No abstract available.
Infection Control* ; National Health Programs*

No abstract available.
Pneumonia*

BACKGROUND: Tuberculous pleural effusion is the most common extrapulmonary site of all disease due to Mycobacterium tuberculosis. The diagnosis of tuberculous pleural effusion is most often established by histologic examination of pleural biopsy specimens. This study documents the utility of smear and culture of pleural fluid and pleural biopsy specimens for tubercle bacilli. METHODS: Between March 1998 and August 1999, we performed thoracentesis with or without pleural bio-psies on 148 patients with pleural effusion according to protocol with Abrams needle. Before the pleural biopsy, a diagnostic thoracentesis was performed. Aliquots of pleural fluid (30 mL) were submitted for biochemical, cytologic, and bacteriologic studies, Ziehl-Neelsen staining and culture in Lowenstein-Jensen medium. At least five samples of parietal pleural tissue were obtained, one for mycobacterial study and another for histologic study. RESULTS: Thirty-seven of the 148 patients were proved to have tuberculosis (24 men and 13 women) with a median age of 32 years (range, 21~91). Pleural biopsy was performed on 35 of the 37 patients with tuberculous pleural effusion. Granuloma was present in 33 of the 35 patients investigated with acid-fast bacilli in 9 patients. The smear for acid-fast bacilli of pleural fluid was positive in 1 patient and the culture for M. tuberculosis was positive in 5 of 37 patients. Pleural biopsy culture was positive in 3 of 35 patients. The 2 patients who could not carry out the pleural biopsy were positive in pleural fluid and pleural tissue mycobacterial culture, respectively. CONCLUSION: In our test, Ziehl-Neelsen staining and culture for M. tuberculosis of pleural fluid and pleural specimen gave a higher yield (5.4%) than the histologic methods alone in establishing the diagnosis of tuberculous pleural effusion.
Biopsy* ; Diagnosis ; Granuloma ; Humans ; Male ; Mycobacterium tuberculosis ; Needles ; Pleural Effusion* ; Prospective Studies* ; Rabeprazole ; Tuberculosis

We report a case of Trichilemmal carcinoma in a 75-year-old man who was presented with an exophytic nodule on the lower lip. The tumor was composed of glycogen-rich cytoplasmic cells with PAS-positive, diastase-labile and had a characteristic trichilemmal keratinization. The trichilemmal carcinoma is well known to have originated from the outer root sheath of the hair follicle in the hair bearing area. It is interesting that our case had developed on the lip, an exceptional site for a follicular tumor : the hair follicle could not be seen. It might have been developed from an ectopic follicle or at the follicle of vermillion border and grew up into the lip.
Aged ; Cytoplasm ; Hair ; Hair Follicle ; Humans ; Lip*

Pleural effusion due to hepatic cirrhosis with ascites is well known, although hepatic hydrothorax in the absence of ascites is a rare condition, the pathogenesis of which is still unknown. We report a case of hepatic hydrothorax without ascites confirmed by the intraperitoneal injection of Tc-99m macroaggregated serum albumin (Tc-99m MAA) that demonstrated the passage of Tc-99m MAA into the right pleural cavity.
Ascites* ; Hydrothorax* ; Injections, Intraperitoneal ; Liver Cirrhosis ; Pleural Cavity ; Pleural Effusion ; Serum Albumin*

Epithelioid Hemangioendothelioma(EH) is a rare vascular tumor, originating from endothelial cells. The principal locations are lung, soft tissue, bone and liver. This tumor is of borderline malignancy, relatively benign course. In the lung, the tumor is often multifocal, bilateral and frequently lead to the mistaken diagnosis of metastatic carcinoma. Although EH of the lung is relatively slow growing tumor, extensive pulmonary involvement, systemic metastasis, mainly to the liver have been documented. A 26-year-old man with EH involving the lung and liver was reported. Chest X-ray and chest CT showed multiple nodules in both lung fields and Abdominal CT multiple round low densities in liver. Transbronchial lung biopsy was performed. The patient diagnosed as EH by light microscopic finding and immunohistochemical study for Factor VIII-related antigen.
Adult ; Biopsy ; Bone and Bones ; Diagnosis ; Endothelial Cells ; Hemangioendothelioma, Epithelioid* ; Humans ; Liver* ; Lung* ; Neoplasm Metastasis ; Thorax ; Tomography, X-Ray Computed ; von Willebrand Factor

Tracheobronchial rupture is one of the less-common injuries associated with blunt chest trauma. The diagnosis of tracheobronchial rupture is not easy, but failure to diagnosis may lead to death or long-term disability. Early diagnosis and appropriate management can reduce the mortality and morbidity. Bronchoscopy is the diagnostic method of choice for patients with tracheobronchial rupture. We report a case of tracheal rupture after blunt chest trauma. A 40-year-old man was transferred to our hospital for dyspnea after blunt chest trauma. He was promptly diagnosed as tracheal rupture by fiberoptic bronchoscopy and chest computed tomogram. He was successfully managed by thoracotomy and primary repair.
Adult ; Bronchoscopy* ; Diagnosis ; Dyspnea ; Early Diagnosis ; Humans ; Mortality ; Rupture* ; Thoracotomy ; Thorax*

Tracheobronchial rupture is one of the less-common injuries associated with blunt chest trauma. The diagnosis of tracheobronchial rupture is not easy, but failure to diagnosis may lead to death or long-term disability. Early diagnosis and appropriate management can reduce the mortality and morbidity. Bronchoscopy is the diagnostic method of choice for patients with tracheobronchial rupture. We report a case of tracheal rupture after blunt chest trauma. A 40-year-old man was transferred to our hospital for dyspnea after blunt chest trauma. He was promptly diagnosed as tracheal rupture by fiberoptic bronchoscopy and chest computed tomogram. He was successfully managed by thoracotomy and primary repair.
Adult ; Bronchoscopy* ; Diagnosis ; Dyspnea ; Early Diagnosis ; Humans ; Mortality ; Rupture* ; Thoracotomy ; Thorax*

No abstract available.
Cytomegalovirus* ; Nephrotic Syndrome* ; Pneumonia*

No abstract available.
Cytomegalovirus* ; Nephrotic Syndrome* ; Pneumonia*