Journal of Community Hospital Internal Medicine Perspectives最新文献_第9页

Third-Degree Heart Block in COVID-19 Pneumonia Complicated by Methicillin- Resistant Staphylococcus Aureus (MRSA) Bacteremia. A case report and review of literature COVID-19肺炎并发耐甲氧西林金黄色葡萄球菌(MRSA)菌血症的三度心脏传导阻滞病例报告及文献复习

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1269

Marlon Eliu Rivera Boadla, Azka Naeem, Sapna Kumari, Syed Mohammad Mazhar Uddin, Arafat Farooqui, Sanjay Maheshwari, Armando Seitllari, Zara Haq, Muhammad Hashim Khan, David J. Epstein, Sehajpreet Singh, Gerald Hollander, Kelash Kumar

{"title":"Third-Degree Heart Block in COVID-19 Pneumonia Complicated by Methicillin- Resistant Staphylococcus Aureus (MRSA) Bacteremia. A case report and review of literature","authors":"Marlon Eliu Rivera Boadla, Azka Naeem, Sapna Kumari, Syed Mohammad Mazhar Uddin, Arafat Farooqui, Sanjay Maheshwari, Armando Seitllari, Zara Haq, Muhammad Hashim Khan, David J. Epstein, Sehajpreet Singh, Gerald Hollander, Kelash Kumar","doi":"10.55729/2000-9666.1269","DOIUrl":"https://doi.org/10.55729/2000-9666.1269","url":null,"abstract":"Coronavirus disease 2019 (COVID-19) burden has been identified to cause multiorgan damage. Respiratory compromise is still one of the most common presentations, but cardiac injuries like myocardial injury, ischemia, and conduction abnormalities are also becoming prevalent. We present a case of an 87-year-old male with a history of dementia, type 2 diabetes mellitus, hypertension, chronic kidney disease, and a left kidney transplant hospitalized for respiratory distress and generalized tonic-clonic seizures. He was bradycardic to 27 beats per minute, hypotensive with mean arterial pressure(EKG) depicted a high-grade atrioventricular block (AV-block). The transvenous pacemaker was placed via femoral access and tested positive for COVID-19. Work-up was done to rule out possible causes of bradycardia, like hypothyroidism, ischemia, AV nodal blocking agents, and drug-induced bradycardia was negative. His hospital stay got complicated by methicillin-resistant staphylococcus aureus (MRSA) pneumonia leading to empyema and bacteremia. Unfortunately, being critically ill, the family opted for comfort measures, and he passed away. Our clinical vignette signifies cardiovascular complications in COVID-19 patients are associated with poor outcomes if not addressed. The conduction abnormalities in patients with intact cardiac structure and function are becoming more common in the setting of COVID infection. Assessment with serial EKGs and cardiac monitoring might be essential as patients can develop AV blocks at any point of the disease.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"11 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135774779","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

Solid Pseudo-papillary Neoplasia: A Rare Malignancy of the Pancreas 实性假乳头状瘤变:一种罕见的胰腺恶性肿瘤

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1254

Biplov Adhikari, Robert Jones, Christopher James Haas

引用次数: 0

The Unseen Danger of Methotrexate Toxicity 甲氨蝶呤毒性的隐形危险

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1255

Khalid Javed, Rashmi Wijeratne, Sumanth Kumar Bandaru

引用次数: 0

Unveiling the Hazards: A Case Report on Kayexalate-induced Colonic Necrosis 揭示危害:kayexalate诱导的结肠坏死1例报告

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1264

Ali Jaan, Zouina Sarfraz, Sheza Malik, Erik Olson, Karin Dunnigan, Patrick Okolo

引用次数: 0

ADULT ILEOILEAL INTUSSUSCEPTION CAUSED BY DIFFUSE LARGE B-CELL LYMPHOMA 弥漫性大b细胞淋巴瘤引起的成人回肠肠套叠

