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3663. A 71-Year-Old Man With Dyspnea and Cough During Chemotherapy.
作者: Kazuko Yamamoto.;Koji Ando.;Moe Tanaka.;Hirokazu Yura.;Noriho Sakamoto.;Yoshiaki Zaizen.;Kazuto Ashizawa.;Junya Fukuoka.;Yasushi Miyazaki.;Hiroshi Mukae.
来源: Chest. 2020年157卷5期e165-e171页 3664. A 75-Year-Old Man With Organizing Pneumonia Presenting With Worsening Dyspnea.
作者: Steve Tseng.;Kurt Olson.;Nafis Shamsid-Deen.;Sarika Savajiyani.;Ramachandra Sista.;Tony Hodges.;Rajeev Saggar.
来源: Chest. 2020年157卷5期e161-e164页
A 75-year-old man was referred to our institution for worsening dyspnea, decreased activity tolerance, myalgias, and an increase in oxygen requirement. Nine months before the initial referral, the patient presented to an outside hospital for acute hypoxemic respiratory failure requiring a right-sided video-assisted thoracoscopic surgery (VATS) lung biopsy that disclosed organizing pneumonia (OP). He was treated with a prolonged steroid course starting at 1 mg/kg daily and tapered over 6 months to a baseline of 20 mg of prednisone daily and continuous oxygen (2 L/min). Prior attempts to further reduce prednisone resulted in worsening dyspnea, fevers, and myalgias. Despite optimal medical treatment for 3 months, he presented to our institution with progressive dyspnea, an increased oxygen requirement to 6 L/min, fatigue, and muscle weakness.
3665. A 54-Year-Old Woman With Shortness of Breath After Nephrolithotomy.
作者: Abdurraheem Farrah.;Faisal S Ali.;Mohammad Baseem Shaikh.;Mariam T Mir.;Mahmoud Khreis.
来源: Chest. 2020年157卷5期e157-e160页
A 54-year-old woman was admitted to the general medical floor after undergoing percutaneous nephrolithotomy via the supracostal approach. On postprocedure day 1, she developed low-grade fever, dry cough, shortness of breath, and palpitations.
3666. A 48-Year-Old South African Woman with Rheumatoid Arthritis and Lung Nodules.
作者: Matthew Koslow.;Sami M Bennji.;Stephanie Griffith-Richards.;Kareem Ahmad.;Geoffrey B Johnson.;Jay H Ryu.;Steven D Nathan.;Brian W Allwood.
来源: Chest. 2020年157卷5期e151-e155页
We present the case of a 48-year-old South African woman with no smoking history, and seropositive rheumatoid arthritis diagnosed in 2001. She was treated with chloroquine (150 mg, 4 times per week) and methotrexate (30 mg weekly) with well-controlled symptoms until 2015, when she developed a disease flare. Her treatment regimen was changed to leflunomide (20 mg daily) monotherapy with subsequent symptom control. Biologic agents were not accessible because of cost constraints.
3667. High-Dose Insulin Euglycemic Therapy in the Treatment of a Massive Caffeine Overdose.
A 33-year-old woman experienced 90 min of in-hospital cardiac arrest following an intentional overdose of anhydrous caffeine powder. In the face of prolonged and apparently futile resuscitation attempts, high-dose insulin euglycemic therapy was initiated. A loading dose of 1 IU/kg/h of IV insulin resulted in a dramatic improvement in perfusion. This was augmented by a 72-h infusion reaching a maximal rate of 10 IU/kg/h. The patient recovered full neurologic function and survived to discharge. Although high-dose insulin is effective in beta-blocker, calcium channel blocker, and tricyclic antidepressant overdose, this is seemingly the first description of its successful use in caffeine toxicity.
3675. A Molecular Classifier That Identifies Usual Interstitial Pneumonia in Transbronchial Biopsy Specimens of Patients With Interstitial Lung Disease.
作者: Ganesh Raghu.;Thomas V Colby.;Jeffrey L Myers.;Mark P Steele.;Sadia Benzaquen.;Karel Calero.;Amy H Case.;Gerard J Criner.;Steven D Nathan.;Navdeep S Rai.;Lars Hagmeyer.;J Russell Davis.;Sangeeta M Bhorade.;Giulia C Kennedy.;Umair A Gauher.;Fernando J Martinez.
来源: Chest. 2020年157卷5期1391-1392页 3677. The Strategic Establishment of Pulmonary and Critical Care Medicine as a Subspecialty in China: Third Report From the China-CHEST PCCM Fellowship Project.
作者: Renli Qiao.;Darcy D Marciniuk.;John D Buckley.;Stephanie M Levine.;Sinan Wu.;Chen Wang.
来源: Chest. 2020年157卷5期1082-1085页 |