26
|
Wollschläger B, Bork I, Noack F, Reindl I, Krohe K, Schmidt B. Ultima ratio Stent. Pneumologie 2014. [DOI: 10.1055/s-0033-1364145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
27
|
Bork I, Wollschläger B, Reindl I, Schmidt B. Ein zu erwartender Verlauf? Pneumologie 2014. [DOI: 10.1055/s-0034-1367980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
28
|
Röder C, Bork I, Wollschläger B, Schmidt B. Die Tropische Lungeneosinophilie kann auch in Deutschland vorkommen – ein ungewöhnlicher Fall. Pneumologie 2014. [DOI: 10.1055/s-0034-1368011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
29
|
Wollschläger B, Bork I, Franke U, Röder C, Reindl I, Noack F, Schmidt B. Komplikationsreicher Verlauf nach Lungentransplantation bei einer Mukoviszidosepatientin. Pneumologie 2014. [DOI: 10.1055/s-0034-1368015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
30
|
Pfaff F, Wollschläger B, Bork I, Reindl I, Schmidt B. Mikrobiologische Befunde in der Bronchoskopie: Ein Vergleich oraler Mikroorganismen mit Lavageergebnissen der Bronchoskopie. Pneumologie 2014. [DOI: 10.1055/s-0034-1367821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
31
|
Wollschläger B, Bork I, Franke U, Röder C, Reindl I, Noack F, Brandt S, Krohe K, Steinke T, Wagner B, Schmidt B. Pulmonalarterienatresie –- eine seltene Ursache für Haemoptoe. Pneumologie 2014. [DOI: 10.1055/s-0034-1368009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
32
|
Bach AG, Wollschläger B, Holzhausen HJ, Surov A. [Increased dyspnea after airbag rupture]. ROFO-FORTSCHR RONTG 2013; 186:803-4. [PMID: 24347357 DOI: 10.1055/s-0033-1356144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
33
|
Junge S, Wiedemann B, Tümmler B, Dübbers A, Küster P, Nofer J, Ellemunter H, Mainz J, Heuer E, Sextro W, Körner-Rettberg C, Ballmann M, Mellies U, Hammermann J, Teschler H, Szczepanski R, Tegtmeyer F, Graepler-Mainka U, Riethmueller J, Wald A, Wollschläger B, Staab D, Schuster A, Becker K, Peters G, Kahl B. WS19.9 A prospective multicenter study to dissect Staphylococcus aureus-colonization from infection in cystic fibrosis patients. J Cyst Fibros 2013. [DOI: 10.1016/s1569-1993(13)60122-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
34
|
Fleischhacker M, Rolke H, Theil G, Haubold K, Morgenthaler N, Wollschläger B, Bork I, Schmidt B. Isolation von zirkulierenden Tumorzellen (CTC) bei Lungenkarzinompatienten mithilfe eines CellCollectors - erste Pilotuntersuchungen. Pneumologie 2013. [DOI: 10.1055/s-0033-1334770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
35
|
Röder C, Wollschläger B, Schmidt B, Werdan K. Eine einseitige Zwerchfellparese und eine superfizielle zerebrale Hämosiderose - als Manifestation einer Neuro-Sarkoidose? Wenn die Sarkoidose „nur“ auf Herz und Nerven geht. Pneumologie 2013. [DOI: 10.1055/s-0033-1334540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
36
|
Wollschläger B, Bork I, Franke U, Noack F, Schmidt B. Mukoviszidose-Diagnose im Erwachsenenalter – Erfahrungen des Mukoviszidose-Zentrums Halle. Pneumologie 2012. [DOI: 10.1055/s-0032-1302697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
37
|
Noack F, Schlitt A, Köhler S, Schleife K, Wehnert T, Hollenbach M, Franke U, Bork I, Wollschläger B, Schmidt B. Ist die systolische Rechtsherzfunktion ein Prädiktor für die kardiopulmonale Leistungsfähigkeit? Pneumologie 2012. [DOI: 10.1055/s-0032-1302693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
38
|
Franke U, Noack F, Bork I, Wollschläger B, Schmidt B, Stiller D, Ebelt H. Ehlers-Danlos-Sydrom und ausgeprägte pulmonale Hypertonie bei rezidivierenden Thrombembolien. Pneumologie 2012. [DOI: 10.1055/s-0032-1302875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
39
|
Franke U, Noack F, Bork I, Wollschläger B, Schmidt B, Ebelt H. Das Auftreten eines diffusen alveolären Hämorrhagiesyndroms mit nachfolgendem akuten Lungenversagen als Erstsymptom eines M. Wegener. Pneumologie 2012. [DOI: 10.1055/s-0032-1302578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
40
|
Wollschläger B, Noack F, Bork I, Schmidt B. Hätten Sie daran gedacht? CF-Diagnose jenseits des 40. Lebensjahres. Pneumologie 2011. [DOI: 10.1055/s-0031-1297389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
|
41
|
Wollschläger B, Bork I, Noack F, Berger A, Schmidt B. Späte CF-Diagnose jenseits des 40. Lebensjahres - drei Fallberichte. Pneumologie 2011. [DOI: 10.1055/s-0031-1272072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
42
|
Noack F, Bork I, Hollenbach M, Berger A, Wollschläger B, Seufferlein T, Schmidt B. Große rechtsventrikuläre Metastase als seltene Dyspnoeursache beim nicht-kleinzelligen Lungenkarzinom. Pneumologie 2011. [DOI: 10.1055/s-0031-1272184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
43
|
Noack F, Bork I, Wollschläger B, Seufferlein T, Schmidt B. Transfusionspflichtige periphere pulmonale Blutung als einzige Manifestation eines B-NHL. Pneumologie 2011. [DOI: 10.1055/s-0031-1272299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
44
|
Bensel T, Stotz M, Borneff-Lipp M, Wollschläger B, Wienke A, Taccetti G, Campana S, Meyer KC, Jensen PØ, Lechner U, Ulrich M, Döring G, Worlitzsch D. Lactate in cystic fibrosis sputum. J Cyst Fibros 2010; 10:37-44. [PMID: 20947455 DOI: 10.1016/j.jcf.2010.09.004] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2010] [Revised: 09/16/2010] [Accepted: 09/20/2010] [Indexed: 11/26/2022]