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1234

Scarlet Louis-Jean, Shire Chaudhry, Stephanie Richards

引用次数: 0

Correlations of Long COVID Symptoms and Inflammatory Markers of Complete Blood Count (CBC): A cross-sectional study. 长冠状病毒症状与全血细胞计数(CBC)炎症标志物的相关性:一项横断面研究

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1259

Hanieh Radkhah, Mehrnia Omidali, Alireza Hejrati, Razman Arabzadeh Bahri, Sara Arefi, Amirhossein Behzadi, Mohamad Eslami, Mohammadmehdi Khadembashiri, Mohammadamin Khadembashiri, Maryam Najafirashed, Bahareh Shateri Amiri

{"title":"Correlations of Long COVID Symptoms and Inflammatory Markers of Complete Blood Count (CBC): A cross-sectional study.","authors":"Hanieh Radkhah, Mehrnia Omidali, Alireza Hejrati, Razman Arabzadeh Bahri, Sara Arefi, Amirhossein Behzadi, Mohamad Eslami, Mohammadmehdi Khadembashiri, Mohammadamin Khadembashiri, Maryam Najafirashed, Bahareh Shateri Amiri","doi":"10.55729/2000-9666.1259","DOIUrl":"https://doi.org/10.55729/2000-9666.1259","url":null,"abstract":"Background: : Long-COVID refers to lasting unspecific symptoms like fatigue, decreased concentration and sleep issues after infection which persist for at least three months and cannot be attributed to other causes. Previous studies surveyed the association between inflammatory markers like C - reactive protein (CRP) at hospital admission and long-COVID symptoms in the preceding months. Post-COVID syndrome can affect one-third of patients. Thus early diagnosis can assist in reducing burdens on public health. We attempted to see any correlations between complete blood count (CBC) markers (like red blood cell (RBC), white blood cell (WBC), Neutrophil to lymphocyte ratio (NLR), etc.) at hospital admission and long COVID symptoms at a 6-month follow-up. Methods: 167 patients (44.9% females, mean age 49 years old) answered semi-structural interviews through telemedicine which focused on the three prominent symptoms: fatigue, loss of concentration and decreased libido. Results: Two third of patients have symptoms of long COVID and others do not have. NLR in the symptomatic group was statically higher. Patients who underwent decreased libido at a 6-month follow-up had significantly more severe lymphopenia (p=0.028) and higher NLR values (p-value=0.007). Poor mental concentration is associated with high WBC in numbers and polymorphonuclear (PMN) count. Other symptoms do not correlate with blood markers. Conclusion: Utilizing available data like CBC can help predict the upcoming symptoms of previously hospitalized patients and further measures like rehabilitation. Additional investigations should be done on the effect of COVID vaccination on converting long COVID. Different variants of the virus may have different results.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"11 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135775788","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

Contained Left Ventricular Free Wall Rupture Following a Silent Myocardial Infarction 无症状性心肌梗死后左心室游离壁破裂

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1240

Sherif Elkattawy, Jesus Romero, Ana L. Romero, Omar Elkattawy, Roma Patel, Razan Shamoon, Fayez Shamoon

引用次数: 0

Epidemiology of Gastric Cancer: Global Trends, Risk Factors and Premalignant Conditions 胃癌流行病学:全球趋势、危险因素和癌前状况

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1252

Tyler Grantham, Rajarajeshwari Ramachandran, Swetha Parvataneni, Deepa Budh, Sindhu Gollapalli, Vinaya Gaduputi

{"title":"Epidemiology of Gastric Cancer: Global Trends, Risk Factors and Premalignant Conditions","authors":"Tyler Grantham, Rajarajeshwari Ramachandran, Swetha Parvataneni, Deepa Budh, Sindhu Gollapalli, Vinaya Gaduputi","doi":"10.55729/2000-9666.1252","DOIUrl":"https://doi.org/10.55729/2000-9666.1252","url":null,"abstract":"This review article aims to provide a comprehensive overview of recent epidemiology, pathogenesis, risk factors, and premalignant conditions of gastric cancer. Worldwide, gastric cancer is one of the most common and most fatal cancers. The incidence and mortality remain high in regions such as East Asia and Eastern Europe. Although there is a lower incidence in the United States, it remains a deadly disease. Age, gender, and race are non-modifiable demographic risk factors for developing gastric cancer. There have been several dietary and lifestyle risk factors such as salt preserved foods, N-nitroso compounds containing foods, tobacco smoke, alcohol use, and obesity that have been shown to contribute to the development of gastric cancer. Infections have additionally been shown to have a clear role in the pathogenesis of gastric cancer as Helicobacter pylori eradication has shown a significant reduction in the incidence of gastric cancer as well as other pathogens such as Epstein-Barr virus. There are certain premalignant lesions that increase the risk of developing gastric cancer. These include atrophic gastritis, and intestinal metaplasia amongst others.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"14 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135774763","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

