30,891 results match your criteria Pleural Effusion


Risk Factors of In-Hospital Mortality in Patients Treated for Pneumonia at a Tertiary Care Centre in Switzerland.

Respiration 2020 Jul 7:1-9. Epub 2020 Jul 7.

Department of Internal Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland.

Background: Little is known about risk factors upon hospital admission that are associated with in-hospital death of patients hospitalized for bacterial pneumonia. Identifying such factors may help to optimize the treatment and lower the mortality of these patients.

Objectives: The aim of the study was to characterize baseline characteristics of patients hospitalized for bacterial pneumonia in Switzerland and to identify risk factors associated with all-cause in-hospital mortality. Read More

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http://dx.doi.org/10.1159/000508666DOI Listing

Multidisciplinary approaches to the management of malignant pleural effusions: a guide for the clinician.

Expert Rev Respir Med 2020 Jul 7. Epub 2020 Jul 7.

Oxford Centre for Respiratory Medicine, Oxford University Hospitals NHS Trust , Oxford, UK.

Introduction: Malignant pleural effusion (MPE) is a complication of advanced cancer, associated with significant mortality and morbidity. This entity is commonly treated by respiratory physicians, oncologists and thoracic surgeons. There have been various randomised clinical trials assessing the relative merits of chest drain pleurodesis, indwelling pleural catheters, treatment of septated MPEs, the use of thoracoscopy and pleurodesis and pleurodesis through IPCs in the past decade which have addressed some key areas in the management of MPEs, with an increasing focus on patient related outcome. Read More

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http://dx.doi.org/10.1080/17476348.2020.1793672DOI Listing

Video-assisted biopsy and talc pleurodesis for malignant pleural mesothelioma.

Multimed Man Cardiothorac Surg 2020 Jul 6;2020. Epub 2020 Jul 6.

Department of Cardio-Thoracic Surgery Erasmus University Medical Center Rotterdam The Netherlands.

Malignant pleural mesothelioma is a disease of the pleural cavity that is strongly associated with asbestos exposure. In most cases it carries a poor prognosis. Patients often present with respiratory symptoms, caused by pleural effusion. Read More

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http://dx.doi.org/10.1510/mmcts.2020.038DOI Listing

The expression and clinical significance of B7-H3 and miR-145 in lung cancer patients with malignant pleural effusion.

Authors:
L Huang

Eur Rev Med Pharmacol Sci 2020 Jun;24(12):6759-6766

Department of Oncology (IV), Heilongjiang Provincial General Hospital of Agricultural Reclamation, Second Cancer Hospital of Heilongjiang Province, Harbin, P.R. China.

Objective: To investigate the expression and clinical significance of costimulatory molecule B7-H3 and microRNA-145 (miR-145) in lung cancer patients with malignant pleural effusion.

Patients And Methods: A total of 100 cases of patients with lung cancer who admitted to our hospital for treatment from March 2017 to September 2018 were selected. Forty-nine cases of patients diagnosed with malignant pleural effusion were included in the study group, and 51 cases with benign pleural effusion in the control group. Read More

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http://dx.doi.org/10.26355/eurrev_202006_21664DOI Listing

COVID-19 associated Kawasaki-like multisystem inflammatory disease in an adult.

Am J Emerg Med 2020 Jun 25. Epub 2020 Jun 25.

Division of Rheumatology, Maimonides Medical Center, Brooklyn, NY, United States of America. Electronic address:

Recent reports have described a secondary Multisystem Inflammatory Syndrome in Children (MIS-C) after a prior COVID-19 infection that often has features of Kawasaki disease (KD). Here, we report the case of a 36-year-old woman who presented to the emergency department hypotensive and tachycardic after 1 week of fevers, abdominal pain, vomiting and diarrhea, and was found to have the classic phenotype of complete Kawasaki's Disease including nonexudative conjunctivitis, cracked lips, edema of the hands and feet, palmar erythema, a diffuse maculopapular rash, and cervical lymphadenopathy. Initial laboratory studies were significant for hyponatremia, elevated liver function tests including direct hyperbilirubinemia, and leukocytosis with neutrophilia. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.06.053DOI Listing

Effect of combination antiretroviral therapy on the clinical manifestations, radiological characteristics, and disease severity of HIV-associated infection.

Int J STD AIDS 2020 Jul;31(8):747-752

Department of Radiology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.

