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Infectious Disease Case Reports Posters IISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: An 85 year old male with CAD, severe aortic stenosis, sick sinus syndrome status post pacemaker and CHF, underwent a coronary artery bypass graft and an aortic valve replacement surgery with pericardial valve. He received a preoperative dose of IV vancomycin and cefazolin and 3 postoperative doses of cefazolin as part of the prophylactic protocol. On Hospital Day (HD) #4 he became septic and had several episodes of diarrhea with right lower quadrant abdominal pain. ⋯ We believe that the institution of IVIG was surgery averting for this patient with significant comorbidities even though it has only been described in case reports.Reference #1: J Salcedo, S Keates. Intraveous immunoglobilin therapy for severe Clostridium Difficile colitis. Gut 1997; 41: 366-370DISCLOSURE: The following authors have nothing to disclose: Nicolas Crescimone, Giri Srikanthanoff label use.
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Bronchoscopy & Interventional ProceduresSESSION TYPE: Slide PresentationsPRESENTED ON: Monday, March 24, 2014 at 09:00 AM - 10:30 AMPURPOSE: Infection and carcinoma commonly present as pulmonary nodules or masses. Diagnostic workup of these patients requires tissue biopsy since radiological characteristics are non-specific. EBUS combined with navigation bronchoscopy has been shown to increase diagnostic yield, we aim to determine if there are discriminatory pCLE features of benign and malignant etiologies and if it can aid in the selection of site for biopsy. ⋯ The following authors have nothing to disclose: Pyng Lee, Kay Leong Khoo, Ju Ee SeetConfocal laser Endomicroscopy probe which allows cellular imaging at 50 microns, the probe is inserted through the working channel of bronchoscope and imaging of cells takes place real time.
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Asthma PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: The cost of inhalers for asthma in the United States is about $15 billion annually. Obese patients with asthma use more inhalers compared to their nonobese counterparts. Asthma seen in obese patients differs from classical atopic asthma, and symptoms have been shown to improve with weight loss. We sought to examine the change in inhaler use among morbidly obese patients with asthma following bariatric surgery. ⋯ The following authors have nothing to disclose: Randall Schwartz, Marlow Hernandez, Franck Rahaghi, Jose Ramirez, Raul Rosenthal, Gustavo FerrerNo Product/Research Disclosure Information.
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Bronchology Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Pseudotumors of the lung are uncommon and include organizing pneumonia, nodular lymphoid hyperplasia, apical scarring, rounded atelectasis, hyalinizing granuloma, etc… We report a herpetic pseudotumor which is quite rare, especially in an immunocompetent individual. ⋯ The following authors have nothing to disclose: Matthew Hammar, Jan Silverman, Uma Krishnamurti, Mark LegaNo Product/Research Disclosure Information.