Tachycardia therapy outcomes of ischemic versus nonischemic cardiomyopathy on cardiac resynchronization therapy: A propensity score-matched analysis 心脏再同步化治疗中缺血性与非缺血性心肌病的心动过速治疗结果:倾向评分匹配分析

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1268

Jahanzeb Malik, Muhammad Awais, Muhammad Shabbir, Amer Rauf, Shehzad Zaffar, Azmat Hayat, Amin Mehmoodi

{"title":"Tachycardia therapy outcomes of ischemic versus nonischemic cardiomyopathy on cardiac resynchronization therapy: A propensity score-matched analysis","authors":"Jahanzeb Malik, Muhammad Awais, Muhammad Shabbir, Amer Rauf, Shehzad Zaffar, Azmat Hayat, Amin Mehmoodi","doi":"10.55729/2000-9666.1268","DOIUrl":"https://doi.org/10.55729/2000-9666.1268","url":null,"abstract":"Objective This investigation aimed to investigate differences between dilated cardiomyopathy (DCM) and ischemic cardiomyopathy (ICM) patients treated with cardiac resynchronization therapy with defibrillator (CRT-D) for tachycardia therapy-related outcomes as well as mortality during follow-up of at least 1 year. Methods Seventy-eight patients with DCM (n=42) and ICM (n=36) with implantation or upgradation to CRT-D were included in this study and analyzed for incidence of non-sustained ventricular tachycardia (NSVT), non-sustained ventricular fibrillation (NSVF), defibrillator therapies, anti-tachycardia pacing (ATP), and mortality. Results DCM was the underlying etiology in 42 (53.84%) and ICM in 36 (46.15%). Time to first therapy was numerically longer in DCM than in ICM (9.5 ± 2.4 vs. 7.1 ± 3.2; P-value = 0.088). DCM patients had significantly higher therapy-free survival and mortality compared with ICM patients (OR(95%CI): 0.238(0.155 - 0.424); log-rank P = 0.017) and (OR(95%CI): 0.612(0.254 - 0.924); log-rank P = 0.029). ICM (HR(95%CI): 0.529(0.243 - 0.925); P-value = 0.014) CAD (HR(95%CI): 0.326 (0.122 - 0.691): P-value = 0.003), and NSVT (HR(95%CI): 0.703(0.513 - 0.849): P-value = 0.005) were demonstrated as independent predictors of the primary endpoint of appropriate therapy in CRT-D and ICM (HR(95%CI): 0.421(0.321 - 0.524); P-value = 0.037), chronic kidney disease (CKD; HR(95%CI): 0.289(0.198 - 0.380); P-value = 0.013), and CAD (HR(95%CI): 0.786(0.531 - 0.967); P-value = 0.003) were predictors of mortality. Conclusion The clinical course of ICM and DCM cohorts who were treated with CRT-D differs significantly during follow-up, with increased tachycardia therapy and increased incidence of mortality in ICM patients","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"10 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135775792","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

Purplish Discoloration of Urine in a Patient Receiving Cefiderocol: A Rare Adverse Effect 服用头孢地洛的患者尿液呈紫色变色:罕见的不良反应

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1256

Mohammed Rifat Shaik, Nishat Anjum Shaik, Sarah Hossain, Elvina Yunasan, Aleksan Khachatryan, Robert Chow

引用次数: 0