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Biomedical subjects

H W Berger

Publications and source records attributed to H W Berger.

At least 19 recordsLinked to original sources
PubMed1980

Lymphomatoid granulomatosis. Report of a patient with severe anemia and clubbing.

We report a 31-year-old man in whom initially localized lymphomatoid granulomatosis was diagnosed at left pneumonectomy. He had severe anemia which is rare and clubbing of the fingers and toes, a feature not previously described. Five months following surgery, disease spread to the right lung, and atypical lymphomatous transformation occurred in cervical and mediastinal lymph nodes, leading to a superior vena cava syndrome. Chemotherapy with cyclophosphamide and prednisone resulted in significant resolution initially, but ultimately, the patient had progressive axillary node enlargement and succumbed. Clinical and roentgenographic improvement and later deterioration following pneumonectomy and improvement with chemotherapy were mirrored by changes in degree of clubbing, leukocytosis, and elevation of erythrocyte sedimentation rate.

Adult↗
PubMed1979

Mediastinal herniation of the pleural sac: occurrence in massive pleural effusion.

In a review of 50 patients with massive pleural effusion, mediastinal herniation of the pleural sac occurred in 16 patients (32 percent). Right-to-left herniation (ten patients) was more common than left-to-right (six patients). Herniation occurred only in the posteroinferior mediastinum (D5-D11). Fourteen patients had displacement of the mediastinum away from the side of pleural effusion. Disappearance of herniated sac in every patient following thoracocentesis confirmed the diagnosis.

Hernia↗
PubMed1979

Spontaneous resolution of mediastinal pancreatic pseudocyst.

We report the findings in a 39-year-old man with alcoholic pancreatitis and a lower posterior mediastinal mass. Endoscopic retrograde pancreatographic and ultrasonographic studies permitted an unequivocal diagnosis of mediastinal pancreatic pseudocyst. The pseudocyst resolved spontaneously five weeks after diagnosis, without specific therapy.

Adult↗
PubMed1976

Pulmonary infection due to Torulopsis glabrata; report of a case treated with flucytosine.

A case of pulmonary infection due to Torulopsis glabrata in a 43-year-old man without other known pulmonary or systemic disease is described. The diagnosis was made from multiple positive sputum cultures. After treatment with flucytosine for 21 months, there was marked symptomatic improvement and radiographic clearing, but sputum cultures continued to yield a few colonies of T glabrata.

Adult↗
PubMed1975

Pulmonary function in Morquio's disease: A study of two siblings.

Two siblings with characteristic clinical and radiologic features of Morquio's disease are presented. Detailed pulmonary function tests, including vital capacity, flow rates, lung volumes, airway resistance, and lung compliance, were performed. The ventilatory studies suggested a restricted pattern due to chest cage dysfunction. Hypoxemia was noted in one patient and was shown to be due to right-to-left shunting, probably related to the microatelectasis as a result of the restricted chest cage.

Adult↗
PubMed1975

Superior vena cava syndrome caused by bronchogenic cyst.

A patient with superior vena cava syndrome due to an infected benign mediastinal bronchogenic cyst is reported. Although bronchogenic cyst is a rare cause of the superior vena cava syndrome, it should be considered because it is a potentially treatable lesion. Patients with bronchogenic cysts should have elective surgery before major complication develop.

Bronchial Diseases↗
PubMed1975

Uremic pleural effusion. A study in 14 patients on chronic dialysis.

During a 21/2-year period, studies were done on 14 patients with chronic renal failure to evaluate pleural effusions which we believe were secondary to the uremic process. The patients with uremic pleural effusions closely resembled those in the group with chronic renal failure as a whole with respect to diagnosis and clinical features. Fever and pericarditis were noted in half the patients. The pleural fluid appeared serosanguineous or hemorrhagic in 10 of 14 patients and contained a predominance of lymphocytes more often than of neutrophils. Elevated protein and lactic dehydrogenase (LDH) levels gave the effusion characteristics of an exudate. Pleural tissue obtained by pleural biopsy or autopsy showed chronic fibrinous pleuritis in every patient. With continued dialysis the effusions resolved in 4 to 6 weeks after thoracentesis in 11 patients and recurred in 3 patients.

Adult↗