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Respirology Case Reports
Scopus
ISSN 2051-3380 · Wiley · 1.656 artikel di indeks
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Artikel Jurnal
Occult Endobronchial Foreign Body Presenting as Persistent Lobar Collapse and Severe Pneumonia
ABSTRACT Foreign body aspiration is uncommon in adults and may present without a clear aspiration history. We describe an adult patient with persistent lobar collapse and severe pneumonia in whom bronchoscopy revealed an occult endobronchial foreign body causing airway obstruction.
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Severe Lung Abscess and Sepsis Caused by Klebsiella ozaenae in a Malnourished Patient With Psychiatric Disease
ABSTRACT Severe infections caused by Klebsiella ozaenae are extremely rare, and their clinical characteristics remain poorly defined. We report a case of Klebsiella ozaenae sepsis with severe lung abscesses in a malnourished patient with psychiatric disease, requiring 3 months of antimicrobial…
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Extensive Lymphadenopathy in an HIV‐Negative Patient With Multidrug‐Resistant Tuberculosis
ABSTRACT Tuberculous lymphadenitis is generally more severe in patients with HIV infection. We present an HIV‐negative patient with multidrug‐resistant tuberculosis who developed severe, extensive lymphadenitis involving multiple extrapulmonary regions. This clinical image highlights that marked…
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Acute Empyema due to Gemella morbillorum Following COVID‐19 in an Otherwise Healthy Middle‐Aged Man
ABSTRACT Acute empyema typically occurs in elderly or immunocompromised individuals, and its development in healthy, non‐elderly adults is uncommon. We report a case of acute empyema caused by Gemella morbillorum following COVID‐19 infection in a previously healthy man in his mid‐40s. He developed…
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A Case of Bronchial Dieulafoy's Disease Presenting as an Endobronchial Polypoid Lesion That Regressed After Bronchial Artery Embolisation
ABSTRACT A 37‐year‐old woman presented to the hospital with a history of a small amount of hemoptysis. Bronchoscopy revealed a polypoid lesion in the left main bronchus. Due to oozing bleeding from the lesion, biopsy was deferred to avoid fatal haemorrhage risk. Bronchial angiography revealed an…
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Bronchus to Caecum—An Unusual Case of a Migratory Aspirated Dental Implant
ABSTRACT Foreign body aspirations more commonly occur in children and the elderly. There are many challenges in their diagnosis and management, with both acute and chronic complications. Bronchoscopy is the preferred management approach for airway evaluation and retrieval of an aspirated foreign…
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Cannonball Metastases of the Lung: An Unusual Initial Manifestation of Endometrial Carcinoma
ABSTRACT Endometrial carcinoma is the most common gynecologic malignancy in developed countries and is typically diagnosed at an early stage, with distant metastases uncommon at presentation. Pulmonary involvement occurs in less than 5% of cases and usually manifests as small nodules or…
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Chronic Productive Cough in an Immunosuppressed Patient due to Biologics: A Rare Case of Bordetella bronchiseptica Pulmonary Infection
ABSTRACT Bordetella bronchiseptica is a zoonotic pathogen that can infect immunocompromised humans. We present a 59‐year‐old man on immunotherapy for inflammatory bowel disease, with persistent expectorant cough for 18 months. Computed tomography (CT) demonstrated migratory lung infiltrates…
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Effusion‐Dominant Pulmonary Sarcomatoid Carcinoma Without a Primary Mass: A Case Report
ABSTRACT Sarcomatoid carcinoma is a rare, aggressive lung cancer subtype. It typically presents as a pulmonary or pleural mass. Effusion‐dominant disease without an identifiable primary mass is exceptionally uncommon. We report a 59‐year‐old man presenting with dyspnoea, chest pain, and fever…
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Palliative Osimertinib Rechallenge Achieving Rapid Improvement in Leptomeningeal Carcinomatosis After Prior Osimertinib‐Induced ILD
ABSTRACT A patient with EGFR‐mutant lung cancer developed leptomeningeal carcinomatosis years after osimertinib‐induced ILD. With no other treatment options, palliative osimertinib rechallenge led to rapid neurological improvement and radiological response, without ILD recurrence. This case…
