Inhalation provocation tests in chronic bird fancier's lung.

Abstract:

BACKGROUND:Patients with chronic bird fancier's lung (BFL) can be classified into two types. One group of patients develops chronic disease with fluctuating acute episodes, including low-grade fever, mild exertional dyspnea, and cough (fluctuating chronic BFL; formerly termed recurrent and relapsing chronic BFL). The other group of patients shows no history of acute episodes (insidious chronic BFL). The diagnosis of chronic BFL is difficult, since the onset of chronic BFL may be insidious, with few if any symptoms during the early stages of the disease process. STUDY OBJECTIVE:To attempt to diagnose the conditions of these patients more precisely, inhalation provocation tests were conducted using avian dropping extracts. DESIGN:Retrospective chart review. SETTING:The Tokyo Medical and Dental University Hospital in Japan. PATIENTS:Eleven patients with chronic BFL (6 with fluctuating chronic BFL and 5 with insidious chronic BFL) and 6 control subjects (4 asymptomatic bird owners and 2 idiopathic pulmonary fibrosis patients) were evaluated. MEASUREMENTS AND RESULTS:Inhalation provocation tests using avian dropping extracts were conducted. All BFL patients were evaluated as positive or probable by inhalation challenge, whereas control subjects were evaluated as negative. A peripheral leukocytosis, an increase of alveolar-arterial oxygen pressure difference, an increase of body temperature, and the development of respiratory symptoms including cough and dyspnea were more frequently observed in chronic BFL patients than in control subjects. All the BFL patients had an increase in neutrophils in BAL fluids following inhalation challenge. CONCLUSIONS:We validated the utility of inhalation challenge for the diagnosis of chronic BFL, including fluctuating and insidious BFL. We also demonstrated that neutrophilia in BAL fluids following inhalation challenge could be added to the diagnostic criteria for chronic BFL.

journal_name

Chest

journal_title

Chest

authors

Ohtani Y,Kojima K,Sumi Y,Sawada M,Inase N,Miyake S,Yoshizawa Y

doi

10.1378/chest.118.5.1382

subject

Has Abstract

pub_date

2000-11-01 00:00:00

pages

1382-9

issue

5

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)51213-0

journal_volume

118

pub_type

杂志文章

相关文献

CHEST文献大全
  • Kyphoscoliosis and respiratory failure. A patient treated with assisted ventilation for 27 years.

    abstract::A 62-year-old woman had had kyphoscoliosis since age 12 years. Respiratory failure developed at age 35 years following a respiratory infection. A tracheostomy was done and she required assisted ventilation using a respiratory (Bird). Many attempts at weaning her from the ventilator were unsuccessful. She has remained ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.98.5.1297

    authors: Woolf CR

    更新日期:1990-11-01 00:00:00

  • High-frequency modulation of heart rate variability during exercise in patients with COPD.

    abstract:STUDY OBJECTIVES:To evaluate cardiac autonomic modulation in patients with COPD during peak exercise. METHODS:Fifty-three patients with COPD (mean FEV(1), 35% predicted [SD, 11% predicted]; mean PaO(2), 68 mm Hg [SD, 11 mm Hg]; mean PaCO(2), 40 mm Hg [SD, 7 mm Hg]; mean age, 61 years [SD, 10 years]; 26 women and 27 me...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.124.3.863

    authors: Bartels MN,Jelic S,Ngai P,Basner RC,DeMeersman RE

    更新日期:2003-09-01 00:00:00

  • Aberrant systemic arterial supply to the left lung with congestive heart failure.

    abstract::A six-month-old girl with an aberrant systemic arterial supply from the descending thoracic aorta to the left lower lobe had congestive heart failure. Although the pulmonary parenchyma was normal, there was an absence of normal pulmonary arterial supply to the left lower lobe. Main pulmonary arterial and aortic cinean...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.80.5.636

    authors: Yabek SM,Burstein J,Berman W Jr,Dillon T

    更新日期:1981-11-01 00:00:00

  • Thoracotomy for postchemotherapy resection of pulmonary residual tumor mass in patients with nonseminomatous testicular germ cell tumors: aggressive surgical resection is justified.

    abstract::In patients with disseminated nonseminomatous testicular germ cell tumors (NSTGCT), a retroperitoneal residual tumor mass (RRTM) and/or a pulmonary residual tumor mass (PRTM) are often present after successful treatment with cisplatin-based polychemotherapy. Results and complications of postchemotherapy resection of P...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.112.4.967

    authors: Gels ME,Hoekstra HJ,Sleijfer DT,Nijboer AP,Molenaar WM,Ebels T,Schraffordt Koops H

