Fungal pneumonias. The endemic mycoses.

Abstract:

:Each year, a vast number of individuals are infected with the endemic fungi. An expanding population, along with further land development in endemic areas, will likely continue to place individuals at risk for exposure to these organisms. A high index of suspicion may be required to diagnose histoplasmosis, blastomycosis, or coccidioidomycosis, particularly for patients who do not reside in endemic areas. Although the majority of patients with histoplasmosis, blastomycosis, and coccidioidomycosis experience self-limited infections, treatment is necessary for patients with severe pneumonitis as well as various forms of chronic pulmonary and disseminated infections. The newer azole agents--itraconazole and fluconazole--are useful in the treatment of these infections and have provided alternatives to long-term therapy with amphotericin B for many patients.

journal_name

Clin Chest Med

authors

Goldman M,Johnson PC,Sarosi GA

doi

10.1016/s0272-5231(05)70232-x

subject

Has Abstract

pub_date

1999-09-01 00:00:00

pages

507-19

issue

3

eissn

0272-5231

issn

1557-8216

pii

S0272-5231(05)70232-X

journal_volume

20

pub_type

杂志文章,评审
  • Noninfectious pulmonary complications after lung transplantation.

    abstract::This article reviews several important noninfectious pulmonary complications that threaten survival, pulmonary function, and quality of life after lung transplantation. Topics reviewed include primary graft dysfunction (PGD), native lung hyperinflation, anastomotic complications, phrenic nerve injury, pleural complica...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2005.06.006

    authors: Ahya VN,Kawut SM

    更新日期:2005-12-01 00:00:00

  • Pathogenesis, evaluation, and therapy for massive hemoptysis.

    abstract::Massive hemoptysis is a rare, but life-threatening event. Death from massive hemoptysis is usually due to aspiration of blood. Thus, the initial evaluation should occur simultaneously with efforts to control the patient's airway and respiratory status. Therapeutic interventions can be directed with an understanding of...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Thompson AB,Teschler H,Rennard SI

    更新日期:1992-03-01 00:00:00

  • Pneumonia caused by Mycoplasma pneumoniae infection.

    abstract::The features characterizing pneumonia due to Mycoplasma pneumoniae are described. Typical cases, along with chest radiographs of laboratory-documented cases, are presented. ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Luby JP

    更新日期:1991-06-01 00:00:00

  • Circadian rhythm sleep disorders.

    abstract::Because there is insufficient cellular energy for organisms to perform their functions at the same constant rate and at the same time, all biologic processes show rhythmicity, each with its own unique frequency, amplitude, and phase. Optimal sleep and wakefulness requires proper timing and alignment of desired sleep-w...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2010.02.009

    authors: Kanathur N,Harrington J,Lee-Chiong T Jr

    更新日期:2010-06-01 00:00:00

  • Conventional mechanical ventilation.

    abstract::Mechanical ventilation has become a very common and well-accepted practice in modern intensive care units. The use of the mechanical ventilator has progressed from being a support system during surgery and for acutely ill patients to being used in both moderate and long-term life support in patients with inadequate ve...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Grum CM,Chauncey JB

    更新日期:1988-03-01 00:00:00

  • Management of Ventilator-Associated Pneumonia: Guidelines.

    abstract::Two recent major guidelines on diagnosis and treatment of ventilator-associated pneumonia (VAP) recommend consideration of local antibiotic resistance patterns and individual patient risks for resistant pathogens when formulating an initial empiric antibiotic regimen. One recommends against invasive diagnostic techniq...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2018.08.002

    authors: Metersky ML,Kalil AC

    更新日期:2018-12-01 00:00:00

  • Chemotherapy and radiation for the treatment of non-small-cell lung cancer. A critical review.

    abstract::Lung cancer remains the most common fatal malignancy, so even modest therapeutic advances are potentially beneficial to large numbers of patients. For patients with regional nodal metastases identified at thoracotomy, adjuvant chemotherapy may be of benefit and additional clinical trials are in progress. Locally advan...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Murren JR,Buzaid AC

    更新日期:1993-03-01 00:00:00

  • Evaluation of respiratory disease.

    abstract::The spectrum of HIV-associated pulmonary diseases is broad. Opportunistic infections, neoplasms, and noninfectious complications are all major considerations. Clinicians caring for persons infected with HIV must have a systematic approach. The approach begins with a thorough history and physical examination and often ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2013.02.005

    authors: Tokman S,Huang L

    更新日期:2013-06-01 00:00:00

  • Hyper-IgE Syndromes and the Lung.

