Abstract:
CASE PRESENTATION:A previously healthy 62-year-old woman was transferred to the ICU from the medical ward with acute bronchospastic respiratory failure requiring intubation and mechanical ventilation. Four weeks before, the patient was vacationing in Arizona and acquired a mildly productive cough as well as mild dyspnea. She presented to an urgent care facility and was diagnosed with community-acquired pneumonia. She received a 5-day course of azithromycin, with partial improvement of her symptoms. The patient returned home 1 week prior to admission, reporting worsening dyspnea, chest pressure, cough, and fever. The patient was admitted to the medical ward, and treatment for unresolved pneumonia was begun with levofloxacin, an inhaled short-acting beta agonist, and oral prednisone. Despite this treatment, the patient experienced severe respiratory distress with audible wheezing as well as increased work of breathing. She was intubated for acute hypoxemic respiratory failure and transferred to the ICU.
journal_name
Chestjournal_title
Chestauthors
Hountras P,Cajigas Hdoi
10.1016/j.chest.2017.04.168subject
Has Abstractpub_date
2017-09-01 00:00:00pages
e73-e76issue
3eissn
0012-3692issn
1931-3543pii
S0012-3692(17)30811-5journal_volume
152pub_type
杂志文章相关文献
CHEST文献大全abstract:BACKGROUND:The American Thoracic Society recommends race-specific spirometric reference values from the National Health and Nutrition Survey (NHANES) III for clinical evaluation of pulmonary function in whites, African-Americans, and Mexican-Americans in the United States and a correction factor of 0.94 for Asian-Ameri...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.09-0919
更新日期:2010-01-01 00:00:00
abstract:STUDY OBJECTIVES:Poor dental hygiene has been linked to respiratory pathogen colonization in residents of long-term care facilities. We sought to investigate the association between dental plaque (DP) colonization and lower respiratory tract infection in hospitalized institutionalized elders using molecular genotyping....
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.126.5.1575
更新日期:2004-11-01 00:00:00
abstract::Lung cancer, the most prevalent cancer in the western world, is predominantly caused by smoking and thus perceived as a "self-inflicted" disease. Nevertheless, only 20% of smokers develop lung cancer. This review examines the concept of high-risk populations and screening. It looks at developments in the molecular epi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.109.5_supplement.125s
更新日期:1996-05-01 00:00:00
abstract:STUDY OBJECTIVES:There have been many studies on the physical characteristics at the time of contraction of a primary spontaneous pneumothorax (PSP), but it has not been shown when and how such physical characteristics develop. These issues were investigated. PATIENTS AND DESIGN:Physical development of 27 male patient...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.116.4.899
更新日期:1999-10-01 00:00:00
abstract::A study of 26 men with bronchogenic cancer demonstrated high serum calcitonin levels in 62 percent (16). Levels were particularly high in patients with small-cell cancer and adenocarcinoma. Two varieties of hypercalcitonemia have been encountered: (1) ectopic hypercalcitonemia, in which the hormone is secreted by the ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.4.495
更新日期:1976-04-01 00:00:00
abstract::A case is reported of 38-year-old woman with chest pain attributed to a left lung sarcoidosis mass. The mass failed to diminish and symptoms failed to resolve with systemic corticosteroid therapy. CT-guided direct intralesional transthoracic injection of dexamethasone resulted in resolution of the patient's symptoms a...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.120.1.316
更新日期:2001-07-01 00:00:00
abstract::This report describes the cross-sectional echocardiographic features of a left ventricular diverticulum. The echocardiographic findings are illustrated and discussed in relation to the diagnostic capabilities of this noninvasive imaging technique. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.4.544
更新日期:1976-04-01 00:00:00
abstract::The goal of this article is to provide an update on recent changes to current procedural terminology codes used for billing physician services for mechanical ventilation in chronic care facilities. In addition to billing information, background data relevant to prolonged mechanical ventilation are reviewed. Topics cov...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.07-0656
