[Home mechanical ventilation as a treatment of the sequelae of tuberculosis surgery]. / Ventilación mecánica a domicilio como tratamiento de las secuelas de la cirugía de la tuberculosis.

Nasal intermittent positive-pressure ventilation (NIPPV) has been showed useful for the treatment of chronic respiratory failure in patients with chest wall diseases due to sequelae of tuberculosis. We present a report of a patient with a thoracoplasty and a cavernostomy in situation of chronic respiratory failure. Nasal intermittent positive pressure ventilation improved diurnal hypoxaemia and hypercapnia.

Ventilación mecánica a domicilio como tratamiento de las secuelas de la cirugía de la tuberculosis / Howe mechanical ventilation for treatment of surgical sequelae for pulmonary tuberculosis

La ventilación con presión positiva intermitente por vía nasal (NIPPV) se ha mostrado eficaz en el tratamiento de la insuficiencia respiratoria secundaria a alteraciones de la caja torácica, provocadas a consecuencia del tratamiento quirúrgico de la tuberculosis pulmonar. Presentamos un caso de una paciente sometida a una toracoplastia, seguida de una cavernostomía, que en la actualidad se encontraba en fase de insuficiencia respiratoria. La aplicación de NIPPV ha conseguido mejorar el intercambio de gases mejorando la hipoxemia y corrigiendo la hipercapnia (AU)

[Chronic eosinophilic pneumonia: report of eight cases (author's transl)]. / Neumonía eosinófila crónica. Estudio de ocho casos.

Eight cases of chronic eosinophilic pneumonia (CEP) diagnosed between January 1977 and December 1979 are described. Clinical manifestations included toxic syndrome, cough and fever, lasting from 1 to 15 months. Chest x-ray revealed peripheric bilateral infiltrates, with the exception of one case. In two patients there was no peripheral eosinophilia and five received antituberculous drugs at some point during the illness. In all cases tests for fungi and parasites were negative. In only two patients was an increase in IgE found. Hystological study confirmed CEP in 7 patients through either trans-bronchial biopsy or minimal thoracotomy. Treatment with corticosteroids was dramatically effective in all patients; both clinically and radiologically. In two cases which were asymptomatic, decreased carbon monoxide diffusing capacity persisted six months later. One hundred fifteen cases of CEP published since Carrington et al. first described CEP as a separate entity of the pulmonary infiltrates with eosinophilia syndrome are reviewed.