    abstract::Elevated serum IgE has many etiologies including parasitic infection, allergy and asthma, malignancy, and immune dysregulation. The hyper-IgE syndromes caused by mutations in STAT3, DOCK8, and PGM3 are monogenic primary immunodeficiencies associated with high IgE, eczema, and recurrent infections. These primary immuno...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2016.04.016

    authors: Freeman AF,Olivier KN

    更新日期:2016-09-01 00:00:00

  • Multidrug- and extensively drug-resistant tuberculosis in Africa and South America: epidemiology, diagnosis and management in adults and children.

    abstract::Available data show that Africa, together with the Americas and western and central Europe, reported the lowest prevalence of multidrug-resistant tuberculosis (MDR-TB). However, sub-Saharan Africa has a high TB incidence and the highest human immunodeficiency virus (HIV) prevalence in the world, and because of the hig...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2009.08.019

    authors: Schaaf HS,Moll AP,Dheda K

    更新日期:2009-12-01 00:00:00

  • Clinical applications of bronchoalveolar lavage.

    abstract::The clinical applications of bronchoalveolar lavage are assessed in regard to its current place as an aid for the practicing physician in the management of individual patients. ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章

    doi:

    authors: Turner-Warwick M,Haslam PL

    更新日期:1987-03-01 00:00:00

  • Pulmonary complications in bone marrow transplantation: a practical approach to diagnosis and treatment.

    abstract::Pulmonary complications occur in 40% to 60% of recipients of bone marrow trans-plants, account for more than 90% of mortality, and develop during identifiable phases. Phase 1 (Days 1-30) includes pulmonary edema; diffuse alveolar hemorrhage; and various bacterial, fungal, and viral infections; Phase 2 (Days 31-100) us...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/S0272-5231(03)00121-7

    authors: Yen KT,Lee AS,Krowka MJ,Burger CD

    更新日期:2004-03-01 00:00:00

  • Asthma and Corticosteroid Responses in Childhood and Adult Asthma.

    abstract::Corticosteroids are the most effective treatment for asthma; inhaled corticosteroids (ICSs) are the first-line treatment for children and adults with persistent symptoms. ICSs are associated with significant improvements in lung function. The anti-inflammatory effects of corticosteroids are mediated by both genomic an...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2018.10.010

    authors: Ramadan AA,Gaffin JM,Israel E,Phipatanakul W

    更新日期:2019-03-01 00:00:00

  • Respiratory Viral Infections in Solid Organ and Hematopoietic Stem Cell Transplantation.

    abstract::Respiratory viruses are common in solid organ and hematopoietic stem cell transplant recipients and a recognized cause of significant morbidity and mortality. Epidemiology, risk factors, and attributable mortality in both populations are reviewed. In addition, virus-specific prevention and treatment options, including...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2017.07.012

    authors: Paulsen GC,Danziger-Isakov L

    更新日期:2017-12-01 00:00:00

  • Nuclear magnetic resonance studies of the chest.

    abstract::The use of nuclear magnetic resonance to produce diagnostic images of the human chest has just become possible. These images are computer-reconstructed maps of the distribution in tissue of protons and of some of their magnetic characteristics. The images are high resolution and anatomically accurate, are capable of d...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Newhouse JH

    更新日期:1984-06-01 00:00:00

  • Update in surgical therapy for chronic obstructive pulmonary disease.

    abstract::Bullectomy for giant bullae, lung volume reduction surgery, and lung transplantation are three surgical therapies that may benefit highly selected patients with advanced chronic obstructive pulmonary disease. In this article, each procedure is reviewed, with an emphasis on guidelines for patient selection and clinical...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2007.05.004

    authors: Lederer DJ,Arcasoy SM

    更新日期:2007-09-01 00:00:00

  • CT and MR in pleural disease.

    abstract::A number of different imaging modalities can be used in the assessment of pleural disease. Although ultrasound has been the more traditional method, CT has found increasing utility for the assessment of the empyema and loculated pleural fluid collections prior to drainage and the evaluation of benign and malignant ple...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0272-5231(05)70076-9

    authors: McLoud TC

    更新日期:1998-06-01 00:00:00

  • The undiagnosed pleural effusion.

    abstract::The most common causes for undiagnosed transudative effusions are congestive heart failure and hepatic hydrothorax. Pleural fluid N terminal pro-brain natriuretic peptide levels higher than 1500 pg/mL are virtually diagnostic of congestive heart failure. The most common causes for undiagnosed exudative pleural effusio...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2005.12.002

    authors: Light RW

    更新日期:2006-06-01 00:00:00

  • Imaging infection.

    abstract::Thoracic imaging is widely used to detect lower respiratory tract infections, identify their complications, and aid in differentiating infectious from noninfectious thoracic disease. Less commonly, the combination of imaging findings and a clinical setting can favor infection with a specific organism. This confluence ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2015.02.005

    authors: Ketai L,Jordan K,Busby KH

    更新日期:2015-06-01 00:00:00

  • Imaging of lung transplantation.