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND:Atrial fibrillation (AF) is associated with a high risk of stroke. The contribution of arrhythmia to events is clear in sustained forms of AF, but in paroxysmal AF, presently available data have yet to identify what proportion of time spent in AF (ie, arrhythmia burden [AFB]) is of clinical relevance. We aim...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.09-1426
更新日期:2010-04-01 00:00:00
abstract::Native valve endocarditis normally presents with fever and only later in its course demonstrates dysfunction of the affected valve. We describe a case of endocarditis due to Neisseria subflava, a Gram-negative diplococcal saprophyte of the oral cavity, which was unsuspected clinically and found unexpectedly during a m...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.109.1.280
更新日期:1996-01-01 00:00:00
abstract::Strapping of the chest causes decreased lung volumes and increased elastic recoil pressure. Such strapping was used in conjunction with single-breath nitrogen washout to study the effects of changes in these factors on the dynamics of the small airways. Studies consisted of simultaneous measurements of the quasistatic...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.76.1.83
更新日期:1979-07-01 00:00:00
abstract::Symptoms consistent with hypersensitivity pneumonitis (HP) occurred in 26 of 50 employees working in a localized area of a large factory. This area was served by a single heating-cooling unit utilizing a water humidification system. The illness consisted of flu-like symptoms with fever, chills, headache, cough, dyspne...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.77.2.183
更新日期:1980-02-01 00:00:00
abstract::Congenital subclavian steal consists of atresia of the proximal end of the subclavian artery, while the blood supply to the distal portion of the subclavian artery originates from the circle of Willis. It should be suspected in complicated malformations of the heart associated with marked hypoplasia or interruption of...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.67.3.352
更新日期:1975-03-01 00:00:00
abstract::Clotting abnormalities are well-recognized complications that occur with high frequency in patients suffering from underlying malignant diseases. New and highly sensitive molecular markers of hemostasis, thrombin-antithrombin III complex (TAT III), D-dimer fragments (DD), and plasmin-alpha 2-antiplasmin complex (PIC) ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.103.1.196
更新日期:1993-01-01 00:00:00
abstract::We are probably observing a recrudescent epidemic of RLF which has elicited surprisingly little attention from the medical community. Given present data, it is not unreasonable to conclude that there is a true epidemic and that its etiologic basis involves a population of infants with high susceptibility to oxygen tox...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.89.4.576
更新日期:1986-04-01 00:00:00
abstract::A 51-year-old man suffered third-degree caustic burns of the esophagus and proximal two-thirds of the stomach. A tracheoesophageal fistula developed, and surgery was performed to exclude the esophagus from gastrointestinal reflux and to divert the oral secretions. An uneventful postoperative course was interrupted on ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.4.549
更新日期:1976-10-01 00:00:00
abstract::To examine the value of antimyosin-indium 111 imaging in relation to endomyocardial biopsy in patients with suspected myocarditis, as well as the natural evolution of abnormal findings on the antimyosin scan, 12 patients with suspected myocarditis underwent endomyocardial biopsy and antimyosin scan. The heart-to-lung ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.104.5.1427
更新日期:1993-11-01 00:00:00
abstract::Ischemic myocardium undergoes many physiologic changes, including alterations in contractile function, histologic condition, and oxygen utilization. Reperfusion of ischemic myocardium may reverse some of these changes; however, the level of reperfusion needed for adequate functional recovery, as opposed to myocyte sal...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.112.4.1075
更新日期:1997-10-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to compare the safety, use, and cost profiles of open thoracotomy vs video-assisted thoracoscopic surgery (VATS) for wedge resection in lung cancer performed by thoracic surgeons in the United States. METHODS:The Premier database, which contains complete patient billing, hospi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.10-3013
更新日期:2012-02-01 00:00:00