The objective of this study was to evaluate whether combination antiretroviral therapy (cART) has an effect on the clinical manifestations, radiological characteristics, and disease severity of human immunodeficiency virus (HIV)-associated infection. The clinical manifestations, chest computed tomography (CT) images, and disease severity were compared between 14 patients with culture-confirmed infections who received cART and 38 patients who did not receive cART. Clinical manifestations included high fever (>38°C), cough, shortness of breath, chills, and skin rash. Read More

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http://dx.doi.org/10.1177/0956462420925248DOI Listing

Safety and efficacy of INTRABEAM intraoperative radiotherapy for invasive thymoma.

Medicine (Baltimore) 2020 Jul;99(27):e20964

Cancer Institute of PLA.

Intraoperative radiotherapy (IORT) has been used to treat different residual solid tumors after tumor removal and has shown many advantages over other treatment methods. However, the use of IORT for invasive thymoma has not been reported. Therefore, in this study, we tried to determine the safety and efficacy of INTRABEAM IORT for the treatment of invasive thymoma. Read More

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http://dx.doi.org/10.1097/MD.0000000000020964DOI Listing

Pleural effusion and acute right heart failure due to a ruptured right sinus of Valsalva aneurysm and correction by surgical intervention.

J Cardiovasc Thorac Res 2020 12;12(2):150-151. Epub 2020 May 12.

Department of ICU, the Fuwai Yunnan Cardiovascular Hospital, Kunming, China.

In the study, we present the case of a 65-year-old male with rupture of right SVA into the right atrium that caused pleural effusion and acute right-sided heart failure (ARHF), which corrected by surgical intervention. Read More

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http://dx.doi.org/10.34172/jcvtr.2020.25DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7321002PMC

Relations between vital capacity, CO diffusion capacity and computed tomographic findings of former asbestos-exposed patients: a cross-sectional study.

J Occup Med Toxicol 2020 1;15:21. Epub 2020 Jul 1.

Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.

Background: Asbestos-related lung diseases are one of the leading diagnoses of the recognized occupational diseases in Germany, both in terms of their number and their socio-economic costs. The aim of this study was to determine whether pulmonary function testing (spirometry and CO diffusion measurement (D)) and computed tomography of the thorax (TCT) are relevant for the early detection of asbestos-related pleural and pulmonary fibrosis and the assessment of the functional deficiency.

Methods: The records of 111 formerly asbestos-exposed workers who had been examined at the Institute for Occupational and Maritime Medicine, Hamburg, Germany, with data on spirometry, D and TCT were reviewed. Read More

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http://dx.doi.org/10.1186/s12995-020-00272-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328276PMC

[Adult T-cell leukemia-lymphoma with severe hepatic damage and fluid retention successfully treated with mogamulizumab].

Rinsho Ketsueki 2020 ;61(6):612-616

Department of Hematology and Rheumatology, Kagoshima University Hospital.

Adult T-cell leukemia-lymphoma (ATL) is a peripheral T-cell malignancy caused by the human T-cell lymphotropic virus, type I and it has an extremely poor prognosis. A 66-year-old man with severe hepatic damage, massive pleural effusion and ATL cell infiltration-induced ascites was referred to our department. Reduced-intensity cytotoxic chemotherapy was attempted, but could not continue due to persistent hyperbilirubinemia. Read More

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http://dx.doi.org/10.11406/rinketsu.61.612DOI Listing
January 2020

Malignant Pleural Effusion Management.

Arch Bronconeumol 2020 Jul 2. Epub 2020 Jul 2.

Hospital Clínico Universitario de Santiago, Grupo Interdisciplinar de Investigación en Neumología, Instituto de Investigaciones Sanitarias de Santiago (IDIS), Santiago de Compostela, España; Hospital Clínico Universitario de Santiago, Santiago de Compostela, España.

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http://dx.doi.org/10.1016/j.arbres.2020.05.037DOI Listing

Use of Lung Ultrasound to Differentiate Coronavirus Disease 2019 (COVID-19) Pneumonia From Community-Acquired Pneumonia.

Ultrasound Med Biol 2020 Jun 5. Epub 2020 Jun 5.

Collaborative Innovation Center for Maternal and Infant Health Service Application Technology of Education Ministry, Quanzhou Medical College, Fujian, China; Department of Ultrasound Medicine, Second Affiliated Hospital of Fujian Medical University, Fujian, China; Department of Ultrasound Medicine, Zhangzhou Municipal Hospital, Fujian, China; Affiliated Hospital of Quanzhou Medical College, Quanzhou, China; Jinjiang Municipal Hospital, Fujian, China. Electronic address:

To investigate the feasibility of lung ultrasound in evaluating coronavirus disease 2019 (COVID-19) and distinguish the sonographic features between COVID-19 and community-acquired pneumonia (CAP), a total of 12 COVID-19 patients and 20 CAP patients were selected and underwent lung ultrasound. The modified Buda scoring system for interstitial lung disease was used to evaluate the severity and treatment effect of COVID-19 on ultrasonography. The differences between modified lung ultrasound (MLUS) score and high-resolution computed tomography (HRCT) Warrick score were analyzed to evaluate their correlation. Read More

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http://dx.doi.org/10.1016/j.ultrasmedbio.2020.05.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7274602PMC

Methods of estimation of pleural effusion by ecography.

