The Medicine Forum最新文献_第2页

Evaluation of Asthma Control in Patients with and without Sinonasal Polyps following Treatment with Biologic Agents 鼻窦息肉患者与非鼻窦息肉患者生物制剂治疗后哮喘控制的评价

The Medicine Forum Pub Date : 1900-01-01 DOI: 10.29046/tmf.022.1.020

Prachi M. Patel, Chandala Chitguppi, MD, Alan Gandler, MD, Kira Murphy, MD, Tawfiq Khoury, MD, Stephanie Bork, CRNP, Pamela Monostra, PA, Elina Toskala, MD, PhD, Mindy Rabinowitz, MD, Marc Rosen, MD, Gurston Nyquist, MD, Jessica Most, MD

引用次数: 0

Thyrotoxic Periodic Paralysis – A Case Report of a Rare Cause of Paralysis in a 39-Year-Old Asian Man 甲状腺毒性周期性麻痹-一位39岁亚洲男性罕见原因麻痹的病例报告

The Medicine Forum Pub Date : 1900-01-01 DOI: 10.29046/TMF.020.1.007

R. B. Jones, J. Uricheck

引用次数: 1

From the Desk of the Residency Program Director 住院医师项目主任的办公桌上

The Medicine Forum Pub Date : 1900-01-01 DOI: 10.29046/tmf.020.1.001

Emily Stewart, MD

引用次数: 0

The Laws of the Dead 死者的法则

The Medicine Forum Pub Date : 1900-01-01 DOI: 10.29046/tmf.023.1.016

Gillian Naro, MD, MEd, Marie-Laure Flamer, MD

引用次数: 0

A Gram-Negative False-Negative: Normal Procalcitonin Level in a Patient with Multiple Klebsiella Pneumoniae Intra-Abdominal Abscesses: A Case Report and Literature Review 革兰氏阴性假阴性:多发性肺炎克雷伯菌腹腔内脓肿患者降钙素原水平正常:1例报告并文献复习

The Medicine Forum Pub Date : 1900-01-01 DOI: 10.29046/TMF.020.1.018

Mario Caldararo

引用次数: 1

A Confounding Case of Acute Hepatitis A 一例令人困惑的急性甲型肝炎病例

The Medicine Forum Pub Date : 1900-01-01 DOI: 10.29046/tmf.023.1.010

Andrea Molin, MD, Michael Cheung, MD, Timothy Kuchera, MD

引用次数: 0

Fibrous Web in the Right Atrium: A Complication of Fungal Endocarditis and Previous Lead Infections 右心房纤维网:真菌性心内膜炎和既往铅感染的并发症

The Medicine Forum Pub Date : 1900-01-01 DOI: 10.29046/tmf.020.1.004

Harry Wang

{"title":"Fibrous Web in the Right Atrium: A Complication of Fungal Endocarditis and Previous Lead Infections","authors":"Harry Wang","doi":"10.29046/tmf.020.1.004","DOIUrl":"https://doi.org/10.29046/tmf.020.1.004","url":null,"abstract":"A 57-year-old woman with a past medical history of severe non-ischemic cardiomyopathy undergoing orthotopic heart transplant evaluation on milrinone, prior extraction of multiple pacemaker and implantable cardiover ter def ibr i l lator ( ICD) leads due to Staphylococcus epidermidis endocarditis, and multiple central venous catheter infections presented with several days of worsening dyspnea on exertion, orthopnea and lower extremity edema, prompting admission for congestive heart failure exacerbation. While she received aggressive intravenous diuretics, she was also found to be febrile to 101.8°F with a white blood cell count of 11,000/μL. Blood cultures were drawn, her peripherally inserted central catheter was removed, and she was started on broad spectrum antibiotics with imipenem and daptomycin. She remained hemodynamically stable, but several days into her hospitalization, her blood cultures grew Candida albicans. Antibiotics were stopped, and she was empirically started on anidulafungin. A transesophageal echocardiogram (TEE) was then performed and showed linear densities in the right atrium which mimicked the course of previously extracted leads (Figure 1), consistent with fibrous sheaths. Also seen was a 5 x 8 mm mobile vegetation on the ICD lead, multiple linear ‘web-like’ vegetations in the right atrium (Figure 2), and more typical-appearing vegetations in the superior vena cava (Figure 3). These findings, in addition to the fungemia, prompted transvenous ICD extraction, which she tolerated well. Her subsequent blood cultures were negative, but given her previous history of lead and line infections, the decision was made to fit the patient with a wearable defibrillator and re-evaluate her for infection in 6 weeks after completion of treatment for fungal endocarditis. After clearance of infection, her candidacy for cardiac transplant would also be re-evaluated.","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121690014","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

Complicated Persistent Peritonitis 并发持续性腹膜炎

The Medicine Forum Pub Date : 1900-01-01 DOI: 10.29046/tmf.020.1.009

B. Roth, K. Sarkar

引用次数: 0

Idiopathic Retroperitoneal Fibrosis 特发性腹膜后纤维化

The Medicine Forum Pub Date : 1900-01-01 DOI: 10.29046/tmf.022.1.016

Candace Derenge, MD

引用次数: 0

Pancreatic Plasmacytoma: A Rare Extramedullary Manifestation of Multiple Myeloma 胰脏浆细胞瘤:多发性骨髓瘤罕见的髓外表现

The Medicine Forum Pub Date : 1900-01-01 DOI: 10.29046/tmf.022.1.017

Justin Robbins, MD, Gregory Habig, MD

引用次数: 0