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Case Report: De Quervain's Thyroiditis as a Long-Term Sequelae Complication to SARS-CoV-2 Infection SARS-CoV-2感染的长期后遗症所致De Quervain甲状腺炎病例报告
Case Reports in Acute Medicine Pub Date : 2021-07-09 DOI: 10.1159/000517705
M. Kong, S. La Porte
{"title":"Case Report: De Quervain's Thyroiditis as a Long-Term Sequelae Complication to SARS-CoV-2 Infection","authors":"M. Kong, S. La Porte","doi":"10.1159/000517705","DOIUrl":"https://doi.org/10.1159/000517705","url":null,"abstract":"A 44-year-old man presented with an enlarged painful lower anterior neck lump with elevated serum concentrations of free thyroxine (T4) and tri-iodothyronine (T3), alongside the presence of antithyroid peroxidase antibodies. Prior to presentation, the patient was demonstrating recovery from a SARS-CoV-2 infection that required sedation, intubation, and invasive ventilation in the intensive care unit (ICU) for 11 days. Ultrasound examination of the thyroid demonstrated features of De Quervain’s (subacute) thyroiditis. This corresponded to the clinical picture, and continuous thyroid function tests were arranged. Emerging evidence throughout the SARS-CoV-2 pandemic describes the long-term sequelae of the infection, including developing atypical effects on the thyroid gland. This case report emphasises the association of painful subacute thyroiditis with post-viral infection and its manifestation during recovery from severe SARS-CoV-2, suggesting that follow-up thyroid function testing should be considered in patients discharged from the ICU who develop neck discomfort.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114649423","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: 5
Fatal lymphocytic myocarditis masquerading as thoracic aortic dissection 伪装成胸主动脉夹层的致命性淋巴细胞性心肌炎
Case Reports in Acute Medicine Pub Date : 2021-07-08 DOI: 10.1159/000517481
E. Henry
{"title":"Fatal lymphocytic myocarditis masquerading as thoracic aortic dissection","authors":"E. Henry","doi":"10.1159/000517481","DOIUrl":"https://doi.org/10.1159/000517481","url":null,"abstract":"Acute myocarditis usually presents with a broad spectrum of symptoms and has variable clinical outcomes. A proportion of acute myocarditides may develop into fulminant myocarditis resulting in significant mortality if left untreated. This case report describes an unusual presentation of fatal lymphocytic myocarditis mimicking a thoracic aortic dissection in a previously healthy 45-year-old male. Fulminant myocarditis should be considered as part of the differential diagnosis in an acutely unwell young adult presenting to the Emergency Department with non-specific symptoms.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114328110","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
Could the Use of Antihistamines Have Triggered Reversible Cerebral Vasoconstriction Syndrome? A Case Report 抗组胺药的使用是否会引发可逆性脑血管收缩综合征?病例报告
Case Reports in Acute Medicine Pub Date : 2021-06-28 DOI: 10.1159/000517115
S. Assadi, L. Rahman, M. Kong, S. Asad
{"title":"Could the Use of Antihistamines Have Triggered Reversible Cerebral Vasoconstriction Syndrome? A Case Report","authors":"S. Assadi, L. Rahman, M. Kong, S. Asad","doi":"10.1159/000517115","DOIUrl":"https://doi.org/10.1159/000517115","url":null,"abstract":"A 38-year-old woman presented to the emergency department with recurrent severe headaches. Although initial computer tomography (CT) brain imaging was unremarkable, a later CT venogram demonstrated a small subarachnoid haemorrhage. Magnetic resonance angiogram (MRA) brain imaging subsequently confirmed reversible cerebral vasoconstriction syndrome (RCVS). In the acute setting, RCVS rarely falls into a differential diagnosis for headache presentations, as in this case. The radiological variability can make diagnosis of RCVS challenging. However, there are clinical consistencies that can aid physicians into accurately diagnosing RCVS. A thorough history, including a medication history, can help identify potential triggers of RCVS. As in this case, the combination of commonly used drugs, including antihistamines, provides a plausible trigger for RCVS. The direct vasoactive role of antihistamines is unclear, yet there is suggestion for its ability to potentiate the vasoactive action of other drugs. In this case we propose a causal relationship between the use of antihistamine and the development of RCVS.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121328469","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
Post-Traumatic Meningitis: Case-Based Review of Literature from Internists’ Perspective 创伤后脑膜炎:内科医生视角下的个案文献综述
Case Reports in Acute Medicine Pub Date : 2021-06-02 DOI: 10.1159/000515540
Shubhabrata Das, Tanmoy Pal
