Disease Category

Closure of BPF following pulmonary resection is manda­tory not only because of symptoms, such as continuous cough and expectoration, but also because it is very likely that the pleural cavity will be continuously reinfected as long as the fistula is open. In patients with this condition, who often are debilitated, a second thoracotomy represents a […]

Bronchopleural fistula is a rare but difficult complication following pulmonary resection. Adequate and pro­longed pleural drainage combined with antibiotics continues to be its basic treatment. When this fails, several surgical approaches have been applied with variable rates of suc­cess. Successful closure of BPF by endobronchial fibrin glue application through a flexible bronchoscope has recently been […]

In contrast to the previous cases, all of our patients presented with ill-defined roentgenographic densities that were localized to one or two lobes of the lung. Since these roentgenographic findings were associated with fever and cough, the overall clinical picture suggested bacterial pneumonia. We do not know whether our patients with localized infiltrates repre­sent a […]

This report describes three patients who presented with respiratory complaints and roentgenographic findings of a localized pulmonary infiltrate as a com­plication of acute leukemia. Previous reports have suggested that most localized lung infiltrates in pa­tients with leukemia are caused by bacterial infec­tion. All of our patients had signs and symptoms suggestive of an acute bacterial […]

Case 2 A 24-year-old man presented with fever, chills, and cough. After evaluation at another hospital revealed circulating white blood cells, he was referred to this hospital for further evaluation and therapy. At the time of hospital admission, the patient had a fever of 38.3°C. Cervical, inguinal, and axillary lymphadenopathy was present. Examination of the […]

Case 1 A 20-vear-old woman was admitted to the Hospital of the University of Pennsylvania, Philadelphia, because of fever. Six months before hospital admission a complete blood cell (CBC) count, obtained because of chronic nasal congestion, disclosed a white blood cell (WBC) count of38,000/cu mm with many immature forms. A bone marrow biopsy specimen was […]

Pulmonary complications which occur in as many as 80 percent of patients with acute leukemia, are i leading cause of morbidity and mortality. Because :he etiology is rarely apparent from the clinical pres­entation, physicians must often choose between a x)urse of empiric therapy or an invasive diagnostic Drocedure to obtain a specific diagnosis. Advocates of […]