Recurrent respiratory papillomatosis with pulmonary involvement: A case report and review of the literature

Ruan, Sheng‐Yuan; Chen, Kuan‐Yu

doi:10.1111/j.1440-1843.2008.01421.x

Cited by 33 publications

(20 citation statements)

References 20 publications

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“…Papillomaviruses are ubiquitous human commensals, but also cause diseases of the skin, genital tract, and respiratory tract (24). HPV infections in the airways can lead to recurrent respiratory papillomatosis (RRP), which in rare cases leads to cysts in the lung itself, especially in the lower lobes (25). Papillomaviruses were detected in lung carcinomas in several studies (26), but causal associations have not been determined.…”

Section: Viral Infections Of Host Tissuementioning

confidence: 99%

Case Studies of the Spatial Heterogeneity of DNA Viruses in the Cystic Fibrosis Lung

Willner

Haynes²,

Furlan³

et al. 2012

Am J Respir Cell Mol Biol

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Section: Viral Infections Of Host Tissuementioning

confidence: 99%

Case Studies of the Spatial Heterogeneity of DNA Viruses in the Cystic Fibrosis Lung

Willner

Haynes²,

Furlan³

et al. 2012

Am J Respir Cell Mol Biol

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“…1 As clearly reported in this publication the gold standard for empyema treatment is still debated. Several approaches have been proposed: chest tube insertion with subsequent instillation of fibrinolytic agents, minimally invasive surgery with debridement and coagulation of pleural adhesions, and open surgical toilette of the pleural cavity with extended decortication of a trapped lung.…”

Section: Dear Editormentioning

confidence: 83%

“…We have read with great interest the case reported by Ruan et al 1 that describes a 29-year-old man who was admitted with dyspnoea and hoarseness. The patient had a history of laryngeal papillomatosis that was diagnosed when he was 5 years old.…”

Section: Dear Editormentioning

confidence: 99%

“…1 The authors also reported that the initiating factors for rapid growth of papillomas are not known but that a mechanism involving post-obstructive pneumatoceles may play a role in cyst formation.…”

Section: Dear Editormentioning

confidence: 99%

“…Marchiori et al 1 reported a case of recurrent respiratory papillomatosis (RRP) with malignant transformation, and stated that the abnormal growth of lesions and the detection of human papillomavirus (HPV) type 11 are important findings that suggest malignant transformation in RRP. We agree with their viewpoint, but some issues need to be addressed.…”

Section: Responsementioning

confidence: 99%

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Recurrent respiratory papillomatosis with malignant transformation

et al. 2010

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We read with great interest the paper entitled 'Surgery should be the first line of treatment for empyema'. 1 As clearly reported in this publication the gold standard for empyema treatment is still debated. Several approaches have been proposed: chest tube insertion with subsequent instillation of fibrinolytic agents, minimally invasive surgery with debridement and coagulation of pleural adhesions, and open surgical toilette of the pleural cavity with extended decortication of a trapped lung. The therapeutic strategy depends on several factors like stage (exudative, fibrinopurulent, organized) and type of empyema (uni-or multilocular), surgeon's preference and skills and clinical status of the patient.Our experience includes all of these treatment modalities and our therapeutic strategy is taken on a case by case basis. Recently, we have concentrated our attention on a group of patients that overcomes the standard treatment criteria. Six high cardiac risk patients (mean age 73 Ϯ 6.7 years) with a very low cardiac ejection fraction (<25%) developed empyema; in three cases the effusion was multiloculated. The deranged clinical status was at high risk also for minimally invasive procedure under local anaesthesia. As patients were pyretic and septic, we decided to perform an evacuative thoracentesis with an 8 Ch in diameter Argyle Safety Thoracentesis System (Tyco Healthcare UK Ltd, Gosport, Hampshire, UK); the procedure was performed at the bed of patients and the small-bore flexible catheter was left in place and secured with a zero skin stitch. This 'soft' approach allowed to gently and repeatedly drain the effusion and wash the pleural cavity without stress; in fact through the catheter we were also able to irrigate the pleural space with povidone-diluted solution twice a day until the complete resolution. No fibrinolytic agents were instillated. The catheter was washed after irrigation with eparinized solution to avoid clotting. All patients were at early fibrinopurulent stage and in four out of six the pus was sterile; in two cases a Streptococcus pneumoniae was detected and an i.v. specific antibiotic therapy was started. In the other patients a broad spectrum antibiotic therapy was administered. In five cases we have observed a complete resolution with restitutio ad integrum (mean 7 days; range 4-11). In one case we had a partial response and the patient died because of cardiac failure 2 weeks later.We strongly believe that this very minimally invasive approach should be considered for high-risk patients contraindicating the standard therapeutic options. The complete success rate in our experience exceeds 80% with no complications, no catheter clotting and a good patient's compliance. REFERENCE 1 Petrakis IE, Heffner JE, Klein JS. Surgery should be the first line of treatment for empyema. Respirology 2010; 15: 202-7. Recurrent respiratory papillomatosis with malignant transformationr esp_1763 726..•• Dear Editor:We have read with great interest the case reported by Ruan et al. 1 that describes a 29-year-old ...

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Clinical course of recurrent respiratory papillomatosis: Comparison between aggressiveness of human papillomavirus-6 and human papillomavirus-11

Giorgi

Slagter‐Menkema

et al. 2014

Head Neck

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Recurrent respiratory papillomatosis with pulmonary involvement: A case report and review of the literature

Cited by 33 publications

References 20 publications

Case Studies of the Spatial Heterogeneity of DNA Viruses in the Cystic Fibrosis Lung

Case Studies of the Spatial Heterogeneity of DNA Viruses in the Cystic Fibrosis Lung

Recurrent respiratory papillomatosis with malignant transformation

Clinical course of recurrent respiratory papillomatosis: Comparison between aggressiveness of human papillomavirus-6 and human papillomavirus-11

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