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Relapse of tuberculosis in bronchiectasis

Kohei Horiuchi, Takanori Asakura, Naoki Hasegawa, Fumitake Saito
BACKGROUND: Coexistence of aspergilloma and allergic bronchopulmonary aspergillosis (ABPA) has rarely been reported. Although the treatment for ABPA includes administration of corticosteroids and antifungal agents, little is known about the treatment for coexisting aspergilloma and ABPA. Furthermore, the impact of surgical resection for aspergilloma on ABPA is not fully understood. Here, we present an interesting case of recurrent ABPA with long-term follow-up after surgical resection of aspergilloma...
December 4, 2018: BMC Pulmonary Medicine
F Méchaï, C Fock-Yee, D Bouvry, A Raffetin, O Bouchaud, M Brauner, P Y Brillet
OBJECTIVES: To describe the residual broncho-pulmonary lesions and evaluate the role of CT scanning at the end of treatment of pulmonary tuberculosis. MATERIALS AND METHODS: Analysis of the initial and end of treatment CT scans of 56 patients with pulmonary tuberculosis according to a reading grid including parenchymatous and airways lesions. The CT data at the end of treatment were analysed in relation to the clinical and microbiological data, and the original CT scan...
September 17, 2018: Revue des Maladies Respiratoires
Joachim Pfannschmidt, Nicolas Schönfeld
Today surgical procedures for pulmonary tuberculosis are highly selective but owing to the increasing incidence of multidrug resistant tuberculosis has been becoming more and more relevant. Besides the treatment of tuberculosis foci in multidrug resistance tuberculosis to eliminate the source of relapse, complications as sequelae of tuberculosis are among the most frequent indications for surgery. In patients with cavernous lesions, destroyed lobe or lung, bronchiectasis, pleural empyema or hemoptysis thoracic surgical procedures may be warranted...
September 2017: Zentralblatt Für Chirurgie
G P Cornalba, A Vella, F Barbosa, G Greco, C Michelozzi, A Sacrini, F Melchiorre
PURPOSE: The authors report on 31 years of experience with bronchial (BAE) and/or nonbronchial (NBAE) systemic artery embolisation for managing haemoptysis. MATERIALS AND METHODS: A total of 534 patients who underwent bronchial artery angiography for haemoptysis between 1979 and 2010 were retrospectively evaluated. Of these patients, 477 (89%) had active bleeding and underwent BAE and/or NBAE (295 males and 182 females, aged between 12 and 71 years). Embolisation techniques, materials, major and minor complications and relapses were recorded...
October 2013: La Radiologia Medica
Ramon Orriols, Víctor Núñez, Rosana Hernando, Estrella Drobnic, Margarita Moreiras
BACKGROUND AND OBJECTIVES: The natural history of life-threatening hemoptysis (LTH), a medical emergency, is ill defined. The objective of the study was to evaluate, in a university teaching hospital setting, the etiology, methods used, and evolution of LTH. PATIENTS AND METHODS: Prospective study in which we enrolled 154 patients admitted for LTH over 3 consecutive years. Bronchoscopy and arteriography procedures were performed, as prescribed by the attending physician...
September 8, 2012: Medicina Clínica
Ling Xu, Bai-qiang Cai, Kai-feng Xu, Hong Zhang, Ai-fang Yang
OBJECTIVE: To describe the clinical characteristics of allergic bronchopulmonary aspergillosis (ABPA). METHODS: The clinical presentations, serologic results, lung function data, chest radiology and the results of treatment of 23 patients with ABPA in Peking Union Medical College Hospital were retrospectively analyzed. RESULTS: There were 11 males and 12 females, with a mean age of (34.0 +/- 13.2) yrs. Tuberculosis, pneumonia, lung cancer and Wegener's granulomatosis were initially diagnosed in 12, 3, 2 and 1 cases respectively...
March 2007: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
Ritesh Agarwal, Dheeraj Gupta, Ashutosh N Aggarwal, Digamber Behera, Surinder K Jindal
AIMS AND OBJECTIVES: To describe the experience of screening patients with asthma for allergic bronchopulmonary aspergillosis (ABPA) presenting to a chest clinic. The clinical, serologic, radiologic, and treatment aspects including outcome of ABPA are also described. METHODS: All consecutive patients with asthma presenting to the chest clinic over a period of 2 years were screened with an Aspergillus skin test. Patients who were found to be positive were further investigated for ABPA...
August 2006: Chest
Stephen K Field, Robert L Cowie
As the prevalence of tuberculosis (TB) declines in the developed world, the proportion of mycobacterial lung disease due to nontuberculous mycobacteria (NTM) is increasing. It is not clear whether there is a real increase in prevalence or whether NTM disease is being recognized more often because of the introduction of more sensitive laboratory techniques, and that more specimens are being submitted for mycobacterial staining and culture as the result of a greater understanding of the role of NTM in conditions such as cystic fibrosis, posttransplantation and other forms of iatrogenic immunosuppression, immune reconstitution inflammatory syndrome, fibronodular bronchiectasis, and hypersensitivity pneumonitis...
June 2006: Chest
Toshiaki Tsuchiya
Patients infected by tuberculosis (TB) had been thought to never experience exogenous re-infection. However, exogenous re-infection in HIV-positive patients is well known. Thanks to the introduction of histopathological examination, analysis of similarities in drug-resistance patterns and epidemiological surveys of genetic phage typing for TB infection, we have begun to understand that even people with a normal immune system can experience re-infection. Recent advances in the techniques of restriction fragment length polymorphism (RFLP) and spoligotyping allow determination of similarities in tubercle bacilli, revealing a high ratio of exogenous re-infection...
