Clinical Medical Reviews and Case Reports最新文献_第10页

Rhabdomyolysis Associated Acute Kidney Injury Following a Physical Violence 肢体暴力后横纹肌溶解相关急性肾损伤

Clinical Medical Reviews and Case Reports Pub Date : 2021-10-30 DOI: 10.23937/2378-3656/1410367

Thivaharan Yalini, Kitulwatte Deepthi Gamage

{"title":"Rhabdomyolysis Associated Acute Kidney Injury Following a Physical Violence","authors":"Thivaharan Yalini, Kitulwatte Deepthi Gamage","doi":"10.23937/2378-3656/1410367","DOIUrl":"https://doi.org/10.23937/2378-3656/1410367","url":null,"abstract":"Introduction: Physical violence can lead to serious and, rarely, fatal injuries. In addition to head injury, which is the leading cause of death and long-term disability, injuries of the musculoskeletal system and internal organs are important cause of assault-related morbidity. This paper discusses such rare complication of an interpersonal violence rhabdomyolyis associated with Acute Kidney Injury (AKI). Case: A 37-year-old man who claims to be assaulted by a group of people, presented with focal contusions and extensive grazed abrasions over the trunk and limbs. Injuries to brain and other visceral organs were excluded. Serum creatinine and urea were elevated significantly, along with increase in C-reactive protein and liver enzymes. Urinalysis contained red cells and leukocyte esterase, following which rhabdomyolysis was diagnosed. He developed oliguric AKI, and haemodialysis was initiated. He was discharged after eleven days of hospitalization, following improvement in renal functions. Discussion: Rhabdomyolysis is a common cause for oliguric renal failure, and can be traumatic or non-traumatic. Rhabdomyolysis has specific clinical and laboratory parameters, but still requires high level of suspicion, for timely diagnosis. Highly elevated levels creatinine phosphokinase (CPK) is the most specific parameter for the diagnosis of rhabdomyolysis. Myoglobinuria, elevated levels of lactase dehydrogenase and transaminases are also considered valuable markers of rhabdomyolysis. AKI is the commonest systemic complication of rhabdomyolysis and various causative mechanisms have been explained. Conclusion: Rhabdomyolysis requires high index of suspicion when acute kidney injury and altered metabolite levels are suspected in a patient with major or minor muscle injuries, in order to prevent complications or death.","PeriodicalId":10450,"journal":{"name":"Clinical Medical Reviews and Case Reports","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84903790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laparoscopic Resection of a Gastric Lipoma: A Case Report 腹腔镜下胃脂肪瘤切除术1例报告

Clinical Medical Reviews and Case Reports Pub Date : 2021-10-30 DOI: 10.23937/2378-3656/1410368

Najih Mohammed, Zentar Aziz

引用次数: 0

Severe Malaria with Acute Kidney Injury and Post-Dialysis Hypocalcaemia and Hypertension: A Case Report of a Young Patient Managed in a Resource Limited Setting 严重疟疾伴急性肾损伤和透析后低钙血症和高血压:一例在资源有限的环境下管理的年轻患者报告

Clinical Medical Reviews and Case Reports Pub Date : 2021-10-29 DOI: 10.23937/2378-3656/1410366

Innocent Wafula

{"title":"Severe Malaria with Acute Kidney Injury and Post-Dialysis Hypocalcaemia and Hypertension: A Case Report of a Young Patient Managed in a Resource Limited Setting","authors":"Innocent Wafula","doi":"10.23937/2378-3656/1410366","DOIUrl":"https://doi.org/10.23937/2378-3656/1410366","url":null,"abstract":"Malaria is a leading cause of paediatric morbidity and mortality in Africa. Plasmodium falciparum species is commonly associated with severe complications of malaria including severe anaemia, prostration, altered consciousness, hypoglycaemia, pulmonary oedema, haemoglobinuria, and acute kidney injury (AKI). In patients with these complications, the cornerstone of treatment is prompt administration of antimalarials and the provision of appropriate supportive care. AKI is an established independent predictor for mortality in children with severe malaria. In patients with malaria-associated AKI, cautious fluid administration and renal replacement therapy could be lifesaving. In this case report, a 12-year-old patient was managed for severe malaria complicated by acute kidney injury (AKI) and post-dialysis hypocalcaemia and hypertension. malaria endemic zones. Among the parasites of the genus Plasmodium, (P. falciparum, P. vivax, P. malariae, P. ovale, and P. knowlesi), P. falciparum is the most common species associated with complications such as severe anaemia, prostration, altered consciousness, hypoglycaemia, pulmonary oedema, haemoglobinuria [3], and acute kidney injury [4]. We report a case of an older paediatric patient presenting with severe malaria with acute kidney injury (AKI) and post-dialysis hypocalcemia and hypertension.","PeriodicalId":10450,"journal":{"name":"Clinical Medical Reviews and Case Reports","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84485561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preventing Progression of Chronic Kidney Disease with Plant-Based Diet 植物性饮食预防慢性肾病的进展

Clinical Medical Reviews and Case Reports Pub Date : 2021-10-29 DOI: 10.23937/2378-3656/1410365

