743 results match your criteria Pneumologia[Journal]


Smoking and work overload level.

Pneumologia 2016 Oct-Dec;65(4):225-30

Smoking is one of the major causes of morbidity and mortality worldwide, and Romania makes no exception. On the other hand, work overload has become the second cause of illness among employees in Europe, being a major factor which favors multiple addictions, including smoking. This study is part of a broader investigation that aims to analyze from several perspectives the link between socio-professional factors and smoking. Read More

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April 2018
2 Reads

Hypoventilation improvement in an adult non-invasively ventilated patient with Rapid-onset Obesity with Hypothalamic Dysfunction Hypoventilation and Autonomic Dysregulation (ROHHAD).

Pneumologia 2016 Oct-Dec;65(4):222-4

Rapid-onset Obesity with Hypothalamic Dysfunction, Hypoventilation, and Autonomic Dysregulation (ROHHAD) is a rare disease of unknown etiology, characterized by rapid-onset obesity in young children, hypoventilation, hypothalamic and autonomic dysfunction. Patients between the ages of 2 and 4 present with hyperphagia and weight gain, followed by neuro-hormonal dysfunction and central hypoventilation months or years later. Cardiac arrest may represent the fatal complication of alveolar hypoventilation and early mechanical ventilation is essential for the patient's life. Read More

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April 2018
6 Reads

A rare genetic cause of bronchiectasis.

Pneumologia 2016 Oct-Dec;65(4):216-21

Bronchiectasis, defined as an abnormal and irreversible dilatation of the bronchi, frequently associated with inflammation, is the most common complication of recurrent infections. Effective pulmonary immunity is necessary to prevent chronic bronchial damage due to bacterial infection. Primary immune deficiencies comprise a heterogeneous group of genetically determined disorders that affect development and/or the function of innate or adaptive immunity. Read More

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April 2018
2 Reads

Relationship between obstructive sleep apnea syndrome and metabolic syndrome in a patient with chronic extrinsic allergic alveolitis.

Pneumologia 2016 Oct-Dec;65(4):212-5

Obstructive sleep apnea syndrome (OSAS) is a health issue of major importance globally. Although OSAS has a prevalence of 4-10% in the general population, it is less diagnosed, with redoubtable consequences on the quality of life and the professional performance. Observational studies showed that lack of sleep is correlated with weight gain and an increased risk of obesity; this relationship was confirmed by mutually reinforcing pathophysiological mechanisms. Read More

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April 2018
1 Read

TB or not TB in HIV infection.

Pneumologia 2016 Oct-Dec;65(4):210-1

The progression of tuberculosis (TB) is significantly faster in patients with HIV infection. TB is also the main cause of death for HIV-infected individuals, resulting in fatality for 1 of 3 patients. We present the case of a 26-year-old male who arrived at the hospital having previously been diagnosed with HIV in 2014, but was not compliant to the ARV treatment prescribed. Read More

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April 2018
1 Read

Recurrent secondary spontaneous pneumothorax in silicosis: a case report.

Pneumologia 2016 Oct-Dec;65(4):207-9

Silicosis is an occupational lung disease which is caused by inhalation and accumulation of crystalline silica particles in the lung. It commonly occurs in workers involved in quarrying, mining, sandblasting, tunneling, foundry work, and ceramics. Pneumothorax is one of the complications of silicosis with pleural involvement. Read More

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April 2018
1 Read

Clinical and laboratory correlations in patients with cystic fibrosis and Pseudomonas aeruginosa infection: The experience of a regional centre.

Pneumologia 2016 Oct-Dec;65(4):201-6

Pseudomonas aeruginosa (Pa) is the most important pathogen affecting the prognosis of patients with cystic fibrosis (CF). Distinguishing the correlations associated with PA infection may change the way in which investigation and therapeutic plans are approached. This study aims to evaluate the correlations between various factors such as age at diagnosis, nutritional status, homozygous status of delF508 mutation, the number of exacerbations per year, imagistic modifications, the presence of chronic infection with Staphylococcus aureus, serum levels of total immunoglobulins G (IgG) and gammaglobulins and ventilation parameters - forced vital capacity (FVC) and one-second forced expired volume (FEV1) and their association with Pa infection. Read More

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April 2018
5 Reads

Depression in patients with stable chronic obstructive pulmonary disease: a cross-sectional study in the national center for respiratory diseases in Indonesia.

