Abstract:
:Primary influenza pneumonia is a disease of high mortality. Differentiation between a bacterial and viral etiology for the pulmonary infiltrates frequently presents a diagnostic dilemma. Rapid diagnosis is essential; and once established, the patient requires careful supportive therapy. This report describes two patients with primary influenza pneumonia complicated by severe respiratory failure. Early diagnosis of the pulmonary infiltrates was accomplished by obtaining bronchial secretions with fiberoptic bronchoscopy and staining them with influenza-A fluorescent conjugate. One patient died of the complications of this illness, despite maximal supportive therapy. The other patient survived the illness and at the time of hospital discharge was showing marked improvement in his exercise tolerance. There was subsequent gradual return of ventilation and gas transport function to normal values.
journal_name
Chestjournal_title
Chestauthors
Bogart DB,Liu C,Ruth WE,Kerby GR,Williams CHdoi
10.1378/chest.68.4.513subject
Has Abstractpub_date
1975-10-01 00:00:00pages
513-7issue
4eissn
0012-3692issn
1931-3543pii
S0012-3692(16)53470-9journal_volume
68pub_type
杂志文章相关文献
CHEST文献大全abstract:STUDY OBJECTIVES:To determine whether, in patients with bilateral pleural effusions, the main cellular and biochemical features of the pleural fluid on the right side differ from or correlate with those on the left side. We examined lactate dehydrogenase (LDH), glucose, and total protein (TP) levels, RBC count, nucleat...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.124.1.167
更新日期:2003-07-01 00:00:00
abstract::Selection of patients with lung cancer who are most likely to benefit from chemotherapeutic treatment would be a substantial step forward. Therefore, a prospective study in predictive chemosensitivity testing in vitro using the fast green assay (FGA) as developed by Weisenthal et al was carried out. Sixty-six pretreat...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.100.5.1358
更新日期:1991-11-01 00:00:00
abstract::The production of cytotoxic oxygen radicals by activated granulocytes is a proposed mechanism of lung injury in ARDS. Protective effects of N-acetylcysteine (NAC) have been described in experimental and clinical ARDS. NAC could act in part by replenishing the intracellular stores of glutathione (GSH) in activated gran...
journal_title:Chest
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1378/chest.109.1.163
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:Induced sputum cytology and protein biomarkers can be used to assess airways inflammation. Increases in sputum iron have been described in inflammatory lung disease. We hypothesized that other sputum metals may be affected by airways inflammation and investigated their potential value as biomarkers. METHODS...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.09-1047
更新日期:2010-03-01 00:00:00
abstract::A 72-year-old man presented with malaise, weight loss, and cough. Chest radiograph revealed bilateral pleural effusions. On thoracentesis, the left effusion was a clear yellow exudate with more than 90% lymphocytes, and the right effusion was a grossly bloody exudate with more than 90% neutrophils. Cultures of both ef...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.110.3.849
更新日期:1996-09-01 00:00:00
abstract:BACKGROUND:Prolonged mechanical ventilation (MV) is associated with high morbidity, mortality, and cost. However, few and limited data are available on the prediction of duration of MV. We conducted an observational cohort study to seek predictive criteria. METHODS:The study was performed in a surgical ICU (SICU) in a...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.112.3.745
更新日期:1997-09-01 00:00:00
abstract:STUDY OBJECTIVES:We sought to determine the indicators of asthma severity among children in the United States with high and low levels of tobacco smoke exposure. DESIGN:Cross-sectional study. SETTING:Nationally representative survey of participants in the Third National Health and Nutrition Examination Survey (from 1...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.122.2.409
更新日期:2002-08-01 00:00:00
