5 research outputs found
Hiccup as an uncommon symptom of pneumonia
Terlecka Paulina, Grzywa Celińska Anna, Emeryk Maksymiuk Justyna, Szmygin Milanowska Katarzyna, Milanowski Janusz. Hiccup as an uncommon symptom of pneumonia. Journal of Education, Health and Sport. 2017;7(12):111-117. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1108599
http://ojs.ukw.edu.pl/index.php/johs/article/view/5108
https://pbn.nauka.gov.pl/sedno-webapp/works/840705
The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017).
1223 Journal of Education, Health and Sport eISSN 2391-8306 7
© The Authors 2017;
This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland
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This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial
use, distribution and reproduction in any medium, provided the work is properly cited.
The authors declare that there is no conflict of interests regarding the publication of this paper.
Received: 10.11.2017. Revised: 15.11.2017. Accepted: 12.12.2017.
Hiccup as an uncommon symptom of pneumonia
Paulina Terlecka1, Anna Grzywa-Celińska1, Justyna Emeryk-Maksymiuk2, Katarzyna Szmygin-Milanowska1, Janusz Milanowski1
1 - Chair and Department of Pneumonology, Oncology and Allergology, Medical University of Lublin, Poland
2 - Chair of Internal Medicine and Department of Internal Medicine in Nursing, Medical
University of Lublin, Poland
Corresponding author:
Paulina Terlecka, MD
Chair and Department of Pneumonology, Oncology and Allergology
Medical University of Lublin
20-954 Lublin, Poland
8 Jaczewskiego St.
phone number: +48817244431
fax number: +48817244823
e-mail: [email protected]
Abstract
Hiccup is a symptom resulting with uncontrolled contractions of the diaphragm and external intercostals muscles with inspiration and with simultaneous sudden closure of the glottis, that produces specific “hic” sound. Depending on the time of duration, hiccup can be classified as acute (up to 48h), chronic (48h to 1 month) and persistent (lasting longer than one month). The exact pathophysiology of this symptom still remains unknown, though it is well known, that short-term episodes of hiccup are mainly caused by oesophagus and stomach diseases (gastric and duodenal ulcers, gastritis, gastro-oesophageal reflux) or alcohol consumption.
Other reasons of this phenomenon include the diseases with the stimulation of the vagus nerve or conditions with diaphragm irritation. It can be also psychogenic or resulting from central nervous system diseases.
Short term episodes of hiccup happen to every person and do not cause any concern. Chronic hiccups can lead to significant worsening of quality of life including fatigue, nutritional restrictions, dehydration, weight loss, insomnia, respiratory disorders, depression or even suicidal thoughts.
We present an interesting case with diagnostic and therapeutic procedures in a 65-year-old smoker, who was hospitalized in our Department because of pneumonia, with persistent hiccup as an additional complaint considerably deteriorating his quality of life.
Key words: hiccup, symptom, pneumonia
Tracheopbronchopatia osteochondroplastica – a case presentation
Narrowing of the lower respiratory tract is a rare pathology. It may be associated with pathologies of the primary respiratory system or connective tissue diseases (systemic scleroderma, granulomatosis with polyangiitis, relapsing polychondritis). It can lead to non-specific clinical symptoms. We present an interesting case of a 52-year old patient with a history of several months’ dyspnea. Imaging tests revealed significant stenosis of the trachea and the left main bronchus. Tracheobronchopatia osteochondroplastica was diagnosed. Moreover, we carry out the differential diagnosis of the above pathology
Malignant peripheral nerve sheath tumor in a patient without neurofibromatosis 1 (NF1): a rare case of primary lung location
We present a rare case of a patient operated due to a lung tumor, which was ultimately diagnosed as malignant peripherial nerve sheath tumor (MPNST). MPNSTs are rare tumors of soft tissue with mesenchymal origin. The World Health Organization has distinguished this group in order to unify terms in mesenchymal heterogeneous malignant tumors, e.g. neurofibrosarcomas, malignant schwannomas and malignant neurilemmoma [1]. They can occur as a result of neoplastic expansion of peripheral nerves’ branches, peripheral nerve fibers’ sheaths or Schwann cells, although many researchers believe that these tumors can derive not only from one, but several cell lines. MPNSTs are very rare in thorax, where they show aggressive pattern of growth [2] and stem from pleural cells rather than lung tissue.
Treatment of non-small cell lung cancer — where we are?
Rak płuca jest najczęściej występującym w Polsce i na świecie nowotworem złośliwym, niestety zbyt późno rozpoznawanym
i bardzo źle rokującym. Dla większości chorych na raka niedrobnokomórkowego płuca jedyną możliwością terapii jest
leczenie paliatywne, w tym chemioterapia, a także w ostatnich latach — terapia molekularnie ukierunkowana. W leczeniu
I linii najskuteczniejsze okazały się schematy dwulekowe oparte na cysplatynie, w terapii II linii: pemetreksed i docetaksel.
W ostatnich latach wprowadzono również tak zwane leczenie podtrzymujące. Jakkolwiek chemioterapia standardowa
poprawia jakość życia chorych na zaawansowanego niedrobnokomórkowego raka płuca, to z uwagi na jej toksyczność,
powinna być stosowana tylko u chorych w dobrym stanie sprawności. Pojawienie się nowych możliwości leczenia celowanego
opartego na molekularnej charakterystyce chorych pozwala na zindywidualizowane leczenie, które, jak wskazują
wyniki przeprowadzonych badań, może okazać się bardziej efektywne i bezpieczne.Lung cancer is the most common cancer in Poland and in the world, unfortunately diagnosed too late, and combined with
a very poor prognosis. For most patients with NSCLC the only possibility of treatment is palliative therapy, including
chemotherapy and, in the recent years, molecular targeted therapy. In first-line treatment, cisplatine-based “doublets” are
most effective, and in second-line, pemetreksed and docetaxel are used. Recently, maintenance chemotherapy has been
introduced.
Although standard chemotherapy improves the quality of life in the patients with advanced NSCLC, due to significant toxicity
such treatment should be applied only in patients in good performance status.
The introduction of targeted therapy, based on the molecular profile of the patient has allowed the management to be
personalized, which may result in more effective treatment and may be safer for the patient
Hiccup as an uncommon symptom of pneumonia
Hiccup is a symptom resulting with uncontrolled contractions of the diaphragm and external intercostals muscles with inspiration and with simultaneous sudden closure of the glottis, that produces specific “hic” sound. Depending on the time of duration, hiccup can be classified as acute (up to 48h), chronic (48h to 1 month) and persistent (lasting longer than one month). The exact pathophysiology of this symptom still remains unknown, though it is well known, that short-term episodes of hiccup are mainly caused by oesophagus and stomach diseases (gastric and duodenal ulcers, gastritis, gastro-oesophageal reflux) or alcohol consumption.
Other reasons of this phenomenon include the diseases with the stimulation of the vagus nerve or conditions with diaphragm irritation. It can be also psychogenic or resulting from central nervous system diseases.
Short term episodes of hiccup happen to every person and do not cause any concern. Chronic hiccups can lead to significant worsening of quality of life including fatigue, nutritional restrictions, dehydration, weight loss, insomnia, respiratory disorders, depression or even suicidal thoughts.
We present an interesting case with diagnostic and therapeutic procedures in a 65-year-old smoker, who was hospitalized in our Department because of pneumonia, with persistent hiccup as an additional complaint considerably deteriorating his quality of life