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Shrestha B, Mahat R. Pulmonary Cavitary Sarcoidosis: A Case Report. Cureus 2023; 15:e46398. [PMID: 37927735 PMCID: PMC10620841 DOI: 10.7759/cureus.46398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/03/2023] [Indexed: 11/07/2023] Open
Abstract
Sarcoidosis is a granulomatous disease characterized by a non-caseating granuloma formation in different organs of the body. However, the presence of cavitary lesions is rare. We present a case report of a 38-year-old male who presented with a three-month history of cough, dyspnea, and weight loss. Computed tomography of the chest demonstrated enlarged mediastinal and bilateral hilar lymphadenopathy with bilateral perihilar consolidation and cavitation in the upper lobes of both lungs. Later, the patient underwent bronchoscopy with bronchoalveolar lavage and endobronchial biopsy which showed well-formed and non-necrotizing granulomas which were also embedded in the dense hyaline sclerosis. This finding is consistent with sarcoidosis. Treatment with systemic corticosteroids was initiated, resulting in significant improvement in the patient's symptoms. This case report highlights the uncommon manifestation of pulmonary cavitary sarcoidosis and emphasizes the significance of accurate diagnosis and appropriate management of this complex disease.
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Affiliation(s)
- Bhanu Shrestha
- Department of Respiratory Medicine, Karuna Hospital, Kathmandu, NPL
| | - Ravi Mahat
- Department of Respiratory Medicine, Grande International Hospital, Kathmandu, NPL
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Shrestha B, Mahat R. Emergence of Pulmonary Tuberculosis While Recovering From COVID-19 Pneumonia: A Case Report. Cureus 2023; 15:e44398. [PMID: 37779797 PMCID: PMC10540490 DOI: 10.7759/cureus.44398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2023] [Indexed: 10/03/2023] Open
Abstract
COVID-19 can have different presentations; from asymptomatic to multiorgan involvement. This case report is of an elderly gentleman, with known comorbidities of chronic obstructive airway disease and alcoholic liver disease on treatment. He presented with a history of increasing dyspnea and cough for a few days which was present after cold symptoms, and was admitted for the treatment of severe COVID-19 pneumonia. Later, while he was recovering from COVID-19 pneumonia, his respiratory symptoms worsened. After a thorough evaluation, his sputum smear was positive for acid-fast bacilli and also rifampicin sensitive on GeneXpert assay. With timely diagnosis and appropriate treatment, he recovered from both acute conditions and was sent home on the twentieth day of admission.
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Affiliation(s)
- Bhanu Shrestha
- Department of Respiratory Medicine, Karuna Hospital, Kathmandu, NPL
| | - Ravi Mahat
- Department of Respiratory Medicine, Karuna Hospital, Kathmandu, NPL
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Akhlaq S, Ashraf A, Asif MB, Awang N, Aydiner C, Banerjee S, Behera AK, Behera M, Bhattacharjee A, Bhattacharjee C, Boczkaj G, Buyukada-Kesici E, Chakrabortty S, Chakraborty A, Chakraborty S, Chaudhari A, Chung YT, Das PP, Dehingia B, Dilipkumar P, Dwivedi S, Dwivedi S, Farnood R, Fatihhi S, Ghosh R, Hakke V, Heponiemi A, Iftekhar S, Iqbal A, Jagadevan S, Jain MS, Johari A, Joseph T, Kalita HK, Kauppinen T, Kaushal S, Kaushik B, Kempegowda RG, Kiew PL, Koseoglu-Imer DY, Krishnan A, Kumar K, Kumar R, Kumar V, Kumari M, Kumari S, Kumari V, Kushwaha AK, Lassi U, Mahakul MM, Mahat R, Malika M, Malkapuram ST, Mazumder A, Mittal N, Mohapatra L, Mondal P, Muduli SM, Mund SK, Narsimha P, Nasef MM, Natarajan S, Nayak J, Ng CY, Nithiyanantham S, Ojha A, Pal P, Pal RR, Pal R, Pala B, Panagopoulos A, Panda PC, Panigrahi GK, Patel P, Patil Y, Pradhan AK, Purkait MK, Radzi ARM, Ramakrishnappa T, Rangabhashiyam S, Rangarajan G, Rao S, Rasheed N, Ratna S, Rawat D, Rayaroth MP, Runtti H, Sahoo A, Sahoo JK, Sahoo SK, Samanta NS, Saranya N, Sarkar S, Sen D, Sha A, Sharma M, Sharma S, Shibli S, Siddiqui MH, Sillanpää M, Singh D, Singh G, Singhal R, Sivaprasad S, Sonawane S, Sonawane SS, Sreelekshmy B, Srivastava V, Subhalaxmi S, Sudarsan JS, Surendra B, Sureshkumar K, Tabraiz S, Tan LS, Thakur N, Thakur N, Thakur PP, Topuz E, Tripathi A, Tuomikoski S, Tynjälä P, Wahid KAA, Wasayh MA, Yajid MAM. List of contributors. Resource Recovery in Industrial Waste Waters 2023:xxi-xxx. [DOI: 10.1016/b978-0-323-95327-6.00038-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
