Pulmonary findings in patients with chagasic megaesophagus. Study of autopsied cases.

Abstract:

:We studied retrospectively 69 cases of chagasic megaesophagus (group 1) and 207 cases of chronic chagasic myocardiopathy (CCM) without megaesophagus (group 2) by autopsy in the Pathology Department of the Federal University of Bahia, Brazil, from 1953 to 1975. It was shown that pulmonary tuberculosis was significantly more frequent in group 1 (21.7 percent) than in group 2 (3.4 percent). The patients of group 1, who had megaesophagus without associated cardiomyopathy (n = 36), had a much higher rate of pulmonary tuberculosis (36.1 percent) than those with associated CCM (6.0 percent), and they also had the most severe forms of the pulmonary disease. Other pulmonary complications of infectious origin occurred more frequently in group 1. The prevalence of pneumonia was 34.7 percent in group 1 and 10 percent in group 2. Six cases were considered to be aspiration pneumonia. Long abscess occurred in two cases in each group. We suggest that megaesophagus should be carefully investigated for pulmonary complications, especially for tuberculosis in populations with a high rate of this infection.

journal_name

Chest

journal_title

Chest

authors

Camara EJ,Lima JA,Oliveira GB,Machado AS

doi

10.1378/chest.83.1.87

subject

Has Abstract

pub_date

1983-01-01 00:00:00

pages

87-91

issue

1

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)40790-7

journal_volume

83

pub_type

杂志文章

相关文献

CHEST文献大全
  • Successful pulmonary thromboendarterectomy in a patient with Klippel-Trenaunay syndrome.

    abstract::Klippel-Trenaunay syndrome (KTS) is a congenital disorder characterized by a triad of cutaneous vascular nevi, soft tissue or bony hypertrophy, and varicose veins or venous malformations involving one or more extremities. An incidence of venous thromboembolism of up to 22% has been reported in this disorder. Also repo...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.117.5.1520

    authors: Walder B,Kapelanski DP,Auger WR,Fedullo PF

    更新日期:2000-05-01 00:00:00

  • Pulmonary mass and air meniscus sign in a 19-year-old man.

    abstract::Sacrococcygeal teratoma is rarely diagnosed in adults. Pulmonary mass as the presenting clinical form of the malignant variety of this germ-cell tumor is exceptional. We report herein such a case with the noticeable peculiarity of showing the air meniscus sign on chest roentgenographic examination. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.100.2.562

    authors: Roig J,Aguilar X,Maestre J,Domingo C,Morera J

    更新日期:1991-08-01 00:00:00

  • Early post-pneumonectomy bronchial stump fistula.

    abstract::Bronchial stump fistula occurred on the seventh postoperative day in a 45-year-old man who underwent right pneumonectomy for T2N2M0 adenocarcinoma of the lung. It was attributable to ventilator-related barotrauma during treatment of ARDS from multiple pulmonary emboli. A frequently lethal complication, its presentatio...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.3.654

    authors: Pomerantz AH,Derasari MD,Sethi SS,Khan S

    更新日期:1988-03-01 00:00:00

  • Serial fiberoptic bronchoscopic observations of endobronchial tuberculosis before and early after antituberculosis chemotherapy.

    abstract:STUDY OBJECTIVE:To evaluate the antituberculous treatment responsiveness of endobronchial tuberculosis in the different stages of evolution. DESIGN:A prospective study before and after trial with 9 months of antituberculosis chemotherapy without steroid. PATIENTS AND INTERVENTION:One hundred thirty-six endobronchial ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.3.673

    authors: Kim YH,Kim HT,Lee KS,Uh ST,Cung YT,Park CS

    更新日期:1993-03-01 00:00:00

  • Compensation for byssinosis in Great Britain.

    abstract::Byssinosis first became compensatable in Great Britain in May 1941. The claimants were examined by a specially constituted board consisting of chest physicians and medical specialists from the Manchester area. Following the Industrial Injuries Act of 1946, which became operative in July 1948, the examinations were tak...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.79.4_supplement.124s

    authors: Rooke GB

    更新日期:1981-04-01 00:00:00

  • Effect of air filtration systems on asthma: a systematic review of randomized trials.

