Case Reports in Acute Medicine最新文献_第4页

Prilocaine-Induced Methemoglobinemia Prilocaine-Induced高铁血红蛋白症

Case Reports in Acute Medicine Pub Date : 2020-05-28 DOI: 10.1159/000508403

A. Medetalibeyoğlu, E. Koç, Oyku Beyaz, Ahmed Edizer

引用次数: 2

A Rare Complication of Henoch-Schönlein Purpura: Acute Appendicitis Treated Conservatively – A Case Report and Literature Review Henoch-Schönlein紫癜罕见并发症:急性阑尾炎保守治疗1例报告及文献复习

Case Reports in Acute Medicine Pub Date : 2020-04-29 DOI: 10.1159/000507429

Sarmad Al Hamdani, A. Salman

引用次数: 1

Caffeine Overdose Complicated by Acute Kidney Injury despite Mild Creatine Kinase Elevation 咖啡因过量并发急性肾损伤，尽管轻度肌酸激酶升高

Case Reports in Acute Medicine Pub Date : 2020-04-07 DOI: 10.1159/000507181

Nao Koide, N. Sato, Daisuke Kondo, Y. Hirose

引用次数: 2

Child with Guillain-Barré Syndrome Responding to Plasmapheresis: A Case Report 血浆置换反应的格林-巴利综合征患儿1例报告

Case Reports in Acute Medicine Pub Date : 2020-02-05 DOI: 10.1159/000505964

Sarmad Al Hamdani, Fatema Yusuf Aljanabi, Maryam Isa Abdulrasool, A. Salman

{"title":"Child with Guillain-Barré Syndrome Responding to Plasmapheresis: A Case Report","authors":"Sarmad Al Hamdani, Fatema Yusuf Aljanabi, Maryam Isa Abdulrasool, A. Salman","doi":"10.1159/000505964","DOIUrl":"https://doi.org/10.1159/000505964","url":null,"abstract":"Intravenous immunoglobulin (IVIG) has long been regarded as the first-line treatment for Guillain-Barré syndrome (GBS), with plasmapheresis only being reserved for severe cases or used as an additional therapy of unproven efficacy. Here, we present the case of a 9-year-old girl with acute motor axonal neuropathy (AMAN), a rapidly progressive subtype of GBS that caused her to fall into respiratory failure. The patient failed to show a response 10 days after starting IVIG, but showed rather quick improvement with plasmapheresis. She received a total of 5 sessions of plasmapheresis on alternate days over a course of 8 days. Before starting plasmapheresis, her muscle strength was 2/5 in both upper limbs and 1/5 in both lower limbs, and she was dependent on mechanical ventilation. Following the first session, her power improved from 2/5 to 4/5 in the upper limbs, and the gag and sucking reflexes were recovered. On day 3, after the second session was initiated, she was extubated successfully (having been on a ventilator for 2 weeks) and remained on continuous positive airway pressure for the next 48 h, after which she was on room air. In addition, she was having hypertension from the first day of the diagnosis (which was due to autonomic instability), which improved after clonidine to maintain her blood pressure. She was also initially having urinary retention, then was off Foley’s catheter. The patient was discharged from the hospital 2 weeks following the first session of plasmapheresis, with power grade 4/5 in both her upper and lower limbs. Her cranial nerves had recovered fully, and she was able to walk with aids.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"06 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115562693","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: 4

Management of Copperhead Snake Envenomation 铜头蛇中毒的处理

Case Reports in Acute Medicine Pub Date : 2020-01-10 DOI: 10.1159/000505420

K. Baumgartner, M. Mullins

引用次数: 0

Bilateral Basal Ganglia Lesions in Patients with Heroin Overdose: A Report of Two Cases 海洛因过量患者双侧基底神经节病变:附2例报告

