Original Article

Sputum examination in the clinical management of community-acquired pneumonia

Exame do escarro no manejo clínico dos pacientes com pneumonia adquirida na comunidade

Leonardo Gilberto Haas Signori, Maurício Weyh Ferreira, Luiz Carlos Hack Radünz Vieira, Karen Reetz Müller, Waldo Luís Leite Dias de Mattos

J Bras Pneumol.2008;34(3):152-158

Accuracy of clinical examination findings in the diagnosis of COPD

Acurácia do exame clínico no diagnóstico da DPOC

Waldo Luís Leite Dias de Mattos, Leonardo Gilberto Haas Signori, Fernando Kessler Borges, Jorge Augusto Bergamin, Vivian Machado

J Bras Pneumol.2009;35(5):404-408

Quantitative culture of endotracheal aspirate and BAL fluid samples in the management of patients with ventilator-associated pneumonia: a randomized clinical trial

Cultura quantitativa de amostras de aspirado endotraqueal e lavado broncoalveolar no manejo de pacientes com pneumonia associada à ventilação mecânica: um ensaio clínico randomizado

Ricardo de Amorim Corrêa, Carlos Michel Luna, José Carlos Fernandez Versiani dos Anjos, Eurípedes Alvarenga Barbosa, Cláudia Juliana de Rezende, Adriano Pereira Rezende, Fernando Henrique Pereira, Manoel Otávio da Costa Rocha

J Bras Pneumol.2014;40(6):643-651

Bacteriological analysis of induced sputum for the diagnosis of pulmonary tuberculosis in the clinical practice of a general tertiary hospital

Análise bacteriológica do escarro induzido para o diagnóstico de tuberculose pulmonar na prática clínica de um hospital geral terciário

Sabrina Bollmann Garcia, Christiano Perin, Marcel Muller da Silveira, Gustavo Vergani, Sérgio Saldanha Menna-Barreto, Paulo de Tarso Roth Dalcin

J Bras Pneumol.2009;35(11):1092-1099

Determination of the inflammatory component of airway diseases by induced sputum cell counts: use in clinical practice

Determinação do componente inflamatório das doenças das vias aéreas através do escarro induzido: utilização na prática clínica

Pablo Moritz, Leila John Marques Steidle, Manuela Brisot Felisbino, Túlia Kleveston, Marcia Margaret Menezes Pizzichini, Emilio Pizzichini

J Bras Pneumol.2008;34(11):913-921

Erratum

2018 recommendations for the management of community acquired pneumonia

Recomendações para o manejo da pneumonia adquirida na comunidade 2018

J Bras Pneumol.2018;44(6):532

2018 recommendations for the management of community acquired pneumonia

Recomendações para o manejo da pneumonia adquirida na comunidade 2018

J Bras Pneumol.2019;45(2):

Special Article

2018 recommendations for the management of community acquired pneumonia

Recomendações para o manejo da pneumonia adquirida na comunidade 2018

Ricardo de Amorim Corrêa1,a, Andre Nathan Costa2,b, Fernando Lundgren3.c, Lessandra Michelim4,d, Mara Rúbia Figueiredo5,e, Marcelo Holanda6,f, Mauro Gomes7,g, Paulo José Zimermann Teixeira8,h, Ricardo Martins9,i, Rodney Silva10,j, Rodrigo Abensur Athanazio2,k, Rosemeri Maurici da Silva11,l, Mônica Corso Pereira12,m

J Bras Pneumol.2018;44(5):405-423

Continuing Education: Pediatric Pulmonology

Management of pneumonia and pleural effusion in children

Manejo de pneumonia e derrame pleural em crianças

Laura Menestrino Prestes1, Miguel Ângelo Uflacker Lutz de Castro1, Gabriela de Azevedo Bastian de Souza1, Laura Gomes Boabaid de Barros1, Marcelo Comerlato Scotta2,3, Leonardo Araujo Pinto2,3

J Bras Pneumol.2023;49(6):e20230370

Original Article

Effect of a clinical protocol on the management of acute asthma in the emergency room of a university hospital

Efeito da implantação de um protocolo assistencial de asma aguda no serviço de emergência de um hospital universitário

Pérsio Mariano da Rocha, Andréia Kist Fernandes, Fernando Nogueira, Deise Marcela Piovesan, Suzie Kang, Eduardo Franciscatto, Thaís Millan, Cristina Hoffmann, Carísi Anne Polanczyk, Sérgio Saldanha Menna Barreto, Paulo de Tarso Roth Dalcin

J Bras Pneumol.2004;30(2):94-101

Evaluation of acute bacterial rhinosinusitis in asthma patients based on clinical parameters and imaging studies, together with ear, nose and throat examination

Avaliação da rinussinusite bacteriana aguda em pacientes asmáticos com base em parâmetros clínicos, exame otorrinolaringológico e estudo de imagem

Alecsandra Calil Moises Faure, Ilka Lopes Santoro, Luc Louis Maurice Weckx, Henrique Manoel Lederman, Artur da Rocha Correa Fernandes, Ana Luisa Godoy Fernandes

J Bras Pneumol.2008;34(6):340-346

Tumor spread through air spaces in lung cancer: prospective analysis of the accuracy of intraoperative frozen section examination

Germano Luciano de Almeida1, Bruno Maineri Pinto1, Vitor Maineri Pinto1, Aline Caldart Tregnago1, Renata Fragomeni Almeida1, Darcy Ribeiro Pinto Filho1

J Bras Pneumol.2024;50(4):e20240165

Letters to the Editor

Clinical, functional, and cytological evaluation of sputum in postinfectious bronchiolitis obliterans: a possible overlap with asthma?