February 2006: Kekkaku: [Tuberculosis]
Mitsunori Sakatani, Yoshiki Nakajima
The non-tuberculous mycobacteriosis (NTM) is not a unitary disease. It is a general term for the bronchopulmonary diseases caused by any mycobacterium other than M. tuberculosis. We don't call the pulmonary "pseudomoniosis" for the diffuse bronchiectasis caused by Pseudomonas aeruginosa, though conditions of the disease looks like NTM. The name of NTM represents that the causativebacteria belong to the same species with M. tuberculosis which causes serious pulmonary infectious disease. The pulmonary diseases caused by M...
January 2006: Kekkaku: [Tuberculosis]
Yan-bin Zhang, Hai-hao Xiao, Chun-mei Tang, Dong-ming Fang, Shou-yong Tan, Dong-zhen Xu, Yi-geng Li
OBJECTIVE: To investigate the long-term effect and the key factors associated with relapse of double embolization of bronchial artery in patients with lung tuberculosis and hemoptysis. METHODS: Fifty patients with lung tuberculosis and hemoptysis receiving the radiography and double embolization of bronchial artery (BAG + BAE) had been followed up for two years. The causes for hemoptysis relapse was determined, followed by specific treatment, and the effect was evaluated...
July 2004: Chinese Journal of Tuberculosis and Respiratory Diseases
Stephen K Field, Dina Fisher, Robert L Cowie
Mycobacterium avium complex (MAC) is ubiquitous. It is found in various freshwater and saltwater sources around the world, including hot water pipes. Although the organism was identified in the 1890s, its potential to cause human disease was only recognized 50 years later. Only a minority of people exposed to the organism will acquire MAC lung disease, usually those with underlying lung disease or immunosuppression. MAC may, however, cause progressive parenchymal lung disease and bronchiectasis in patients without underlying lung disease, particularly in middle-aged and elderly women...
August 2004: Chest
Ashok Shah, Chandramani Panjabi
Allergic bronchopulmonary aspergillosis (ABPA), an immunologically mediated lung disease, occurs predominantly in patients with asthma. This chronic relapsing disorder ranges clinically from mild asthma to fatal destructive lung disease and is caused by hypersensitivity to colonized Aspergillus fumigatus (Af). The immunopathogenesis of the disease is yet to be understood clearly. Specific IgE-Af and IgG-Af, the serological markers, contribute to the diagnosis. Radiologically, ABPA is characterized by fleeting pulmonary infiltrates often confused with pulmonary tuberculosis...
June 2002: Journal of Asthma: Official Journal of the Association for the Care of Asthma
P Cremaschi, C Nascimbene, P Vitulo, C Catanese, L Rota, G C Barazzoni, G P Cornalba
Still today bronchial artery embolization (BAE) is an important procedure in the management of hemoptysis, as an alternative to, or in association with, surgical or medical therapy. From 1974 to 1990, BAE was performed in 209 patients who suffered from hemoptysis with different etiopathogeneses and severity. Bronchiectasis were the most frequent indication (46%) followed by tuberculosis (31%), cystic fibrosis (16%), lung cancer (4%), and aspergillosis (3%). BAEs were performed by means of polyvinyl alcohol particles and absorbable gelatin sponge...
April 1993: Angiology
G Massard, G Lyons, J M Wihlm, P Fernoux, P Dumont, R Kessler, N Roeslin, G Morand
From January 1, 1978 to December 31, 1992, 37 patients underwent a completion pneumonectomy after a previous lobectomy (36 men and 1 woman; mean age, 60 years; range, 41 to 77 years). These account for 4.8% of 758 pneumonectomies. The purpose of the present study was to evaluate the operative results of completion pneumonectomy and long-term survival in patients with bronchogenic cancer. The initial lung resection had been performed for primary bronchogenic cancer in 23, metastatic thyroid adenocarcinoma in 1, and benign diseases in 13 (tuberculosis in 11, aspergilloma in 1, and bronchiectasis in 1)...
January 1995: Annals of Thoracic Surgery
S Motojima, T Numao, S Watanabe, N Ando, H Kurusu, T Otsuka, M Toda, T Yamai, G Yamada, T Yukawa
Respiratory infections of 19 subjects of advanced age and/or with underlying respiratory disease were treated with cefoperazone (CPZ) and its clinical effects were studied. Sixteen subjects suffered from respiratory tract infection and 3 subjects had pneumonia. The age of the subjects ranged from 39 to 77 years with the mean of 63.8, 7 of them being more than 70 years of age. The underlying respiratory diseases included chronic pulmonary emphysema in 6 subjects, diffuse panbronchiolitis in 3, bronchiectasis in 3, silicosis in 2 and one each of chronic bronchitis, pulmonary fibrosis, lung cancer and old pulmonary tuberculosis...
March 1986: Japanese Journal of Antibiotics
G L Feofilov, A G Sidorenko, R I Glock
Upward diaphragmatic displacement was performed in 53 patients after massive lung resection for tuberculosis or bronchiectasis and the data are presented. This technique provides ample room for expansion of the remainder of the lung; it also avoids overexpansion, activation of tuberculous foci, and relapse of bronchiectasis. Diaphragamatic displacement can be used for liquidation of a remaining infected cavity. In children with massive bronchiectasis it serves to conserve two unaffected segments and avoids pneumonectomy...
February 1975: Journal of Thoracic and Cardiovascular Surgery
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