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Your search keyword '"Guzman, J"' showing total 42 results
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42 results on '"Guzman, J"'

10. Diffuse Panbronchiolitis: Eine seltene Differentialdiagnose der chronisch-obstruktiven Lungenkrankheit

Author

Schulte W, P. C. Bauer, Ulrich Costabel, Szrepka A, and Guzman J

Subjects
medicine.medical_specialty, Lung, medicine.diagnostic_test, business.industry, General Medicine, medicine.disease, Gastroenterology, Obstructive lung disease, Pulmonary function testing, Bronchoalveolar lavage, medicine.anatomical_structure, Respiratory failure, Bronchiolitis, Internal medicine, medicine, Leukocytosis, medicine.symptom, business, Diffuse panbronchiolitis
Abstract

HISTORY AND ADMISSION FINDINGS A 36-year-old Korean had since childhood suffered from a chronic progressive lung disease, marked by dyspnoea, productive cough and recurrent sinusitis. He was in a reduced general condition on admission. There were hyperresonant sounds on palpation over both lungs, a low diaphragm and slight vesicular breath sound as well as occasional rales and sibilant rhonchi. INVESTIGATIONS Laboratory tests showed increased blood cell sedimentation of 52 mm at 1 h, leukocytosis of 24.3/nl, and a raised cold-agglutinin titre. Haemophilus influenza and Pseudomonas aerogenes were cultured from the bronchial secretion. Lung function tests revealed severe obstruction with hyperinflation and partial respiratory failure with a much reduced 1-sec forced expiratory volume (FEV1) of 0.71, 19% of normal; residual volume (RV) 6.61, 550% of normal; arterial oxygen partial pressure 61 mm Hg; arterial CO2 partial pressure 36 mm Hg. Chest X-ray showed emphysematous changes with diffuse small nodular shadows. Bronchoalveolar lavage revealed 96% neutrophils, indicating marked granulocytic inflammation. A video-assisted thoracoscopic biopsy was performed which showed diffuse panbronchiolitis. TREATMENT AND COURSE The symptoms, radiological changes and lung functions clearly improved under long-term treatment with 500 mg erythromycin daily. CONCLUSION Diffuse bronchiolitis is rarely seen outside of Asia, but it should be included in the differential diagnosis because, in contrast to other forms of chronic obstructive lung disease, it responds to long-term erythromycin medication.

Published
2008

11. Die Bedeutung stenographischer Verlaufskontrollen bei der akuten Pankreatitis

Author

Costabel U, Jürgen Schölmerich, Guzman J, Volk Ba, Fröhlich J, Hoppe-Seyler P, Gerok W, and Grünholz J

Subjects
medicine.medical_specialty, Pancreatic pseudocyst, Pleural effusion, business.industry, Ultrasound, Disease, medicine.disease, Text mining, medicine, Pancreatitis, Acute pancreatitis, Radiology, Nuclear Medicine and imaging, In patient, Radiology, business
Abstract

Two patients with complicated acute pancreatitis are demonstrated. Sonographic factors are compared to laboratory and clinical findings. Ultrasound can add relevant information for classification and thereby supply an indication for surgery in patients with acute pancreatitis. This is especially true since laboratory classification of the grade of the disease is as yet not generally accepted.

Published
2008

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