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

Acute presentation of primary CNS lymphoma mimicking Toxoplasma in HIV infection HIV感染的原发性中枢神经系统淋巴瘤的急性表现

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1251

Indira Acharya, Scott R. DeBoer, Deepty Bhansali

引用次数: 0

Valacyclovir as etiology for Drug Reaction with Eosinophilia and Systemic Symptoms: A Case Report 伐昔洛韦作为嗜酸性粒细胞增多和全身症状的药物反应的病因:1例报告

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1248

Darrell Downs, Keerthana Sivakolundu, Nica Lim, Manasa Kandula

{"title":"Valacyclovir as etiology for Drug Reaction with Eosinophilia and Systemic Symptoms: A Case Report","authors":"Darrell Downs, Keerthana Sivakolundu, Nica Lim, Manasa Kandula","doi":"10.55729/2000-9666.1248","DOIUrl":"https://doi.org/10.55729/2000-9666.1248","url":null,"abstract":"Background: Drug reaction with eosinophilia and systemic symptoms (DRESS) is a potentially life-threatening condition associated with variable clinical presentations including rash, fevers, eosinophilia, and visceral organ involvement. It is a hypersensitivity reaction, and most cases have an identifiable inciting factor of drug exposure. Case Presentation: We present an interesting case of DRESS syndrome in a 97-year-old patient after she was treated with valacyclovir for herpes zoster. Her presentation included an exanthematous rash, acute kidney injury and progression to development of mildly elevated liver enzymes. Skin biopsy was consistent with DRESS. Patient initially responded to steroids but had a relapse during steroid taper. She eventually responded well to a slow prolonged steroid taper and had complete resolution of organ dysfunction and skin manifestations. Conclusion: Valacyclovir is a rare but important cause of DRESS. A thorough history of the illness timeline and a high index of clinical suspicion is required for the prompt diagnosis and treatment of the condition. Apart from withdrawal of the offending agent, a slow prolonged taper of steroids is the current recommended treatment as rapid reduction of steroid dosage can lead to a relapse of cutaneous and systemic symptoms.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"9 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135775802","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

Mortality Rate Among Patients with Alcohol Use Disorder with Two or More Readmissions to the Hospital. 两次或两次以上住院的酒精使用障碍患者的死亡率。

IF 1

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-09-02 eCollection Date: 2023-01-01 DOI: 10.55729/2000-9666.1235

TerechinOlga, JohansenPaul M, RosenAdam R, MorganMatthew, FraenkelLiana

{"title":"Mortality Rate Among Patients with Alcohol Use Disorder with Two or More Readmissions to the Hospital.","authors":"TerechinOlga, JohansenPaul M, RosenAdam R, MorganMatthew, FraenkelLiana","doi":"10.55729/2000-9666.1235","DOIUrl":"10.55729/2000-9666.1235","url":null,"abstract":"Background: Alcohol use disorder is associated with high morbidity and mortality rates, leading to a significant burden worldwide. Increased hazardous alcohol consumption has been reported during the COVID-19 pandemic raising concerns for greater impact of this already prevalent serious medical condition.Methods: We conducted chart reviews and described demographic and clinical data for patients with two or more hospital readmissions from June 2020 to July 2021 and followed survival status through June 2022.Results: We found a high mortality rate of 10.3%. Most patients had psychiatric conditions listed in the chart (n = 70, 80%). Only 34% (n = 24) of living patients and 6% (n = 1) of deceased patients were under psychiatric care. Rates of the utilization of medications for alcohol use disorder were low (n = 23, 26%).Interpretation: We found high mortality rates in patients with two or more hospital readmissions with low rates of utilization of medications for alcohol use disorder and psychiatric care, thus identifying areas of potential improvement.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"13 1","pages":"90-93"},"PeriodicalIF":1.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70739162","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

Coronary Artery Dissection and Myocarditis Caused by Eosinophilic Granulomatosis with Polyangiitis (EGPA): A Case Report. 嗜酸性肉芽肿病合并多血管炎(EGPA)致冠状动脉剥离及心肌炎1例

IF 1

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-09-02 eCollection Date: 2023-01-01 DOI: 10.55729/2000-9666.1219