Rev Esp Anestesiol Reanim 2020 May 15. Epub 2020 May 15.

Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital 12 de Octubre, Madrid, España.

Pleural effusion is a frequent pathology in intensive care units. The diagnosis has improved after the introduction of pulmonary ultrasound, an accessible method at the bedside, which allows not only the diagnosis but also the treatment of this entity. The aim of our study is to determine the accuracy of published mathematical equations to calculate the volume of pleural effusion from ultrasound measurements. Read More

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http://dx.doi.org/10.1016/j.redar.2020.04.008DOI Listing

Emperipolesis of lymphocytes by mesothelial cells in pleural effusion involved by T-lymphoblastic lymphoma.

Diagn Cytopathol 2020 Jul 4. Epub 2020 Jul 4.

Pathology Section, Rashid Hospital, Dubai, United Arab Emirates.

Emperipolesis is a physiologic or pathologic phenomenon characterized by the presence of intact viable cells within the cytoplasm of another cell. It has been described in normal tissues and in a variety of inflammatory and neoplastic lesions such as Rosai-Dorfman disease, tumors, hematopoietic disorders and rarely lymphomas. Emperipolesis by mesothelial cells is rare. Read More

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http://dx.doi.org/10.1002/dc.24543DOI Listing

Radiomics nomogram for the prediction of 2019 novel coronavirus pneumonia caused by SARS-CoV-2.

Eur Radiol 2020 Jul 3. Epub 2020 Jul 3.

Department of Radiology, Changhai Hospital, The Navy Military Medical University, Changhai road 168, Shanghai, 200434, China.

Objectives: To develop and validate a radiomics model for predicting 2019 novel coronavirus (COVID-19) pneumonia.

Methods: For this retrospective study, a radiomics model was developed on the basis of a training set consisting of 136 patients with COVID-19 pneumonia and 103 patients with other types of viral pneumonia. Radiomics features were extracted from the lung parenchyma window. Read More

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http://dx.doi.org/10.1007/s00330-020-07032-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332742PMC

High adenosine deaminase level in the pleural effusion of a case with leukemia.

Med Clin (Barc) 2020 Jun 30. Epub 2020 Jun 30.

Department of Pathology, Gaziantep University, Sahinbey Research Hospital, Gaziantep, Turkey.

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http://dx.doi.org/10.1016/j.medcli.2020.03.019DOI Listing

Postcardiac injury syndrome, peripheral hematoma of ascending aorta, and cerebral infarction after PCI: a case report.

BMC Cardiovasc Disord 2020 Jul 3;20(1):317. Epub 2020 Jul 3.

Department of Cardiology, Yijishan Hospital of Wannan Medical College, Wuhu, China.

Background: Postcardiac injury syndrome (PCIS) is an inflammatory response syndrome characterized by pericardial effusion with or without pleural effusion; however, serious PCIS with peripheral hematoma of the ascending aorta and acute cerebral infarction after percutaneous coronary intervention (PCI) have not been reported.

Case Presentation: This article reports a very rare case of a 40-year-old patient who developed acute pericardial and pleural effusions (both bloody), acute respiratory distress, peripheral hematoma of the ascending aorta, and acute cerebral infarction after PCI. The patient's ECG showed bow-back downward ST elevation in leads I, II, III, and V4-V6. Read More

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http://dx.doi.org/10.1186/s12872-020-01608-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7333298PMC

Safety of Recombinant Influenza Vaccine Compared to Inactivated Influenza Vaccine in Adults: An Observational Study.

Open Forum Infect Dis 2020 Jun 20;7(6):ofaa179. Epub 2020 May 20.

Kaiser Permanente Vaccine Study Center, Oakland, California, USA.

Background: Recombinant trivalent influenza vaccine (RIV3) was initially licensed in 2013 and approved for all adults ≥18 in 2014. This study evaluated the safety of RIV3 compared with trivalent standard-dose, inactivated influenza vaccine (IIV3) in Kaiser Permanente Northern California (KPNC).

Methods: This Phase 4 observational, postmarketing safety study included persons ≥18 years vaccinated with RIV3 or IIV3 in KPNC during the 2015-2016 influenza season. Read More

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http://dx.doi.org/10.1093/ofid/ofaa179DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316363PMC

Lung pulse visualized through pleural effusion as a diagnostic sign of complete obstructive atelectasis of the left lung in a critical patient with respiratory failure.

