EVALI Dotaz Zobrazit nápovědu
- MeSH
- lidé MeSH
- mladiství MeSH
- poranění hrudníku komplikace MeSH
- poškození plic * MeSH
- Check Tag
- lidé MeSH
- mladiství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Klíčová slova
- LUNG/wounds and injuries *,
- MeSH
- krvácení * MeSH
- lidé MeSH
- poškození plic * MeSH
- zhmoždění * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
The presented work describes the first case of fatal air embolism during sport diving known in Czechoslovakia. Despite of morphological findings the work points out the biophysical grounds of overpressure lung barotrauma of the diver, together with its characteristic features. The work also describes the specific approach of medicolegal investigation of such kind of diving accident.
- MeSH
- barotrauma patologie MeSH
- dospělí MeSH
- lidé MeSH
- plíce patologie MeSH
- poškození plic * MeSH
- potápění * MeSH
- soudní lékařství MeSH
- sportovní úrazy patologie MeSH
- vzduchová embolie patologie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- kazuistiky MeSH
Acute eosinophilic pneumonia (AEP) is a rare cause of respiratory failure. It is primarily a disease of smokers, either a new smoker or an existing one with a recent increase in cigarette consumption. Other risk factors include toxic gas exposure, inhalational illicit drugs, and smoking marijuana. AEP has also been reported in patients with e-cigarette or vaping associated lung injury (EVALI). We present the case of a 20-year-old male who presented to the hospital with acute respiratory failure. The patient has been vaping heavily for the past three months and started smoking three days before presenting to the emergency department. He was hypertensive, tachycardic, tachypneic, and required high-flow nasal cannula to maintain SpO2 > 92%. His condition deteriorated in the first 24 hours following hospitalization requiring noninvasive positive pressure ventilation. Bronchoalveolar lavage revealed an eosinophil count of 36%. Bronchoalveolar lavage (BAL) cytology revealed lipid-laden macrophages. He was diagnosed with AEP due to EVALI, and the patient was treated with high dose corticosteroid with subsequent improvement. Before the bronchoscopic evaluation, the clinical and radiologic findings were consistent with COVID-19, and the patient was tested twice for SARS-CoV-2 PCR. In the appropriate clinical setting, AEP should be considered in the differential diagnoses of community-acquired pneumonia, acute respiratory distress syndrome (ARDS), and COVID-19, especially in this pandemic era.
- Klíčová slova
- AEP, Acute eosinophilic pneumonia, Lung injury, Smoking, Vaping,
- MeSH
- COVID-19 * MeSH
- dimerkaprol MeSH
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- plicní eozinofilie * chemicky indukované diagnóza MeSH
- poškození plic * MeSH
- SARS-CoV-2 MeSH
- systémy dodávající nikotin elektronicky * MeSH
- vaping * škodlivé účinky MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- Názvy látek
- dimerkaprol MeSH
- MeSH
- dietní železo škodlivé účinky MeSH
- hepcidiny nedostatek MeSH
- jaterní cirhóza etiologie MeSH
- lyzozomy metabolismus MeSH
- poškození plic etiologie MeSH
- železo metabolismus MeSH
- zvířata MeSH
- Check Tag
- zvířata MeSH
- Publikační typ
- dopisy MeSH
- komentáře MeSH
- Názvy látek
- dietní železo MeSH
- hepcidiny MeSH
- železo MeSH
- Klíčová slova
- LUNGS *, THORAX *,
- MeSH
- hrudní stěna * MeSH
- hrudník * MeSH
- lidé MeSH
- plíce * MeSH
- poškození plic * MeSH
- střelné rány * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
The authors evaluated in a retrospective study a group of 45 patients with contusion of the lungs (age 1 to 15 years) who were treated at the Faculty Hospital in Motol in 1989-1993. In 38 children contusion of the lungs was part of multiple injuries with signs of failure of vital functions. These children were admitted after the injury to the in-patient department of the Anaesthesiological and Resuscitation Clinic. Seven children without alterations of vital functions were treated at the Department of Paediatric Surgery. The diagnosis was based on the case-history, clinical examination, X-ray examination and laboratory signs of lung injuries. An isolated pneumothorax was found in 17.8% of the injured children, haemothorax in 8.9% and in 24.5% pneumothorax and haemothorax. Severe craniocerebral injuries were diagnosed in 71% of patients, 37.8% children had concomitant injuries of the abdominal organs and retroperitoneum and 42% had fractures of the long bones. 46.6% of the children had rib fractures. The condition of 35 injured children called for endotracheal intubation (on average for 17 days) and artificial ventilation (on average for 14.4 days). 98% of the injured children were given antibiotics, in 84% steroids were administered, in 18 of the injured children (40%) drainage of the thoracic cavity was essential. Six patients (13.3%) drainage of the thoracic cavity was essential. Six patients (13.3%) died--the cause of death were severe injuries of the CNS.
- MeSH
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- mladiství MeSH
- poškození plic * MeSH
- předškolní dítě MeSH
- retrospektivní studie MeSH
- zhmoždění * diagnóza terapie MeSH
- Check Tag
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- Klíčová slova
- LUNGS/wounds and injuries *, WOUNDS AND INJURIES *,
- MeSH
- lidé MeSH
- poškození plic * MeSH
- psychochirurgie * MeSH
- rány a poranění * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- MeSH
- lidé MeSH
- mladiství MeSH
- penetrující rány chirurgie MeSH
- poranění hrudníku chirurgie MeSH
- poškození plic MeSH
- pracovní nehody * MeSH
- Check Tag
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- kazuistiky MeSH
- MeSH
- bodné rány chirurgie MeSH
- dospělí MeSH
- lidé MeSH
- pneumektomie * MeSH
- poškození plic * MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- kazuistiky MeSH