• Issue

    Respirology Case Reports: Volume 9, Issue 4

    April 2021

Issue Information

Open Access

Issue Information

  • First Published: 22 February 2021

Case Series

Open Access

A family history of Hermansky–Pudlak syndrome complicated with pulmonary fibrosis: a case series and review

  • First Published: 09 March 2021
A family history of Hermansky–Pudlak syndrome complicated with pulmonary fibrosis: a case series and review

The Hernansky–Pudlak syndrome (HPS) is a rare genetic disorder with autosomal recessive inheritance characterized by oculocutaneous albinism and bleeding diathesis, and rarely lung involvement. We report three cases diagnosed with HPS from the same family of 12 siblings, with six albinos, of whom four and the father had pulmonary fibrosis. We believe these are interesting cases to report, especially for the lack of cases registered in Spain.

Case Reports

Open Access

Paradoxical bronchospasm: a rare adverse effect of fenoterol use

  • First Published: 17 March 2021
Paradoxical bronchospasm: a rare adverse effect of fenoterol use

In this brief study, we presented a case with a rarely seen adverse effect after fenoterol inhalation. To the best of our knowledge, this is the first reported case of fenoterol-induced paradoxical bronchospasm. It is crucial that clinicians are aware of this unexpected adverse event to provide prompt monitoring of patients to improve outcomes.

Open Access

Post-mortem biopsy of a patient with late exacerbation of COVID-19 pneumonia

  • First Published: 22 February 2021
Post-mortem biopsy of a patient with late exacerbation of COVID-19 pneumonia

Here, we describe pathological findings detected through post-mortem percutaneous needle biopsy of a patient with late-onset severe pneumonia from coronavirus disease (COVID-19).

Open Access

The diagnostic challenge of pneumocystis pneumonia and COVID-19 co-infection in HIV

  • First Published: 22 February 2021
The diagnostic challenge of pneumocystis pneumonia and COVID-19 co-infection in HIV

We present the case of a 54-year-old male with newly diagnosed advanced HIV who presented with clinical, biochemical, and radiological features that were consistent with both pneumocystis pneumonia (PCP) and coronavirus disease 2019 (COVID-19). He subsequently tested positive for both diseases; however, the contribution of each disease to his progressive respiratory failure is unclear.

Open Access

Video-assisted thoracic surgery for a case of chronic progressive pulmonary aspergillosis undergoing haemodialysis complicated by anorexia nervosa: a case report

  • First Published: 22 February 2021
Video-assisted thoracic surgery for a case of chronic progressive pulmonary aspergillosis undergoing haemodialysis complicated by anorexia nervosa: a case report

In this report, we present a rare case of a Japanese woman with anorexia nervosa who developed pulmonary aspergillosis, and describe the clinical and pathophysiological characteristics of pulmonary aspergillosis in the patient. We also made comparisons with previous reports.

Open Access

Complete response in a patient with lung cancer suffering from three pembrolizumab-induced immune-related adverse events including retinal vasculitis

  • First Published: 07 March 2021
Complete response in a patient with lung cancer suffering from three pembrolizumab-induced immune-related adverse events including retinal vasculitis

We report a case of non-small cell lung cancer with a long-term response associated with multiple immune-related adverse events caused by pembrolizumab, such as retinal vasculitis, hypophysitis, and thyroiditis.

Open Access

Congenital bronchobiliary fistula: a case report and literature review

  • First Published: 28 February 2021
Congenital bronchobiliary fistula: a case report and literature review

Congenital bronchobiliary fistula (CBBF) is a rare, anomalous fistula that occurs between the respiratory and biliary systems, with unknown aetiology. Here, we present the epidemiology and clinical features of a CBBF case in a two-day-old baby girl that was initially diagnosed as non-resolving pneumonia. Computed tomography (CT) and fistulography under the guidance of bronchoscopy were used to obtain the correct diagnosis. Surgical excision of the fistulous tract was performed, with complete recovery.

Open Access

New pneumothorax complicating successful treatment of persistent air leak by endobronchial valves

  • First Published: 07 March 2021
New pneumothorax complicating successful treatment of persistent air leak by endobronchial valves

The present case report included two cases of pneumothorax after endobronchial valve treatment of persistent air leak (PAL) complicating pneumothorax. The occurrence of this adverse event (the first case showed new ipsilateral pneumothorax and the second case showed new contralateral pneumothorax) shed light to the underlying mechanism of this complication and has not been reported before in the treatment of PAL.

Open Access

Multimodality treatment in immunocompromised patients with severe COVID-19: the role of IL-6 inhibitor, intravenous immunoglobulin, and haemoperfusion

  • First Published: 07 March 2021
Multimodality treatment in immunocompromised patients with severe COVID-19: the role of IL-6 inhibitor, intravenous immunoglobulin, and haemoperfusion

We report two cases of immunocompromised patients with severe coronavirus disease 2019 (COVID-19)-related cytokine release syndrome requiring mechanical ventilation who were treated with multimodality treatment consisting of tocilizumab, intravenous immunoglobulin (IVIG), and haemoperfusion. Within 48 h, both patients showed clinical improvement with PaO2:FiO2 ratio and haemodynamic stability. Both survived to discharge. There were no adverse events following these therapies.

Open Access

Multiple infected lung bullae associated with Mycobacterium intracellulare in a Japanese man

  • First Published: 08 March 2021
Multiple infected lung bullae associated with Mycobacterium intracellulare in a Japanese man

Here, we report the first documented case of multiple infected lung bullae associated with Mycobacterium avium complex (MAC) in a 29-year-old man.