    abstract:STUDY OBJECTIVES:To systematically review the evidence of randomized trials evaluating the effects of residential air filtration systems on patients with asthma. DATA SOURCES:We searched for published and unpublished studies using MEDLINE, the Cumulative Index to Nursing and Allied Health Literature, and the Cochrane ...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.122.5.1535

    authors: McDonald E,Cook D,Newman T,Griffith L,Cox G,Guyatt G

    更新日期:2002-11-01 00:00:00

  • Investigation of occupational asthma: sputum cell counts or exhaled nitric oxide?

    abstract:BACKGROUND:The measure of sputum eosinophil counts is a useful tool in the investigation of occupational asthma (OA), but processing sputum is time consuming. Measuring the fractional concentration of exhaled nitric oxide (FENO) may be an alternative in clinical practice. The aim of this study was to assess the respect...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.09-2081

    authors: Lemière C,D'Alpaos V,Chaboillez S,César M,Wattiez M,Chiry S,Vandenplas O

    更新日期:2010-03-01 00:00:00

  • Diagnostic value of hemosiderin-containing macrophages in bronchoalveolar lavage.

    abstract:STUDY OBJECTIVE:Our objective was to determine if the hemosiderin content of BAL macrophages allows us to draw any differential diagnostic conclusions in a variety of lung diseases. PATIENTS AND STUDY DESIGN:One hundred one patients who underwent BAL for different diagnostic reasons were studied prospectively. MAIN R...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.102.6.1794

    authors: Grebski E,Hess T,Hold G,Speich R,Russi E

    更新日期:1992-12-01 00:00:00

  • Prognosis and recurrent patterns in bronchioloalveolar carcinoma.

    abstract:STUDY OBJECTIVE:Bronchioloalveolar carcinoma (BAC) is an uncommon pulmonary neoplasm with various radiologic and clinical presentations. In this article, we analyze the initial radiologic findings, TNM stagings, surgical types, and radiologic features of recurrence, and correlate them with patient survival. DESIGN:A r...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.118.4.940

    authors: Liu YY,Chen YM,Huang MH,Perng RP

    更新日期:2000-10-01 00:00:00

  • Diagnosis and treatment of cystic fibrosis. An update.

    abstract::Cystic fibrosis is the most common fatal inherited disease of Caucasians. At present, cystic fibrosis accounts for most cases of chronic progressive pulmonary disease and for many other clinical features in the first three decades of life. Thus, it is a challenge to both pediatricians and internists, particularly ches...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/s0012-3692(16)62421-2

    authors: Davis PB,di Sant'Agnese PA

    更新日期:1984-06-01 00:00:00

  • Air leaks after lobectomy increase the risk of empyema but not of cardiopulmonary complications: a case-matched analysis.

    abstract:PURPOSE:To assess whether the presence and duration of air leaks after lobectomy are associated with an increased incidence of cardiopulmonary complications. METHODS:Propensity score analysis was used on 726 patients undergoing pulmonary lobectomy from 1995 through 2004 to form three well-matched pairs of patients: pa...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.130.4.1150

    authors: Brunelli A,Xiume F,Al Refai M,Salati M,Marasco R,Sabbatini A

    更新日期:2006-10-01 00:00:00

  • Idiopathic pulmonary hypertension associated with nodular pulmonary infiltrates and portal venous thrombosis.

    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

    authors: Bower JS,Dantzker DR,Naylor B

    更新日期:1980-07-01 00:00:00

  • CT scan features as predictors of patient outcome after bronchial intervention in endobronchial TB.

    abstract:BACKGROUND:The purpose of this study was to identify the CT scan features that predict patient outcome after reexpansion procedures in patients with the fibrotic stage of endobronchial TB. METHODS:We retrospectively enrolled 30 patients (four men, 26 women) aged 32 +/- 11 years who had lobar or whole-lung atelectasis ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.09-1846

    authors: Lee JY,Yi CA,Kim TS,Kim H,Kim J,Han J,Kwon OJ,Lee KS,Chung MJ

    更新日期:2010-08-01 00:00:00

  • Grade of pulmonary right-to-left shunt on contrast echocardiography and cerebral complications: a striking association.

    abstract:BACKGROUND:A pulmonary right-to-left shunt (RLS) carries the risk of cerebral paradoxical embolization and severe neurologic complications. Recognizing patients at risk is important to facilitate appropriate management strategies, but a direct relation between pulmonary shunt size and risk of complications remains cont...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.12-1599

    authors: Velthuis S,Buscarini E,van Gent MWF,Gazzaniga P,Manfredi G,Danesino C,Schonewille WJ,Westermann CJJ,Snijder RJ,Mager JJ,Post MC

