Background: Pulmonary disease due to Mycobacterium avium complex (MAC-PD) radiographically resembles that due to tuberculosis; it preferentially affects elderly white men with predisposing pulmonary disorders (PDPD). Methods: 1\venty-thne patients with MAC-PD were identifled from a community-baned population, and the medical records and chest roentgenograms (CRs) of six with a previously undesc...

Lymphomatoid granulomatosis (LYG) is an angiocentric and angiodestructive neoplastic proliferation of B and T lymphocytes commonly involving the lungs. Epstein-Barr virus is commonly detected in lesional cells. We report a case of a 54-year-old female with underlying monoclonal gammopathy of unknown significance who presented with a 4 week history of dyspnea and cough. Computed tomography scan ...

In 91 patients with bronchiectasis seen over 6 years, a positive mycobacterial culture was obtained in 12 cases (13%). The organisms isolated were Mycobacterium tuberculosis in nine cases, Mycobacterium avium in two cases and Mycobacterium tuberculosis and chelonei were obtained on separate occasions in one case. Computed tomography and/or bronchography showed that the bronchiectatic changes co...

Intrathoracic teratoma is mainly found in the mediastinum. Primary intrapulmonary teratoma is very rare. A 24 year-old female presented with a 2-month history of intermittent episodes of cough and haemoptysis. Contrast enhanced computed tomography (CT) examination of chest revealed a mass in the left lingular lobe with evidence of fat and surrounding peripheral translucency. A presumptive diagn...

INTRODUCTION In patients receiving prolonged mechanical ventilation (PMV), quantitative bronchoscopic culture has not been validated for the diagnosis of ventilator-associated pneumonia (VAP). OBJECTIVE To measure the alveolar burden of bacteria in patients receiving PMV. SETTING Respiratory care units of a university hospital and a long-term care facility. PATIENTS Fourteen patients requ...

We compared high-resolution computed tomography (HRCT) with chest radiography (CR) to determine if there is any advantage to using HRCT in the diagnosis of community-acquired pneumonia (CAP). Simultaneously obtained chest radiographs were compared with HRCT scans for 47 patients with clinical symptoms and signs suspicious for CAP, HRCT identified all 18 CAP cases (38.3%) apparent on radiographs...

We encountered two cases of pulmonary M. kansasii disease in two women without underlying diseases in our hospital. Case 1 was a 52-year-old woman who visited with an abnormal chest shadow. She showed nodular and linear shadows with bronchiectatic changes and small cavities in the left upper lobe and lingula, and was diagnosed with pulmonary M. kansasii disease because M. kansasii was isolated ...