    更新日期:1997-10-01 00:00:00

  • Congenital intrathoracic left ventricular diverticulum in an adult.

    abstract::A 53-year-old woman without any risk factors for coronary artery disease was found to have a congenital intrathoracic left ventricular diverticulum with a narrow long connection to the left ventricular cavity. Coronary angiography revealed normal coronary arteries. The diverticulum was resected and showed three normal...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.98.3.750

    authors: Suilen C,Friedli B,Rutishauser W

    更新日期:1990-09-01 00:00:00

  • The therapeutic potential of nitric oxide in lung transplantation.

    abstract::Endogenously produced oxides of nitrogen appear to play important roles in tissue and organ homeostasis. Endogenous production of nitric oxide, which can be altered in response to various stimuli, can modulate vascular tone, oxyradical cascades, cell adhesion, and other aspects of inflammation. Because exogenously adm...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.113.5.1360

    authors: Meyer KC,Love RB,Zimmerman JJ

    更新日期:1998-05-01 00:00:00

  • Assessment of cardiac function in patients with the acquired immunodeficiency syndrome.

    abstract::We have assessed right and left ventricular function by multigated radionuclide ventriculography in 12 consecutive patients with acquired immunodeficiency syndrome (AIDS) grouped according to the CDC classification system for HIV infection. Results were correlated with clinical, electrocardiographic and echocardiograp...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.3.592

    authors: Raffanti SP,Chiaramida AJ,Sen P,Wright P,Middleton JR,Chiaramida S

    更新日期:1988-03-01 00:00:00

  • Pulmonary artery thrombus detection by magnetic resonance imaging.

    abstract::We report a patient in whom cardiac magnetic resonance imaging detected a clinically unsuspected pulmonary artery thromboembolus. Follow-up MRI after surgical removal of the thromboembolus showed normal pulmonary arteries. This case illustrates the potential utility of MRI in the detection and follow-up of central pul...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.1.232

    authors: Szucs RA,Rehr RB,Tatum JL

    更新日期:1989-01-01 00:00:00

  • Endobronchial valve placement and balloon occlusion for persistent air leak: procedure overview and new current procedural terminology codes for 2013.

    abstract::Unidirectional endobronchial valves, originally studied for potential treatment of emphysema, have emerged as a useful intervention for patients with persistent air leak from the lung. The procedure is accomplished via bronchoscopy in a patient who already has a chest tube in place for management of the air leak. It u...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.12-2746

    authors: Kovitz KL,French KD

    更新日期:2013-08-01 00:00:00

  • Diagnostic value of pleural fluid adenosine deaminase in tuberculous pleuritis with reference to HIV coinfection and a Bayesian analysis.

    abstract:OBJECTIVES:To evaluate the diagnostic use of pleural fluid adenosine deaminase (ADAPF) levels in tuberculous pleuritis (TBpl), with a special reference to HIV coinfection and a Bayesian analysis. METHODS:We investigated a total of 216 patients with pleural effusion, including 100 with TBpl, 68 with malignant effusion,...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.116.1.97

    authors: Riantawan P,Chaowalit P,Wongsangiem M,Rojanaraweewong P

    更新日期:1999-07-01 00:00:00

  • Positron emission tomography in the staging of small-cell lung cancer : a preliminary study.

    abstract:STUDY OBJECTIVES:Small-cell lung cancer (SCLC) has an unfavorable prognosis, especially when the disease is extensive at presentation. Accurate staging procedures are therefore needed for treatment planning. Positron emission tomography (PET) is a modern noninvasive imaging technique, the value of which for the staging...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.119.3.950

    authors: Hauber HP,Bohuslavizki KH,Lund CH,Fritscher-Ravens A,Meyer A,Pforte A

    更新日期:2001-03-01 00:00:00

  • Comparison of maximal midexpiratory flow rate and forced expiratory flow at 50% of vital capacity in children.

    abstract:BACKGROUND:The mid-portion of the maximal expiratory flow-volume (MEFV) curve is often described by values of the mean forced expired flow as lung volume decreases from 75% to 25% of vital capacity (ie, forced expiratory flow, midexpiratory phase [FEF(25-75)]). It is common practice to report also forced expired flow a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.123.3.731

    authors: Bar-Yishay E,Amirav I,Goldberg S

    更新日期:2003-03-01 00:00:00

  • Regulation of breathing and perception of dyspnea in healthy pregnant women.