abstract:STUDY OBJECTIVES:The physicians who initially evaluate patients with non-small cell lung cancer (NSCLC) strongly impact the course of therapy. Their beliefs in treatment and prognosis may contribute to practices of variable quality and appropriateness. We sought to better describe beliefs among pulmonologists and thora...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.118.1.129
更新日期:2000-07-01 00:00:00
abstract:STUDY OBJECTIVE:Data on the prevalence of myocarditis in children are limited. Autopsy studies have shown that myocarditis is often undiagnosed. We attempted to investigate the clinical features of asymptomatic myocarditis in four schoolchildren detected during a mass ECG screening in schoolchildren. DESIGN AND SETTIN...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.116.2.340
更新日期:1999-08-01 00:00:00
abstract:BACKGROUND:Cytochrome P-450 2J2 (CYP2J2) has recently been shown to be an important enzyme in the metabolism of epoxygenase-derived eicosanoids that play important functional roles in pulmonary physiology and may contribute to the pathogenesis of asthma. STUDY OBJECTIVE:The focus of our pilot study was to evaluate whe...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.07-0371
更新日期:2007-07-01 00:00:00
abstract::The relative usefulness of a combination of some tumor markers, such as CEA, AFP, ferritin and NSE for the diagnosis of lung cancer was assessed by multiple logistic analysis. Serum concentration of these markers was determined in 68 patients with lung cancer (50 with NSCLC and 18 with SCLC, in 68 patients with benign...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.97.3.639
更新日期:1990-03-01 00:00:00
abstract:STUDY OBJECTIVES:To study the location, distribution, and intensity of pain in a sample of adult cardiac surgery patients during their postoperative hospital stay. DESIGN:In a prospective study, pain location, distribution (number of pain areas per patient), and intensity (0 to 10 numerical rating scale) were document...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.118.2.391
更新日期:2000-08-01 00:00:00
abstract:INTRODUCTION:The specific causes and mechanism(s) for asthma occurring among occupants of non-residential buildings with poor indoor air quality are not known, but allergic and nonallergic processes are possible explanations METHODS:Repeated indoor air quality measurements were made while employees were working in a b...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.3.1720
更新日期:2005-09-01 00:00:00
abstract::To evaluate the morbidity associated with obstructve sleep apnea syndrome (OSAS), we undertook a seven-year follow-up study of 198 OSAS patients seen between 1972 and 1980. The patients had been submitted to tracheostomy (71 patients) or had received a weight-loss recommendation (127 patients). Despite a lower mean ap...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.97.1.27
更新日期:1990-01-01 00:00:00
abstract::The relationships between pulmonary function and sleep-induced respiratory events were studied in 34 consecutive male patients with suspected sleep apnea syndrome. In view of the effects of obstructive airway disease on pulmonary volume and airway resistance (Raw), patients were divided into two groups, those with and...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.87.4.437
更新日期:1985-04-01 00:00:00
abstract::Recent studies have suggested that vasodilators may acutely improve pulmonary hemodynamics in patients with chronic obstructive pulmonary disease and cor pulmonale, but the effects of long-term therapy have not been assessed. We evaluated the hemodynamic and gas exchange effects of nitrendipine, a calcium channel bloc...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.89.1.141
更新日期:1986-01-01 00:00:00
abstract:BACKGROUND:Pulmonary hypertension (PH) is a well-recognized complication of COPD. The impact of PH on exercise tolerance is largely unknown. We evaluated and compared the circulatory and ventilatory profiles during exercise in patients with COPD without PH, with moderate PH, and with severe PH. METHODS:Forty-seven pat...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.11-2798
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:It has been postulated that right ventricular (RV) function may improve after lung volume reduction surgery (LVRS) for severe emphysema due to improvement in lung elastic recoil. Improved lung elastic recoil after LVRS is hypothesized to "tether" open extraalveolar vessels, thereby leading to a decrease in p...
journal_title:Chest
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1378/chest.07-0041
更新日期:2007-11-01 00:00:00