Chest
-
Pediatric PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Congenital pulmonary malformations like congenital cystic adenomatoid malformation and bronchogenic cysts are rare but potentially life-threatening anomalies. It frequently present with neonatal respiratory distress and require prompt diagnosis and treatment. Physical signs are nonspecific: grunting, tachypnea, retractions, cyanosis, pneumothorax. ⋯ The following authors have nothing to disclose: Manuela Cucerea, Marta Simon, Raluca Marian, Luminita ZahiuNo Product/Research Disclosure Information.
-
Respiratory InfectionsSESSION TYPE: Slide PresentationsPRESENTED ON: Sunday, March 23, 2014 at 04:15 PM - 05:15 PMPURPOSE: INTRODUCTION Elevated ADA levels in pleural fluid are highly suggestive of pleural tuberculosis. In fact, values above 35UL in our practice present levels of sensitivity and specificity > 90%. However, sometimes we find very high levels of ADA Pleural uncommon for tuberculosis. Is there an upper limit level of ADA to justify the possibility of another process? ⋯ The following authors have nothing to disclose: Patricia Lazo Meneses, Esteban Perez Rodriguez, Carolina Gotera, Jonathan Cámara Fernández, Deisy Barrios Barreto, Salvador Diaz Lobato, Sagrario Mayoralas Alises, Eva Mañas Baena, Rosa Mirambeaux VillalonaNo Product/Research Disclosure Information.
-
Infectious Diseases CasesSESSION TYPE: Case ReportsPRESENTED ON: Saturday, March 22, 2014 at 04:15 PM - 05:15 PMINTRODUCTION: Aspergillosis is known to cause a wide range of clinical syndromes including invasive pulmonary aspergillosis (IPA) in immunocompromised patients. IPA has rarely been reported in immunocompetent patients; however, these cases were primarily associated with underlying lung disease. Here we present an unusual case of IPA in an immunocompetent host without known lung disease. ⋯ The following authors have nothing to disclose: Naveed Sheikh, Naseem Saadia, Syed Mudassar Naqshbandi, Kashif Aslam, Micheal McCormmackNo Product/Research Disclosure Information.
-
Late Breaking AbstractsSESSION TYPE: Slide PresentationPRESENTED ON: Saturday, March 22, 2014 at 09:00 AM - 10:00 AMPURPOSE: Within 2 weeks in Nov 2013, there were 8 pediatric cases of complicated pneumonia admitted to 6 pediatric ICU in Hong Kong, resulting in 2 deaths associated with hemolytic uremic syndrome. This outbreak led to this description study of the changing epidemiology of complicated pneumonia and associated hemolytic uremic syndrome in children. ⋯ The following authors have nothing to disclose: Gary Wong, Ting Leung, Chante NgNo Product/Research Disclosure Information.
-
Respiratory Infections PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Vancomycin is standard of care for the treatment of methicillin-resistant Staphylococcus aureus infection (MRSA). Conventional dosing strategies are intermittent dosing with assessment of therapeutic level. First trough level is obtained before the 4th dose. It often results in readjusting dose and frequency of vancomycin to obtain adequate levels. As the mortality rate for MRSA bacteremia remains high 23.4%, no study has looked at continuous infusion vancomycin (CIV) since the IDSA guidelines in 2009 changing therapeutic level interpretation. We conducted a retrospective review at our academic center to review steady state levels, complications and morbidity. ⋯ The following authors have nothing to disclose: Syed Masood, Christopher Droege, Renee Hebbeler-ClarkNo Product/Research Disclosure Information.