Rev Esp Anestesiol Reanim 2020 Jun 29. Epub 2020 Jun 29.

Servicio de Anestesiología y Reanimación, Hospital Universitario de La Princesa, Madrid, España.

Complete obstructive atelectasis occurs when mucous or a foreign body obstruct one of the main bronchi. Several lung ultrasound signs have been associated with this entity. We describe the case of a patient admitted to the surgical critical care unit in whom lung ultrasound led to a diagnosis of complete obstructive atelectasis, and the presence of pleural effusion provided direct visualization of lung pulse, a sign that has only previously been described by interpreting ultrasound artifacts. Read More

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http://dx.doi.org/10.1016/j.redar.2020.02.008DOI Listing

[Preliminary Study on Clinical Features and CT Findings of Common-type Coronavirus Disease 2019 Patients in Peking Union Medical College Hospital].

Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2020 Jun;42(3):376-382

Department of Radiology.

To summarize the clinical characteristics and chest CT findings of coronavirus disease 2019(COVID-19)patients in Peking Union Medical College Hospital(PUMCH). A total of 13 patients with COVID-19 confirmed at PUMCH from January 20 to February 6,2020 were selected as the research subjects.Their epidemiological histories,clinical characteristics,laboratory tests,and chest CT findings were analyzed retrospectively. Read More

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http://dx.doi.org/10.3881/j.issn.1000-503X.12588DOI Listing

CT characteristics and diagnostic value of COVID-19 in pregnancy.

PLoS One 2020 2;15(7):e0235134. Epub 2020 Jul 2.

Department of Radiology, Zhongnan Hospital of Wuhan University, Wuhan, China.

Objective: To investigate the computed tomography (CT) characteristics and diagnostic value of novel coronavirus pneumonia (NCP or COVID-19) in pregnancy.

Methods: This study included ten pregnant women infected with COVID-19, treated in the Zhongnan Hospital of Wuhan University from January 20, 2020 to February 6, 2020. Clinical and chest CT data were collected and clinical symptoms, laboratory indicators, and CT images were analyzed to explore CT characteristics and diagnostic value for COVID-19 during pregnancy. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0235134PLOS

Immediate Postoperative Results in the Surgical Treatment of Neoplastic Pericarditis - 76 Consecutive Cases.

Chirurgia (Bucur) 2020 May-Jun;115(3):341-347

Pericardial effusion, accumulation of fluid in the pericardial sac, may develop in any type of cancer. It was revealed in up to 20% of oncological patients. Method: We made a retrospective study of patients with pericardial efusion presented in our clinic between 2010 and 2015. Read More

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http://dx.doi.org/10.21614/chirurgia.115.3.341DOI Listing

High Biologically Effective Dose Radiotherapy for Brain Metastases May Improve Survival and Decrease Risk for Local Relapse Among Patients With Small-Cell Lung Cancer: A Propensity-Matching Analysis.

Cancer Control 2020 Apr-Jun;27(2):1073274820936287

Department of Radiation Oncology, Fujian Cancer Hospital, Fujian Medical University Cancer Hospital, Fuzhou, China.

To evaluate whether high biologically effective dose (BED) radiotherapy improves local control and survival outcomes for patients with brain metastases (BMs) from small-cell lung cancer (SCLC) and to determine possible prognostic factors. From January 1998 to June 2018, 250 patients with BM from SCLC were retrospectively analyzed. The Cutoff Finder program was used to classify patients by BED. Read More

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http://dx.doi.org/10.1177/1073274820936287DOI Listing

Pleural effusions and pneumothorax: Beyond simple plumbing: Expert opinions on knowledge gaps and essential next steps.

Respirology 2020 Jul 1. Epub 2020 Jul 1.

Department of Respiratory Medicine, Sir Charles Gairdner Hospital, Perth, WA, Australia.

Pleural diseases affect millions of people worldwide. Pleural infection, malignant pleural diseases and pneumothorax are common clinical challenges. A large number of recent clinical trials have provided an evidence-based platform to evaluate conventional and novel methods to drain pleural effusions/air which reduce morbidity and unnecessary interventions. Read More

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http://dx.doi.org/10.1111/resp.13881DOI Listing

pleuritis with multiple nodules in the pleura.

Respirol Case Rep 2020 Aug 28;8(6):e00608. Epub 2020 Jun 28.

Research Institute for Diseases of the Chest, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.

