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A case of pneumonia following human infection with avian influenza a (H5N1)

100%

Erben N. , Kartal E. , Alpat S. , Ozgunes I. , Usluer G.

Open Medicine

2010

tom 5

nr 1

59-61

The H5N1 infection was diagnosed in 12 patients in Turkey and confirmed by the WHO. Of these 12 patients so far, 8 have been published. In this case, we are presenting a case of pneumonia that developed following avian influenza infection in Eskisehir. Our case is one of the 4 patients who were not reported previously.

Organizing pneumonia: Manifestation peculiarities, causes, and outcomes

100%

Danila E. , Zablockis R. , Norkūnienė J. , Žurauskas E.

Open Medicine

2011

tom 6

nr 3

356-362

Application of extracorporeal membrane oxygenation in severe ARDS secondary to pneumonia: a case report

100%

Zhang X.-H. , Xiu R.-X. , Wu T.-J. , Zou X.-L. , Ma L.-L. , Wang L.-X.

Open Medicine

2013

tom 8

nr 5

658-661

This report describes a 24-year-old patient with marked and continuous hypoxemia resulting from severe acute respiratory distress syndrome (ARDS) secondary to pneumonia, which in turn was refractory to mechanical ventilation and other conventional adjunctive therapies. Veno-venous extracorporeal membrane oxygenation (ECMO) was applied for 14 days and resulted in significant improvement in the hypoxemia. We conclude that ECMO presents a therapeutic option for ARDS patients who fail to respond to conventional mechanical ventilation.

Influence of location of paresis on site of pneumonia in stroke

88%

Víchová H. , Vašková Z. , Goldemund D. , Matuška P. , Mikulík R.

Open Medicine

2012

tom 7

nr 3

323-326

Pulmonary complications related to heroin overdose and some changes in immune reactivity

75%

Radenkova-Saeva J. , Kostadinova R. , Michova A. , Petrunov B.

Open Medicine

2010

tom 5

nr 4

508-512

To examine the clinical spectrum of complications in pulmonary system and changes of some parameters of humoral and cell mediated immunity related to heroin overdose. The study includes 16 patients who are long-term heroin abusers with acute heroin and mixed with other psychoactive drugs intoxications with an average age of 21,5 ± 5.04 years (12 men and 4 woman). All patients were hospitalized in the Clinic of Toxicology, MHATEM “N.I.Pirogov”, Sofia. We have used clinical, clinico-laboratory, immunological, chimicotoxicological, instrumental methods. In severe intoxications with heroin and other psychoactive drugs, we observed pulmonary system complications, i.e. pneumonia, aspiration of gastric contents, noncardiogenic pulmonary edema (NCPE) and acute respiratory distress syndrome (ARDS.). Of the 16 patients in our study, 3 patients died due to complications. Some changes in the immune reactivity observed in the study were (1) statistically significant lower mean levels of IgG and (2) tendency to lower mean levels of IgA, IgM and complement components - C3 in the studied patients in comparison with the values in healthy people. The changes were more demonstrative in the group with pulmonary complications compared to the group without pulmonary complications. We observed that the CD4 lymphocytes were significantly less in the studied patients; in addition, a lower level of CD56-bearing lymphocytes (natural killer /NK/ cells) was observed in comparison to healthy controls. The results show that the mixture of acute heroin with other psychoactive drugs leads to complications in the pulmonary system and changes of some parameters of cell-mediated and humoral immunity.