European journal of case reports in internal medicine最新文献_第9页

Two strikes: A case study of consecutive ST-elevation myocardial infarctions (STEMI) in two different coronary arteries 两次打击两支不同冠状动脉连续发生 STEV 心肌梗死（STEMI）的病例研究

European journal of case reports in internal medicine Pub Date : 2024-04-03 DOI: 10.12890/2024_004495

Yashitha Chirumamilla, J. Chinnappan, M. L. Alkotob

{"title":"Two strikes: A case study of consecutive ST-elevation myocardial infarctions (STEMI) in two different coronary arteries","authors":"Yashitha Chirumamilla, J. Chinnappan, M. L. Alkotob","doi":"10.12890/2024_004495","DOIUrl":"https://doi.org/10.12890/2024_004495","url":null,"abstract":"An acute ST-elevation myocardial infarction (STEMI) followed by reinfarction within a short period of time is typically due to stent thrombosis. However, a STEMI caused by occlusion of one vessel followed by a repeat infarction due to occlusion of a different vessel which was seemingly innocent a few hours earlier is extremely rare. We present the case of a 61-year-old male with a past medical history of prediabetes, hyperlipidemia, tobacco use, and gastroesophageal reflux disease who presented to the emergency department with complaints of chest pain. His initial electrocardiogram (EKG) revealed ST elevation in leads II, III and aVF with reciprocal changes in leads I and aVL. He promptly underwent cardiac catheterization and had percutaneous coronary intervention with placement of two drug-eluting stents (DES) in the right coronary artery (RCA). At that time coronary angiography revealed 50% stenosis of the left anterior descending (LAD) artery and 60% stenosis of the second diagonal branch artery. Shortly after the procedure he was asymptomatic, and the post procedure EKG demonstrated resolution of the ST elevations. However, within 2 hours he developed chest pain and was found to have new ST elevations in the anterolateral leads. Repeat cardiac catheterization revealed patent RCA stents with subtotal occlusion of the LAD and another DES was placed. After the second procedure the patient remained hemodynamically stable, EKG changes resolved, and he was kept on eptifibatide infusion for 18 hours after which he was switched to dual antiplatelet therapy and ultimately discharged home.","PeriodicalId":11908,"journal":{"name":"European journal of case reports in internal medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140750116","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

Azathioprine associated with intrahepatic cholestasis in a patient with twin pregnancy after a second kidney transplant 二次肾移植后双胎妊娠患者的硫唑嘌呤并发肝内胆汁淤积症

European journal of case reports in internal medicine Pub Date : 2024-03-11 DOI: 10.12890/2024_004385

Lamis Khedr, Mohamed Ekram

{"title":"Azathioprine associated with intrahepatic cholestasis in a patient with twin pregnancy after a second kidney transplant","authors":"Lamis Khedr, Mohamed Ekram","doi":"10.12890/2024_004385","DOIUrl":"https://doi.org/10.12890/2024_004385","url":null,"abstract":"Introduction: Most pregnancies in women after a kidney transplant result in a live birth, but kidney functions should be stable for one year before conception. For immunosuppression modification occurring before pregnancy, azathioprine is used because it is considered safe for major congenital malformations during pregnancy. However, there may be an association between exposure to azathioprine during pregnancy and the onset of an unusual, early and severe form of intrahepatic cholestasis. Case description: A young patient with a twin pregnancy after a second kidney transplant experienced intrahepatic cholestasis. There was a wide range of differential diagnosis. A battery of tests was requested including autoimmune markers, virology, and imaging. The conclusion that azathioprine was contributing to intrahepatic cholestasis with pregnancy was reached after exclusion of all other differentials. Conclusions: Complications of pregnancy after a kidney transplant include hypertension, pre-eclampsia, deterioration of graft function up to rejection, but also unusual side effects of immunosuppression medication.","PeriodicalId":11908,"journal":{"name":"European journal of case reports in internal medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140251676","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

Haematogenous pneumonia caused by Kocuria kristinae in a patient with a central venous catheter 一名使用中心静脉导管的患者因 Kocuria kristinae 引起的血源性肺炎