    abstract:STUDY OBJECTIVE:To examine if the perception of dyspnea during normal pregnancy may be related to an inappropriate ventilatory response to the increased metabolic rate, due to a higher chemosensitivity. PATIENTS AND INTERVENTIONS:At weeks 12, 24, and 36 of gestation and 4 months after delivery, 11 healthy pregnant wom...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.110.2.446

    authors: García-Rio F,Pino JM,Gómez L,Alvarez-Sala R,Villasante C,Villamor J

    更新日期:1996-08-01 00:00:00

  • Chronic cough due to tuberculosis and other infections: ACCP evidence-based clinical practice guidelines.

    abstract:BACKGROUND:Although tuberculosis (TB) and other lung infections are common throughout the developing world, they are not among the most common causes of chronic cough. METHODS:Articles were selected from a MEDLINE search from 1966 through 2003 (using medical subject heading words "cough," "tuberculosis," and "lung inf...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.129.1_suppl.197S

    authors: Rosen MJ

    更新日期:2006-01-01 00:00:00

  • Color Doppler ultrasonography for the assessment of renal blood flow in heart failure.

    abstract::To validate color Doppler ultrasonography of renal arteries for the assessment of renal blood flow (RBF), we compared left and right RBF estimates and their sum (total RBF) by echo-Doppler with data obtained by iodine 123-123I-p-aminohippuric acid (PAH) scintigraphy in 19 patients with heart failure and 7 normal contr...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.108.4.912

    authors: Vigna C,Russo A,Barbano F,Fusilli S,Loperfido F

    更新日期:1995-10-01 00:00:00

  • Hematocrit levels in sleep apnea.

    abstract::This study addresses the hypothesis that patients with obstructive sleep apnea, who exhibit recurrent episodes of oxygen desaturation at night, have higher hematocrit levels than nonapneic control subjects. We prospectively studied 624 patients referred to the sleep disorders center at St. Michael's Hospital because o...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.106.3.787

    authors: Hoffstein V,Herridge M,Mateika S,Redline S,Strohl KP

    更新日期:1994-09-01 00:00:00

  • Hospital survival rates of patients with acute respiratory failure in modern respiratory intensive care units. An international, multicenter, prospective survey.

    abstract::An international, multicenter, prospective survey has been conducted to determine the hospital survival rates of patients with potentially reversible acute respiratory failure (ARF) who are managed in sophisticated intensive care units by leading critical care specialists, using current (1991 to 1992) support and trea...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.107.4.1083

    authors: Vasilyev S,Schaap RN,Mortensen JD

    更新日期:1995-04-01 00:00:00

  • Repeatability of inspiratory capacity during incremental exercise in patients with severe COPD.

    abstract:STUDY OBJECTIVE:Estimating lung volume using inspiratory capacity (IC) maneuvers is a useful way of tracking dynamic hyperinflation. An understanding of the repeatability of the IC in a clinical setting is important when evaluating an individual's response to a therapeutic intervention that might influence lung volume....

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.121.3.708

    authors: Dolmage TE,Goldstein RS

    更新日期:2002-03-01 00:00:00

  • Atrial fibrillation following pulse methylprednisolone therapy in an adult.

    abstract::The authors believe this to be the first case report of atrial fibrillation following pulse methylprednisolone therapy in an adult. The literature regarding the complications of pulse methylprednisolone therapy is reviewed, with particular emphasis on the incidence and pathogenesis of arrhythmias. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.2.622

    authors: McLuckie AE,Savage RW

    更新日期:1993-08-01 00:00:00

  • A 3-month-old infant with recurrent apparent life-threatening events in a car seat.

    abstract::A 3-month-old infant was brought to clinic for evaluation of recurrent apparent life-threatening events (ALTEs). Two ALTE episodes occurred while the infant was sleeping in a safety car seat. The first one occurred when he was 4 weeks old. His mother noticed that he was not breathing; he appeared limp with full body c...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.14-1595

    authors: DelRosso LM

    更新日期:2015-04-01 00:00:00

  • Emergency Medical Treatment and Labor Act: what every physician should know about the federal antidumping law.

    abstract::Since 1986, the Emergency Medical Treatment and Labor Act (EMTALA) has imposed an obligation on hospitals and physicians to evaluate and stabilize patients who present to a hospital ED seeking care. Available sanctions for noncompliance include fines, damages awarded in civil litigation, and exclusion from Medicare. E...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.14-2046

    authors: Hyman DA,Studdert DM

    更新日期:2015-06-01 00:00:00

  • Recent developments in the diagnosis and management of severe sepsis.

    abstract::The last 5 years have brought dramatic changes to the care of patients with severe sepsis. While early diagnosis remains a challenge and, regrettably, a rapid, sensitive, and specific diagnostic test is still lacking, the methods to identify those critically ill patients who are likely to die have become clearer. The ...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.06-2535

    authors: Wheeler AP

    更新日期:2007-12-01 00:00:00

  • Diameter of non-small cell lung cancer correlates with long-term survival: implications for T stage.

