Respirology Case Reports Volume 8, Issue 7 October 2020
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Issue Information
Case Series
e00630 | First Published: 02 August 2020
e00634 | First Published: 15 August 2020
e00648 | First Published: 25 August 2020
e00655 | First Published: 31 August 2020
Thunderstorm asthma had previously been considered unlikely to occur in New Zealand (NZ), given its local weather patterns. Storm events on 2 December 2017 led to increased asthma presentations at Waikato Hospital in Hamilton. Analyses of patient presentations led us to conclude that these presentations were similar to international descriptions of thunderstorm asthma. This is the first time such presentations have been reported in NZ.
Case Reports
e00615 | First Published: 07 September 2020
e00620 | First Published: 16 July 2020
Tracheal and bronchial varices are rare, especially in children. We report the first presentation of bronchial varices and haemoptysis in a child, six years after a Fontan procedure for tricuspid atresia. She had tortuous mediastinal and transpleural arterial collaterals on imaging and subsequently underwent embolization of these collaterals with haemoptysis settling after this.
e00621 | First Published: 15 July 2020
Indwelling pleural catheter (IPC) is a useful tool for refractory malignant pleural effusions (MPEs). Its use in benign pleural effusions comes mainly from retrospective studies, case series, and case reports. Lupus effusion is common, causes minimal symptoms, and usually responds to either steroid therapy or immunosuppressants. We describe a 52‐year‐old woman whose first presentation of systemic lupus erythematosus (SLE) was a pleural effusion refractory to steroids and immunosuppressants. She successfully achieved spontaneous pleurodesis with intermittent IPC drainage at three months.
e00622 | First Published: 15 July 2020
e00624 | First Published: 15 July 2020
e00625 | First Published: 16 July 2020
e00626 | First Published: 05 August 2020
Here, we report the case of a 37‐year‐old pregnant Japanese woman with bronchial mucoepidermoid carcinoma, recurrent asthmatic symptoms, and pneumonia that we treated successfully via interventional bronchoscopy and surgery. At one‐year follow‐up, the patient was disease‐free and her baby was growing well.
e00627 | First Published: 16 July 2020
We report the first case of incomplete metalloptysis linger pneumonia after the wedge resection of organizing pneumonia, with complete recovery by removal of residual clips, where clips from the staple cartridges had been applied on the periphery of the lung migrated and been incompletely expectorated.
e00628 | First Published: 16 July 2020
e00629 | First Published: 23 July 2020
e00631 | First Published: 28 July 2020
We describe the surprise finding of haemorrhagic endobronchial casts causing complete ventilation failure in the first patient placed on extracorporeal membrane oxygenation (ECMO) for coronavirus disease 2019 (COVID‐19) in Australia. Removal of casts with international bronchoscopy procedures leads to the restoration of ventilation.
e00632 | First Published: 31 July 2020
e00633 | First Published: 07 August 2020
We describe the clinical progress of siblings who initially presented with an undifferentiated paediatric interstitial lung disease at birth which was eventually diagnosed in adulthood as pulmonary surfactant dysfunction due to ATP‐binding cassette subfamily A member 3 (ABCA3) mutations. Clinical deterioration was due to progressive pulmonary hypertension and a moderate decline in forced expiratory volume in 1 sec (FEV1), rather than progression of the interstitial lung disease.
e00635 | First Published: 03 August 2020
e00636 | First Published: 30 July 2020
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