A Huge Thrombosed Pulmonary Artery Aneurysm without Pulmonary Hypertension in a Patient with Hepatosplenic Schistosomiasis

Ramadan, Mahmoud M.

doi:10.12659/ajcr.892451

Cited by 13 publications

(8 citation statements)

References 17 publications

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“…Bacterial infections, such as infective endocarditis, bacterial pneumonia, lung abscess, and staphylococcus bacteremia resulted in another 12 cases. Fungal infections like candida, 69 mucormycosis, 70 aspergillus, and parasitic infections like schistosomiasis 71 were responsible for other cases. Intravenous drug abuse also led to PAA formation with some cases related to staphylococcus bacteremia.…”

Section: Pseudoaneurysmsmentioning

confidence: 99%

Pulmonary artery aneurysm: a review

et al. 2020

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Pulmonary artery aneurysm is a rare but important entity in the spectrum of pulmonary vascular diseases. The etiologies can be varied and patients can present with non-specific symptoms with the diagnosis being incidental. There is limited consensus regarding the diagnostic criteria and follow-up imaging for patients diagnosed with this entity. Further the management strategies can be variable depending upon underlying disease, etiology, center dependent expertise, and resources available. We review the etiologies, epidemiology, classification, clinical manifestations, and imaging features of pulmonary artery aneurysm. We also review the current management strategies and suggest an algorithmic approach to these patients.

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Section: Pseudoaneurysmsmentioning

confidence: 99%

Pulmonary artery aneurysm: a review

et al. 2020

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“…Shortness of breath is more common in cases with pulmonary thromboembolism (PTE) [ 28 ]. Our study illustrates the importance of considering fatal pulmonary thromboembolism, especially in the differential diagnosis of patients presenting with syncope.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Findings of Pulmonary Thromboembolism by Autopsy: A Review of 48 Cases

Yakar

Ziyade

et al. 2016

Med Sci Monit

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BackgroundTo identify the overall effects of pulmonary thromboembolism (PTE) on the heart, we evaluated the heart findings and clinical characteristics of deceased patients diagnosed with PTE.Material/MethodsPTEs were classified into 2 categories: fatal and contributory. Cases with a history of cardiopulmonary disease or a finding of significant disease at autopsy, including valvular heart disease and coronary artery obstruction >50%, were excluded from the cardiac evaluation. We defined an LV wall ≥1.2 cm thick and an RV wall ≥0.8 cm thick as abnormal.ResultsForty-eight cases were included to the study (21 males and 27 females). The mean age was 41.42±16.5 years. Of the 48 cases, 5 were excluded due to cardiopulmonary diseases for determining heart findings. The thicknesses of the LV and RV walls were not measured in some patients. In the 43 cases, cardiac hypertrophy was detected in 28 patients (65.1%). The mean heart weight was 387±83.5 g. The mean thickness of the left ventricle (LV) wall was 1.40±0.41 cm in 40 cases, and the mean thickness of the RV wall was 0.41±0.135 cm in 41 cases. The LV walls of 35 (87.5%) cases and the RV walls of 2 cases met criteria for abnormal wall thickness. There were histopathological findings of heart in 24/43 cases (56%); these findings were necrosis, fibrosis, and hypertrophy.ConclusionsThe RV is affected by massive pulmonary embolism; however, the LV may also play a role in the pathogenesis of PTE.

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“…The prevalence of the different imaging abnormalities on chest X-ray or CT scan were: nodules (20-90%, n = 103), 20,22,24,28,45 interstitial infiltrates (12.5-23.0%, n = 89), 24,26,45 consolidation (10-40%, n = 15), 22,28 bronchial wall thickening (66.7%, 20/30) 20 and ground glass opacities (50.0%, 5/10). 28 In chronic schistosomiasis, lung nodules, 48,52 patchy consolidation, 56 interstitial infiltrates, 25 pleural effusion and segmental lung collapse, 23 The estimates are ranges reported in the studies cited in the last column.…”

Section: The Prevalence Of Lung Function Abnormalities Among Patients...mentioning

confidence: 99%

Respiratory morbidity in Schistosoma mansoni infection: a rapid review of literature

Baluku,

Olum,

Sanya

et al. 2023

Therapeutic Advances in Infection

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Background: Schistosomiasis contributes to 2.5 million disability-adjusted life years globally. Acute and chronic respiratory morbidity of Schistosoma mansoni ( S. mansoni) is poorly documented in the literature. We conducted a rapid literature review of the burden of respiratory symptoms and lung function abnormalities among patients with S. mansoni. We also report the immunologic and lung imaging findings from the studies reviewed. Methods: We carried out a comprehensive literature search in Embase and MEDLINE from the inception of the databases to 13th March 2023. Results: A total of 2243 patients with S. mansoni were reported from 24 case reports, 11 cross-sectional studies, 7 case series, 2 cohort studies and 2 randomized controlled trials. The prevalence of any respiratory symptom was 13.3–63.3% (total number of patients studied, n = 149). The prevalence of the individual symptoms among patients with S. mansoni in whom respiratory symptoms were sought for was as follows: cough (8.3–80.6%, n = 338), dyspnea (1.7–100.0%, n = 200), chest pain (9.0–57.1%, n = 86), sputum production (20.0–23.3%, n = 30) and wheezing (0.0 – 20.0%, n = 1396). The frequency of the symptoms tended to be higher in acute schistosomiasis. Restrictive lung disease was prevalent in 29.0% (9/31). The commonest chest imaging findings reported were nodules (20–90%, n = 103) and interstitial infiltrates (12.5–23.0%, n = 89). Peripheral blood eosinophilia was prevalent in 72.0–100.0% of patients ( n = 130) with acute schistosomiasis and correlated with symptoms and imaging abnormalities. Three case reports in chronic S. mansoni reported elevated C-reactive protein, leucocyte, neutrophil and absolute eosinophil counts, eosinophil percentage, IgE and IgG4. Conclusion: There is a high prevalence of respiratory morbidity among patients with S. mansoni, particularly in the acute stage of the infection, although the studies are relatively small. Larger studies are needed to characterize respiratory morbidity in chronic schistosomiasis and determine the underlying clinical and immunological mechanisms.

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A Huge Thrombosed Pulmonary Artery Aneurysm without Pulmonary Hypertension in a Patient with Hepatosplenic Schistosomiasis

Cited by 13 publications

References 17 publications

Pulmonary artery aneurysm: a review

Pulmonary artery aneurysm: a review

Cardiac Findings of Pulmonary Thromboembolism by Autopsy: A Review of 48 Cases

Respiratory morbidity in Schistosoma mansoni infection: a rapid review of literature

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