Pneumologia 2016 Oct-Dec;65(4):197-200

Background: Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality in the world, including Indonesia. It can cause comorbidities such as osteoporosis, heart failure, diabetes, and depression. Depression is a common. Read More

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April 2018
3 Reads

Diagnostic techniques for organic foreign body aspiration in children – case reports.

Pneumologia 2016 Oct-Dec;65(4):194-6

Tracheobronchial foreign body aspiration represents a life-threatening condition especially in young children. It carries a great amount of mortality and morbidity through the possibility of obstructing the airway and thus resulting in acute respiratory failure. The diagnostic challenges are brought by the great variability of clinical presentation which sometimes only consists of subtle symptoms. Read More

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April 2018
6 Reads

The role of quantitative computed tomography in the diagnosis of chronic obstructive pulmonary disease.

Pneumologia 2016 Oct-Dec;65(4):184-8

In the last 25 years, there have been important improvements in computed tomography (CT) that may give more details about the lung structure in chronic obstructive pulmonary disease (COPD). The clinical exam and “classic” radiology (chest X-ray, conventional CT) have important roles: they raise the suspicion of hyperinflation, they highlight aspects of pulmonary hypertension, they may detect the triggers of exacerbations, they rule out some COPD complications and other lung diseases that can cause dyspnea (pneumothorax, tumors, bronchiectasis, and fibrosis). The spirometry may confirm the obstructive ventilatory disorder pattern of the disease. Read More

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April 2018
3 Reads

Another facet of tuberculosis.

Pneumologia 2015 Oct-Dec;64(4):49

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August 2016
10 Reads

The efficiency of continuous positive airway pressure therapy in reducing cardiovascular dysfunction in a patient with arterial hypertension and obstructive sleep apnea.

Pneumologia 2015 Oct-Dec;64(4):41-4

Obstructive sleep apnea (OSA) has been included by European and American hypertension therapy guidelines as a common cause of high blood pressure. Recent studies have demonstrated a strong link between OSA and HBP and the treatment thereof should consist of combination therapy, especially in patients with refractory AHT and a non-dipping profile. We present the case of a patient with high grade hypertension, with secondary organ damage and severe OSA. Read More

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August 2016
6 Reads

Haemoptysis as a primary manifestation of cryptogenic organizing pneumonia (COP).

Pneumologia 2015 Oct-Dec;64(4):37-40

Cryptogenic organizing pneumonia (COP), previously called bronchiolitis obliterans organizing pneumonia (BOOP) is a clinicopathological disorder of unknown aetiology but increasingly reported. It usually presents with symptoms of dyspnea, cough, fever, weight loss accompanied by the presence of alveolar opacities on chest radiograph. Haemoptysis, described as blood streaking has only rarely been reported as primary presentation of COP. Read More

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August 2016
3 Reads

Immune reconstitution inflammatory syndrome in central nervous system tuberculosis.

Pneumologia 2015 Oct-Dec;64(4):32-6

Background: Immune reconstitution inflammatory syndrome (IRIS) related to tuberculosis (TB) is an exacerbation of an inflammatory response that most often occurs in HIV-infected patients but it has also been observed in non-HIV immunocompromised hosts. We describe two cases of TB associated IRIS with CNS involvement, one in a patient diagnosed with HIV infection and the other in a patient with immunosuppression due to anti tumor necrosis factor treatment. CASE REPORT; The first case was a 40-year-old man, newly diagnosed with HIV infection, who developed right hemiplegia and expressive aphasia. Read More

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August 2016
14 Reads

Asthma-like symptoms in a patient with rheumatoid arthritis and Adalimumab treatment.

Pneumologia 2015 Oct-Dec;64(4):28-30

After the introduction of anti-TNFα medication for treatment of autoimmune conditions, clinicians have investigated not only other possible uses for the drugs, but also less common side-effects and interactions with other pathologies. Despite some succes registered with Adalimumab as an antiinflammatory agent in severe asthma, there have been case reports of patients developing asthma or asthma-like symptoms following anti-TNFα therapy. The case presents a patient without previous family or personal history of respiratory or atopic conditions that developed bronchospasm immediately after the initiation of Adalimumab and Methotrexate treatment for rheumatoid arthritis. Read More

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August 2016
3 Reads

Surgical and Anatomical Particularities and Difficulties in Histopathological Sampling for Superior Vena Cava Syndrome.

