Case Reports in Acute Medicine最新文献_第3页

Acute Dystonic Reaction in a 14-Year-Old Boy after Accidental Overuse of Nasal Metoclopramide 14岁男孩意外过量使用鼻甲氧氯普胺后急性张力障碍反应

Case Reports in Acute Medicine Pub Date : 2021-02-12 DOI: 10.1159/000512655

Panagiota Zikidou, Rozeta Meziridou, Sonia Alexiadou, E. Mantadakis

引用次数: 1

Acute Myocardial Infarction Complicated by Very Severe Hypertriglyceridemia 急性心肌梗死并发非常严重的高甘油三酯血症

Case Reports in Acute Medicine Pub Date : 2020-11-17 DOI: 10.1159/000511065

Gregory Wu, Brianna Bockman, J. Perez

引用次数: 1

Pneumatocele after Acute Respiratory Distress Syndrome in an Adult Patient: A Case Report 成人急性呼吸窘迫综合征后肺气肿1例报告

Case Reports in Acute Medicine Pub Date : 2020-10-30 DOI: 10.1159/000509870

G. Chennu, P. Przydzial, Y. Tchao, Anthony Isedeh, N. Madan

{"title":"Pneumatocele after Acute Respiratory Distress Syndrome in an Adult Patient: A Case Report","authors":"G. Chennu, P. Przydzial, Y. Tchao, Anthony Isedeh, N. Madan","doi":"10.1159/000509870","DOIUrl":"https://doi.org/10.1159/000509870","url":null,"abstract":"Pulmonary pneumatocele is a cystic, air-filled lesion in the lung parenchyma. It results from underlying inflammation or bronchial injury. It is seen in several lung pathologies including bacterial pneumonia, positive-pressure ventilation, chest trauma, chemical pneumonitis, and is most often seen in infants and children. On imaging, pneumatoceles appear as rounded, thin-walled, air-filled spaces in the lung parenchyma. The exact mechanism for forming pneumatoceles is not fully understood but thought to be due to a check-valve mechanism due to obstruction by inflammation causing air trapping in the damaged lung. These lesions are asymptomatic and transient in most patients and disappear by about 6 weeks. They usually do not require any specific treatment or intervention. Surgical intervention is only necessary when pneumatoceles cause cardiopulmonary compromise or rupture into the pleural space. We describe a case of a young adult who developed a pneumatocele after developing acute respiratory distress syndrome from community-acquired pneumonia treated with positive-pressure ventilation. He was managed conservatively with complete resolution of symptoms.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127920839","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

Drug Reaction with Eosinophilia and Systemic Symptoms Secondary to Naproxen: A Case Report and Literature Review 萘普生继发的嗜酸性粒细胞增多和全身症状的药物反应:1例报告和文献复习

Case Reports in Acute Medicine Pub Date : 2020-08-26 DOI: 10.1159/000509712

Sreethish Sasi, H. Altarawneh, M. Petkar, A. Nair

{"title":"Drug Reaction with Eosinophilia and Systemic Symptoms Secondary to Naproxen: A Case Report and Literature Review","authors":"Sreethish Sasi, H. Altarawneh, M. Petkar, A. Nair","doi":"10.1159/000509712","DOIUrl":"https://doi.org/10.1159/000509712","url":null,"abstract":"Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a severe adverse drug reaction presenting with rash, fever, lymphadenopathy, and single or multiple organ involvement. It is most commonly associated with antiepileptics, NSAIDs, and sulfa drugs. We report a 40-year-old man who presented with a 1-week history of fever, sore throat, and a diffuse pruritic macular rash that started on the face and trunk before spreading to all extremities 4 weeks after the use of naproxen. He had lymphadenopathy, hepatosplenomegaly, transaminitis, and peripheral eosinophilia. A Registry of Severe Cutaneous Adverse Reactions (RegiSCAR) score of 8 gave a diagnosis of definite DRESS syndrome. Significant resolution of symptoms and laboratory abnormalities were seen after 2 weeks of corticosteroid therapy. DRESS syndrome is a life-threatening condition, and the clinical status of patients can worsen rapidly. Given the high variability in clinical presentation, the diagnosis of DRESS syndrome requires a high degree of suspicion and clinical judgment. Case reports on this entity will equip physicians in acute medicine to recognize and treat the condition early. This report reinforces the importance of using the RegiSCAR score in the diagnosis of DRESS syndrome.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114213651","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: 7

Lightning Injury with Multi-System Involvement 多系统参与的雷电伤害

Case Reports in Acute Medicine Pub Date : 2020-08-26 DOI: 10.1159/000509456

Ashwini Patankar, Smita Patil, S. Chandrakar

引用次数: 0

Gastric Antral Vascular Ectasia Associated with Asymptomatic Mixed Connective Tissue Disease Refractory to Endoscopic Treatment: A Rare Case 胃窦血管扩张伴无症状混合性结缔组织病难治性内镜治疗:一例罕见病例