    更新日期:2013-08-01 00:00:00

  • Long-term Outcomes After Stepping Down Asthma Controller Medications: A Claims-Based, Time-to-Event Analysis.

    abstract:BACKGROUND:Long-term outcomes after stepping down asthma medications are not well described. METHODS:This study was a retrospective time-to-event analysis of individuals diagnosed with asthma who stepped down their asthma controller medications using a US claims database spanning 2000 to 2012. Four-month intervals wer...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.15-0301

    authors: Rank MA,Johnson R,Branda M,Herrin J,van Houten H,Gionfriddo MR,Shah ND

    更新日期:2015-09-01 00:00:00

  • Effect of mild hypoxia on airway responsiveness to methacholine in subjects with airway hyperresponsiveness.

    abstract:STUDY OBJECTIVES:The inhalation of hypoxic gas has been reported to enhance the airway responsiveness to methacholine in some animal models. However, the data on humans have so far been conflicting. We attempted to examine the effect of hypoxic gas inhalation on the airway responsiveness to methacholine. DESIGN:We eva...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.116.6.1653

    authors: Saito H,Nishimura M,Shinano H,Sato F,Miyamoto K,Kawakami Y

    更新日期:1999-12-01 00:00:00

  • Dilated right ventricular cardiomyopathy: Uhl's disease.

    abstract::Uhl's disease is a rare disorder originally described in 1952 in an infant with severe diffuse right ventricular dysfunction with total absence of the myocardium. Uhl considered the disease to be congenital in origin. We report a patient with severe dilated congestive cardiomyopathy limited to the right ventricle but ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.90.2.300

    authors: Bewick DJ,Chandler BM,Montague TJ

    更新日期:1986-08-01 00:00:00

  • Varying ejection fractions of both ventricles in paradoxical pulses: demonstration by radionuclide study.

    abstract::A noninvasive radionuclide study of the paradoxical pulse in pericardial effusion is described. The study shows complementary changes of the right and left ventricular ejection fractions in a patient with paradoxical pulse, supporting the theory that the inspiratory reduction of the left ventricular stroke volume is a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.74.6.687

    authors: Yeh EL

    更新日期:1978-12-01 00:00:00

  • Clinical efficacy of sitaxsentan, an endothelin-A receptor antagonist, in patients with pulmonary arterial hypertension: open-label pilot study.

    abstract:STUDY OBJECTIVES:To evaluate the safety and efficacy of sitaxsentan, an endothelin-A receptor antagonist, in a 12-week, open-label trial of patients with pulmonary arterial hypertension (PAH). PATIENTS:Six children and 14 adults with New York Heart Association (NYHA) functional class II, III, or IV primary pulmonary h...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1378/chest.121.6.1860

    authors: Barst RJ,Rich S,Widlitz A,Horn EM,McLaughlin V,McFarlin J

    更新日期:2002-06-01 00:00:00

  • Treatment of stage IIIA non-small cell lung cancer.

    abstract::Stage IIIA non-small cell lung cancer represents a relatively heterogeneous group of patients with metastatic disease to the ipsilateral mediastinal (N2) lymph nodes and also includes T3N1 patients. Presentations of disease range from apparently resectable tumors with occult microscopic nodal metastases to unresectabl...

    journal_title:Chest

    pub_type: 指南,杂志文章,实务指引,评审

    doi:10.1378/chest.123.1_suppl.202s

    authors: Robinson LA,Wagner H Jr,Ruckdeschel JC,American College of Chest Physicians.

    更新日期:2003-01-01 00:00:00

  • Congenital unilateral absence of the left pulmonary artery. Echocardiography in reverse.

    abstract::This study demonstrates that when the heart is markedly displaced posteriorly to the left, or perhaps to the right, the posterior approach may make echocardiographic evaluation possible. Thus, in a patient with congenital unilateral absence of the left pulmonary artery, with marked displacement of the heart posteriorl...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.77.1.106

    authors: Borgeson E,Vogel JH

    更新日期:1980-01-01 00:00:00

  • Indications for spirometry in outpatients with respiratory disease.

    abstract::It has been suggested that spirometry should be incorporated into the routine examination of every patient, analogous to obtaining vital signs. To determine the impact of spirometry on the management of outpatients with respiratory disease, spirometry was performed on 150 consecutive patients (123 men and 27 women, me...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.99.3.730

    authors: Owens MW,Anderson WM,George RB

    更新日期:1991-03-01 00:00:00

  • Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares.