Pneumologia 2015 Oct-Dec;64(4):26-7

The superior vena cava syndrome is due to the increased venous pressure in the upper torso, neck and head, caused by the obstruction of the superior vena cava. Both external and internal factors cause obstruction (95% are malign causes), and the most severe manifestation is represented by cerebral edema that can even lead to coma. The diagnostic algorithm for the superior vena cava syndrome is widely known. Read More

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August 2016
9 Reads

Predictors of daytime sleepiness in patients with obstructive sleep apnea.

Pneumologia 2015 Oct-Dec;64(4):21-5

Background: The main symptomatic criterion to diagnose obstructive sleep apnea (OSA) is the level of daytime sleepiness. The Epworth Sleepiness Scale is a simple, self-administered questionnaire which provides a measurement of the subject's general level of daytime sleepiness. The aim of this study was to investigate the factors that can predict daytime sleepiness in patients with sleep apnea. Read More

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August 2016
6 Reads
3 Citations

Respiratory rehabilitation in healing depression and anxiety in COPD patients.

Pneumologia 2015 Oct-Dec;64(4):14-8

Unlabelled: Chronic Obstructive Pulmonary Disease (COPD) is an inflammatory affection of the whole lung, characterized by an accelerated loss of the pulmonary functions, that reduces the patients' independence and stops them from having a normal, active life. The medical rehabilitation is considered "Third class rehabilitation", after preventive medicine and pharmaceutical medicine, and the respiratory rehabilitation recovery represents a complex structure of service addressing to patients with chronic pulmonary illnesses whose aim is to optimize the physical performances, psycho-social and autonomy.

Aim And Objectives: The main objective of this study is to show the importance of respiratory rehabilitation that is correctly and timely made, based on the gravity and stage of the illness, the COPD patient's associated illnesses and their importance in improving the patient's mental and physical quality of life. Read More

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August 2016
7 Reads

Respiratory tuberculosis in children and adolescents: Assessment of radiological severity pattern and age-related changes within two decades.

Pneumologia 2015 Oct-Dec;64(4):8-12

Introduction: Despite the global decline of tuberculosis (TB), the annual risk of TB infection in children from developing countries remains high. Giving the global and regional epidemiological context in the past 20 years and a recent classification, dividing childhood TB into severe and non-severe disease, our aim was to find possible differences regarding disease severity in the pediatric population, as assessed by chest radiography (CXR) over 2 decades.

Materials And Method: A retrospective analysis of CXRs from newly confirmed respiratory TB patients was performed at the Pediatric Pulmonology Department of a tertiary-care university hospital that acts as a referral TB center in Transylvania. Read More

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August 2016
6 Reads

Neutral package and tobacco tactics – what we need to know!

Pneumologia 2016 Jul-Sep;65(3):164-7

In the last year after the implementation of the plain packaging (PP) in Australia, another type of battle and tactics of another war from part of the tobacco industry started. Their campaigns became increasingly intense after the announcement of Great Britain, Ireland, France, and Hungary. This article is trying to identify these new tactics and how we can fight against them. Read More

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April 2018
2 Reads

Chylothorax and chylous ascites due to Mycobacterium tuberculosis in an AIDS patient whose PCR tested negative.

Pneumologia 2016 Jul-Sep;65(3):161-3

Mycobacterium tuberculosis as a cause of both chylothorax and chylous ascites is extremely rare. A 46-year-old non-adherent woman with AIDS and pulmonary tuberculosis presented to our clinic with dyspnea, pleuritic chest and abdominal pain. Chest x-ray demonstrated a left pleural effusion. Read More

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April 2018
4 Reads

Hepatopulmonary syndrome: an unusual cause of dyspnea in the pulmonology ward - case presentation.

Pneumologia 2016 Jul-Sep;65(3):156-8

Hepatopulmonary syndrome is one of the possible complications of chronic liver disease, defined clinically by impaired oxygenation. The underlying cause of the respiratory failure is the presence of intrapulmonary shunting, as a result of abnormal vascular dilatations in the lungs. We report the case of 52-year-old male, exsmoker, with a history of pulmonary TB and also of heavy drinking, who was admitted to the pulmonology ward for dyspnea at rest and limb cyanosis. Read More

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April 2018
3 Reads

Infectious cause of an interstitial lung disease.

Pneumologia 2016 Jul-Sep;65(3):152-5

We present a case of a previously health middleage male patient, without personal history of other condition, who was admitted in our hospital presenting fever, weight loss, and signs and symptoms of acute respiratory distress. The chest computed tomography showed numerous cystic lesions, diffuse ground-glass opacities, honeycombing, and consolidation areas. An HIV infection was confirmed, and the diagnosis of Pneumocystis jirovecii pneumonia was made on induced sputum smear stain. Read More

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April 2018
22 Reads

Atrial fibrillation in an asthmatic patient with albuterol-induced lactic acidosis.

