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[Obstructive pneumonitis in lung cancer patients--a retrospective study].
- Source :
-
Nihon Kyobu Shikkan Gakkai zasshi [Nihon Kyobu Shikkan Gakkai Zasshi] 1992 Oct; Vol. 30 (10), pp. 1820-4. - Publication Year :
- 1992
-
Abstract
- We evaluated the frequency and the backgrounds of lung cancer patients with obstructive pneumonitis. Among 84 cases of lung cancer, 35 presented with bronchial obstruction at bronchoscopy or on radiological studies. Of these 35 cases, 8 had infectious obstructive pneumonitis. This complication was observed more commonly in patients with squamous cell carcinoma. A comparative analysis of the immunological and nutritional states before the occurrence of bacterial complication was performed on patients with infectious obstructive pneumonitis and those with non-infectious obstructive pneumonitis. The serum concentration of total protein, albumin and total cholesterol was significantly lower in patients who subsequently developed bronchial obstruction and bacterial infection, compared to concentrations in patients with non-infectious obstructive pneumonitis. Similarly, there was significant decrease in the number of peripheral lymphocytes, and neutrophils as well as a significant reduction of the serum concentration of IgM in the group of patients with infectious complications. These results suggest that nutritional and immunological deficiencies, in association with local airway obstruction, may be determining factors in the occurrence of infectious obstructive pneumonitis in patients with lung cancer.
- Subjects :
- Aged
Bacterial Infections
Carcinoma, Squamous Cell complications
Carcinoma, Squamous Cell immunology
Female
Humans
Immunoglobulin M blood
Leukocyte Count
Lung Neoplasms immunology
Male
Middle Aged
Nutritional Status
Pneumonia immunology
Pneumonia microbiology
Retrospective Studies
Lung Neoplasms complications
Pneumonia etiology
Subjects
Details
- Language :
- Japanese
- ISSN :
- 0301-1542
- Volume :
- 30
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Nihon Kyobu Shikkan Gakkai zasshi
- Publication Type :
- Academic Journal
- Accession number :
- 1464982