{"title":"Post-Traumatic Meningitis: Case-Based Review of Literature from Internists’ Perspective","authors":"Shubhabrata Das, Tanmoy Pal","doi":"10.1159/000515540","DOIUrl":"https://doi.org/10.1159/000515540","url":null,"abstract":"Most cases of post-traumatic meningitis (PTM) occur following immediate head trauma or neurosurgical procedures. Hence, internists do not often come across these patients. However, closed-head trauma can be associated with community-acquired meningitis (CAM), and this history can often be missed especially if it is remote or trivial in nature. Therefore, meticulous clinical assessment is necessary to identify cases of community-acquired PTM. Knowledge about pathophysiological, anatomical, and microbiological context of community-acquired PTM is required in order to manage these patients. The role of internist is to provide holistic management in these patients which includes not only antimicrobial treatment but also timely referral to surgical specialties if required as well as vaccination to prevent further episodes. Here, we present a case of CAM with remote history of close head trauma and cerebrospinal fluid rhinorrhea for years who was found to have base of skull (BOS) defect on imaging of skull. He was treated with antibiotics and referred to surgical specialties for repair of BOS defect as well as given pneumococcal vaccine to prevent further episodes of meningitis.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121703067","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
COVID-19 Complicated by Concomitant Renal, Splenic, and Myocardial Infarction: Double Whammy COVID-19合并肾、脾和心肌梗死:双重打击
Case Reports in Acute Medicine Pub Date : 2021-05-28 DOI: 10.1159/000515120
M. Ghaderian Jahromi, Marzieh Sheibani Abdolusefi, Mohsen Neshati Pir Borj
{"title":"COVID-19 Complicated by Concomitant Renal, Splenic, and Myocardial Infarction: Double Whammy","authors":"M. Ghaderian Jahromi, Marzieh Sheibani Abdolusefi, Mohsen Neshati Pir Borj","doi":"10.1159/000515120","DOIUrl":"https://doi.org/10.1159/000515120","url":null,"abstract":"A 76-year-old man presented with shortness of breath, fever, and fatigue with confirmed COVID-19 by positive RT-PCR test for the SARS-COV-2. Abdominal and pelvis computed tomography with intravenous contrast was performed several days later given the patient’s severe abdominal pain which showed both renal and splenic infarcts despite the use of a proper thromboprophylaxis with subcutaneous heparin, and therefore, therapeutic anticoagulation was initiated. In the course of hospitalization, he developed acute kidney injury, uremic syndrome, and myocardial infarction as well. The patient was treated with fibrinolytic therapy and was eventually discharged on a direct oral anticoagulant.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"238 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120861382","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
Cardiogenic Shock Related to Carbon Monoxide Poisoning 与一氧化碳中毒有关的心源性休克
Case Reports in Acute Medicine Pub Date : 2021-03-25 DOI: 10.1159/000514303
F. Bussienne, Marco Betello
{"title":"Cardiogenic Shock Related to Carbon Monoxide Poisoning","authors":"F. Bussienne, Marco Betello","doi":"10.1159/000514303","DOIUrl":"https://doi.org/10.1159/000514303","url":null,"abstract":"Carbon monoxide (CO) poisoning is one of the leading causes of death by poisoning in occidental countries. We report the presentation and management of a patient who developed a severe cardiac dysfunction, leading to profound cardiogenic shock after CO poisoning despite an initial low CO blood level.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130023485","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
Limb Ischemia due to Extensive Arterial Thrombosis in the Absence of Venous Occlusion as an Unusual Complication of Critical Illness from COVID-19 新冠肺炎危重症患者无静脉闭塞情况下广泛动脉血栓形成肢体缺血的罕见并发症
Case Reports in Acute Medicine Pub Date : 2021-03-19 DOI: 10.1159/000514291
A. Nowroozpoor, M. Bank, D. Jafari
{"title":"Limb Ischemia due to Extensive Arterial Thrombosis in the Absence of Venous Occlusion as an Unusual Complication of Critical Illness from COVID-19","authors":"A. Nowroozpoor, M. Bank, D. Jafari","doi":"10.1159/000514291","DOIUrl":"https://doi.org/10.1159/000514291","url":null,"abstract":"There is increasing evidence of a link between the coronavirus disease 2019 (COVID-19) and venous and arterial thrombotic events. Here, we report a 60-year-old male patient with severe COVID-19 who developed extensive arterial thromboses and limb ischemia despite being on therapeutic-dose anticoagulation. While the exact mechanism for such events is unknown, our report highlights the importance of maintaining a high degree of suspicion in critically ill patients. Further research should focus on the mechanistic pathways along with the optimal anticoagulation and/or antithrombotic strategy.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132561356","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: 3
Septic Shock due to Capnocytophaga: A Case Report 嗜碳细胞吞噬致感染性休克1例
Case Reports in Acute Medicine Pub Date : 2021-03-18 DOI: 10.1159/000514104
Guillermo Jiménez-Álvarez, S. López-Cuenca, Belén Quesada-Bellver