Pneumologia 2016 Jul-Sep;65(3):150-1

Asthma is a highly prevalent chronic respiratory disease affecting millions of people worldwide. Short-acting beta 2-agonists induce bronchodilation and usually are prescribed as a rescue medication. They are recognized as a cause of hyperlactatemia and, less frequently, lactic acidosis. Read More

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April 2018
7 Reads

Multimacronodular pulmonary tuberculosis (bacteriologically negative) confirmed histologically.

Pneumologia 2016 Jul-Sep;65(3):146-9

Background: Pulmonary tuberculosis can be confirmed by positive bacteriology of sputum, bronchial aspirate or by biopsies (microscopy and/ or culture) or by histopathological examination highlighting specific tuberculous granulomas. When microscopy is repeatedly negative during noninvasive methods, lung biopsy by thoracoscopy is needed for confirmation and differential diagnosis.

Case Presentation: A 40-year-old female patient (nonsmoker, diabetic, with previous exposure to chemicals) was admitted to the hospital for weight loss, dry cough, loss of appetite, pallor, and fatigue. Read More

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April 2018
2 Reads

Outpatient pleuroscopy: Report of an experience in a referral hospital.

Pneumologia 2016 Jul-Sep;65(3):142-5

Pleuroscopy is a safe diagnostic procedure for evaluation of pleural diseases, with minimum complications. This procedure has been recently conducted on outpatient basis. Results support its safety, especially in busy referral hospitals. Read More

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April 2018
3 Reads

Correlation between patient perception of the ability to perform morning activities and findings on clinical examination in COPD patients in Romania.

Pneumologia 2016 Jul-Sep;65(3):138-41

Physical activity level is recognized as a predictor of mortality and hospitalization in patients with COPD. RELIEF (CorRELation Between PatIent PErception and Findings on Clinical Examination, NCT01627743) was a non-interventional, multicenter, prospective, 12-week study of patients aged at least 40 years with COPD stage C or D treated for at least 1 month previous enrollment with ICS/LABA combined therapy. The patients' perception on ability to perform morning activities, was evaluated with the CDLM (Capacity of Daily Living during the Morning) questionnaire. Read More

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April 2018
1 Read

Patient experience surrounding bronchoscopy.

Pneumologia 2016 Jul-Sep;65(3):134-7

Fiberoptic bronchoscopy (FOB) is a commonly performed procedure in thoracic medicine associated with significant discomfort, which greatly impacts patient satisfaction with the procedure. The UK DoH and BTS stress the benefits of collecting and reviewing patient experiences of a service and how this information should shape service provision. In this current study we assess a number of tolerance and satisfaction related factors in 108 consecutive patients undergoing FOB. Read More

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April 2018
1 Read

New treatments in idiopathic pulmonary fibrosis.

Authors:
Irina Strâmbu

Pneumologia 2016 Jul-Sep;65(3):127-32

Idiopathic pulmonary fibrosis is a chronic fibrotic pulmonary disease of unknown origin, with an unfavourable prognosis, leading to death by respiratory failure in most patients within 3-5 years ofdiagnosis. Several drugs were studied for the treatment of this disease, and most of them were not able to stop the relentless evolution of the disease (warfarin, corticosteroids in combination with azathioprine, N-acetylcysteine, ambrisentan, bosentan, sildenafil, antiacids). Two novel drugs, pirfenidone and nintedanib, proved effective in reducing lung function decline, improving the patient’s quality of life, and increasing the patient’s probability of survival. Read More

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April 2018
1 Read

Air pollution and respiratory diseases – a problematic risk factor.

Pneumologia 2016 Jul-Sep;65(3):122-5

Pollution was a neglected factor for years in all the research that took in the viewfinder was examined in the risk factors in of respiratory diseases. Considering the concerns of politicians, scientists, doctors, which have intensified upgraded especially after the last climate “summit”, “summit” climatological we found it necessary to have a review of the effects of pollution, pathogenic mechanisms of interaction, and some diseases strongly influenced by pollutants such as COPD, asthma, bronchialand bronchial and lung cancer. Read More

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April 2018
2 Reads

A small but warm-hearted event.

Pneumologia 2016 Jan-Mar;65(1):53

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June 2016
2 Reads

Massive hemoptysis due to intercostal artery aneurysm in pulmonary tuberculosis.

