax after ligating the right thoracic duct.

Case Presentation: A 14-year-old patient presented with GSS affecting the thoracic spine with bilateral chylothorax. Read More

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http://dx.doi.org/10.1186/s12891-019-2542-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454674PMC
April 2019
1 Read

Gamma-Delta T Cells in Lung Cancer Malignant Pleural Effusion. Friend? Foe?

Authors:
Edmund K Moon

Am J Respir Cell Mol Biol 2019 Apr 8. Epub 2019 Apr 8.

University of Pennsylvania, 6572, Pulmonary and Critical Care, Philadelphia, Pennsylvania, United States ;

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http://dx.doi.org/10.1165/rcmb.2019-0080EDDOI Listing
April 2019
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Radiofrequency deep hyperthermia combined with chemotherapy in the treatment of advanced non-small cell lung cancer.

Chin Med J (Engl) 2019 Apr;132(8):922-927

Shanxi Academy of Medical Sciences, Shanxi Dayi Hospital, Taiyuan, Shanxi 030032, China.

Background: In the era of precision medicine, chemotherapy is still considered the cornerstone of treatment for lung cancer patients without gene mutations. How to reduce the toxicity and increase the efficiency of chemotherapy is worth exploring. This study aimed to investigate the curative effects and safety of hyperthermia combined with chemotherapy (HCT) for advanced patients with non-small cell lung cancer (NSCLC), especially those with malignant pleural effusion. Read More

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http://dx.doi.org/10.1097/CM9.0000000000000156DOI Listing
April 2019
2 Reads
1.016 Impact Factor

Application of two-dimensional fractional-order convolution and bounding box pixel analysis for rapid screening of pleural effusion.

J Xray Sci Technol 2019 Apr 1. Epub 2019 Apr 1.

National Synchrotron Radiation Research Center, Hsinchu Science Park, Hsinchu, Taiwan.

Pleural effusion is a pathologic symptom in which there is accumulation of body fluids around the lungs. A chest radiograph is a rapid examination technique and does not require complex setup for making a preliminary diagnosis of lung and heart diseases. In radiographic visualization, the symptom patterns appear as light or dark areas in the lung cavity. Read More

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http://dx.doi.org/10.3233/XST-180473DOI Listing
April 2019
3 Reads

Cytoplasmic MTAP expression loss detected by immunohistochemistry correlates with 9p21 homozygous deletion detected by FISH in pleural effusion cytology of mesothelioma.

Histopathology 2019 Apr 8. Epub 2019 Apr 8.

Departments of Pathology, Fukuoka University Hospital and School of Medicine, Fukuoka, Japan.

Malignant pleural mesothelioma (MPM) is an aggressive neoplasm with poor prognosis. Diagnosis includes verification of mesothelial origin and discrimination of MPM from reactive mesothelial hyperplasia (RMH) or reactive mesothelial cells (RMC). This can be challenging. Read More

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http://dx.doi.org/10.1111/his.13872DOI Listing
April 2019
2 Reads

Scrub typhus infection, not a benign disease: an experience from a tertiary care center in Northern India.

Med Pharm Rep 2019 Jan 15;92(1):36-42. Epub 2019 Jan 15.

Internal Medicine Department, Pt. BD Sharma PGIMS, Rohtak, India.

Introduction: Scrub typhus is an acute febrile illness caused by . It is characterised by fever, rash, myalgia and diffuse lymphadenopathy. Most common complications are sepsis, shock, acute respiratory distress syndrome (ARDS), hepatitis, pre renal azotemia and multi organ dysfunction syndrome (MODS). Read More

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http://dx.doi.org/10.15386/cjmed-1088DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448495PMC
January 2019
4 Reads

Rapid Diagnosis and Treatment of a Pleural Effusion in a 24-Year-Old Man.

Chest 2019 Apr;155(4):e83-e85

Department of Internal Medicine, Division of Pulmonary, Critical Care, Sleep, and Allergy, University of Nebraska Medical Center, Omaha, NE.