As opposed to tuberculosis, pleurisy hardly develops in patients with nontuberculous mycobacteria (NTM) infection. In spite of increasing prevalence of NTM infection, little is known about thoracoscopic or pathological findings of the NTM-infected pleura. We now report the first case of NTM pleuritis with multiple granulomatous nodules in the pleura. Read More

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http://dx.doi.org/10.1002/rcr2.608DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7321797PMC

Laparoscopic transhiatal suture and gastric valve as a safe and feasible treatment for Boerhaave's syndrome: an Italian single center case series study.

World J Emerg Surg 2020 Jul 1;15(1):42. Epub 2020 Jul 1.

Upper G.I. Surgery Division, Department of General Surgery, University of Verona, 37126, Verona, Italy.

Background: Boerhaave's syndrome (BS) is a rare life-threating condition with poor prognosis. Unfortunately, due to its very low incidence, no clear evidences or definitive guidelines are currently available: in detail, surgical strategy is still a matter of debate. Most of the case series reports thoracic approach as the most widely used; conversely, transhiatal abdominal management is just described in sporadic case reports. Read More

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http://dx.doi.org/10.1186/s13017-020-00322-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329525PMC

Intrapleural Fibrinolytic Therapy in Loculated Pleural Effusions.

Authors:
M S Barthwal

J Assoc Physicians India 2020 Jun;68(6):32-34

Professor and Head, Department of Pulmonary Medicine, Dr D Y Patil Medical College, Hospital and Research Centre, Pimpri, Pune, Maharashtra.

About 36% to 57% of bacterial pneumonias develop parapneumonic effusion. When the chest tube is correctly positioned as evidenced by postero-anterior and lateral chest radiographs and there is a significant amount of pleural fluid, the major reasons for failed drainage are multiple pleural space loculations or tube obstruction by thick and viscous fluid. The various modalities of treatment available for loculated pleural effusion are: saline flushes, placing one or more catheters in loculi under image guidance, video assisted thoracoscopic surgery (VATS), standard thoracotomy with drainage of empyema and decortication. Read More

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[Malignant gastrointestinal stromal tumors in pleural effusion: report of a case].

Zhonghua Bing Li Xue Za Zhi 2020 Jul;49(7):753-755

Department of Pathology, the Affiliated Wuxi People's Hospital of Nanjing Medical University, Jiangsu Province, Wuxi 214023, China.

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http://dx.doi.org/10.3760/cma.j.cn112151-20191014-00558DOI Listing

A predictive model and scoring system combining clinical and CT characteristics for the diagnosis of COVID-19.

Eur Radiol 2020 Jul 1. Epub 2020 Jul 1.

Department of Radiology, Shanghai Jiao Tong University Medical School Affiliated Ruijin Hospital, No. 197, Ruijin Er Road, Shanghai, 200025, China.

Objectives: To develop a predictive model and scoring system to enhance the diagnostic efficiency for coronavirus disease 2019 (COVID-19).

Methods: From January 19 to February 6, 2020, 88 confirmed COVID-19 patients presenting with pneumonia and 80 non-COVID-19 patients suffering from pneumonia of other origins were retrospectively enrolled. Clinical data and laboratory results were collected. Read More

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http://dx.doi.org/10.1007/s00330-020-07022-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7326621PMC

Unilateral pleural effusion with capillary haemangioma.

Respirol Case Rep 2020 Aug 25;8(6):e00613. Epub 2020 Jun 25.

Department of Pulmonary Medicine, Thoracic Center St. Luke's International Hospital Tokyo 104-8560 Japan.

Here, we report a case of haemangioma on middle mediastinum accompanied by unilateral pleural effusion, which was initially suspected to be lung cancer and pleurisy. During annual check-up, chest radiography of a 30-year-old female showed homogeneous opacity in the left lower pulmonary field. Excision was performed, and the mass was pathologically diagnosed as benign mediastinal vascular tumour with exudative pleural effusion. Read More

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http://dx.doi.org/10.1002/rcr2.613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317172PMC

Pleural Effusion Associated with Anicteric Hepatitis A Virus Infection - Unusual Manifestation of a Common Disease: A Case Report.

Pediatric Health Med Ther 2020 16;11:189-192. Epub 2020 Jun 16.

Department of Pediatrics and Child Health, College of Health Sciences, Mekelle University, Tigray, Ethiopia.

Background: Hepatitis A infection is common in children and often presents with mild hepatic disease. The clinical manifestations of hepatitis A virus are usually related to liver damage but sometimes extrahepatic manifestations may occur.

Case Presentation: We present a case of four-year- and eight-month-old male child with anicteric hepatitis A infection associated with a pleural effusion. Read More

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http://dx.doi.org/10.2147/PHMT.S251393DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305842PMC

Pleural Neutrophil-to-Lymphocyte Ratio May Be Associated With Early Disease Progression in Stage IV Non-small Cell Lung Cancer.

