RESUMO
BACKGROUND: Electromagnetic navigational bronchoscopy (ENB) is an emerging diagnostic tool that enables practitioners to biopsy peripheral lung tissues that were previously only accessible under computed tomography (CT) guidance. However, few studies have investigated ENB use in children. Here, we report a case of a 10-year-old girl with peripheral lung lesions who complained of a 7-d persistent fever. She was diagnosed with Streptococcus parasanguinis infection based on findings obtained using ENB-guided transbronchial lung biopsy (TBLB). CASE SUMMARY: A 10-year-old girl presented with constitutional symptoms of cough and fever of 7 days' duration. Chest CT scans detected peripheral lung lesions and no endobronchial lesions. TBLB performed under the guidance of an ENB Lungpro navigation system was safe, well-tolerated, and effective for biopsying peripheral lung lesions. Examination of biopsied samples indicated the patient had a pulmonary Streptococcus parasanguinis infection, which was treated with antibiotics instead of more invasive treatment interventions. The patient's symptoms resolved after she received a 3-wk course of oral linezolid. Comparisons of pre-treatment and post-treatment CT scans revealed absorption of some lung lesions within 7 mo of hospital discharge. CONCLUSION: ENB-guided TBLB biopsying of peripheral lung lesions in this child is a safe, well-tolerated, and effective alternative to conventional interventions.
RESUMO
OBJECTIVE: To study the feasibility of using stereoscopy in identification on Edible Bird's Nest (EBN). METHOD: Characteristics of white EBN pieces, red EBN, white fungus pieces and EBN painted with colloid were observed under stereoscopy. RESULTS: EBN pieces could be distinguished from white fungus pieces under stereoscope. The former is semitransparent and has more fine cracks; the latter is opaque and without fine cracks. EBN painted with colloid can be distinguished under stereoscopy too. The characteristics include: (1) the surface lines were not clear; (2) feathers were plastered on the surface. CONCLUSIONS: Stereoscopy can be used in identification of EBN, especially in general investigation of commercials.
