Hussam Elkambergy

Publications (5)7.18 Total impact

• Article: Recurrent symptomatic pleural effusion due to a ventriculopleural shunt.

  Farzan Irani, Hussam Elkambergy, Kelechi Okoli, Dany S Abou
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  ABSTRACT: Ventriculopleural shunts are uncommonly used for the treatment of normal pressure hydrocephalus in adults. Pleural effusion has been reported to complicate the course of these ventriculopleural shunts in children. The pleural effusion should typically resemble the cerebrospinal fluid unless frankly infected. There are few good data on the nature of the pleural effusion. We, report a case of recurrent right-sided pleural effusion, 2 years after a ventriculopleural shunt insertion, for normal pressure hydrocephalus with no evidence of an underlying infection. The effusion abated after ligation of the shunt. We discuss the possible mechanisms in the development of the effusion. It is important to be aware of this unlikely complication of an uncommon procedure. Recognizing the origin of the pleural effusion can help in instituting close follow-up and early referral for revision of the ventriculopleural shunt.
  Respiratory care 09/2009; 54(8):1112-4. · 2.01 Impact Factor
• Article: Propylthiouracil-induced leucocytoclastic vasculitis with pulmonary hemorrhage treated with plasmapheresis.

  Farzan Irani, Hussam Elkambergy, Kalpana Naraharisetty, Raheel Jamal
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  ABSTRACT: Propylthiouracil (PTU) can effectuate antineutrophil cytoplasmic antibodies (ANCA)-positive vasculitis. We report a case of severe, PTU-induced leucocytoclastic vasculitis with diffuse pulmonary hemorrhage within a month of initiating PTU. Emergent plasmapheresis was initiated with excellent clinical response. A clinical suspicion for this potential side effect coupled with early cessation of the drug is generally adequate. Clinical manifestations, posited pathogenetic mechanisms, and therapeutic strategies, including the role of plasmapheresis, are discussed.
  The American Journal of the Medical Sciences 05/2009; 337(6):470-2. · 1.39 Impact Factor
• Article: The Clinical Picture: Unilateral cotton wool spots: an important clue.

  Thanigaiarsu Thiyagarajan, Hussam Elkambergy, Vijay Mahajan, Priya Kumaraguru
  Cleveland Clinic Journal of Medicine 04/2009; 76(3):155-8. · 3.77 Impact Factor
• Article: Pulmonary actinomycosis: the great masquerader.

  Hussam Elkambergy, Farzan Irani, Kelechi Okoli, Raheel Jamal
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  ABSTRACT: Actinomycosis is a rare but treatable disease. Thoracic manifestations are varied and can mimic malignancy or tuberculosis. We report the case of a 54-year-old man who presented with a persistent cough and radiological evidence of right upper lobe lung mass. Conventional computed tomography guided biopsy and bronchoscopy proved to be non-diagnostic. Thoracotomy and histopathologic examination of the tissue confirmed actinomycosis infection. Excellent clinical and radiologic responses were noted following treatment with penicillin V. Despite a high clinical suspicion, the diagnosis can prove to be challenging.
  Case Reports 01/2009; 2009.
• Article: Right atrial foreign body: transvenous migration of Greenfield filter.

  Geetali Mohan, Rahil Kasmani, Kelechi Okoli, Hussam Elkambergy
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  ABSTRACT: Migration of an inferior vena cava filter to the heart is a rare occurrence. Migration is usually to the right cardiac chambers, and is mostly detected incidentally. We report a 65-year-old woman with transvenous migration of an inferior vena caval filter to the right atrium in whom retrieval of the filter was not feasible due to prohibitive surgical risk. On subsequent follow-up at 10 months, the filter remains in the right atrium without complications.
  Interactive cardiovascular and thoracic surgery 12/2008; 8(2):245-6.