Chest
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Bronchology CasesSESSION TYPE: Case ReportsPRESENTED ON: Sunday, March 23, 2014 at 09:00 AM - 10:00 AMINTRODUCTION: Bacterial pseudomembranous tracheobronchitis is rare in the adult. There have been two cases reported from Japan showing tracheobronchitis due to Staphylococcus Aureus requiring tracheotomy and mechanical ventilation, one of them dying from complications. In immunocompromised patients, most cases reported have been secondary to aspergillus infection and have been associated with high mortality. We present an immunocompromised patient with bacterial pseudomembranous tracheobronchitis due to post-influenza S. Aureus infection. ⋯ Bronchoscopy with visualization of airway and lower respiratory samples is essential in the management of immunocompromised patients with respiratory symptoms particularly if disproportionate to imaging findings as it may imply airway involvement.Reference #1: Yamazaki Y, Hirai K, Honda T. Pseudomembranous tracheobronchitis caused by methicillin-resistant Staphylococcus Aureus. Scand J Infect Dis 2002; 34:211-213Reference #2: Namba Y, Mihara N, Tanaka M. [Fulminant tracheobronchitis caused by methicillin-resistant Staphylococcus. Nihon Kyobu Shikkan Gakkai Zasshi 1997; 35:969-973Reference #3: Fernandez-Ruiz M, Silva JT, San-Juan R, et al. Aspergillus tracheobronchitis: report of 8 cases and review of the literature. Medicine (Baltimore) 2012; 91:261-273DISCLOSURE: The following authors have nothing to disclose: Rafael Calderon Candelario, Karen Wood, Troy SchaffernockerNo Product/Research Disclosure Information.
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Pediatric Pulmonary Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Alveolar capillary dysplasia (ACD) is a rare, fatal developmental lung disorder that typically presents with respiratory failure and pulmonary hypertension in neonates. Until recently, lung biopsy provided the only means of definitive diagnosis and remains the gold standard. Blood testing is now available for mutations in the FOXF1 transcription gene isolated in 40% of cases. We describe a case of late presentation ACD with genetic testing supporting the diagnosis in a term infant who presented with symptoms at 2 months of age. ⋯ The following authors have nothing to disclose: Sharon Thomas, Mudit Mathur, Thomas BahkNo Product/Research Disclosure Information.
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Asthma PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Children with asthma frequently seen in the emergency room and hospital often lack care coordination and are discharged to poorly resourced and/or chaotic environments. Affected caregivers may benefit from a central healthcare liaison who equips them to navigate clinical asthma management. The purpose of this study is to determine whether asthma education and care coordination conducted by practice-based asthma navigators improves asthma control for children. This is a preliminary report of the first 76 families enrolled and followed for one year. ⋯ The following authors have nothing to disclose: Tyra Bryant-Stephens, Caroline WestNo Product/Research Disclosure Information.
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Asthma PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: The sensitivity of impulse oscillometry (IOS) to reflect different aspects of airway obstruction in obese men after intensive challenge has not been comprehensively appreciated. In obese subjects evaluated with spirometry we need more sensitive devices to assess exercise-related restrictive and obstructive abnormalities that hinder an exercise program for obese men who are going to be engaged in such programs. The objective was to measure airway responses following room temperature exercise challenge in healthy obese young men. ⋯ The following authors have nothing to disclose: Mustafa Moradi, Esmaeil IdaniNo Product/Research Disclosure Information.
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Tuberculosis Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMPURPOSE: The aim of this presentation is to highlight the rarity of the case and use of a newer drug in successfully treating the patient. ⋯ The following authors have nothing to disclose: Sukhesh RaoNo Product/Research Disclosure Information.