European journal of case reports in internal medicine Pub Date : 2024-03-11 DOI: 10.12890/2024_004314

Raffaele Natale, Clelia Nasti, Annadora Morena, Fabrizio Pasanisi, L. Santarpia

引用次数: 0

Tirzepatide-induced ketoacidosis in non-diabetic patients 非糖尿病患者因替氮帕肽引起的酮症酸中毒

European journal of case reports in internal medicine Pub Date : 2024-03-11 DOI: 10.12890/2024_004357

Pathan Mohamad Rafe Iqbal, O. Maadarani, Z. Bitar

引用次数: 0

Bartonella henselae related unilateral anterior uveitis and subsequent multifocal retinitis in a case under certolizumab treatment 正在接受赛妥珠单抗治疗的一个病例中与鸡巴顿氏菌相关的单侧前葡萄膜炎和随后的多灶性视网膜炎

European journal of case reports in internal medicine Pub Date : 2024-03-11 DOI: 10.12890/2024_004360

Mustafa Kayabaşı, Işıl Kefeli, Pınar Çakar Özdal, A. Saatçi

{"title":"Bartonella henselae related unilateral anterior uveitis and subsequent multifocal retinitis in a case under certolizumab treatment","authors":"Mustafa Kayabaşı, Işıl Kefeli, Pınar Çakar Özdal, A. Saatçi","doi":"10.12890/2024_004360","DOIUrl":"https://doi.org/10.12890/2024_004360","url":null,"abstract":"Introduction: A case of ocular bartonellosis under anti-tumour necrosis factor treatment is described. Case description: A 29-year-old woman with psoriasis who had been on certolizumab treatment was examined with a left visual deterioration following a fever bout, malaise, and placoid erythematous rashes on her neck. As there was acute anterior uveitis in her left eye, it was recommended to stop certolizumab treatment for a possible infectious aetiology. However, her physician elected to continue the certolizumab treatment. Ten days later, the patient noticed further visual decline despite the topical steroid treatment. This time, there were scattered yellow-white small retinitis foci at the left posterior pole. Infectious agents were searched and while Bartonella henselae antibodies were negative for immunoglobulin M, the immunoglobulin G titre was 1/80. Clinical findings were improved with the systemic treatment of oral trimethoprim-sulfamethoxazole (160/800 mg twice daily for six weeks) and azithromycin (500 mg once daily for two weeks). Discussion: Though extremely rare, ocular bartonellosis should be kept in mind in patients on anti-tumour necrosis factor treatment as rapid and accurate diagnosis may end up with an excellent visual outcome and full recovery.","PeriodicalId":11908,"journal":{"name":"European journal of case reports in internal medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140251438","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

Pott’s puffy tumour: a rare complication of sinusitis 波特浮肿瘤：鼻窦炎的罕见并发症

European journal of case reports in internal medicine Pub Date : 2024-03-11 DOI: 10.12890/2024_004287

Marine Maenhout, Maxime Gudelj, Allison Gilbert

引用次数: 0

The response of osmotic demyelination syndrome to plasmapheresis in a patient presenting with catatonia after correction of hyponatraemia in hyperemesis gravidarum 一名妊娠剧吐患者在纠正低钠血症后出现紧张性惊厥，其渗透性脱髓鞘综合征对浆血疗法的反应

European journal of case reports in internal medicine Pub Date : 2024-03-11 DOI: 10.12890/2024_004373

Vimonsri Rangsrisaeneepitak, Arnant Tekarnjnavanit, Pattarapol Kanjanapipatkul, Sukrisd Koowattanatianchai

引用次数: 0

Baker's Yeast Might not always be Good for Everyone - A Case of Percutaneous Gastrostomy Tube Induced Saccharomyces Cerevisiae Peritonitis in an Immunocompromised Patient. 面包酵母不一定对每个人都有好处--一例免疫力低下患者经皮胃管诱发的酿酒酵母菌腹膜炎。

European journal of case reports in internal medicine Pub Date : 2024-03-04 eCollection Date: 2024-01-01 DOI: 10.12890/2024_004354

