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Gingival Metastasis Revealing Lung Adenocarcinoma

Advances in Lung Cancer 2014年第2期3卷 35-37页

作者： Lamyae Amro Leila Maliki Badia Belabidia abdelhaq alaoui yazidi Anatomopathology Departement Ibn Tofail Hospital CHU Mohammed VI FMPM Cadi Ayyad University Marrakech Morocco Pulmonary Departement Ibn Nafis Hospital CHU Mohammed VI Laboratory PCIM FMPM Cadi Ayyad University Marrakech Morocco

Introduction:?The lung adenocarcinoma is an invasive malignant tumor. Its visceral metastases are multiple. The gingival location is uncommon if not exceptional. Observation: We report the case of 66-year-old patient with a right cervical radiculopathology. Clinical examination objectified a superior vena cava syndrome with gingival tumor budding whose excisional biopsy found a location of a poorly differentiated and infiltrating carcinoma. The bronchoscopy revealed a tumor nodule obstructing the right mainstem bronchus with the histological study concluded as a moderately differentiated adenocarcinoma infiltrating. Conclusion: Gingival metastasis revealing lung adenocarcinoma is uncommon even exceptional. It may delay the diagnosis and management of already poor prognosis.

关键词： Gingival Metastasis Lung Cancer Adenocarcinoma

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<i>Pneumocystis jiroveci</i>Pneumonia in an Immunocompetent Female Patient

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Case Reports in Clinical Medicine 2014年第7期3卷 420-423页

作者： Lamyae Amro Ghizlane Hamzaoui Hafsa Sajiai Hind Serhane abdelhaq alaoui yazidi Department of Respiratory Medicine Laboratory PCIM Faculty of Medicine and Pharmacy Cadi Ayyad University Marrakesh Morocco

Introduction: The pneumocystosis is an infection caused by a saprophytic germ Pneumocystis jiroveci. It is exceptional in immunocompetent patients. Case report: This is a 30-year-old patient, admitted to the service for an acute respiratory failure. She was treated for pulmonary tuberculosis 6 months ago. The review has objectified clinique cyanosis of the lips and extremities with a blood pressure 120/70 mmHg, a heart rate of 70 bats/min, a temperature of 38°C and SaO2 to 82% in the open air. The chest radiograph objectified reticulonodular opacities on the right. The patient was put under bi-broad-spectrum antibiotics. Due to the non improvement of the patient’s state, the search for Pneumocystis jiroveci in induced sputum was made and it was positive. The search for a field of immunosuppression was negative.

关键词： Pneumocystosis Pneumocystis jiroveci Immunocompetent

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Purulent Hydroaeric Pleural Effusion Due to Infection with <i>Gemella morbillorum</i>: A Case Report

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Case Reports in Clinical Medicine 2014年第11期3卷 583-586页

作者： Hind Serhane Hafsa Sajiai Anas Arrad Selma Ait Batahar Lamyae Amro abdelhaq alaoui-yazidi Department of Respiratory Medicine Laboratory PCIM Faculty of Medicine and Pharmacy Cadi Ayyad University Marrakesh Morocco

Gemella morbillorum (G. morbillorum) is an opportunistic bacterium, which can sometimes cause severe infections especially in immunocompromised subjects. Respiratory infections due to this germ are rare, but are described. We reported a new observation of 34-year-old female patient, admitted for unusual location and clinical presentation of respiratory infection with G. morbillorum;she was presented a left pleuritic pain, a productive cough associated with purulent and foul sputum and dyspnea with onset one month earlier. The clinical examination was objectified a polypnea at 32 cycles/minutes, intercostal indrawing and mixed pleural effusion syndrome. She had also many dental caries and bad oral health status. Chest radiography showed an air-fluid image in the left chest and the thoracocentesis had revealed purulent fluid. The culture of this fluid had isolated a G. morbillorum. The diagnosis of mixed pleural effusion due to G. morbillorum in an immunosuppressed diabetic patient was made. The patient was put on antibiotics, thoracic drainage and Chest physiotherapy with good improvement.

关键词： Gemella morbillorum Gemella Species Respiratory Infection Hydroaeric Pleural Effusion

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