Case Reports in Acute Medicine Pub Date : 2019-12-12 DOI: 10.1159/000503952

Ali Hassan, Mahdi Al Jawad, Amna Alsaihati, Haitham Alaithan, Faisal M. Al Hawaj

{"title":"Bilateral Basal Ganglia Lesions in Patients with Heroin Overdose: A Report of Two Cases","authors":"Ali Hassan, Mahdi Al Jawad, Amna Alsaihati, Haitham Alaithan, Faisal M. Al Hawaj","doi":"10.1159/000503952","DOIUrl":"https://doi.org/10.1159/000503952","url":null,"abstract":"The prevalence of opioid use has increased worldwide. Two-thirds of deaths caused by drug overdose are opioid-related. Individuals with opioid use may present with a variety of complications. The available history in unconscious patients is often insufficient, which may cause diagnostic difficulty and delayed management. We present two cases of 54-year-old and 25-year-old male patients who were brought to our emergency department after being found unconscious at home, without any known preceding event. They were in a deep coma with a Glasgow coma score of 3/15. However, their brainstem reflexes were normal. Pinpoint pupils were observed bilaterally. Brain computed tomography (CT) demonstrated the presence of bilateral basal ganglia hypodensities in both patients, in addition to multiple hypodensities scattered in the cerebral hemispheres of one patient. Toxicology screening from both patients was positive for opioids. The patients were transferred to the intensive care unit for supportive management. One patient recovered completely, whereas the other remained in a vegetative state. The presence of bilateral basal ganglia lesions in brain CT in unconscious patients should alert the physician of opioid use disorder among these patients.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133955611","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: 2

Total Unilateral Lung Atelectasis in a Child with Asthma and Its Rapid Resolution with Medical Management without Any Invasive Intervention: A Case Report 1例儿童哮喘患儿单侧肺全不张及其在无任何侵入性干预的医疗管理下的快速解决:1例报告

Case Reports in Acute Medicine Pub Date : 2019-11-21 DOI: 10.1159/000504505

Sarmad Alhamdani, R. Nadeem

引用次数: 0

Pentalogy of Fallot Firstly Diagnosed before Emergency Vertebral Surgery in an Adult Patient 1例成人紧急椎体手术前首次诊断的法洛五联症

Case Reports in Acute Medicine Pub Date : 2019-11-13 DOI: 10.1159/000503556

Xiaofeng Lu, Yinglu Zhao, W. Dang, Yuan-jun Teng, Debin Liu

引用次数: 0

Central Airway Obstruction due to Mediastinal Malignant Lymphoma Requiring Venovenous-Extracorporeal Membrane Oxygenation 纵隔恶性淋巴瘤引起的中央气道阻塞需要静脉-体外膜氧合

Case Reports in Acute Medicine Pub Date : 2019-07-25 DOI: 10.1159/000501649

Yoshihiro Ueda, Ichiro Hirayama, Ryohei Horie, Kent Doi, N. Morimura

{"title":"Central Airway Obstruction due to Mediastinal Malignant Lymphoma Requiring Venovenous-Extracorporeal Membrane Oxygenation","authors":"Yoshihiro Ueda, Ichiro Hirayama, Ryohei Horie, Kent Doi, N. Morimura","doi":"10.1159/000501649","DOIUrl":"https://doi.org/10.1159/000501649","url":null,"abstract":"Extracorporeal membrane oxygenation (ECMO) therapy might be controversial when patients with advanced malignant disease develop heart or lung failure refractory to conventional management. Especially as for the hematological malignancy patients, the induction of ECMO therapy must be considered carefully, since it is often associated with bleeding complications or infectious diseases. Here, we report a case of life-threatening airway obstruction requiring ECMO. The trachea of the patient was narrowed by an anterior mediastinal tumor too highly to ventilate both lungs, so she had to be connected to venovenous-ECMO (VV-ECMO) before pathological examination and radical treatment were planned. During the intensive care with ECMO, she was diagnosed with malignant lymphoma and the chemotherapy was started. The chemotherapy brought such an immediate result that the trachea regained its patency and ECMO was disconnected 9 days after the initiation of the chemotherapy. Then, the patient was able to leave the intensive care unit with no sequelae. Central airway obstruction is a life-threatening situation, in which prompt decisions are essential. On the other hand, if the airway is impaired by hematological malignancy, it might be generally challenging to consider ECMO as a bridge until the chemotherapy takes an effect. The prognosis of hematological malignancy differs according to its subtype or stage, so it may be reasonable to take ECMO therapy into consideration for some population.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125880189","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

Obstetric Management of Copperhead Snake Envenomation in Pregnancy: A Case Report 妊娠期铜头蛇中毒的产科处理:1例报告

Case Reports in Acute Medicine Pub Date : 2019-07-23 DOI: 10.1159/000501650

Michelle J. Wang, Michelle Lu, Elizabeth B. Ausbeck, Lorie M. Harper

引用次数: 2