Panigrahi Gunadhar

{"title":"Preventing Progression of Chronic Kidney Disease with Plant-Based Diet","authors":"Panigrahi Gunadhar","doi":"10.23937/2378-3656/1410365","DOIUrl":"https://doi.org/10.23937/2378-3656/1410365","url":null,"abstract":"Chronic kidney disease (CKD) is associated with high incidence of morbidity, mortality, and is a costly burden to the healthcare system [1,2]. CKD is now the 8th leading cause of death in the United States and affects 14% of its people [3]. As CKD progresses, cardiovascular mortality rises, eventually becoming the most common cause of death among end-stage renal disease (ESRD) patients [4,5]. There is a growing interest in the dietary treatment of CKD, and a Plant-Based low-protein vegetarian diet has shown to be safe and effective in both treating and in slowing the progression of CKD [6]. These were treated with a stent to RCA and another stent to LAD with excellent angiographic results, with resolution of symptoms. At that time, her medications included Cozaar 50 mg po daily, Lopressor 50 mg po twice daily, Hydrochlorothiazide 25 mg po daily, Nitro-patch 2% topically daily, Zocor 40 mg po daily, Fenofibrate 134 mg po daily, Aspirin 81 mg po daily, Plavix 75 mg po daily, Neurontin 100 mg po daily. On 3/13/2014, after discharge from hospital, she was seen in our Cardiovascular Wellness Clinic for continued care. She weighed 207 pounds (BMI 30.55 kg/m2), blood pressure was 140/80 mm of Hg, and heart rate was 64 beats per minute. The lipid profile revealed a total cholesterol of 254 mg/dl, triglyceride 123 mg/dl, HDL cholesterol 51 mg/dl, and LDL cholesterol were 179 mg/dl. Evaluation of renal function revealed blood urea nitrogen of 31 mg/dl and creatinine was 1.4 mg/dl, and eGFR of 44 ml/min/1.73 m2 of body surface area.","PeriodicalId":10450,"journal":{"name":"Clinical Medical Reviews and Case Reports","volume":"84 6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87917024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Complete Perioral Reconstruction for High Power Electrical Burn 高功率电烧伤的全牙周重建

Clinical Medical Reviews and Case Reports Pub Date : 2021-10-20 DOI: 10.23937/2378-3656/1410364

Abiel Kwok, Colin Hong

引用次数: 0

Systemic Quinolones and Risk of Acute Liver Failure II: Systematic Review of Clinical Trials 系统性喹诺酮类药物和急性肝衰竭的风险II:临床试验的系统回顾

Clinical Medical Reviews and Case Reports Pub Date : 2021-09-30 DOI: 10.23937/2378-3656/1410361

Taher Mohamed Kadry, Habsah Mohamed, Bjerre Lise, M. Franco, M. Donald, Krewski Daniel

{"title":"Systemic Quinolones and Risk of Acute Liver Failure II: Systematic Review of Clinical Trials","authors":"Taher Mohamed Kadry, Habsah Mohamed, Bjerre Lise, M. Franco, M. Donald, Krewski Daniel","doi":"10.23937/2378-3656/1410361","DOIUrl":"https://doi.org/10.23937/2378-3656/1410361","url":null,"abstract":"Background: Quinolones are a class with four generations of synthetic antibiotics characterized by a unique mechanism of action, broad spectrum, potent pharmacologic properties and reasonable safety profile. Their global and growing popularity has been accompanied by an increase in the emergence of antimicrobial resistance and occurrence of unexpected adverse reactions. Nevertheless, physicians continue to prescribe these drugs on an increasing scale, irrespective of the availability of other treatment alternatives. Objective: To systematically review all clinical trials where a quinolone antibiotic was tested or used as a comparator to other drugs or drug combinations, for evidence on quinolones’ association with ALF risk. Methods: We examined 4 major bibliographic databases, 8 clinical trial registries, and major grey literature sources including international conference proceedings, drug review networks and databases of pharmaceutical companies for ongoing or unpublished studies. We also examined the bibliographies of publications selected for inclusion in our review for other relevant studies. PROSPERO registration number: CRD42020148742. Results: We identified 1,264 original clinical trials conducted between 1974 and 2020, in many countries around the world, enlisting men and women from almost all ethnicities, backgrounds, age groups and with different comorbidity burdens. One trial reported a single ALF case with gemifloxacin and the other reported another case with moxifloxacin. Conclusion: There is inadequate evidence from clinical trials to implicate quinolone antibiotics as a cause of acute liver failure.","PeriodicalId":10450,"journal":{"name":"Clinical Medical Reviews and Case Reports","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77190701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Kallmann Syndrome with Brain Changes and Unilateral Renal Agenesis: A Rare Case Report Kallmann综合征伴脑改变及单侧肾脏发育不全:罕见病例报告

Clinical Medical Reviews and Case Reports Pub Date : 2021-09-30 DOI: 10.33425/2768-6647.1006

M. Shirin, S. Al-Azad, S. Akter, Hasina Firdaus

引用次数: 0

Bedside Techniques: Horseshoe Cartilage Ring-Preserving Tracheostomy for Preventing Stomal Site Stenosis 床边技术:马蹄软骨保环气管切开术预防造口部位狭窄

Clinical Medical Reviews and Case Reports Pub Date : 2021-09-30 DOI: 10.33425/2768-6647.1007

K. Nakamoto, T. Fujii, Mika Kajiyama, Y. Kawamura

引用次数: 0

Premature Pubarche Secondary to Herbal Oil Exposure 暴露于草药油引起的早泄

Clinical Medical Reviews and Case Reports Pub Date : 2021-09-30 DOI: 10.33425/2768-6647.1008

K. Jeyamurugan, Haiyan Lu

引用次数: 0

The Gilets Jaunes, A Case of Collective Schizophrenia in France 黄马甲，法国集体精神分裂症的案例

Clinical Medical Reviews and Case Reports Pub Date : 2021-09-30 DOI: 10.33425/2768-6647.1009

F. Pirot

引用次数: 1