Whole lung lavage in comparison with bronchoscopic lobar lavage using the rigid bronchoscope in patients with pulmonary alveolar proteinosis: Is it time to change strategy?

Alkady, Hesham; Ali, Hosam Fathy; Saber, Ahmed; Mahmoud, Ashraf Fawzy; Adel, Mohamed

doi:10.1016/j.jescts.2016.12.007

Cited by 1 publication

(1 citation statement)

References 17 publications

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“…Consequently, SLL became the routine procedure for therapeutic lung lavage in our institute. Nevertheless, some reports indicated the inferior adequacy and efficiency of this technique and the arduous nature of the procedure, suggesting that SLL might be used in situations in which WLL is not available [21,22]. The thoracic CT performed one year later in our patient showed regression of crazy‐paving attenuation but more conglomerates of PMF.…”

Section: Discussionmentioning

confidence: 77%

Artificial stone‐associated silicosis with concurrent Cryptococcus infection

Shen

Lai

Tsai

et al. 2021

Respirology Case Reports

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Acute silicoproteinosis is a disease that develops in weeks, and lasting for years, after massive exposure to silica dust in relatively closed spaces. It was rare, but the cases have recently increased worldwide due to the development of artificial stone industry. Compared with traditional silicosis, artificial stone‐associated silicosis is more rapidly progressive and lethal. Hence, a correct diagnosis and optimal treatment are crucial. Here, we present the clinical course of a 33‐year‐old artificial stonemason who suffered from acute silicoproteinosis with concurrent Cryptococcus infection resulting in profound respiratory failure. This patient was treated by bronchoscope‐assisted therapeutic segmental lung lavage and antifungal agent, under mechanical ventilator and ECMO support and recovered well. A brief review of acute silicoproteinosis and artificial stone‐associated silicosis is also presented and highlights the new form of industry exposure to silica.

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Section: Discussionmentioning

confidence: 77%