Science topic
Pneumology - Science topic
Explore the latest questions and answers in Pneumology, and find Pneumology experts.
Questions related to Pneumology
There is a paucity of data regarding the distribution of bronchial mucus thickness along the bronchial tree. Any reference would be warmly appreciated !
A 58 years old male presented with history of right sided chest pain and cough 2 years ago with CT Attached(1). CT guided taken outside our hospital with pathology suggestive of adenocarcinoma lung. Slide review done on our centre rejected this diagnosis and said that there are no malignant cells. Repeated CT and CT guided biopsies 4 times were not diagnostic but only necrotic tissues. Attached here is the last CT.(2-3). During these 2 years duration of hesitations, 2nd and 3rd opinions , he was complicated with right sided empyema and septic shock complicated by acute renal failure that mandated CRRT for 3 months. Now renal functions are normal. He is asking for help and not hesitant as before. What can we do for this patient as we have 3 options; 1st just VATS biopsy and that set. 2 nd is open biopsy only. My impression is thoracotomy exploration, biopsy, excision of this right lung mass through right upper lobectomy, bilobectomy or even pneumonectomy or sleeve resection,



Last week a new HIV patient was admitted to the Infectious Diseases Unit where I'm currently working; he's coming from Pneumology where he was admitted for respiratory insufficiency. PCR from his sputum was negative for P. jiroveci, while it was positive for CMV-DNA (3 x 105); his CD4 were 5, HIVRNA 90170 cp. Clinical findings were suggestive for PCP and when he was transferred to our Unit we started treatment for PCP (TMP-SMX IV, corticosteroids, O2) and ARV therapy; the day after starting ARV we performed a BAL : PCR positive for CMV-DNA (2,5 x 108), positive forEBV-DNA (107), positive HHV6.
Some colleagues of mine think we have to start antiCMV therapy (Gancyclovir), others suggest to attend ( they say that CMVDNA positive on BAL is not diagnostic for a CMV infection).
What do you think about?
Pressure? Max volume? Storage?