Avaliação clínica, funcional e da citologia de escarro em bronquiolite obliterante pós-infecciosa: é possível a coexistência com asma?

Sarah Angélica Maia1,a, Denise Eli2,b, Roberta Cunha2,c, Elessandra Bitencourt2,d, Carlos Antônio Riedi1,e, Herberto José Chong Neto1,f, Débora Carla Chong e Silva1,g, Nelson Augusto Rosário Filho1,h

J Bras Pneumol.2019;45(5):e20190060

Case Report

Exogenous lipoid pneumonia: importance of clinical history to the diagnosis

Pneumonia lipóide exógena: importância da história clínica no diagnóstico

Alfredo Pereira Leite de Albuquerque Filho

J Bras Pneumol.2006;32(6):596-598

Original Article

Clinical, epidemiological, and etiological profile of inpatients with community-acquired pneumonia in a public hospital in the interior of Brazil

Perfil clínico, epidemiológico e etiológico de pacientes internados com pneumonia adquirida na comunidade em um hospital público do interior do Brasil

Laura Fuchs Bahlis1,2,3,a, Luciano Passamani Diogo3,b, Ricardo de Souza Kuchenbecker4,c, Sandra Costa Fuchs4,d

J Bras Pneumol.2018;44(4):261-266

Review Article

Acute asthma in adults in the emergency room: clinical management in the first hour

Asma aguda em adultos na sala de emergência: o manejo clínico na primeira hora

Paulo de Tarso Roth Dalcin, Alan Castoldi Medeiros, Marcelo Kurz Siqueira, Felipe Mallmann, Mariane Lacerda, Marcelo Basso Gazzana, Sérgio Saldanha Menna Barreto

J Bras Pneumol.2000;26(6):297-306

Original Article

Clinical, epidemiological, and etiological profile of inpatients with community-acquired pneumonia at a general hospital in the Sumaré microregion of Brazil

Perfil clínico, epidemiológico e etiológico de pacientes com pneumonia adquirida na comunidade internados em um hospital geral da microrregião de Sumaré, SP

Maria Rita Donalisio, Carlos Henrique Mamud Arca, Paulo Roberto de Madureira

J Bras Pneumol.2011;37(2):200-208

Evolution of exogenous lipoid pneumonia in children: clinical aspects, radiological aspects and the role of bronchoalveolar lavage

Evolução da pneumonia lipoide exógena em crianças: aspectos clínicos e radiológicos e o papel da lavagem broncoalveolar

Selma Maria de Azevedo Sias, Angela Santos Ferreira, Pedro Augusto Daltro, Regina Lúcia Caetano, José da Silva Moreira, Thereza Quirico-Santos

J Bras Pneumol.2009;35(9):838-845

Objective: To present aspects of the evolution of lipoid pneumonia in children, based on clinical, radiological and bronchoalveolar lavage fluid findings, emphasizing the importance of bronchoalveolar lavage for the diagnosis and treatment. Methods: We included 28 children, with a mean age of 20 months (range, 1-108 months), diagnosed with chronic pneumonia refractory to antimicrobial therapy, with TB or with a combination of the two. Most of the children had at least one risk factor for aspiration, and all of them had a history of mineral oil ingestion for intestinal constipation (23/28) or complicated ascaridiasis (5/28). Clinical evaluations, tomographic evaluations and analyses of bronchoalveolar lavage fluid were carried out at the beginning of treatment and throughout a follow-up period of 24 months. Results: Tachypnea and cough were the most common symptoms. The most common radiological alterations were areas of consolidation (23/28), perihilar infiltrates (13/28) and hyperinflation (11/28). Chest CT scans showed areas of consolidation with air bronchogram (24/28), decreased attenuation in the areas of consolidation (16/28), ground-glass opacities (3/28) and crazy-paving pattern (1/28). In the analysis of the bronchoalveolar lavage fluid, Sudan staining revealed foamy macrophages, confirming the diagnosis of lipoid pneumonia. After treatment with multiple bronchoalveolar lavages (mean = 9.6), 20 children became asymptomatic, 18 of those presenting normal tomographic images. Conclusions: A diagnosis of lipoid pneumonia should be considered in patients with chronic refractory pneumonia or TB, especially if there is a history of mineral oil ingestion. Bronchoscopy with multiple bronchoalveolar lavages was an efficient treatment for the clearance of mineral oil from the lung parenchyma and the prevention of fibrosis. This strategy contributed to reducing the morbidity of lipoid pneumonia, which remains a rare diagnosis.

Keywords: Pneumonia, lipid; Bronchoalveolar lavage; Treatment outcome.

Management of "Pneumocystis carinii" pneumonia in HIV-infected patients: empiric treatment versus microscopic confirmation

Controle da pneumonia por "Pneumocystis carinii" em pacientes HIV-positivos: tratamento empírico "versus" confirmação microscópica

Carlos Viegas, Rob Roy Macgregor, Ronald G. Collman

J Bras Pneumol.1997;23(2):61-65

Review Article

Physiopathology and clinical management of one-lung ventilation

Fisiopatologia e manejo clínico da ventilação seletiva

Halina Cidrini Ferreira, Walter Araújo Zin, Patrícia Rieken Macedo Rocco

J Bras Pneumol.2004;30(6):566-573

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