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Case reports

Acute massive pulmonary embolism associated witholanzapine therapy and no significant personal history in ayoung male - case report and literature review

Marius Toringhibel, Tatiana Adam, Oana-Cristina Arghir, EleonoraGima
Acute massive pulmonary embolism associated witholanzapine therapy and no significant personal history in ayoung male - case report and literature review
Abstract

We report the case of a 28 years old, non-smoker male with a massive pulmonary embolism and left pleural effusion associated and probably inducedby olanzapine 10 mg once daily in the previous 4 months, completely recovered after 18 days of stopping the antipsychotic and trombolytic treatment.

Thrombotic events have been reported with the use of antipsychotic compounds, although the incidence, predisposing factors, and biological mechanismsassociated with these events in psychiatric patients are subject to debate.

Keywords:Pulmonary embolism, antipsychotics, olanzapine

Aquatic leech as a rare cause of respiratory distress andhemoptysis

Mohammad Hossein Rahimi-Rad, Effat Alizadeh, Reza Samarei
Aquatic leech as a rare cause of respiratory distress andhemoptysis
Abstract

This paper presents a 73 years old male with three weeks history of intermittent hemoptysis, dysphagia, dyspnea, stridor, and suffocations sensation.By means of fibrotic bronchoscopic examination, the cause was found to be a leech in the glottis. It was removed by injection of 4 ml lidocaine 2%.Infestation into the respiratory tract by a leech may become lethal because of hypoxia and death secondary to airway obstruction. A high index of suspicionof leech infestation sould be considered in patients presenting with hemoptysis, hoarseness and respiratory distress and a history of recent contactwith fresh water streams.

Keywords: respiratory distress, aquatic leech infestation, bronchoscopy

Rare cause of multiple lung nodules case report

AncaMacri, AndreeaPlesita, TeodoraAlexandru, R.T. Stoica, Fl. Mihaltan
Rare cause of multiple lung nodules case report
Abstract

The article presents the case of a 44 years old female patient admitted in the hospital for a solitary pulmonary nodule discovered through a chestX-ray performed for left thoracic pain. Despite the young age, a lot of co morbidities were present: severe dyslipidemia, ischemic right cerebelar lesion,

degenerative periventricular lesions, chronic autoimmune thyroiditis, uterine fibroma, fibrocystous mastitis, poliglobulia of uncertain etiology andRendu-Osler disease. The investigation who showed the nature of the pulmonary nodule was the CT scan with intravenous contrast, which demonstrated

that the nodules were in fact arterial-venous malformations as part of the Rendu-Osler disease. This case offers the opportunity to discuss aboutetiopathogeny, morphopathology, criteria of diagnosis and treatment principles in Rendu-Osler disease.

Keywords: pulmonary nodules. Rendu-Osler Weber disease, hereditary hemorrhagic telangiectasis (HHT)