chronic obstructive pulmonary disease (copd) is associated with a chronic inflammatory response in airways and lung parenchyma that results in significant morbidity and mortality worldwide. cigarette smoking considered as an important risk factor plays a role in pathogenesis of disease. pneumocystis jirovecii is an atypical opportunistic fungus that causes pneumonia in immunosuppressed host, al...

background and purpose: chronic obstructive pulmonary disease (copd) has been recognized as a risk factor for invasive aspergillosis. airway colonization by aspergillus species is a common feature of chronic pulmonary diseases. nowadays, the incidence of copd has increased in critically ill patients. the aim of the present study was to isolate and identify aspergillus colonies in the respirator...

conclusions we found statistical differences in pct levels that would differentiate cap from acute exacerbation of copd in the ed setting. further studies are required to verify this finding. methods this cross-sectional prospective descriptive study was performed in the emergency department (ed) on patients with cap and acute exacerbation of copd. a total of 53 patients were included in this s...

the six-minute walk test (6mwt) is a well-tolerated test which reflects daily activities and can be easily used in clinical practice. the 6mwt provides information about functional capacity, response to therapy and prognosis across a range of chronic cardiopulmonary conditions. moreover, the 6mwt is sensitive to the common therapies used for chronic obstructive pulmonary disease, such as pulmon...

introduction: corticosteroids are routinely used in management of chronic obstructive pulmonary disease (copd) exacerbation. the main purpose of present study was to compare the efficacy of methyl prednisolone (mp) and dexamethasone (dxm) for this purpose. methods: adult copd patients entered the present clinical trial. all patients received standard treatment on admission and were then divided...

conclusions children with chd are at risk of severe complications with the involvement of other organs. long-term febrile illness should be taken seriously in these children. they need hospitalization and careful evaluation. case presentation a 6-year-old girl with a ventricular septal defect (vsd) was presented. echocardiography revealed large vegetation in the right ventricular outflow tract ...

case presentation we reported a 2-year-old boy with pph, who presented unusual and intractable seizure which suggested the diagnosis of md. we also reviewed a few previous reports about the association of pph with moyamoya disease. discussion moyamoya disease is a kind of cerebral vasculopathy and should be considered as a differential diagnosis for patients with unusual seizure attacks who are...

introduction: infective endocarditis (ie) causes serious complications in patients. congenital heart disease (chd) is an important underlying condition in children. case presentation: a 6-year-old girl with ventricular septal defect (vsd) was presented. echocardiography revealed large vegetation in right ventricular outflow tract near the pulmonary valve. the patient showed clinical symptoms of...

nonencapsulated, nontypeable hemophilus influenzae (nthi) remains an important cause of acute otitis and respiratory diseases in children and adults. nthi bacteria are one of the major causes of respiratory tract infections, including acute otitis media, cystic fibrosis, and community-acquired pneumonia among children, especially in developing countries. the bacteria can also cause chronic dise...

a b s t r a c t a few case reports of coinfections with nocardia and mycobacterium tuberculosis (tb) have previously been published in the literature. we report on a case of concomitant pulmonary nocardiosis and tuberculosis, in a recently diagnosed 55-year-old woman, with rheumatoid arthritis, who had been taking a short course of a low dose corticosteroid. the patient was treated with a combi...