In Vivo 2020 Jul-Aug;34(4):2179-2185

Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Background/aim: While blood neutrophil-to-lymphocyte ratio (NLR) has been associated with poor prognosis in NSCLC, however few studies have focused on pleural fluid white blood cell differential count. We conducted a retrospective multicenter cohort study to evaluate the predictive value of pleural NLR in non-small cell lung cancer (NSCLC) patients with malignant pleural effusion (MPE).

Patients And Methods: From the multicenter lung cancer cohort, 134 epidermal growth factor receptor (EGFR) wild-type patients with NSCLC were selected for evaluation. Read More

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http://dx.doi.org/10.21873/invivo.12027DOI Listing

Non-Hodgkin Lymphoma With an Atypical Presentation: A Solitary Paravertebral Mass on FDG PET/CT.

Clin Nucl Med 2020 Jun 25. Epub 2020 Jun 25.

From the Department of Nuclear Medicine, Laboratory of Clinical Nuclear Medicine, West China Hospital of Sichuan University, Chengdu, Sichuan, People's Republic of China.

An 81-year-old woman was admitted with chest tightness and shortness of breath. Chest CT revealed massive pleural effusion on the right side as well as a right paravertebral soft tissue mass at the T8 to T10 level, showing intense enhancement. Her symptoms were successfully relieved by thoracentesis catheter drainage. Read More

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http://dx.doi.org/10.1097/RLU.0000000000003155DOI Listing

Combination Chemohormonal Therapy in Metastatic Salivary Duct Carcinoma.

Am J Case Rep 2020 Jun 30;21:e925181. Epub 2020 Jun 30.

Department of Hematology and Oncology, Veterans Affairs Loma Linda Healthcare System, Loma Linda, CA, USA.

BACKGROUND Salivary duct carcinoma (SDC) is a rare, aggressive head and neck cancer with frequent metastases. Current treatment options for recurrent or metastatic SDC include targeted anti-androgen therapy, HER2-targeted therapy, or systemic chemotherapy. We report the first use of a combination chemohormonal strategy. Read More

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http://dx.doi.org/10.12659/AJCR.925181DOI Listing

[Fatal severe community-acquired pneumonia: risk factors, clinical characteristics and medical errors of hospital patients].

Ter Arkh 2020 Apr 27;92(3):42-49. Epub 2020 Apr 27.

Kazan (Volga Region) Federal University.

Community-acquired pneumonia (CAP) is the most common disease and potentially life-threatening infection in the worldwide. In the Nizhny Novgorod region, no analysis of the causes of mortality and medical errors of severe CAP patients.

Aim: To analyze the patients structure who died severe CAP in hospitals of the Nizhny Novgorod region, to identify the leading risk factors, to assess the clinical characteristics of fatal severe CAP and medical errors according to medical records of patients from 20152016. Read More

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http://dx.doi.org/10.26442/00403660.2020.03.000538DOI Listing

Multiple mycotic arterial aneurysms involving the left anterior descending coronary artery following mitral and aortic valve endocarditis: A case report.

J Card Surg 2020 Jun 29. Epub 2020 Jun 29.

Department of Adult Cardiac Surgery, Prince Sultan Cardiac Center, Riyadh, Kingdom of Saudi Arabia.

We present a 57-year-old man with recent Streptococcus viridans endocarditis on mitral and aortic valves who had a mycotic aneurysm of the left anterior descending (LAD) coronary artery and associated superior mesenteric and cerebral artery aneurysms. The patient had preoperative renal failure and the infection was controlled with ceftriaxone. Mitral and aortic valve replacement were performed using tissue valves and the LAD aortic aneurysm was ligated and the patient had saphenous venous graft to the LAD. Read More

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http://dx.doi.org/10.1111/jocs.14653DOI Listing

A Rare and Challenging Presentation of Empyema Necessitans/Necessitasis Leading to Brachial Plexopathy.

Cureus 2020 May 24;12(5):e8267. Epub 2020 May 24.

Hematology and Oncology, Hamad General Hospital, Doha, QAT.

Empyema necessitasis (EN) also referred to as empyema necessitans (EN) is a rare complication of empyema that can involve soft tissues outside the pleural cavity and can lead to brachial plexus injury. Although, brachial plexus injury most commonly occurs as a result of trauma, inflammation, or malignancies, but it has been rarely seen in EN. We are reporting a rare and challenging case of empyema necessitasis (EN) causing impingement of brachial plexus in a 42-year-old, type 2 diabetic patient, who initially presented to the hospital with left-sided pleuritic chest pain and acute onset of left upper limb weakness. Read More

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http://dx.doi.org/10.7759/cureus.8267DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314367PMC

Effect of Transcutaneous Electrical Acupoint Stimulation on One-Lung Ventilation-Induced Lung Injury in Patients Undergoing Esophageal Cancer Operation.