Vidhyalakshmy Vivek, Sumeet Yadav, Hariprasad R Korsapati, Mikael Mir, Shika Jain, Abbas B Jama, Setu Trivedi, Qiping Xu, Namratha S Meda, Syed Ali, Anwar Khedr, Esraa Hassan, Noura Attallah, Harsha Patnaik, Sri U Jeevani Obulareddy, Ibtisam Rauf, Aishwarya R Korsapati, Salim Surani, Syed A Khan, Nitesh K Jain, Hasnain Bawaadam

{"title":"Coronary Artery Dissection and Myocarditis Caused by Eosinophilic Granulomatosis with Polyangiitis (EGPA): A Case Report.","authors":"Vidhyalakshmy Vivek, Sumeet Yadav, Hariprasad R Korsapati, Mikael Mir, Shika Jain, Abbas B Jama, Setu Trivedi, Qiping Xu, Namratha S Meda, Syed Ali, Anwar Khedr, Esraa Hassan, Noura Attallah, Harsha Patnaik, Sri U Jeevani Obulareddy, Ibtisam Rauf, Aishwarya R Korsapati, Salim Surani, Syed A Khan, Nitesh K Jain, Hasnain Bawaadam","doi":"10.55729/2000-9666.1219","DOIUrl":"10.55729/2000-9666.1219","url":null,"abstract":"Eosinophilic granulomatosis with polyangiitis (EGPA) also referred to as Churg-Strauss syndrome is a rare vasculitis of the small to medium vessels. We present a rare case of acute coronary artery dissection brought on by EGPA, which generally has a poor prognosis. A 41-year-old male with history of bronchial asthma presented to the emergency room with a 2-week history of dyspnea, cough with clear phlegm, and fever. For the past eight months he had experienced episodes with similar symptoms relieved by steroids. CT chest showed bilateral upper lobe patchy opacities with extensive workup for infectious etiology being negative. He had peripheral eosinophilia with sinusitis. He had acute coronary syndrome and Coronary angiogram showed Right coronary artery dissection. After making a diagnosis of EGPA based on American college of Rheumatology criteria, he was successfully treated with high dose immunosuppression. Coronary artery dissection is a fatal and uncommon complication of EGPA which is usually diagnosed postmortem. Early recognition of this condition ante mortem and aggressive treatment can be lifesaving as demonstrated in our case.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"1 1","pages":"50-56"},"PeriodicalIF":1.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3d/69/jchim-13-05-050.PMC10589049.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41576646","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

Covid- 19 Vaccine-induced Myocarditis. 新冠肺炎-19疫苗引起的心肌炎。

IF 1

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-09-02 eCollection Date: 2023-01-01 DOI: 10.55729/2000-9666.1229

MunjalJaskaran S, FloresSergio M, YousufHamza, GuptaVasu, MunjalRipudaman S, AnamikaFnu, MendparaVaidehi, ShahPriyanshi, JainRohit

{"title":"Covid- 19 Vaccine-induced Myocarditis.","authors":"MunjalJaskaran S, FloresSergio M, YousufHamza, GuptaVasu, MunjalRipudaman S, AnamikaFnu, MendparaVaidehi, ShahPriyanshi, JainRohit","doi":"10.55729/2000-9666.1229","DOIUrl":"10.55729/2000-9666.1229","url":null,"abstract":"Myocarditis and pericarditis are rare adverse reactions, more commonly seen in young males after receiving the second dose of an mRNA vaccine. However, the benefits of vaccination heavily outweigh the risk of these side effects. In addition, vaccination boosters are effective against the newest, more infective variants. Therefore we expect more vaccines to be administered in the following years. The objective of this study is to review the current understanding of the mechanism, diagnosis, and treatment of myocarditis and pericarditis. Proposed mechanisms include molecular mimicry against the S protein and hypersensitivity reactions with mRNA vaccines and platelet aggregation and thrombus formation in cardiac blood vessels with adenoviral vaccines. Diagnosis of myocarditis is based on clinical findings, cardiac enzymes, ECG, MRI, and echocardiographic findings. Management includes NSAIDs and cardiovascular support in selected cases with ventricular dysfunction. Most patients have a mild presentation with preservation of cardiac function and recover entirely within seven days; the average hospital stay is three days. Long-term complications are infrequent.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"13 1","pages":"44-49"},"PeriodicalIF":1.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70739073","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