Open Access

Snowball-like appearance on radial endobronchial ultrasonography in a patient with invasive mucinous adenocarcinoma

  • First Published: 08 March 2021
Snowball-like appearance on radial endobronchial ultrasonography in a patient with invasive mucinous adenocarcinoma

Invasive mucinous adenocarcinoma (IMA), which is a relatively rare lung adenocarcinoma, is difficult to diagnose by computed tomography. No reports of radial endobronchial ultrasonography (EBUS) findings in IMA have been published. This article presents a case of IMA with a characteristic shadow, snowball-like appearance on radial EBUS in a 67-year-old Japanese man.

Open Access

Anti-TIF1γ antibody-positive dermatomyositis associated with durvalumab administration in a patient with lung and oesophageal cancers

  • First Published: 23 March 2021
Anti-TIF1γ antibody-positive dermatomyositis associated with durvalumab administration in a patient with lung and oesophageal cancers

Durvalumab can cause serious dermatomyositis. Early diagnosis and aggressive therapy are crucial to prevent severe dermatomyositis, which is potentially treatable. Continuous monitoring for muscular symptoms, creatine phosphokinase level, and skin rash in patients administered with durvalumab is vital.

Clinical Image

Open Access

Natural closing of a tracheal tear caused by intubation in a patient with relapsing polychondritis

  • First Published: 22 February 2021
Natural closing of a tracheal tear caused by intubation in a patient with relapsing polychondritis

Airway involvement is an important predictive factor for relapsing polychondritis (RP). RP often develops into severe tracheobronchial stenosis with malacia. Although tracheal tears rarely occur, we report a tracheal tear post intubation, which healed without surgery.

Open Access

Diffuse alveolar haemorrhage due to pheochromocytoma crisis

  • First Published: 25 February 2021
Diffuse alveolar haemorrhage due to pheochromocytoma crisis

Alveolar haemorrhage due to pheochromocytoma should be considered as a diagnosis for interstitial shadows with extreme hypertension.

Open Access

Chest wall fistula in a patient with pyothorax-associated lymphoma

  • First Published: 25 February 2021
Chest wall fistula in a patient with pyothorax-associated lymphoma

Fistula formation is an uncommon but serious therapeutic complication of pyothorax-associated lymphoma (PAL) because it decreases the quality of life in patients. Further, a collapsed lung may predispose to pneumonia. In PAL, the lesions might invade the skin and optimal irradiation dose, region, and timing should be carefully determined.

Open Access

Endobronchial vasculitis in childhood granulomatosis with polyangiitis

  • First Published: 28 February 2021
Endobronchial vasculitis in childhood granulomatosis with polyangiitis

Laryngo-tracheo-bronchial disease in childhood granulomatosis with polyangiitis may acutely present with endobronchial small vessel vasculitis without airway stenosis. Treatment should not be delayed in the presence of haemoptysis as it may indicate acute pulmonary capillaritis which can lead to fatal respiratory failure from diffuse alveolar haemorrhage.

Open Access

Novel pulmonary perfusion imaging using chest digital dynamic radiography for pulmonary artery sarcoma

  • First Published: 09 March 2021
Novel pulmonary perfusion imaging using chest digital dynamic radiography for pulmonary artery sarcoma

Chest digital dynamic radiography (DDR) is a novel method for evaluating pulmonary perfusion and ventilation. It could depict ventilation–perfusion mismatch in a pulmonary artery sarcoma with severe stenosis in the right pulmonary artery. This report is the first demonstration of ventilation–perfusion mismatch in a malignant neoplasm using DDR.

Open Access

Abnormal anastomosis of peripheral pulmonary arteries, initially suspected to be an arteriovenous fistula, in an adult with Williams syndrome

  • First Published: 09 March 2021
Abnormal anastomosis of peripheral pulmonary arteries, initially suspected to be an arteriovenous fistula, in an adult with Williams syndrome

Here, we present the case of a 45-year-old man with Williams syndrome with suspected right pulmonary arteriovenous fistula, wherein A10b forming the loop appeared to run near A6 and flow into the upper pulmonary vein. Angiography findings revealed that the loop was an abnormal anastomosis from A6c to A10b. Peripheral pulmonary artery stenosis is present in 40% of the patients with Williams syndrome. In this case, basal pulmonary artery was narrowed. This abnormal anastomosis might have been a bypass from A6c to A10b that formed as a compensation for poor blood flow in the basal lung.

Open Access

Complete lung collapse as a rare complication of sarcoidosis-associated mediastinal lymphadenopathy

  • First Published: 10 March 2021
Complete lung collapse as a rare complication of sarcoidosis-associated mediastinal lymphadenopathy

Here, we report an extremely rare case of a 47-year-old African American female with complete lung collapse associated with sarcoidosis. Although lymphoma should be ruled out when patients with mediastinal lymphadenopathy develop lung collapse, sarcoidosis should be considered in the differential, especially when associated with fibrosing mediastinitis.

Open Access

Tuberculous bronchopleural fistula

  • First Published: 15 March 2021
Tuberculous bronchopleural fistula

Tuberculous bronchopleural fistula is a rare complication of pulmonary tuberculosis with presentation ranging from patients who are asymptomatic with incidental findings on imaging to those who present with acute tension pneumothorax.