Mohammad N Kloub, Muhammad Hussain, Fnu Marium, Atheer Anwar, Ahmad Haddad, Jihad Slim, Yatinder Bains

{"title":"Baker's Yeast Might not always be Good for Everyone - A Case of Percutaneous Gastrostomy Tube Induced Saccharomyces Cerevisiae Peritonitis in an Immunocompromised Patient.","authors":"Mohammad N Kloub, Muhammad Hussain, Fnu Marium, Atheer Anwar, Ahmad Haddad, Jihad Slim, Yatinder Bains","doi":"10.12890/2024_004354","DOIUrl":"https://doi.org/10.12890/2024_004354","url":null,"abstract":"Peritonitis, the inflammation of the protective membrane surrounding parts of the abdominal organs, is a common clinical pathology with multifactorial aetiologies. While bacterial infections are well-recognised as a cause of peritonitis, fungal infections remain relatively uncommon especially Saccharomyces cerevisiae, which is commonly used for breadmaking and as a nutritional supplement. This fungus has been reported to induce peritonitis in patients on peritoneal dialysis. However, it has never been reported as secondary to percutaneous endoscopic gastrostomy (PEG) tube insertion in immunocompromised patients. We present a 64-year-old female with a history of human immunodeficiency virus (HIV) who developed S. cerevisiae peritonitis following PEG tube insertion. The case highlights the importance of considering rare organisms when treating immunocompromised patients with peritonitis, especially after gastrointestinal tract penetration or peritoneal membrane disruption.Learning points: Fungal infection can be a cause of peritonitis especially in an immunocompromised patient.Saccharomyces cerevisiae can be a pathological organism and induce serious infections.Early recognition of the cause of peritonitis and controlling the source is critical to prevent complications.","PeriodicalId":11908,"journal":{"name":"European journal of case reports in internal medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10997390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Before attributing malnutrition in MELAS to superior mesenterica artery syndrome, all differentials must be excluded 在将 MELAS 中的营养不良归因于肠系膜上动脉综合征之前，必须排除所有鉴别因素

European journal of case reports in internal medicine Pub Date : 2024-03-04 DOI: 10.12890/2024_004388

J. Finsterer

引用次数: 0

Acute Severe Ulcerative Colitis Flare Complicated by Myopericarditis and Infliximab-Induced Hepatitis. 急性重度溃疡性结肠炎复发并发心肌炎和英夫利西单抗诱发肝炎

European journal of case reports in internal medicine Pub Date : 2024-03-04 eCollection Date: 2024-01-01 DOI: 10.12890/2024_004383

Magdalini Manti, Nikolaos Kamperidis, Alexandros Toskas, Harry Martin, Ravi Misra

{"title":"Acute Severe Ulcerative Colitis Flare Complicated by Myopericarditis and Infliximab-Induced Hepatitis.","authors":"Magdalini Manti, Nikolaos Kamperidis, Alexandros Toskas, Harry Martin, Ravi Misra","doi":"10.12890/2024_004383","DOIUrl":"https://doi.org/10.12890/2024_004383","url":null,"abstract":"Ulcerative colitis (UC) is an autoimmune disease associated with both intestinal and extraintestinal manifestations. The latter may include heart complications, such as myopericarditis leading to life-threatening arrythmias. Nowadays, UC is commonly treated with biologic medications and infliximab is the first line therapy in an outpatient setting, while it is also used as rescue therapy in acute severe UC. However, it has been associated with severe immunosuppression, cytomegalovirus (CMV) reactivation and drug-induced hepatitis. We report a case of UC flare in a biologic naïve patient admitted with myopericarditis, which was further complicated by positive CMV biopsies and infliximab-induced transaminitis.Learning points: In acute inflammatory bowel disease (IBD) flare presentation with tachycardia and chest pain, an underlying myocardial injury should be investigated.Mucosal healing should be evaluated endoscopically in cases of partial response to biologics.Both cytomegalovirus (CMV) infection and infliximab-induced liver injury may lead to acute hepatitis.","PeriodicalId":11908,"journal":{"name":"European journal of case reports in internal medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10997400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0