    abstract::Lung transplantation is an accepted treatment for a large number of end-stage pulmonary diseases. There are several complications that pertain specifically to lung transplant recipients, including airway ischemia, reperfusion edema, infections, acute rejection, obliterative bronchiolitis, and other postoperative probl...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0272-5231(05)70257-4

    authors: Shepard JA

    更新日期:1999-12-01 00:00:00

  • Chronic bronchitis.

    abstract::Our understanding of chronic bronchitis has been hampered by the fact that the diagnosis is based upon historical evidence of recurrent cough and sputum without any requirement that certain physiologic or microscopic criteria be met. Despite the fact that epidemiological studies have implicated viruses, bacteria, and ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Sachs FL

    更新日期:1981-01-01 00:00:00

  • Pulmonary arterial hypertension associated with congenital heart disease.

    abstract::In the past decade, there have been more patients with congenital heart disease (CHD) surviving to adulthood; whether due to late repair, or complex underlying CHD, many of these patients will be faced with pulmonary arterial hypertension (PAH) associated with CHD (APAH-CHD). In this review, the authors discuss the mo...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2013.08.011

    authors: Krishnan U,Rosenzweig EB

    更新日期:2013-12-01 00:00:00

  • Laser-tissue interactions.

    abstract::The optimal surgical use of laser devices requires an understanding of the interaction mechanisms of laser radiation with biologic tissue. This article will review the physical and biologic factors that have an impact on surgical applications of the laser. It is hoped that this review can lead to improved surgical app...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章

    doi:

    authors: Sliney DH

    更新日期:1985-06-01 00:00:00

  • Nonspecific interstitial pneumonia.

    abstract::Traditionally, a subset of patients diagnosed as having idiopathic pulmonary fibrosis had positive results on cellular biopsies (prominent lymphoplasmacytic inflammation), bronchoalveolar lavage lymphocytosis, a clinical response to steroids, and a better long-term prognosis. On review of the lung histopathology, the ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2011.11.003

    authors: Kinder BW

    更新日期:2012-03-01 00:00:00

  • Sleep and respiration: a postscript.

    abstract::The recent advances in our understanding of breathing in sleep include an evolution in the selection and surgical therapy of patients with the sleep apnea syndrome. Recent work suggests that shorter polysomnographic studies may be adequate for diagnostic purposes in many sleep apnea patients. It is now clear that cent...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章

    doi:

    authors: Kryger MH,White DP,Zwillich CW,Robinson RW,Guilleminault C

    更新日期:1985-12-01 00:00:00

  • Medications for obesity: mechanisms and applications.

    abstract::Medications can significantly increase weight loss compared with placebo in most trials. In general, patients can expect a weight loss of 8% to 10% from baseline provided they adhere to the weight-loss program and take medications regularly. All medications have side effects that need to be considered before initiatin...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2009.05.014

    authors: Bray GA

    更新日期:2009-09-01 00:00:00

  • Asthma in Hispanics in the United States.

    abstract::The Hispanic population in the United States is diverse in many respects. Although there is marked variation in the prevalence, morbidity, and mortality of asthma among Hispanic subgroups in the United States, these differences are poorly understood. Future stu-dies of asthma should include large samples of Hispanic s...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2006.04.004

    authors: Cohen RT,Celedón JC

    更新日期:2006-09-01 00:00:00

  • Nontuberculous Mycobacterial Infections in Cystic Fibrosis.

    abstract::Nontuberculous mycobacteria (NTM) are important emerging cystic fibrosis (CF) pathogens, with estimates of prevalence ranging from 6% to 13%. Diagnosis of NTM disease in patients with CF is challenging, as the infection may remain indolent in some, without evidence of clinical consequence, whereas other patients suffe...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2015.11.001

    authors: Martiniano SL,Nick JA,Daley CL

    更新日期:2016-03-01 00:00:00

  • Cellular dysfunction in sepsis.

    abstract::Cellular dysfunction is a commonplace sequelum of sepsis and other systemic inflammatory conditions. Impaired energy production (related to mitochondrial inhibition, damage, and reduced protein turnover) appears to be a core mechanism underlying the development of organ dysfunction. The reduction in energy availabilit...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2008.06.003

    authors: Singer M

    更新日期:2008-12-01 00:00:00

  • Primary graft dysfunction.

    abstract::Primary graft dysfunction (PGD) is the most important cause of early morbidity and mortality following lung transplantation. PGD affects up to 25% of all lung transplant procedures and currently has no proven preventive therapy. Lung transplant recipients who recover from PGD may have impaired long-term function and a...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2011.02.007

    authors: Lee JC,Christie JD

    更新日期:2011-06-01 00:00:00