Evid Based Complement Alternat Med 2020 7;2020:9018701. Epub 2020 Jun 7.

Department of Thoracic Surgery, Tangshan People's Hospital, North China University of Science and Technology, Tangshan 063000, China.

Objective: To investigate the effect of transcutaneous electrical acupoint stimulation (TEAS) on one-lung ventilation-induced injury in patients undergoing esophageal cancer operation.

Methods: The participants ( = 121) were randomly assigned into TEAS and sham groups. The TEAS group was given transcutaneous electrical stimulation therapy. Read More

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http://dx.doi.org/10.1155/2020/9018701DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298312PMC

Point-of-care ultrasound to evaluate volume status in severe hyponatremia.

BMJ Case Rep 2020 Jun 28;13(6). Epub 2020 Jun 28.

Department of Internal Medicine, Prisma Health, Greenville, South Carolina, USA

A 51-year-old man was hospitalised for severe hyponatremia. Initial history and physical examination suggested hypovolemia, and he was treated with normal saline at 100 mL/hour. After several days, his hyponatremia failed to improve, and then worsened without resolution of presenting ataxia and fatigue. Read More

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http://dx.doi.org/10.1136/bcr-2020-235304DOI Listing

Diffuse Large B-Cell Lymphoma presenting as isolated pleural effusion with excellent response to R-PEPC regimen.

Indian J Cancer 2020 Jun 22. Epub 2020 Jun 22.

Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.

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http://dx.doi.org/10.4103/ijc.IJC_217_19DOI Listing

Chest CT Imaging Signature of COVID-19 Infection: In Pursuit of the Scientific Evidence.

Chest 2020 Jun 25. Epub 2020 Jun 25.

Department of Radiology, Zuyderland Medical Center, Heerlen/Sittard/Geleen, The Netherlands; Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD.

Background: Chest CT may be used for the diagnosis of Coronavirus disease 2019 (COVID-19), but clear scientific evidence is lacking. Therefore, we systematically reviewed and meta-analyzed the chest CT imaging signature of COVID-19.

Research Question: ••••. Read More

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http://dx.doi.org/10.1016/j.chest.2020.06.025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314684PMC

Surgical intervention for portal hypertension caused by oxaliplatin-based chemotherapy: a case report and a review of literature regarding radiological and/or surgical interventions for oxaliplatin-associated portal hypertension.

Clin J Gastroenterol 2020 Jun 26. Epub 2020 Jun 26.

Department of Surgery, Yokohama Ekisaikai Hospital, 1-2 Yamada-cho, Naka-ku, Yokohama, 231-0036, Japan.

A 63-year-old man showed massive ascites, massive pleural effusion, severe lower-extremity edema, and repeated esophageal variceal bleeding. Two-year previously, he received 13-courses of oxaliplatin-based chemotherapy (OBC) followed by associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) for multiple colorectal cancer liver metastases but developed a solitary remaining liver metastasis and multiple lung metastases 2 months after the ALPPS, for which multiple regimens of chemotherapy were conducted. The symptoms were considered attributable to the OBC-associated portal-hypertension. Read More

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http://dx.doi.org/10.1007/s12328-020-01157-wDOI Listing

Ventilator-associated pneumonia in neonates: the role of point of care lung ultrasound.

Eur J Pediatr 2020 Jun 26. Epub 2020 Jun 26.

Neonatal Intensive Care Unit, Evelina London Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, North Wing 6th floor, Westminster Bridge Road, London, SE1 0EH, UK.

No consensus exists regarding the definition of ventilator-associated pneumonia (VAP) in neonates and reliability of chest X-ray (CXR) is low. Lung ultrasound (LU) is a potential alternative diagnostic tool. The aim was to define characteristics of VAP in our patient population and propose a multiparameter score, incorporating LU, for VAP diagnosis. Read More

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http://dx.doi.org/10.1007/s00431-020-03710-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317892PMC

HDAC Inhibition Induces PD-L1 Expression in a Novel Anaplastic Thyroid Cancer Cell Line.

Pathol Oncol Res 2020 Jun 26. Epub 2020 Jun 26.

Department of Thoracic Surgery, University Medicine Essen - Ruhrlandklinik, University Duisburg-Essen, Essen, Germany.

