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Pleural effusion of non-neoplastic etiology in a patient with a rare form of my...
Alvares, E; Serviço de Pneumologia, Hospital de Santa Maria, Lisboa.; Barroso, C; Sotto-Mayor, R; de Almeida, A B; Freitas e Costa, MPleural effusions can be a manifestation of several nosological entities. Etiologic diagnosis involves a good clinical history, followed by thoracocentesis with pleural biopsy and eventually bronchoscopy or thoracoscopy. The differentiation between transudates and exudates, by the biochemical characteristics of the pleural effusions, can orientate the underlying disorder. It is known that there are more than 35...
The microbiological profile of nosocomial infection in a respiratory intensive ...
Brum, G; Serviço de Pneumologia, Hospital de Santa Maria, Lisboa.; Monteiro, J T; Monteiro, F; Valença, J; Gonçalves, J R; Lito, L M; Couto, HIn 1987, in the Respiratory Intensive Care Unit of Santa Maria Hospital we developed a nosocomial surveillance program with specially created software that provides knowledge of NI in the ICU at any moment. The information gathered along the time is particularly useful in the correlation of the risk factors, the most frequent microorganisms and in the institution of empiric antibiotic therapy. Out of 2528 patie...
Severity evaluation of ventilated patients at a respiratory intensive care unit...
Brum, G; Serviço de Pneumologia, Hospital de Santa Maria, Faculdade de Medicina de Lisboa.; Teixeira, E; Barroso, C; Monteiro, F; Alves, S; Magalhães, VAPACHE II system, is a simple and inexpensive method to evaluate severity of Intensive Care Patients. In a 2 years period (between 1988 and 1990), grading severity using APACHE II system, was performed on 498 consecutive mechanical Ventilated Patients in a Respiratory Intensive Care Unit. APACHE II was higher in COPD patients, but patients with Pneumonia and Organophosphate Poisoning had higher mortality. Corre...
Benign pleural effusion caused by asbestos exposure.
Vieira, J R; Serviço de Pneumologia, Hospital de Santa Maria, Faculdade de Medicina de Lisboa.; Alfarroba, E; Viegas, J; Freitas e Costa, MThe Authors present the first case described among us of benign pleural effusion of an asbestotic origin. They stress the importance of thoracoscopy (pleuroscopy) in the diagnosis of this situation. Attention is drawn to the fact that asbestotic lesions and asbestotic bodies have been found in the lung and, in particular, in the parietal pleura as well. They emphasize the fact that exposure to asbestos was not ...
Pulmonary sequestration. Report of a clinical case.
Ferro, R; Serviço de Pneumologia e Radiologia, Hospital de Santa Maria, Lisboa.; Sotto-Mayor, R; Campos, P; Godinho, T M; de Almeida, A BConcerning a clinical situation of intralobar pulmonary sequestration, in a seventeen year old young man, the authors review this nosological entity. They emphasize the importance of the complementary examens of diagnosis, namely of thoracic scan and aortography, for the establishment of the said diagnosis. ; Concerning a clinical situation of intralobar pulmonary sequestration, in a seventeen year old young m...
Diffuse tracheo-bronchial amyloidosis.
Monteiro, J F; Serviço de Anatomia Patológica, Hospital de Santa Maria, Lisboa.; Moita, L; de Almeida, A B; Freitas e Costa, M; Fernandes, A CThe case of a 52 year old man, whose initial clinical manifestations were dyspnea, bloodstained sputum and malaise is reported. After the initial cancer hypothesis, a diagnosis of diffuse primary tracheo-bronchial amyloidosis was made. The amyloid substance present was not of A A type and the plasma cells next to the deposits were polyclonal. The piece-meal removal of the masses by bronchoscopy led to profuse b...
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