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Panjwani AK, Ghazal S, Mahat R, Malik M, Rizvi N. Assessment of risk factors against severity of COPD in non-smokers. JNMA J Nepal Med Assoc 2013; 52:479-482. [PMID: 24907955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023] Open
Abstract
INTRODUCTION Chronic obstructive pulmonary disease in non-smokers has been an important concern in past decade. We studied the risk factors responsible for more severe Chronic obstructive pulmonary disease. Identifying them would help to work against progression to more severe disease as well as prevention. METHODS A prospective cross sectional study was done in outpatient clinic of Jinnah postgraduate medical center from December 2010 to December 2011. All patients fulfilling the criteria for Chronic obstructive pulmonary disease were taken in study. Patients with less than five pack years smoking with other risk factors for Chronic obstructive pulmonary disease were evaluated. RESULTS Out of total 90 patients, 74 (82.2%) had mild chronic obstructive pulmonary disease and 16 (17.7%) had moderate to severe chronic obstructive pulmonary disease. Patients with single biomass exposure were found to have mild chronic obstructive pulmonary disease except those having mosquito coil exposure. Patients with mosquito coil and wood smoke exposure were observed to have moderate to severe chronic obstructive pulmonary disease (p-value 0.009). CONCLUSIONS Wood smoke with mosquito coil smoke exposure is responsible for more severe chronic obstructive pulmonary disease.
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Affiliation(s)
- Ashok Kumar Panjwani
- Department of Chest Medicine, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
| | - Shaista Ghazal
- Department of Chest Medicine, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
| | - Ravi Mahat
- Department of Chest Medicine, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
| | - Maria Malik
- Department of Chest Medicine, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
| | - Nadeem Rizvi
- Department of Chest Medicine, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
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Panjwani AK, Ghazal S, Mahat R, Malik M, Rizvi N. Assessment of Risk Factors against Severity of COPD in Non-Smokers. JNMA J Nepal Med Assoc 2013. [DOI: 10.31729/jnma.2275] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Introduction: Chronic obstructive pulmonary disease in non-smokers has been an importantconcern in past decade. We studied the risk factors responsible for more severe Chronic obstructivepulmonary disease. Identifying them would help to work against progression to more severe diseaseas well as prevention.Methods: A prospective cross sectional study was done in outpatient clinic of Jinnah postgraduatemedical center from December 2010 to December 2011. All patients fulfilling the criteria for Chronicobstructive pulmonary disease were taken in study. Patients with less than five pack years smokingwith other risk factors for Chronic obstructive pulmonary disease were evaluated.Results: Out of total 90 patients, 74 (82.2%) had mild chronic obstructive pulmonary disease and 16(17.7%) had moderate to severe chronic obstructive pulmonary disease. Patients with single biomassexposure were found to have mild chronic obstructive pulmonary disease except those havingmosquito coil exposure. Patients with mosquito coil and wood smoke exposure were observed tohave moderate to severe chronic obstructive pulmonary disease (p-value 0.009).Conclusions: Wood smokewith mosquito coil smoke exposure is responsible for more severe chronicobstructive pulmonary disease._______________________________________________________________________________________Keywords: biomass; chronic obstructive pulmonary disease; non-smoker; tuberculosis.
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