Pneumologia 2016 Jan-Mar;65(1):48-50

Massive hemoptysis is a life-threatening complication of pulmonary tuberculosis. In the presence of pulmonary tuberculosis, massive hemoptysis can result from a number of different causes, with an artery aneurysm being rarely reported. Here we present a case of recurrent massive hemoptysis in a 28-year-old man suffering from active pulmonary tuberculosis due to an aneurysmatic lesion of the second intercostal artery. Read More

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June 2016
24 Reads

Severe pulmonary arterial hypertension in an adult patient with total anomalous pulmonary venous connection operated in infancy.

Pneumologia 2016 Jan-Mar;65(1):46-7

The goal of total anomalous pulmonary venous connection repair is to obtain an unobstructed communication between the pulmonary veins and the left atrium and removing intracardiac shunting. However, pulmonary venous obstruction orstenosis may be seen in 5-10% of patients, is usually evident in the first 6 months following surgery and may lead to pulmonary congestion, pulmonary arterial hypertension, and late mortality. In such cases, early intervention may be indicated before irreversible secondary changes occur. Read More

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June 2016
5 Reads

Williams-Beuren syndrome--a rare cause of recurrent hemoptysis.

Pneumologia 2016 Jan-Mar;65(1):39-44

Williams-Beuren syndrome (WBS) is a rare genetic disease with a distinctive constellation of clinical findings. The disease can be diagnosed clinically by a recognizable pattern of malformations, including cardiovascular malformations, a characteristic facial dysmorphism, as well as neurological and cognitive features. We present the case of a 23-years-old woman repeatedly admitted to Pulmonology Clinic for massive hemoptysis. Read More

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June 2016
5 Reads

Skin, ear and testis--unusual sites of tuberculosis.

Pneumologia 2016 Jan-Mar;65(1):36-8

Pulmonary localization is the most common site of tuberculosis (TB)and the most contagious form. Extrapulmonary tuberculosis with the rarest and most unexpected localizations represents a significant proportion of all cases of tuberculosis and remains an important public health problem. We report three unusual TB locations: skin, ear and testis occurred in three immunocompetent patients. Read More

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June 2016
10 Reads

Influence of smoking on sleep and obstructive sleep apnea syndrome.

Pneumologia 2016 Jan-Mar;65(1):28-35

The various ill effects that tobacco smoking has on health have been largely studied, particularly on vascular, neoplastic, and respiratory diseases. Lately, the discussion about the negative impact of cigarette smoking moved towards sleep medicine. Tobacco consumption has been associated with sleep disordered architecture, both during regular intake and after withdrawal. Read More

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June 2016
11 Reads

Is servoventilation in central sleep apnea syndrom still working?.

Pneumologia 2016 Jan-Mar;65(1):24-6

Last black box on adaptive servoventilation in central apnoea syndrome generate many connective problems concerning the alternative therapies. The authors are starting from two recent french articles on this same subject and are trying to see what is missing and what we have to do. Read More

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June 2016
8 Reads

From smoking to COPD--current approaches.

Pneumologia 2016 Jan-Mar;65(1):20-3

Chronic obstructive pulmonary disease (COPD) remains a leading cause of death all over the world. Even though it is the most intensely studied disease induced by cigarette smoking there are still incomplete researches concerning its pathophysiology and treatment. So far it has been determined the deleterious effects of the secreted molecules diversity and some feasible therapies for their diminution. Read More

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June 2016
15 Reads

Obesity in association with Sleep Apnea Syndrome as predictor for coronary-vascular comorbidities.

Pneumologia 2016 Jan-Mar;65(1):14-8

Background And Aims: Sleep apnea syndrome (SAS) is a common disorder with growing awareness. We sought to evaluate if the presence of obesity in patients with SAS is associated with a high risk for development of coronary-vascular comorbidities.

Methods: We performed a retrospective study that included 1370 patients (30. Read More

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June 2016
13 Reads
1 Citation

Endobronchial Tuberculosis in Anthracotic Bronchitis.

Pneumologia 2016 Jan-Mar;65(1):10-3

Background: Endobronchial tuberculosis (EBTB) is a serious form of pulmonary tuberculosis. In EBTB, mycobacterium tuberculosis involves trachea, large airways and bronchial trees Combustion of biomass fuels causes anthracotic bronchitis that is characterized by black pigmentation in bronchial tissue. The majority of anthracotic bronchitis are in aged patients, particularly rural women, that use biomass fuel for cooking or traditional bakery . Read More

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June 2016
26 Reads