{"title":"Septic Shock due to Capnocytophaga: A Case Report","authors":"Guillermo Jiménez-Álvarez, S. López-Cuenca, Belén Quesada-Bellver","doi":"10.1159/000514104","DOIUrl":"https://doi.org/10.1159/000514104","url":null,"abstract":"The genus Capnocytophaga spp., recorded for the first time in 1979, comprises gram-negative bacilli, that colonize the oral mucosa of dogs and, to a lesser extent, cats, so that human transmission can be due to biting, scratching or close contact. Though it is not a common cause of infection in humans, it is a potentially serious one, which can occasionally go unnoticed causing sepsis, bacteremia, meningitis and endocarditis. A high clinical suspicion is essential for its diagnosis, especially in high-risk patients, such as alcoholics or splenectomized patients, as time to positivity of blood cultures may take as long as 6 days. Antibiotic treatment should last several weeks.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129021619","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
Rescue Pericardial Drainage and Return Connected to ECMO for Aortic Rupture into the Pericardial Sac with Acute Type A Aortic Dissection 急性A型主动脉夹层主动脉破裂进入心包囊的抢救心包引流与ECMO连接
Case Reports in Acute Medicine Pub Date : 2021-03-08 DOI: 10.1159/000513580
Shinichi Ijuin, Mariko Takeuchi, C. Nakai, A. Inoue, So Izumi, N. Igarashi, S. Matsuyama, S. Ishihara, T. Doi, S. Nakayama, T. Tsukube
{"title":"Rescue Pericardial Drainage and Return Connected to ECMO for Aortic Rupture into the Pericardial Sac with Acute Type A Aortic Dissection","authors":"Shinichi Ijuin, Mariko Takeuchi, C. Nakai, A. Inoue, So Izumi, N. Igarashi, S. Matsuyama, S. Ishihara, T. Doi, S. Nakayama, T. Tsukube","doi":"10.1159/000513580","DOIUrl":"https://doi.org/10.1159/000513580","url":null,"abstract":"We present the first documented case of emergent pericardial drainage and return (PD-R) under extracorporeal membrane oxygenation (ECMO) for the management of aortic rupture into the pericardial sac caused by acute type A aortic dissection (AADA). An 83-year-old woman collapsed during an elective coronary intervention. ECMO was eventually required. Acute accumulation of pericardial effusion with aortic dissection was revealed by echocardiography. Percutaneous pericardial drainage was performed using a drainage line connected to the venous line of the ECMO system to maintain blood flow and blood pressure. After stabilization of the patient’s hemodynamics, immediate aortic repair was successfully performed and the patient was discharged with no neurological deficit. In cases of massive amounts of pericardial drainage and persistent hemorrhagic shock due to aortic rupture with AADA, PD-R connected to ECMO is useful while waiting for aortic repair.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128485833","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
Spontaneous Pneumothorax as a Complication in Concomitant Diabetic Ketoacidosis and Pulmonary Tuberculosis: A Case Report 糖尿病酮症酸中毒合并肺结核并发自发性气胸1例
Case Reports in Acute Medicine Pub Date : 2021-02-25 DOI: 10.1159/000513324
F. Adlar, W. Anthony
{"title":"Spontaneous Pneumothorax as a Complication in Concomitant Diabetic Ketoacidosis and Pulmonary Tuberculosis: A Case Report","authors":"F. Adlar, W. Anthony","doi":"10.1159/000513324","DOIUrl":"https://doi.org/10.1159/000513324","url":null,"abstract":"Secondary spontaneous pneumothorax (SSP) can occur as a complication of several underlying diseases such as pulmonary tuberculosis (TB) or, rarely, diabetic ketoacidosis (DKA). As diabetes mellitus (DM) is significantly prevalent in tuberculosis patients, it is possible to have both TB and DKA concurrently. However, there has not been any documentation of SSP as a complication in concomitant DKA and pulmonary TB. In this report, we described a 30-year-old female who presented to the emergency department with a chief complaint of shortness of breath that had intensified since a day before. She was diagnosed with pulmonary TB 1 week before and had started on her anti-tuberculosis drugs regimen. Prior history of DM was not known. Physical examination showed a slight decrease in consciousness, tachycardia, tachypnea, Kussmaul breathing, decreased lung sounds in the right hemithorax and hyperresonant on percussion. Laboratory results showed leukocytosis and hyperglycemia, ketones were positive on urinalysis and arterial blood gas analysis indicated metabolic acidosis. Chest X-ray revealed pneumothorax in the right hemithorax. She was diagnosed with pneumothorax of the right hemithorax, DKA, sepsis and pulmonary TB. Treatment involved prompt placement of chest tube drainage, fluid rehydration, intravenous insulin, antibiotic, sodium bicarbonate and anti-tuberculosis drugs. Her condition improved after 9 days of uneventful hospitalization. We discussed how concomitant presence of both DKA and pulmonary TB can increase the likelihood of developing secondary spontaneous pneumothorax.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116814200","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
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