Authors present a case history of a 27years old patient with fibrosarcoma of the thoracic wall who was indicated for surgery, i.e. a radical resection of the thoracic wall. Patient’s tumor history lasted for 10 years, with significant growth acceleration in about last 4 months. Patient was pre-operatively diagnosed by standard diagnostic methods. He was indicated for resective surgery, there were not any complications post-operatively. Chemotherapy and radiotherapy in the oncology department followed. During the follow-up visit after 17 months a lesion in his left lower lobe was diagnosed and the patient was indicated for surgical treatment via video-assisted thoracoscopy (VATS), which proved a metastasis of the fibrosarcoma.

Key words: fibrosarcoma of the thoracic wall, thoracic CT, resection of the thoracic wall

Authors presents a case report of a 5 month’s girl which was unsuccessfully calmetised and which was taken ill with tuberculosis. Acute miliary tuberculosis is accordingly with acute basillary meningitis the most severe form of postprimary tuberculosis and has a high mortality. In the area of Czech Republic this illness was not seen since 1979. The calmetisation protects against those severe forms. The main goal of this presentation is to remind this rare disease which is very dangerous for no-calmetised or unsuccessfully calmetised persons.

Key words: tuberculosis, acute miliary tuberculosis, calmetisation, antituberculotics

Obstructive sleep apnea syndrome in childhood is often caused by hypertrophy of palatine tonsils. The only objective examination of sleep apnea syndrome is polysomnography. According ICDS-2, 2005, the recommended treatment is bilateral tonsillectomy. New method of surgical treatment of choice is bilateral tonsillotomy. Reduction radicality does not change the effect of treatment with obstructive sleep apnea syndrome, while maintaining the functional part of the palatine tonsils in children age is importance for the development of the immune system and it is positive effect of tonsillotomy.

Key words: obstructive sleep apnea syndrome, hypertrophy of palatine tonsils, videopolysomnography, tonsillotomy

Author presents three case histories of patients with severe persistent bronchial asthma, who were treated with anti IgE monoclonal antibody – omalizumab. He stresses out that allergy mediated by IgE antibodies, as a significant etiological factor, is particularly essential for clinical success of such treatment. Based on his experience he discusses other possible indications for omalizumab treatment.

Key words: omalizumab, allergy, severe persistent bronchial asthma

Key words: flexible bronchoscopy (FOB), bronchoscopic findings, middle lobe syndrome, human papillomavirus

The paper describes a history of a patient with a chronic obstructive pulmonary disease, complicated by malnutrition in association with a need of a balance assessment of nutrients intake and an education by a nutritional therapist. It provides real amounts of nutrients from a common diet, with their fluctuations over the time, subsequently supplemented by an enteral nutrition.

Key words: COPD, nutritive care, sipping, enteral nutrition, bolus, malnutrition, nasogastric probe, percutaneous endoscopic gastrostomy

Tobacco smoking is the main cause of COPD (chronic obstructive pulmonary disease). According to the latest findings autoimmune reaction plays a role except of highly contaminated air inhaled either by active or passive smoker. No exposition to tobacco smoke is the basic for successful treatment. Any physician should use each clinical contact (outpatient or hospitalisation) for motivation and tobacco dependence treatment according to time possibility: brief intervention or recommendation to the nearest centre for treatment of tobacco dependence.

Key words: COPD, tobacco smoking