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http://dx.doi.org/10.1016/j.chest.2018.09.036DOI Listing
April 2019
1 Read

Update in the Management of Pleural Effusions.

Med Clin North Am 2019 May;103(3):475-485

Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, The Vanderbilt Clinic, 1301 Medical Center Drive, B-817 The Vanderbilt Clinic, Nashville, TN 37232-5735, USA. Electronic address:

Pleural effusions are a common clinical problem for the primary care physician. Over the past 10 years, there has been a paradigm shift in the field due to emergence of new evidence, which includes the ubiquitous use of thoracic ultrasound, the reemergence of pleuroscopy as a diagnostic and therapeutic modality, the widespread use of indwelling pleural catheters for malignant pleural effusions, and the evidence-based approach to management of complex parapneumonic effusions. This review focuses on these advancements with an emphasis on practical clinical application. Read More

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http://dx.doi.org/10.1016/j.mcna.2018.12.007DOI Listing
May 2019
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Lung ultrasound-guided therapeutic thoracentesis in refractory congestive heart failure.

Acta Cardiol 2019 Apr 6:1-8. Epub 2019 Apr 6.

e CNR Institute of Clinical Physiology of Pisa , Pisa , Italy.

Background: Pleural effusion refractory to diuretic treatment is frequent in advanced heart failure. Therapeutic thoracentesis is a time-honored practice, recently made simpler and safer by guidance with lung ultrasound. To assess the feasibility and clinical impact of lung ultrasound-driven therapeutic thoracentesis in refractory heart failure. Read More

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http://dx.doi.org/10.1080/00015385.2019.1591677DOI Listing
April 2019
7 Reads

Thematic Series: Novel Insights In Pleural Diseases Editorial: Pleural Disease: a continuously improved information.

Clin Respir J 2019 Apr 6. Epub 2019 Apr 6.

Department of Pneumonology and Thoracic Oncology, North Hospital, University Hospital of Saint-Etienne, 42100, Saint-Etienne, France.

Pleural effusion is a frequent manifestation in respiratory medicine and is a major diagnostic and therapeutic problem. In the United States more than 1.5 million patients each year suffer from pleural effusion. Read More

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http://dx.doi.org/10.1111/crj.13029DOI Listing
April 2019
3 Reads

Utility of pleural effusion drainage in the ICU: An updated systematic review and META-analysis.

J Crit Care 2019 Mar 19;52:22-32. Epub 2019 Mar 19.

Division of Anesthesia and Intensive Care Medicine, Department of Medicine, University of Udine, P.le S. Maria della Misericordia 15, 33100 Udine, Italy.

Purpose: The effects on the respiratory or hemodynamic function of drainage of pleural effusion on critically ill patients are not completely understood. First outcome was to evaluate the PiO/FiO (P/F) ratio before and after pleural drainage.

Secondary Outcomes: evaluation of A-a gradient, End-Expiratory lung volume (EELV), heart rate (HR), mean arterial pressure (mAP), left ventricular end-diastolic volume (LVEDV), stroke volume (SV), cardiac output (CO), ejection fraction (EF), and E/A waves ratio (E/A). Read More

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http://dx.doi.org/10.1016/j.jcrc.2019.03.007DOI Listing
March 2019
3 Reads

In reply: Rapidly progressive pleural effusion.

Cleve Clin J Med 2019 Apr;86(4):236

Respiratory and Critical Care Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE.

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http://dx.doi.org/10.3949/ccjm.86c.04002DOI Listing
April 2019
2 Reads

To the Editor: Rapidly progressive pleural effusion.

Authors:
Scott Davidson

Cleve Clin J Med 2019 Apr;86(4):236

Medical Director, Hospitalist Service, Roper St. Francis Health Care, Charleston, SC, USA.

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http://dx.doi.org/10.3949/ccjm.86c.04001DOI Listing
April 2019
3 Reads