Id |
Subject |
Object |
Predicate |
Lexical cue |
T161 |
0-54 |
Sentence |
denotes |
3.5 Case 4 – Acute fibrinous and organizing pneumonia |
T162 |
55-198 |
Sentence |
denotes |
A 68-year old male without medical history of cardiopulmonary disease, was presented at the ED in a critical condition with fever and dyspnoea. |
T163 |
199-318 |
Sentence |
denotes |
Patient was in need of endotracheal intubation and mechanical ventilation in prone position to improve his oxygenation. |
T164 |
319-456 |
Sentence |
denotes |
To exclude secondary infection, BAL was performed and revealed a positive GM and cultured Aspergillus fumigatus and Enterococcus faecium. |
T165 |
457-511 |
Sentence |
denotes |
Antifungal therapy was added to his treatment regimen. |
T166 |
512-706 |
Sentence |
denotes |
Chest CT-angiography showed segmental pulmonary emboli along with extensive bilateral areas of ground-glass opacity with reticulation and multiple patchy non-dependant peripheral consolidations. |
T167 |
707-794 |
Sentence |
denotes |
In contrast to normal areas, the abnormal areas showed mild bronchiectasis (Fig. 1-4A). |
T168 |
795-868 |
Sentence |
denotes |
The patient remained unresponsive after cessation of sedative medication. |
T169 |
869-959 |
Sentence |
denotes |
CT head showed extensive bilateral cerebellar ischemia with small haemorrhagic components. |
T170 |
960-1082 |
Sentence |
denotes |
After three weeks of mechanical ventilation his respiratory status worsened and treatment was ended due to poor prognosis. |
T171 |
1083-1140 |
Sentence |
denotes |
The patient passed away 21 days after hospital admission. |
T172 |
1141-1238 |
Sentence |
denotes |
Biopsy specimens showed a pattern of lung injury, that was partially identical to that of case 1. |
T173 |
1239-1338 |
Sentence |
denotes |
Intra-alveolar depositions of fibroblastic tissue were found, consistent with organizing pneumonia. |
T174 |
1339-1506 |
Sentence |
denotes |
However, a predominant, diffuse component of fibrinous exudate in the alveoli was present, which was not the case in the aforementioned case with organizing pneumonia. |
T175 |
1507-1641 |
Sentence |
denotes |
Other histologic findings were a chronic inflammatory infiltrate, and mild interstitial changes, including widening of alveolar septa. |
T176 |
1642-1704 |
Sentence |
denotes |
Microthrombi in small septal blood vessels were also observed. |
T177 |
1705-1779 |
Sentence |
denotes |
Neither remnants hyaline membranes nor prominent eosinophils were present. |
T178 |
1780-1826 |
Sentence |
denotes |
Additional PAS-D stain did not show any fungi. |
T179 |
1827-1946 |
Sentence |
denotes |
The overall histologic pattern of this case was classified as acute fibrinous and organizing pneumonia (AFOP), Fig. 2D. |