Brazilian Journal of Pulmonology

ISSN (on-line): 1806-3756 | ISSN (printed): 1806-3713


Publication continuous and bimonthly

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Pulmonary coccidioidomycosis in a armadillo hunter

Coccidioidomicose pulmonar em caçador de tatus

Fabrício André Martins da Costa, Ricardo Coelho Reis, Fábio Benevides, Geraldo de Sousa Tomé, Marcelo Alcântara Holanda

J Bras Pneumol.2001;27(5):275-278

Abstract PDF PT

Coccidioidomycosis is a disease caused by inhalation of arthrospores of the fungus Coccidioides immitis. It has been recognized as a clinical entity since 1892. It is related to activities that involves dust exposure. It is found in many regions of the western hemisphere with dry and alkaline soil. In Brazil it has been described almost exclusively in the Northeast region where drought periods may favor its growth in its soil. We report a case of fatal coccidioidomycosis, in an immunocompetent host, associated to the activity of armadillo hunting (Dasypus novemcynctus) in a rural area of Ceará state.


Keywords: Coccidioidomycosis. Occupational exposure. Armadillos.


Influence of total face, facial and nasal masks on short-term adverse effects during noninvasive ventilation

Influência das máscaras facial total, facial e nasal nos efeitos adversos agudos durante ventilação não-invasiva

Marcelo Alcantara Holanda, Ricardo Coelho Reis, Georgia Freire Paiva Winkeler, Simone Castelo Branco Fortaleza, José Wellington de Oliveira Lima, Eanes Delgado Barros Pereira

J Bras Pneumol.2009;35(2):164-173

Abstract PDF PT PDF EN Portuguese Text

Objective: Failure of noninvasive ventilation (NIV) has been associated with short-term adverse effects related to the use of masks. The aim of this study was to compare the incidence, type and intensity of adverse effects, as well as the comfort, of total face masks (TFMs), facial masks (FMs) and nasal masks (NMs) during NIV. Methods: This was a randomized crossover trial involving 24 healthy volunteers submitted to six sessions of NIV in bilevel positive airway pressure mode using the TFM, FM and NM masks at low and moderate-to-high pressure levels. A written questionnaire was applied in order to evaluate eleven specific adverse effects related to the use of the masks. Comfort was assessed using a visual analog scale. The CO2 exhaled into the ventilator circuit was measured between the mask and the exhalation port. Results: The performance of the TFM was similar to that of the NM and FM in terms of comfort scores. Higher pressure levels reduced comfort and increased adverse effects, regardless of the mask type. When the TFM was used, there were fewer air leaks and less pain at the nose bridge, although there was greater oronasal dryness and claustrophobia. Air leaks were most pronounced when the FM was used. The partial pressure of exhaled CO2 entering the ventilator circuit was zero for the TFM. Conclusions: The short-term adverse effects caused by NIV interfaces are related to mask type and pressure settings. The TFM is a reliable alternative to the NM and FM. Rebreathing of CO2 from the circuit is less likely to occur when a TFM is used.


Keywords: Intermittent positive-pressure ventilation; Masks/adverse effects; Respiratory insufficiency;Equipment failure analysis.


Job's syndrome or hyperimmunoglobulinemia E

Síndrome de Jó ou hiperimunoglobulinemia E

Ricardo Coelho Reis, Marcelo Alcântara Holanda, Juvêncio Paiva Câmara, José Humberto Araújo, Micheline Paiva Aquinos, Laryssa Braga Cavalcante Santana

J Bras Pneumol.2001;27(2):115-118

Abstract PDF PT

Job's syndrome, or hyperimmunoglobulinemia E, is a rare immunodeficiency condition with no established etiology, characterized by recurrent lower and upper respiratory tract and skin infections associated with high levels of immunoglobulin E, eosinophilia, and a characteristic facial alteration. The authors report on a 22-year-old man who carried this disease complicated by pleural empyema and lung cysts, showing a good evolution.


Keywords: Job's syndrome. Respiratory tract infections. Recurrence.


Liver transplantation in a patient with Niemann-Pick disease and pulmonary involvement

Transplante hepático em paciente portadora de doença de Niemann-Pick com envolvimento pulmonar

Marina Silveira Mendes, Flaviana Xavier Portela, Ricardo Coelho Reis, José Daniel Vieira de Castro, José Huygens Parente Garcia, Marcelo Alcântara Holanda

J Bras Pneumol.2012;38(2):269-271

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