    abstract:STUDY OBJECTIVES:To determine the effect of tumor diameter on the long-term survival of patients with stage I non-small cell lung cancer (NSCLC) within a large multi-institutional database, and to assess the accuracy of the T-descriptor threshold of 3 cm. DESIGN AND PATIENTS:A total of 9,191 patients > or = 20 years o...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.5.3255

    authors: Mery CM,Pappas AN,Burt BM,Bueno R,Linden PA,Sugarbaker DJ,Jaklitsch MT

    更新日期:2005-11-01 00:00:00

  • ICU Admission Muscle and Fat Mass, Survival, and Disability at Discharge: A Prospective Cohort Study.

    abstract:BACKGROUND:Skeletal muscle dysfunction occurring as a result of ICU admission associates with higher mortality. Although preadmission higher BMI correlates with better outcomes, the impact of baseline muscle and fat mass has not been defined. We therefore investigated the association of skeletal muscle and fat mass at ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2018.10.023

    authors: Jaitovich A,Khan MMHS,Itty R,Chieng HC,Dumas CL,Nadendla P,Fantauzzi JP,Yucel RM,Feustel PJ,Judson MA

    更新日期:2019-02-01 00:00:00

  • Inflammatory response to cardiopulmonary bypass: mechanisms involved and possible therapeutic strategies.

    abstract:BACKGROUND:Recent study of the inflammatory reactions occurring during and after cardiopulmonary bypass (CPB) has improved our understanding of the involvement of the inflammatory cascade in perioperative injury. However, the exact mechanisms of this complex response remain to be fully determined. METHODS:Literature o...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.112.3.676

    authors: Wan S,LeClerc JL,Vincent JL

    更新日期:1997-09-01 00:00:00

  • Early sepsis treatment with immunoglobulins after cardiac surgery in score-identified high-risk patients.

    abstract::In patients at risk for sepsis after cardiac surgery, the efficacy of intravenous immunoglobulin (Ig) treatment was compared with a historical control population, equivalent in patient characteristics and disease severity. Using APACHE II scores, especially in the high-risk group (IgG), we could discriminate between l...

    journal_title:Chest

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.105.1.76

    authors: Pilz G,Kreuzer E,Kääb S,Appel R,Werdan K

    更新日期:1994-01-01 00:00:00

  • The effect of physical therapy on respiratory complications following cardiac valve surgery.

    abstract:STUDY OBJECTIVE:To determine whether higher personnel intensive chest physical therapy can prevent the atelectasis that routinely follows cardiac valve surgery. DESIGN:Randomized, controlled trial. SETTING:Tertiary care hospital. PATIENTS:Seventy-eight patients undergoing elective cardiac valve surgery between Octob...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.109.3.638

    authors: Johnson D,Kelm C,Thomson D,Burbridge B,Mayers I

    更新日期:1996-03-01 00:00:00

  • Emergence of new forms of totally drug-resistant tuberculosis bacilli: super extensively drug-resistant tuberculosis or totally drug-resistant strains in iran.

    abstract:BACKGROUND:The study documented the emergence of new forms of resistant bacilli (totally drug-resistant [TDR] or super extensively drug-resistant [XDR] tuberculosis [TB] strains) among patients with multidrug-resistant TB (MDR-TB). METHODS:Susceptibility testing against first- and second-line drugs was performed on is...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-2427

    authors: Velayati AA,Masjedi MR,Farnia P,Tabarsi P,Ghanavi J,ZiaZarifi AH,Hoffner SE

    更新日期:2009-08-01 00:00:00

  • Treatment of chronic obstructive pulmonary disease with corticosteroids. Comparison of daily vs alternate-day therapy.

    abstract::We compared the efficacy of corticosteroid therapy initiated as an alternate-day regimen to that of a four-times-daily regimen in patients with stable chronic obstructive pulmonary disease. In this double-blind study, 44 patients with moderate to severe COPD (mean FEV1 740 +/- 310 ml) were hospitalized and randomly al...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.86.4.524

    authors: Blair GP,Light RW

    更新日期:1984-10-01 00:00:00

  • Periodic limb movements during sleep in patients with congestive heart failure.

    abstract::The prevalence of periodic limb movements (PLM) during sleep and their effect on sleep and daytime alertness were determined in 23 men with severe, stable congestive heart failure (CHF) and 9 healthy control subjects. Each subject had overnight polysomnography and the following day completed a subjective assessment of...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.109.6.1497

    authors: Hanly PJ,Zuberi-Khokhar N

    更新日期:1996-06-01 00:00:00