While papillary thyroid cancer (PTC) has largely favorable prognosis, anaplastic thyroid cancer (ATC) is a rare but extremely aggressive malignancy with grim clinical outcome. Even though new therapeutic options are emerging for ATC, additional preclinical models and novel combinations are needed for specific subsets of patients. We established a novel cell line (PF49) from the malignant pleural effusion of a 68-year-old male patient with ATC that rapidly transformed from a BRAF and TERT promoter mutant PTC. Read More

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http://dx.doi.org/10.1007/s12253-020-00834-yDOI Listing

Surgical Pulmonary and Pleural Diseases in Children: Lung Malformations, Empyema, and Spontaneous Pneumothorax.

Adv Pediatr 2020 Aug 14;67:145-169. Epub 2020 May 14.

Division of Pediatric Surgery, University of Wisconsin School of Medicine and Public Health, American Family Children's Hospital, 600 Highland Avenue, H4/740 CSC, Madison, WI 53792-7375, USA.

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http://dx.doi.org/10.1016/j.yapd.2020.03.006DOI Listing

Staphylococcus saccharolyticus infection: case series with a PRISMA-compliant systemic review.

Medicine (Baltimore) 2020 Jun;99(26):e20686

Department of Respiratory and Critical Care Medicine.

Background: Staphylococcus saccharolyticus is a rare cause of human infectious disease. The clinical characteristics and treatment of patients with S saccharolyticus infections remain largely unknown.

Objectives: We present the first reported case of empyema due to S saccharolyticus. Read More

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http://dx.doi.org/10.1097/MD.0000000000020686DOI Listing

Key prognostic factors for EGFR-mutated non-adenocarcinoma lung cancer patients in the Japanese Joint Committee of Lung Cancer Registry Database.

Lung Cancer 2020 Jun 18;146:236-243. Epub 2020 Jun 18.

Department of General Thoracic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.

Introduction: The efficacy of epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitors (TKIs) for EGFR-mutated non-adenocarcinoma (ADC) non-small cell lung cancer patients is not well established. Herein, we investigated key prognostic factors influencing the efficacy of EGFR-TKIs in these patients.

Methods: A total of 12,320 lung cancer patients pathologically diagnosed in 2012 at teaching hospitals in Japan were retrospectively selected. Read More

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http://dx.doi.org/10.1016/j.lungcan.2020.06.015DOI Listing

The effects of analgesic treatment and chest physiotherapy on the complications of the patients with rib fractures that arise from blunt chest trauma.

Ulus Travma Acil Cerrahi Derg 2020 Jun;26(4):531-537

Department of Thoracic Surgery, İstanbul University İstanbul Faculty of Medicine, İstanbul-Turkey.

Background: This prospective study aims to investigate the effect of chest physiotherapy and analgesic therapy on the possible complications of isolated rib fractures attributable to blunt thoracic trauma, such as hemothorax and pneumothorax.

Methods: Patients who presented to Çanakkale Onsekiz Mart University School of Medicine Hospital's Emergency Department and Thoracic Surgery outpatient clinics within the first 24 hours of the post-traumatic period and did not have additional intrathoracic complications at presentation with blunt thoracic trauma and who were diagnosed with isolated rib fractures were enrolled in this prospective research study. The groups were designated as the patients who would receive analgesic treatment only (Group A) and the patients who would receive chest physiotherapy and analgesic treatment together (Group B). Read More

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http://dx.doi.org/10.14744/tjtes.2019.26356DOI Listing

Medical thoracoscopy in the diagnosis of pleural disease: a guide for the clinician.

Expert Rev Respir Med 2020 Jun 26. Epub 2020 Jun 26.

Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Interventional Pulmonology , 2220 Pierce Avenue, Suite 1710, Nashville, TN 37232, USA.

Introduction: Developing a feasible and accurate means of evaluating pleural pathology has been an ongoing effort for over 150 years. Pleural fluid cellular and biomarker analyses are simple ways of characterizing and uncovering pathologic entities of pleural disease. However, obtaining samples of pleural tissue has become increasingly important. Read More

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http://dx.doi.org/10.1080/17476348.2020.1788940DOI Listing

Multidisciplinary Management of Hepatic Hydrothorax in 2020: An Evidence-Based Review and Guidance.

Hepatology 2020 Jun 25. Epub 2020 Jun 25.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA, USA.

Hepatic hydrothorax is the formation of transudative pleural effusion as a consequence of portal hypertension. Only a minority of cases resolve after sodium restriction and diuretics. Despite the relatively low incidence of 5-15% among patients with cirrhotic portal hypertension, the high morbidity and serious clinical implications associated with hepatic hydrothorax necessitate a well-defined treatment strategy to guide patient care. Read More

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http://dx.doi.org/10.1002/hep.31434DOI Listing