RESUMO
CASE PRESENTATION: A 52-year-old White man, who currently smokes, was admitted to the medical ICU with worsening shortness of breath. The patient was dyspneic for a month and had been clinically diagnosed with COPD by his primary care doctor and started on bronchodilators and supplemental oxygen. He had no known medical history or recent illness. His dyspnea worsened rapidly over the next month, prompting admission to the medical ICU. He was on high-flow oxygen followed by noninvasive positive pressure ventilation and then mechanical ventilation. He denied cough, fever, night sweats, or weight loss at the time of admission. There was no history of work-related or occupational exposures, drug intake, or recent travel. Review of systems was negative for arthralgia, myalgia, or skin rash.
Assuntos
Dispneia , Insuficiência Respiratória , Masculino , Humanos , Pessoa de Meia-Idade , Dispneia/diagnóstico , Tosse/diagnóstico , Oxigênio , Insuficiência Respiratória/etiologia , Insuficiência Respiratória/terapia , Insuficiência Respiratória/diagnóstico , Fumar , Diagnóstico DiferencialRESUMO
CASE PRESENTATION: A 51-year-old White male never-smoker presented with intermittent cough and progressive dyspnea. His symptoms started after an exposure to bat guano while cleaning his attic approximately 9 months earlier. He has received several courses of antibiotic and corticosteroid for these symptoms, with short-term relief.
Assuntos
Doença de Hodgkin/diagnóstico , Neoplasias do Mediastino/diagnóstico , Mediastinite/diagnóstico , Tosse/fisiopatologia , Procedimentos Cirúrgicos de Citorredução , Descompressão Cirúrgica , Progressão da Doença , Dispneia/fisiopatologia , Volume Expiratório Forçado , Fraturas por Compressão/diagnóstico por imagem , Fraturas por Compressão/etiologia , Fraturas por Compressão/cirurgia , Doença de Hodgkin/complicações , Doença de Hodgkin/patologia , Doença de Hodgkin/fisiopatologia , Humanos , Masculino , Neoplasias do Mediastino/complicações , Neoplasias do Mediastino/patologia , Neoplasias do Mediastino/fisiopatologia , Mediastinite/complicações , Mediastinite/tratamento farmacológico , Mediastinite/fisiopatologia , Pessoa de Meia-Idade , Prednisona/uso terapêutico , Rituximab/uso terapêutico , Fraturas da Coluna Vertebral/diagnóstico por imagem , Fraturas da Coluna Vertebral/etiologia , Fraturas da Coluna Vertebral/cirurgia , Vértebras Torácicas/diagnóstico por imagem , Vértebras Torácicas/cirurgia , Tomografia Computadorizada por Raios X , Capacidade VitalRESUMO
CASE PRESENTATION: A 67-year-old woman, who recently immigrated to the United States from Afghanistan, presented to the hospital after sustaining a mechanical fall. She had no significant medical history and was not on any medication routinely. She denied any fever, night sweats, weight loss, shortness of breath, or hemoptysis. The patient had no prior personal history or exposure to TB. Results of a previous purified protein derivative skin test upon immigration were negative.