The selective bronchial embolism induction has been applied to treat the hemoptysis due to bronchopulmonary diseases in ViÖt §øc hospital since 1980. The treated and monitored 42 patients showed that the hemostatic results were at good in patients with merely bronchial arterial dilatation such as the chronic broncho-pulmonary diseases and the pulmonary injuries due to the bullet. This technique should be applied for patients with the long lasting hemoptysis that the internal treatment was ineffective and never or not indicated for operation.
Bronchopneumonia ; Hemoptysis ; Embolism ; Therapeutics

PURPOSE: Lower respiratory tract infections in infant and young children are often due to a virus, especially the Respiratory syncytial(RS) virus. Chest X-ray findings in bronchiolitis and bronchopneumonia are different. The radiographic hallmark of bronchiolitis is pulmonary hyperinflation and similar to that of bronchial asthma. Bronchiolitis is predisposed to later development of bronchial asthma. To evaluate the difference of immuno-pathophysiology between bronchiolitis and bronchopneumonia, we measured IFN-gamma (Th1 cytokine), IL-5(Th2 cytokine) and ECP. We also investigated whether X-ray findings in infants with viral infected respiratory disease are useful in predicting the development of asthma. METHODS: We measured IL-5, ECP, IFN-gamma levels in serum from 21 infants with bronchiolitis and 21 infants with bronchopneumonia and 16 infants without pulmonary viral diseases. RESULTS: IL-5 levels of bronchiolitis and bronchopneumonia were significantly higher than those of the control(P=0.02, P=0.042). IL-5 levels of bronchiolitis were higher than those of bronchopneumonia but there was no significant difference. IFN-gamma levels of bronchopneumonia were higher than those of bronchiolitis but there was no significant difference. ECP levels of bronchiolitis and bronchopneumonia were higher than those of the control but only those of bronchiolitis were significantly higher than those of the control(P=0.045). IL-5 and ECP levels did not show any significant correlation in bronchiolitis, bronchopneumonia and control groups. CONCLUSION: We cannot prove the distinct differences in serum Th1/Th2 cytokine profiles between bronchiolitis and bronchopneumonia in infants. These results suggest that the different findings on chest X-ray between bronchiolitis and bronchopneumonia could not be a predictor of later development of asthma.
Asthma ; Bronchiolitis* ; Bronchopneumonia* ; Child ; Humans ; Infant* ; Interleukin-5* ; Prognosis* ; Respiratory Tract Infections ; Thorax* ; Virus Diseases

The lungs are constructed to carry out their cardinal function, the exchange of gases between inspired air and the blood. Because of air pollution and smoking, primary respiratory infections, such as bronchitis, bronchopneumonia, and other forms of pneumonia, are commonplace in clinical and pathologic practice. Malignancy of the lungs has risen steadily in incidence. So review of diseases of lung is necessary to remind pathologic aspect of lungs.
Air Pollution ; Bronchitis ; Bronchopneumonia ; Gases ; Incidence ; Lung* ; Pneumonia ; Respiratory Tract Infections ; Smoke ; Smoking

PURPOSE: Mycoplasmal pneumonia is one of the most common respiratory diseases in childhood, and is increasing in frequency. We reviewed several aspects of Mycoplasmal pneumonia for applying treatment. METHODS: We reviewed clinical and radiological features of 79 cases of serologically proven Mycoplasmal pneumonia in admitted children between January and December 2003. RESULTS: The mean age was 4 years 2 months and the sex ratio was 1: 1.25 in the male to female ratio. The peak incidence of monthly distribution was September. On the chest x-ray examination, bronchopneumonia was the most common type and the right lower lobe (RLL) was the most common unilateral involvement in lobar consolidation. Leukocytosis, positive CRP and positive ESR were common findings in Mycoplasma pneumonia. CONCLUSION: In this study, peak incidence of monthly distribution did not conflict with previous reports but peak incidence of age in Mycoplasmal pneumonia was lower than in those reports. More studies are needed to prove changes of previous manifestations in Mycoplasmal pneumonia.
Bronchopneumonia ; Child* ; Female ; Humans ; Incidence ; Leukocytosis ; Male ; Pneumonia* ; Pneumonia, Mycoplasma ; Sex Ratio ; Thorax

Bronchial foreign body aspirations are uncommon in adults and usually have various underlying conditions, otherwise accidentally occurred in dental procedure, medical, surgical procedure. The most commonly aspirated objects were food materials, with peanuts leading the list. When bronchial foreign body was aspirated, no definite respiratory symptoms or foreign body is may not seen, then diagnosis is delayed. Therefore late complications was developed. The tendency to use fiberoptic bronchoscope for removal of foreign bodies in adults is increased. We report a rare case of bronchial pneumonia due to occult aspiration of a twig before 1 year with a review of the literatures.
Adult ; Arachis ; Aspirations (Psychology) ; Bronchopneumonia ; Bronchoscopes ; Diagnosis ; Foreign Bodies ; Humans ; Pneumonia*

Bronchopneumonia ; diagnosis ; parasitology ; Female ; Humans ; Lung Diseases, Parasitic ; diagnosis ; parasitology ; Male ; Protozoan Infections ; diagnosis ; parasitology

OBJECTIVETo study the treatment and the treatment outcome in infants with congenital heart disease complicated by severe pneumonia and heart failure.