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FDG‐Avid Branching Pulmonary Metastasis From Urothelial Carcinoma: The Golden Glove Sign
ABSTRACT An elderly man had branching pulmonary opacities. PET‐CT showed uniform FDG avidity extending from central to peripheral bronchi. Bronchoscopy confirmed urothelial carcinoma metastasis. We propose the ‘golden glove’ sign—branching uptake favouring neoplastic spread over mucoid…
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Reconsidering the Role of Blood Cultures in Community‐Acquired Pneumonia: A Case of Co‐Infection With Streptococcus pneumoniae and Klebsiella variicola
ABSTRACT Community‐acquired pneumonia (CAP) remains a leading cause of morbidity and mortality. Streptococcus pneumoniae is the most common causative pathogen, with urinary antigen testing aiding the diagnosis thereof; however, blood culture yields are low, and guideline recommendations vary. We…
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From Hypoglycaemia to Haemorrhage: A Case of Giant Pleural Solitary Fibrous Tumour With Doege–Potter Syndrome
ABSTRACT Doege–Potter Syndrome (DPS) is a rare paraneoplastic cause of hypoglycaemia, arising from solitary fibrous tumours (SFTs) that ectopically secrete insulin‐like growth factor II (IGF‐II). We report a case of DPS in a 76‐year‐old man presenting with recurrent severe hypoglycaemia…
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Candida krusei Lung Abscess With Black Necrotic Aspirate
ABSTRACT A profoundly immunocompromised man developed a large cavitary lung lesion producing black, viscous aspirate, with culture confirming Candida krusei. This rare manifestation underscores that atypically dark aspirates from lung cavities should raise suspicion for invasive fungal infection…
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A Case of Comprehensive Interventional Therapy for Bronchial Thromboembolism Caused by Hemoptysis
ABSTRACT Massive hemoptysis from dual bronchial artery malformations necessitated emergent embolization. Extensive jelly‐like endobronchial clots caused complete lobar collapse refractory to suction. We used cryoextraction to achieve rapid en‐bloc removal of arborizing casts with prompt…
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Hampton's Hump as a Radiologic Clue to Pulmonary Embolism in a Young Patient
ABSTRACT Pulmonary embolism may occur even in young adults with subtle risk factors such as prolonged immobility from mobile gaming. Hampton's hump on chest CT, though classically associated with infarction, remains a critical clue for diagnosis. Early recognition enables prompt anticoagulation and…
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EUS‐B‐FNA Enabled Pathological Diagnosis After Airway Stenting due to Severe Stenosis by Adenocarcinoma
ABSTRACT A 49‐year‐old man with severe airway stenosis and SVC syndrome underwent urgent Y‐stent placement before diagnosis. Subsequent EUS‐B‐FNA enabled adenocarcinoma diagnosis. This case highlights that transbronchial biopsy in marked stenosis risks fatal obstruction; thus, transesophageal…
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A Rare Case of Necrotising Sarcoid Granulomatosis Presenting as Bilateral Pulmonary Masses Mimicking Malignancy
ABSTRACT Necrotising sarcoid granulomatosis (NSG) is a rare granulomatous lung disease characterised by non‐caseating granulomas, necrosis, and vasculitis. We describe a 50‐year‐old man who presented with constitutional symptoms and bilateral pulmonary masses initially suggestive of metastatic…
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Huge Intrathoracic Lipoma Occupying the Right Hemithorax
ABSTRACT Intrathoracic lipomas are rare benign tumours that may attain considerable size before detection. We report a 38‐year‐old woman in whom a huge intrathoracic lipoma was incidentally identified on chest radiography during preoperative assessment. Computed tomography demonstrated a large…
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Artikel Jurnal
Hemothorax as the Initial Manifestation of KRAS G12D Positive Pulmonary Pleomorphic Carcinoma: A Case Report
ABSTRACT Pulmonary pleomorphic carcinoma (PPC) is a rare subtype of lung cancer that is characterised by rapid progression and poor prognosis. Hemothorax as the initial clinical presentation of PPC is exceptionally rare and, to the best of our knowledge, has not been previously reported. Here, we…
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