abstract::Ozone can cause pulmonary edema and simultaneously decrease blood pressure. Atrial natriuretic factor (ANF) may mediate both of these effects in that it increases pulmonary capillary permeability resulting in edema formation and vasodilates the vascular system. The present investigation was designed to test directly t...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.105.5.1551
更新日期:1994-05-01 00:00:00
abstract:BACKGROUND:Eosinophils contain granule proteins such as eosinophil cationic protein (ECP) that have proinflammatory effects on airways. ECP may be released on activation of eosinophils into the plasma and is widely used as a marker of bronchial hyperreactivity and allergic inflammation. Environmental factors as well as...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.121.4.1111
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:The Parent Cough-Specific Quality-of-Life questionnaire (PC-QOL) has relevance and clinical utility as a cough-specific QOL measure for pediatric use. Its validity has been demonstrated. This study sought to determine the minimally important difference (MID) for the PC-QOL completed by parents of young child...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.10-1476
更新日期:2011-03-01 00:00:00
abstract::A ventricular inhibited unipolar pacing system in a case of so-called pacemaker syndrome was successfully converted into an atrioventricular sequential system without replacing the ventricular lead. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.77.3.436
更新日期:1980-03-01 00:00:00
abstract:BACKGROUND:Cardiac death is the leading cause of mortality associated with sarcoidosis in Japan. However, the involvement of sarcoidosis infiltration often remains undetected. Recently, late gadolinium enhancement with cardiovascular MRI (LGE-CMR) imaging has been introduced for the detection of myocardial infiltrative...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.14-0139
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:To assess, by systematic review, the efficacy and safety of recombinant tissue plasminogen activator (rt-PA) in the treatment of lower extremity deep venous thrombosis (DVT). A secondary objective is to assess the optimal dose and route of administration of rt-PA. METHODS:Included studies were randomized, co...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.119.2.572
更新日期:2001-02-01 00:00:00
abstract::It has been suggested that radiation doses due to high-resolution computed tomography (HRCT) of the chest are considerably higher than those from conventional CT. We compared the effective dose (E, mSv) in conventional chest CT (10-mm contiguous slices) and HRCT (1.5-mm slices, gap 10 mm). In our study, the effective ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.107.1.113
更新日期:1995-01-01 00:00:00
abstract::Thirty-three patients who were to undergo diagnostic fiberoptic bronchoscopy were studied. Pulmonary function tests were performed before the procedure, after topical lidocaine anesthesia, and immediately and four hours after bronchoscopy. Nine patients received aerosolized isoproterenol (Isuprel) before the topical a...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.79.5.516
更新日期:1981-05-01 00:00:00
abstract:CASE PRESENTATION:A 37-year-old man with poorly controlled type 2 diabetes presented with severe right-sided pleuritic chest pain, respiratory splinting, and cough. Two weeks earlier, he had been evaluated at an urgent care for cough and was prescribed a 5-day course of azithromycin for bronchitis. He then presented to...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2019.02.002
更新日期:2019-07-01 00:00:00
abstract::There is renewed interest in the classification and methods of recording adventitious pulmonary sounds. This is a study of the importance of fine crackles (rales) in the diagnosis and estimation of the severity of diffuse infiltrative pulmonary disease. Among 272 cases documented by lung biopsy, bilateral fine crackle...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.73.3.333
更新日期:1978-03-01 00:00:00
abstract:OBJECTIVE:Two recent studies in resectable non-small cell lung cancer by the Lung Cancer Study Group (LCSG) suggested an advantage to adjuvant therapy with cyclophosphamide, doxorubicin (Adriamycin), and cisplatin (CAP). Neither study had a no-treatment control arm. The purpose of this study was to compare the CAP regi...