Abstract
BACKGROUND Antibiotic therapy is thought to improve lung function in patients with cystic fibrosis (CF) by decreasing neutrophil-derived inflammation. We investigated the origin and clinical significance of lactate in the chronically inflamed CF lung. METHODS Lactate was measured in sputa of 18 exacerbated and 25 stable CF patients via spectrophotometry and gaschromatography. Lung function was assessed via spirometry. Seven patients with chronic obstructive pulmonary disease (COPD) and three patients with acute lung inflammation served as control groups. Neutrophil and bacterial lactate production was assessed under aerobic and anaerobic conditions. RESULTS In sputum specimens of patients with respiratory exacerbations lactate concentrations decreased significantly (p<0.005) from 3.4±2.3mmol/L to 1.4±1.4mmol/L after 2-3 weeks of intravenous antibiotics. Successful treatment was reflected in 16 patients (88.9%) by FVC increase associated with lactate decrease (p<0.05). In every single sputum lactate was detectable (3.0±3.1mmol/L, range 0.2-14.1mmol/L). Lactate was lower (1.6±0.8mmol/L) in sputa from seven COPD patients, and it was below the detection limit in three patients with acute lung inflammation. Neutrophil lactate production accumulated up to 10.5mmol/L after 4 days, whereas bacterial lactate production did not appear to contribute substantially to sputum lactate concentrations. CONCLUSIONS Successful antibiotic therapy is reflected by a decrease in lactate concentrations. Neutrophils are the most likely source for lactate in sputum of CF patients. Therefore lactate may be used to monitor responses to antibiotic therapy as an adjunct to lung function measurements.
Collapse
|
45
|
Worlitzsch D, Jaschinski A, Bensel T, Wollschläger B, Borneff-Lipp M. Modes of interaction between Pseudomonas aeruginosa and obligate anaerobes. J Cyst Fibros 2010. [DOI: 10.1016/s1569-1993(10)60119-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
46
|
Noack F, Bork I, Lemke J, Krohe K, Wollschläger B, Seufferlein T. Tuberkulose-Reaktivierung in der Thoraxwand 57 Jahre nach operativer Kollapstherapie – differenzialdiagnostische und therapeutische Probleme. Pneumologie 2009. [DOI: 10.1055/s-2009-1242166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
47
|
Wollschläger B, Bork I, Lemke J, Noack F, Stock K, Seufferlein T. Thorakales Aortenaneurysma als relevante Differenzialdiagnose einer pulmonalen Raumforderung. Pneumologie 2009. [DOI: 10.1055/s-2009-1242176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
48
|
Worlitzsch D, Rintelen C, Böhm K, Wollschläger B, Merkel N, Borneff-Lipp M, Döring G. Antibiotic-resistant obligate anaerobes during exacerbations of cystic fibrosis patients. Clin Microbiol Infect 2009; 15:454-60. [DOI: 10.1111/j.1469-0691.2008.02659.x] [Citation(s) in RCA: 99] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
49
|
Lemke J, Wollschläger B, Bork I, Werdan K. Alveolarproteinose – Zufallsbefund eines seltenen Erkrankungsbildes. Pneumologie 2008. [DOI: 10.1055/s-0028-1096571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
50
|
Koch AK, Brömme S, Wollschläger B, Horneff G, Keyszer G. Musculoskeletal manifestations and rheumatic symptoms in patients with cystic fibrosis (CF) no observations of CF-specific arthropathy. J Rheumatol 2008; 35:1882-1891. [PMID: 18688909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
OBJECTIVE To determine the character and frequency of musculoskeletal manifestations and rheumatic symptoms in patients with cystic fibrosis (CF). METHODS Rheumatic symptoms and signs of 70 patients with CF (age 6 to 61 yrs) were determined by interview and clinical assessment. Age and sex-matched healthy volunteers served as a control group. In CF patients, laboratory measures and bone mineral density (BMD) were investigated. The data were correlated with the CF phenotype [Shwachman Score (ShS), Chrispin-Norman Score (ChNS), and pulmonary function tests (PFT)]. RESULTS The prevalence of joint pain in the CF patients was 12.9%, with a mean duration of 7 days. Swollen joints were found in 4 patients. None fulfilled the criteria for rheumatoid arthritis or connective tissue disease. Adult CF patients complained more often about noninflammatory back pain and myalgia, and demonstrated reduced spine mobility and impaired everyday life functions compared with the controls. Symptomatic CF patients had elevated erythrocyte sedimentation rate and C-reactive protein levels and performed worse on the ShS, ChNS, and PFT than asymptomatic patients. Antibodies against exotoxin A of Pseudomonas aeruginosa and recombinant Aspergillus fumigatus allergen f4 were found more frequently in CF patients with arthralgia. BMD was decreased in adult patients with more severe CF. CONCLUSION In CF patients, the prevalence of rheumatic symptoms increases with age and CF severity. Our data suggest an association of infections with P. aeruginosa and A. fumigatus with the occurrence of rheumatic symptoms. However, no association of CF with definite inflammatory joint or connective tissue diseases was observed, and no CF-specific pattern of musculoskeletal symptoms was seen.
Collapse
|