    abstract:BACKGROUND:Central venous pressure (CVP) is used almost universally to guide fluid therapy in hospitalized patients. Both historical and recent data suggest that this approach may be flawed. OBJECTIVE:A systematic review of the literature to determine the following: (1) the relationship between CVP and blood volume, (...

    journal_title:Chest

    pub_type: 杂志文章,meta分析,评审

    doi:10.1378/chest.07-2331

    authors: Marik PE,Baram M,Vahid B

    更新日期:2008-07-01 00:00:00

  • High-Flow Nasal Cannula in the Immediate Postoperative Period: A Systematic Review and Meta-analysis.

    abstract:BACKGROUND:Studies have demonstrated that high-flow nasal cannula (HFNC) prevents intubation in acute hypoxic respiratory failure when compared with conventional oxygen therapy (COT). However, the data examining routine HFNC use in the immediate postoperative period are less clear. RESEARCH QUESTION:Is routine HFNC us...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.06.038

    authors: Chaudhuri D,Granton D,Wang DX,Burns KEA,Helviz Y,Einav S,Trivedi V,Mauri T,Ricard JD,Mancebo J,Frat JP,Jog S,Hernandez G,Maggiore SM,Mbuagbaw L,Hodgson CL,Jaber S,Goligher EC,Brochard L,Rochwerg B

    更新日期:2020-11-01 00:00:00

  • Budesonide/formoterol maintenance plus reliever therapy: a new strategy in pediatric asthma.

    abstract:OBJECTIVES:A fixed combination of long-acting beta(2)-agonists (LABA) plus inhaled corticosteroids (ICS) has never been proven to reduce asthma exacerbations vs ICS alone in children. This 12-month, double-blind, randomized study in 341 children (age range, 4 to 11 years) with asthma uncontrolled on ICS investigated wh...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1378/chest.130.6.1733

    authors: Bisgaard H,Le Roux P,Bjåmer D,Dymek A,Vermeulen JH,Hultquist C

    更新日期:2006-12-01 00:00:00

  • Therapeutic response patterns to high and cumulative doses of salbutamol in acute severe asthma.

    abstract:STUDY OBJECTIVES:To examine the main therapeutic response patterns to high doses of salbutamol and to determine the factors that contribute to outcome in acute severe asthma. SETTING:The emergency department (ED) of a large, urban hospital with primary and referral care responsibilities. PATIENTS AND DESIGN:One hundr...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.113.3.593

    authors: Rodrigo C,Rodrigo G

    更新日期:1998-03-01 00:00:00

  • Contribution of the Mitochondria to Locomotor Muscle Dysfunction in Patients With COPD.

    abstract::COPD is a significant public health challenge, notably set to become the third leading cause of death and fifth leading cause of chronic disability worldwide by the next decade. Skeletal muscle impairment is now recognized as a disabling, extrapulmonary consequence of COPD that is associated with reduced quality of li...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/j.chest.2015.11.021

    authors: Taivassalo T,Hussain SN

    更新日期:2016-05-01 00:00:00

  • Natural killer cell activity in a rat model of amiodarone-induced interstitial lung disease.

    abstract::The role of lymphocytes in the pathogenesis of amiodarone-induced lung disease is controversial. Increases in the percentages of lymphocytes in bronchoalveolar fluid of both patients and animals with amiodarone pulmonary toxicity have been reported. To assess whether these lymphocytes are functionally activated, we me...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.99.1.230

    authors: Karpel JP,Mitsudo S,Norin AJ

    更新日期:1991-01-01 00:00:00

  • Correlation between perioperative blood transfusion and prognosis of patients subjected to surgery for stage I lung cancer.

    abstract:BACKGROUND:It has been reported, but not proven, that perioperative blood transfusions have a detrimental effect on the survival of patients undergoing surgery for lung cancer. STUDY DESIGN:and methods: A prospective study was carried out on the patients undergoing lobectomy for stage I lung cancer at our department f...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.124.1.102

    authors: Nosotti M,Rebulla P,Riccardi D,Baisi A,Bellaviti N,Rosso L,Santambrogio L

    更新日期:2003-07-01 00:00:00

  • Daytime sleepiness and vascular morbidity at seven-year follow-up in obstructive sleep apnea patients.

    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

    authors: Partinen M,Guilleminault C

    更新日期:1990-01-01 00:00:00