journal_title:Chest
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:
更新日期:1994-12-01 00:00:00
abstract:STUDY OBJECTIVE:To determine if screening by specialists could reduce unnecessary test ordering and reduce costs related to diagnostic workup in patients undergoing evaluation for tuberculosis. DESIGN:Prospective evaluation of expert opinion in consecutive patients suspected of having tuberculosis. SETTING:A large mu...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.114.3.681
更新日期:1998-09-01 00:00:00
abstract:OBJECTIVE:To describe and correlate pulmonary function and high-resolution CT (HRCT) scan scores in individuals with a high risk for development of pulmonary fibrosis, ie, Hermansky-Pudlak syndrome (HPS) patients with mutations in the HPS-1 gene. DESIGN:Cross-sectional analysis of consecutive, eligible patients. PATI...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.117.1.129
更新日期:2000-01-01 00:00:00
abstract:BACKGROUND:Portable monitoring is a convenient means for diagnosing sleep apnea. However, data on whether one night of monitoring is sufficiently precise for the diagnosis of sleep apnea are limited. RESEARCH QUESTION:The current study sought to determine the variability and misclassification in disease severity over ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2020.01.039
更新日期:2020-07-01 00:00:00
abstract::Electrocardiogram changes and pharmacologic responses were studied in 28 cases of brain death. Cardiac activity in this condition is possibly determined by the dynamic balance between the depressant action of hypothermia and the stimulating action of the sympathetic nervous system (without any vagal or central influen...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.67.4.425
更新日期:1975-04-01 00:00:00
abstract::In 14 consecutive patients with varying myocardial function, evaluation of the Valsalva maneuver was performed using aortic pulse pressure decay to investigate a possible quantitative relationship between the pattern of response and the degree of myocardial dysfunction. The aortic pulse pressure response during strain...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.95.5.986
更新日期:1989-05-01 00:00:00
abstract:BACKGROUND:Limited data are available on the impact of time to ICU admission and outcomes for patients with severe community acquired pneumonia (CAP). Our objective was to examine the association of time to ICU admission and 30-day mortality in patients with severe CAP. METHODS:A retrospective cohort study of 161 ICU ...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.09-1547
更新日期:2010-03-01 00:00:00
abstract::A case of idiopathic pulmonary hypertension is associated with portal venous thrombosis. The patient's chest roentgenogram revealed numerous nodular densities which at necropsy were found to have been caused by an exuberant fibroblastic reaction around small pulmonary arterioles. This is an example of the unusual asso...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.78.1.111
更新日期:1980-07-01 00:00:00
abstract:PURPOSE:The National Asthma Education and Prevention Program (NAEPP) published guidelines for asthma management in 1991. The purpose of this study is to assess the concordance between emergency physicians' practice and the guidelines. DESIGN:Survey mailed to emergency physicians. Non-respondents were mailed a second c...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.109.3.708
更新日期:1996-03-01 00:00:00
abstract:INTRODUCTION:Pulmonary arterial hypertension (PAH) is the most common cause of scleroderma-related deaths. New medications for PAH patients make it necessary to identify patients with high risk factors for PAH. This study looks at the use of an exercise echocardiogram in identifying patients who may have PAH and may be...
journal_title:Chest
pub_type: 临床试验,杂志文章
doi:10.1378/chest.07-2324
更新日期:2008-07-01 00:00:00
abstract::Health systems confronting the coronavirus disease 2019 (COVID-19) pandemic must plan for surges in ICU demand and equitably distribute resources to maximize benefit for critically ill patients and the public during periods of resource scarcity. For example, morbidity and mortality could be mitigated by a proactive re...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1016/j.chest.2020.04.026
更新日期:2020-08-01 00:00:00
abstract:PURPOSES:To evaluate the safety of inferior vena cava (IVC) filter retrieval in therapeutically anticoagulated patients in comparison to prophylactically or not therapeutically anticoagulated patients with respect to retrieval-related hemorrhagic complications. MATERIALS AND METHODS:This was a retrospective study of 1...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.06-2897
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:We evaluated whether or not changes in bispectral index (BIS) are associated with concomitant changes in autonomic variables that are in agreement with the different level of sedation that the changes in BIS indicate. DESIGN:A retrospective chart review. SETTING:A pediatric ICU of a children's hospital. ME...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.1.303
更新日期:2005-07-01 00:00:00