Needle in a Haystack: Acute Intermittent Porphyria, an Often-missed Differential Diagnosis of Abdominal Pain. 大海捞针：急性间歇性卟啉，腹部疼痛常被遗漏的鉴别诊断。

IF 1

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-09-02 eCollection Date: 2023-01-01 DOI: 10.55729/2000-9666.1232

Afoma Onyechi, Jessica Ohemeng-Dapaah, Winnie Shaba, Mosunmoluwa Oyenuga, Alexandre Lacasse, Sen Sandeep, Amar Jadhav, Vikas Kumar, Aditya Pante

引用次数: 0

Prevalence of Depression in Patients with Hematologic Diseases in Marrakesh, Morocco: A Single Center Experience. 摩洛哥马拉喀什血液病患者抑郁患病率：一项单中心经验。

IF 1

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-09-02 eCollection Date: 2023-01-01 DOI: 10.55729/2000-9666.1220

Fatima Zahra Lahlimi, Oumaima Maghnouj, Khawla Khalil, Safaa Chaabane, Illias Tazi

{"title":"Prevalence of Depression in Patients with Hematologic Diseases in Marrakesh, Morocco: A Single Center Experience.","authors":"Fatima Zahra Lahlimi, Oumaima Maghnouj, Khawla Khalil, Safaa Chaabane, Illias Tazi","doi":"10.55729/2000-9666.1220","DOIUrl":"10.55729/2000-9666.1220","url":null,"abstract":"Depression in patients with cancer negatively influences their physical symptoms, treatment success, coping, and quality of life and is associated with increased mortality. The reported prevalence of emotional distress in patients followed in hematology varies widely across studies. This study investigated the prevalence of depression and explored the possible associated factors in patients followed in a hematological department.Methods: in this descriptive cross-sectional study of patients followed in the hematology department of the University Hospital Mohammed VI of Marrakesh between August 2020 and December 2020, depression symptoms were assessed using Mini International Neuropsychiatric Interview test and Beck Depression Inventory.Results: 150 patients participated. Regarding their underlying pathology, 60% (90 patients) of patients were newly diagnosed with leukemia, and 8% patients were admitted for chronic anemia and 12% for lymphoma. Forty-eight percent of them had a characterized depressive episode. Four percent of these episodes were severe, 55% were moderate, and 41% were mild. Among all the factors, multivariate analysis showed that high prevalence of depression was associated with female gender and poor prognosis estimation by the patient.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"13 5","pages":"34-38"},"PeriodicalIF":1.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/06/60/jchim-13-05-034.PMC10589038.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49690769","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

Lessons From an MD PhD - From SLC13A5 to Neurology. 医学博士课程-从SLC13A5到神经病学。

IF 1

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-09-02 eCollection Date: 2023-01-01 DOI: 10.55729/2000-9666.1211

KopelJonathan, ClothierJeffrey

引用次数: 0

A Case of Grave's Thyrotoxicosis-Induced Takotsubo Cardiomyopathy Presenting with Cardiac Arrest After Winning the Lottery. Grave’s Thyrotoxicosis诱导Takotsubo心肌病一例，中奖后出现心脏骤停。

IF 0.9

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-09-02 eCollection Date: 2023-01-01 DOI: 10.55729/2000-9666.1242

David Philippides, Angelina Hong, Amanda Eukovich, Ali Chaudhry

引用次数: 0

Eosinophilia with Lung Involvement in an Elderly Patient with a History of Chronic Obstructive Pulmonary Disease. 一名有慢性阻塞性肺病病史的老年患者的嗜酸性粒细胞增多症伴肺部病变。

IF 1

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-09-02 eCollection Date: 2023-01-01 DOI: 10.55729/2000-9666.1238

Pitchaporn Yingchoncharoen, Jerapas Thongpiya, Mahmoud Abdelnabi, Natnicha Leelaviwat, Sakditad Saowapa, Kenneth Nugent

引用次数: 0