The return of austerity imperils global health.

Recognising the world's lack of preparedness for the COVID-19 pandemic, international organisations like the World Health Organization, World Bank, and International Monetary Fund are calling for extensive additional funding to strengthen pandemic preparedness and response systems in low-income and middle-income countries, including through domestic resource mobilisation. This article examines the prospects of national health budgets increasing in such a context, drawing on new International Monetary Fund projections on public spending around the world. We show that by 2024 public spending will be lower than the 2010s average for almost half of all low-income and middle-income countries.

[Difficult diagnosis in a case of pulmonary epidermoid carcinoma].

We present a case of a 66 years old male patient, from urban area, smoker for 54 years, without special antecedents, hospitalized in our service with a pulmonary right lower lobe abscess, whose onset was 4 months ago, persistent under treatment in another pneumology service. Clinically and radiologically we suspected a pulmonary excavated right lower lobe neoplasia, but unsustained by fiber-bronchoscopy and thoracic computer tomography. By this reason the patient underwent exploratory thoracotomy and the diagnosis was confirmed by the biopsy of the resected specimen: pulmonary epidermoid carcinoma.

[Rare histological type of pulmonary adenocarcinoma--two clinical cases].

Two cases of primary signet-ring cell adenocarcinoma of the lung are presented. The patients were: a 53-year-old man with a left lung mass and a 40-year-old woman with a right lung mass. Endobronchial biopsy performed after fiber-bronchoscopy reveal this rare histological type for pulmonary localizations of neoplasms.