Case Reports in Acute Medicine Pub Date : 2020-08-25 DOI: 10.1159/000509014

Muhammed Jasim Abdul Jalal, K. Iqbal, R. J. Mukkada, Rashmi Ratnakaran, Shani Basheer

{"title":"Gastric Antral Vascular Ectasia Associated with Asymptomatic Mixed Connective Tissue Disease Refractory to Endoscopic Treatment: A Rare Case","authors":"Muhammed Jasim Abdul Jalal, K. Iqbal, R. J. Mukkada, Rashmi Ratnakaran, Shani Basheer","doi":"10.1159/000509014","DOIUrl":"https://doi.org/10.1159/000509014","url":null,"abstract":"Gastric antral vascular ectasia (GAVE) constitutes 4% of all nonvariceal upper GI bleedings. It is characterized by the presence of erythematous or hemorrhagic ectatic vessels within the antrum that are distributed either in a striped or diffuse punctate pattern. We report a 64-year-old female without any co-morbidities, who presented with multiple episodes of blood in stools. Laboratory studies revealed a hemoglobin level of 5 g/dL with a hematocrit of 18.3%. Iron studies revealed a serum iron level of 35 μg/dL. She underwent an upper GI endoscopy, and biopsy was consistent with gastric antral vascular ectasia. ANA (antinuclear antibody), RA (rheumatoid factor), and anti-centromere antibody were all strongly positive. Erythrocyte sedimentation rate was 56. She was asymptomatic as far as connective tissue disease was concerned. Her anemia improved, but argon plasma coagulation failed to sustain the suppression of GAVE, and she required a blood transfusion for severe anemia on two occasions. With regard to recurrent episodes of melena, she was started on oral methyl prednisolone in a tapering dosage. She improved with medications, and her hemoglobin is maintained at 11.3 g/dL. This is the first unique case of GAVE in a patient without any other systemic illness or portal hypertension refractory to endoscopic treatment responding to monotherapy with corticosteroids.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125141876","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

A Rare Misdirected Subclavian Venous Catheter to the Neck 一例罕见的锁骨下静脉导管误置至颈部

Case Reports in Acute Medicine Pub Date : 2020-08-25 DOI: 10.1159/000508701

M. Varela, Luís Flores, Rui Patraquim, D. Nuñez, C. Granja

引用次数: 0

Artery of Percheron Infarct: A Rare Presentation of Acute Ischemic Stroke in a High-Risk Antiphospholipid Syndrome Patient 高阶动脉梗死:高风险抗磷脂综合征患者急性缺血性脑卒中的罕见表现

Case Reports in Acute Medicine Pub Date : 2020-08-25 DOI: 10.1159/000509569

Sreethish Sasi, A. Ahmed, Wajiha Yousuf, S. Vattoth

{"title":"Artery of Percheron Infarct: A Rare Presentation of Acute Ischemic Stroke in a High-Risk Antiphospholipid Syndrome Patient","authors":"Sreethish Sasi, A. Ahmed, Wajiha Yousuf, S. Vattoth","doi":"10.1159/000509569","DOIUrl":"https://doi.org/10.1159/000509569","url":null,"abstract":"Artery of Percheron (AOP) is an abnormal variant of the arterial supply of the thalamus. AOP occlusion can lead to bilateral thalamic and rostral midbrain infarct presenting as memory loss, fluctuating levels of consciousness, and altered mental status. A 43-year-old woman with a history of antiphospholipid syndrome (APS), managed on dabigatran, presented with acute confusion and drowsiness. She had slurred and slowed speech, disorientation in time and place, left-sided facial droop, decreased power of the left side (4/5), and was unable to walk due to generalized weakness. Labs showed a prolonged prothrombin time and activated partial thromboplastin time, positive lupus anticoagulant, anti-cardiolipin, beta-2 glycoprotein, anti-nuclear and anti-dsDNA antibodies. Contrast-enhanced CT perfusion showed ischemic changes in the bilateral thalami, suggesting infarct along the AOP territory. AOP infarcts are scarce and the presenting complaints are unusual of cerebrovascular accidents. It requires a high index of suspicion to detect. There are no other reports in the literature of patients with APS presenting with an AOP infarct. Considering the lack of evidence, we recommend against the use of newer oral anticoagulants (NOACs) for secondary prevention of vascular events in patients with triple-positive APS.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"13 19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128555611","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

Spontaneous Tuberculosis-Associated Tension Pneumothorax: A Case Report and Literature Review 自发性结核相关性张力性气胸1例报告及文献复习

Case Reports in Acute Medicine Pub Date : 2020-06-25 DOI: 10.1159/000508530

Aditya Doni Pradana

引用次数: 0

Hemoperitoneum following a Motor Vehicle Accident in a Patient with 20 Uterine Leiomyomas 20例子宫平滑肌瘤车祸后腹膜出血

Case Reports in Acute Medicine Pub Date : 2020-06-12 DOI: 10.1159/000508347

Gregory Wu, O. Urayeneza, G. Hinika

引用次数: 0