METHODSThe clinical data of 24 infants with congenital heart disease (left to right shunt) complicated by severe pneumonia and heart failure between January 2007 and December 2007 were retrospectively reviewed.

RESULTSTwenty-two infants recovered and 2 died. Severe pneumonia and heart failure were refractory even after 1-2 months medical treatment in 6 infants at ages of <6 months. They then underwent an open heart surgery under the mechanical ventilation and tracheal intubations and were successfully cured. The other 18 infants underwent a selective heart surgery after pneumonia and heart failure had been improved. Sixteen infants were successfully cured and 2 died of postoperative low cardiac output syndrome and diffuse intravascular clotting.

CONCLUSIONSThe heart surgery should be performed early when the medical treatment does not work in infants with congenital heart disease complicated by severe pneumonia and heart failure. This may improve their outcome.

Bronchopneumonia ; therapy ; Female ; Heart Defects, Congenital ; complications ; surgery ; Humans ; Infant ; Infant, Newborn ; Male

BACKGOUND: Patients with tracheostomy tubes have altered glottic closure in deglutition that may result in aspiration and may cause dangerous pulmonary complication including bronchopneumonia and atelectasis. The incidence of pulmonary aspiration in patients with tracheosomy may be high but difficult to determine because investigators often apply different criteria. The present study was prepared to document the incidence of aspiration in patients with tracheostomy using a simple dye-marker test. METHODS: Thirty six surgical and medical patients (14 male and 22 female) in ICU with tracheostomy tube (high volume, low pressure cuffed tube) were included in this study. Mental status (presence of response to verbal command), the presence of nasogastric tube and the presence of ventilatory support were recorded in each patients to evaluate the effect of these factors on the incidence of aspiration. 1% solution of methylene blue dye was applied on the both side of posterior tongue and then any evidence of the blue dye-marker obtained microscopically on secretion through the tracheostomy tube at every 2 hours during 72 hours was considered the positive evidence of aspiration. RESULTS: Aspiration was detected by a positive methylene blue dye test in 11 of the 36 patients (30.5%) and average length of time before blue dye was obtained on tracheal secretion was 8.2 7.3 hours.The presence of response to verbal command, nasogastric tube and ventilatory support had no apparent effect on the incidence of aspiration. CONCLUSIONS: This observation suggests that a simple test using dye-maker is helpful to detect aspiration in patients with tracheostomy. Tracheostomy should be done under discreet decision because the high incidence of aspiration in trcheostomized patients.
Bronchopneumonia ; Deglutition ; Humans ; Incidence* ; Critical Care ; Male ; Methylene Blue ; Pulmonary Atelectasis ; Research Personnel ; Tongue ; Tracheostomy*

Nontuberculous mycobacterial infection is rarely accompanied by pleural involvement. We report a very rare case of Mycobacterium intracellulare pulmonary disease accompanied with pleural effusion. A 76-year-old man was admitted to our hospital because of dyspnea. A chest radiograph and CT showed bilateral bronchiectasis and bronchopneumonia accompanied with right pleural effusion. The fluid was lymphocyte-dominant exudative effusion, and microbiological examinations of the effusion, including staining and culturing, proved negative. However, one month after admission, subsequent cultures of bronchial washing fluid revealed the presence of M. intracellulare. The patient's effusion was gradually resolved with antibiotic treatment, including clarithromycin.
Aged ; Bronchiectasis ; Bronchopneumonia ; Dyspnea ; Humans ; Lung Diseases ; Mycobacterium ; Mycobacterium avium Complex ; Mycobacterium avium-intracellulare Infection ; Pleural Effusion ; Thorax

Usual interstitial pneumonia (UIP) is one type of idiopathic interstitial pneumonia, characterized by its poor prognosis and gradual deterioration of clinical course. So it is important to distinguish UIP from other interstitial pneumonia. Defi nitive histological diagnosis of UIP requires lung biopsy. The criteria for diagnosis of UIP in the absence of a surgical lung biopsy were recently defi ned. We report a case of 75-year-old man who was diagnosed as bronchopneumonia with chief complaint of fever, dyspnea on fi rst visit, then fi nally diagnosed as UIP through the remaining of chest abnormality after treatment.
Aged ; Biopsy ; Bronchopneumonia ; Dyspnea ; Fever ; Humans ; Idiopathic Interstitial Pneumonias ; Idiopathic Pulmonary Fibrosis ; Lung ; Lung Diseases, Interstitial ; Prognosis ; Thorax