Biomedical subjects

Z Kamiński

Publications and source records attributed to Z Kamiński.

At least 19 recordsLinked to original sources

PubMed1997

[Mediastinal abscesses and empyema of the pleural cavity after iatrogenic fracture of the sternum].

A case report presents fracture of sternum during the resuscitation and in continuity iatrogenic hematoma and afterwards abscessus of mediastinum, and empyema the both of pleura cavities. Fracture of thorax wall is rather often event, but in the most, it has not adverse effects. This case refers to 68 years old patient, who had one of the most serious complications: abscessus of mediastinum, empyema of left and right pleura cavities with perforation outside the anterior wall of thorax. He was treated in General Hospital Biała Podlaska, Department of Surgery with good results and was extracted home as well-being patient after 35 days spent in hospital the second hospitalisation.

Abscess↗

PubMed1996

AIDS pathology: infections and neoplasms in 55 fatal AIDS cases. A postmortem study.

The study evaluated the incidence of infections and neoplasms in 55 out of 104 patients with AIDS who died in Poland from January 1986 to April 1994 (the estimated autopsy rate-52.8%). Histopathological examination revealed 103 infections and 11 neoplasms. In 40 persons (73%) either multiple infections or a neoplasm and an infection were diagnosed. Cytomegalovirus infection was most common. (65.5% of cases) followed by Pneumocystis carinii (24% of cases). These infections were the leading cause of death in 20% and 16% of cases, respectively. The results of this study showed a significantly lower incidence of Pneumocystis carinii, Kaposi's sarcoma and non-Hodgkin's lymphoma in comparison with the results of similar studies in countries with a large number of AIDS cases.

AIDS-Related Opportunistic Infections↗

PubMed1996

[Are lung choriocarcinoma and giant cell carcinoma producing chorionic gonadotropins just variants of the same neoplasm?].

An article presents two cases of choriocarcinoma lung metastases. One case revealed the primary mediastinal choriocarcinoma and the second one had unknown primary localisation of the tumor, which could be suggestive of a spontaneously regressed primary gonadal choriocarcinoma. Authors discuss the clinico-pathological aspects of extragonadal choriocarcinomas, theories of their histogenesis and the morphological similarities to anaplastic giant cell lung carcinoma.

Adult↗

PubMed1995

[A case of bronchial carcinoid diagnosed after 21 years of recurrent lung infections].

A case of 59 year old woman with a 21 year history of recurrent pneumonias of the upper left lobe is presented. When she at last agreed for the diagnosis her chest X-rays revealed atelectasis and cirrhosis with bronchiectases of the left lung. Tumor of the left main bronchus and severe inflammation of the surrounding mucosa with purulent secretion were found during bronchofiberoscopy. The patient underwent left pneumonectomy. Histological examination of the specimen revealed presence of carcinoid in the main left bronchus without involvement of the regional lymphnodes, with signs of irreversible damage of other bronchi and pulmonary tissue. The very long period of observation since the first symptoms, no metastases in the bronchopulmonary lymphonodes and no distant metastases indicate the low-grade malignancy of the carcinoid in the presented case.

Bronchial Neoplasms↗

PubMed1994

[Pulmonary arteriovenous fistulas].

Pulmonary arteriovenous fistulas are rare congenital malformations associated in 40% of cases with Osler-Weber-Rendu disease. PAF acquired in connection with the chest trauma, surgery and some inflammatory or neoplastic lung diseases were also described. In the Institute of Tuberculosis and Chest Diseases we have observed 11 cases of congenital PAF in 4000 resected lungs during the last years. In this report we described one more case with PAF. A 40 years old man was admitted to the Institute of Tuberculosis and Chest Diseases with hemoptysis. History and physical examination was unremarkable. Chest roentgenogram revealed a right upper lobe infiltrate. Tuberculosis or cancer was suspected and during the diagnostic procedures antituberculous drugs were given. After 3 weeks of treatment hemoptysis increased and chest roentgenogram revealed progression of the infiltrate in the right upper lobe and new lesions in the middle lobe. According to the character of X-ray progression which night be characteristic of active bleeding, a possibility of arteriovenous fistulas could not be excluded. As life threatening haemorrhage persisted right upper lobectomy without angiography was done. In the resected lobe arteriovenous fistulas were found. Angiography after operation was proposed but was refused by the patient. He is now well and symptoms free 5 months.

Adult↗

PubMed1994

[Multi-organ failure syndrome. Clinical picture: report of 2 cases].

Two cases of MOFS (multi-organ-failure-syndrome) are presented. Pulmonary embolism was an initial presentation in one case, acute pneumonia in the other. In both cases intensive supportive treatment including mechanical ventilation was instituted because of acute respiratory failure. Sequential dysfunction and/or failure of other organs were observed. Both patients died despite 3 and 7 weeks of intensive treatment, respectively. In both cases MOFS was confirmed by autopsy.

Fatal Outcome↗

PubMed1994

[Lung neoplasms with pericardial metastasis, complicated by venous thromboembolism: case report].

Among the risk factors of venous thromboembolism malignant neoplasms play a very important role. 43-years old man with adenocarcinoma of the lung, neoplasmatic cardiac tamponade and recurrent deep venous thrombosis has been presented. The pitfalls in diagnosis and particularly in treatment of venous thromboembolism in cancer-patients have been discussed.

Adenocarcinoma↗

PubMed1991

[Difficulties in diagnosing tuberculous pericarditis].

Malignancy was diagnosed cytologically in a 62 year old female with exudative pericarditis. Despite extensive diagnostical procedures the primary source of the neoplasm could not be defined. After 18 months the patient died. Autopsy disclosed tuberculous pericarditis. The authors discussed the differential diagnosis between malignant and tuberculous pericarditis and the reasons for this diagnostical error.

Diagnosis, Differential↗

PubMed1984

[A device for measuring body posture during work].

The study was aimed at designing, performing and testing the tool enabling observation of the duration of the trunk inclination under the fibular plane and specific angles in professional work. Admittedly, the most ethiopathogenetic factor of an algesic syndrome in the lower part of the spine is the load resulting mainly from long-lasting trunk anteversion. The tool consists of a gravitating inclination sensor which switches on, with the programmed inclination angle, the quartz time meter. This tool is fastened to the examined patient by webbings to the level of the lumbar spine in the axillary left middle line. The results obtained due to this tool reflect the duration of trunk inclination under different angles at work in different workstations. It was found that the observations made due to that tool, when its inclination sensor is set at 10 degrees, 20 degrees and 30 degrees (forward), should be sufficient to indicate the workstations with static load of the lower part of the spine due to long-lasting trunk anteversion. The simplicity of the studies performed by means of that tool, as well as the fact that those studies are convenient (both for the physicians and patients) indicate the advisability of an extensive use of that tool (also in improved versions) in ergonomic practice.

Humans↗

PubMed1983