发布求助
文献互助 智能选刊 最新文献

Case Reports in Acute Medicine最新文献

筛选
英文 中文
Silent Acute Renal Impairment after Low-dose Paraquat Ingestion 低剂量百草枯摄入后无症状急性肾功能损害
Case Reports in Acute Medicine Pub Date : 2019-07-16 DOI: 10.1159/000501648
Hiroshi Ito
{"title":"Silent Acute Renal Impairment after Low-dose Paraquat Ingestion","authors":"Hiroshi Ito","doi":"10.1159/000501648","DOIUrl":"https://doi.org/10.1159/000501648","url":null,"abstract":"Paraquat poisoning causes fatal multi-organ failure soon after ingestion. Here we report a case of paraquat poisoning presenting acute kidney injury without any preceding signs and symptoms other than nausea and vomiting. A 77-year-old man was admitted to our hospital because of paraquat ingestion and received fluid resuscitation until the negative conversion of urine paraquat on day 4. Serum creatinine abnormality emerged on the same day, which improved gradually without any specific intervention. Paraquat poisoning can cause silent acute renal impairment. Abundant fluid resuscitation after renal impairment is not essential provided that sufficient fluid is administered beforehand. Repeated screening for renal impairment and sufficient fluid resuscitation are important in the early phase of low-dose paraquat poisoning.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121328118","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
Erroneously Analyzed F-Wave of Bradycardic Atrial Fibrillation as Ventricular Fibrillation for a Cardiac Arrest Patient 将心脏骤停患者慢性心房颤动的f波错误分析为室性颤动
Case Reports in Acute Medicine Pub Date : 2019-06-19 DOI: 10.1159/000500880
Chikara Watanabe, K. Nakajima, Kosuke Mori, Masayasu Gakumazawa, Naoki Nakayama, Makoto Kato, F. Ogawa, Kouhei Takahashi, M. Iwashita, T. Abe, I. Takeuchi
{"title":"Erroneously Analyzed F-Wave of Bradycardic Atrial Fibrillation as Ventricular Fibrillation for a Cardiac Arrest Patient","authors":"Chikara Watanabe, K. Nakajima, Kosuke Mori, Masayasu Gakumazawa, Naoki Nakayama, Makoto Kato, F. Ogawa, Kouhei Takahashi, M. Iwashita, T. Abe, I. Takeuchi","doi":"10.1159/000500880","DOIUrl":"https://doi.org/10.1159/000500880","url":null,"abstract":"The prognosis of out-of-hospital cardiac arrest has improved in Japan due to the increasing availability of automated external defibrillators. However, priority should be placed on specificity to not perform unnecessary waveforms rather than sensitivity to perform defibrillation on necessary waveforms. This report describes a case in which the f-wave of bradycardic atrial fibrillation was erroneously analyzed and defibrillated. Health care workers should be aware that the f-wave of bradycardic atrial fibrillation may be erroneously assessed as fine ventricular fibrillation; they should change it to the manual mode and respond as necessary.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115281511","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
Successful Conservative Treatment of Traumatic Intraperitoneal Bladder Rupture in a Child: A Case Report 儿童外伤性腹膜内膀胱破裂的成功保守治疗一例报告
Case Reports in Acute Medicine Pub Date : 2019-04-23 DOI: 10.1159/000499833
Naoki Yogo, Chiaki Toida, T. Muguruma, Masayasu Gakumazawa, Mafumi Shinohara, Makoto Kato, Kouhei Takahashi, I. Takeuchi
{"title":"Successful Conservative Treatment of Traumatic Intraperitoneal Bladder Rupture in a Child: A Case Report","authors":"Naoki Yogo, Chiaki Toida, T. Muguruma, Masayasu Gakumazawa, Mafumi Shinohara, Makoto Kato, Kouhei Takahashi, I. Takeuchi","doi":"10.1159/000499833","DOIUrl":"https://doi.org/10.1159/000499833","url":null,"abstract":"The urinary bladder is protected by the pelvic bones and hence is a site less susceptible to external force injury than other organs. As children’s bones are not fully developed, the risk of bladder injury by external force is greater in children than adults. Pelvic fractures often cause the bladder to rupture, as do strong external forces when the bladder is filled. Bladder rupture is categorized as extraperitoneal or intraperitoneal, and treatments differ between the two. Extraperitoneal injury usually heals after drainage alone, whereas intraperitoneal injury usually requires surgical intervention such as a combination of surgical repairs and drainage. Herein, we report a pediatric case of intraperitoneal bladder rupture successfully treated without surgical repair (i.e., with drainage via an intraperitoneal tube and a urethral catheter only). Our report suggests that nonoperative treatment is an option for pediatric patients with intraperitoneal bladder rupture if certain conditions are met.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115405264","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
A Near Brush with Death: A Case Report on Oral Foreign Body Impalement 与死亡擦肩而过:口腔异物穿刺一例报告
Case Reports in Acute Medicine Pub Date : 2019-03-28 DOI: 10.1159/000499078
R. Christner, Marisa Homer, O. Atar, B. Hynes
{"title":"A Near Brush with Death: A Case Report on Oral Foreign Body Impalement","authors":"R. Christner, Marisa Homer, O. Atar, B. Hynes","doi":"10.1159/000499078","DOIUrl":"https://doi.org/10.1159/000499078","url":null,"abstract":"We describe a case of an 11-month-old baby presenting to the emergency room with a foreign body in the upper airway. After unsuccessfully attempting to remove the foreign body in the emergency department, the otolaryngologist was consulted. The patient was taken to the operating room, and a comb was successfully removed under conscious sedation. This case illustrates the need of a well-considered strategy for managing the airway of a pediatric patient with a foreign body, while also demonstrating the unique challenges of treating pediatric patients.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122013120","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
Uncommon Association of Tuberculous Dactylitis and Cutaneous Polyarteritis Nodosa in a Hemodialysis Patient 一例血液透析患者结核性趾炎与结节性皮肤多动脉炎的罕见关联
Case Reports in Acute Medicine Pub Date : 2019-02-28 DOI: 10.1159/000497426
P. Yincharoen, N. Srisawat
{"title":"Uncommon Association of Tuberculous Dactylitis and Cutaneous Polyarteritis Nodosa in a Hemodialysis Patient","authors":"P. Yincharoen, N. Srisawat","doi":"10.1159/000497426","DOIUrl":"https://doi.org/10.1159/000497426","url":null,"abstract":"Tuberculous dactylitis, defined as the infection of the metacarpals, metatarsals, or phalanges of the hands or feet, is an uncommon manifestation of extrapulmonary tuberculosis. It is mainly seen in pediatric populations, especially those less than 6 years old. Here, we present a case of tuberculous dactylitis in an elderly patient with end-stage renal disease on hemodialysis. Moreover, our patient also developed generalized nodular lesions during hospitalization. Skin biopsy was consistent with cutaneous polyarteritis nodosa, which is a rare association with tuberculosis. She was treated with antituberculous drugs with significant improvement in both cutaneous nodules and dactylitic lesions.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134543099","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
Cardiac MRI-Proven Myocarditis Mimicking ST-Elevation Myocardial Infarction after a Cobra Bite 心脏mri证实的心肌炎模仿st段抬高心肌梗死后眼镜蛇咬伤
Case Reports in Acute Medicine Pub Date : 2019-01-11 DOI: 10.1159/000495907
Palapun Waitayangkoon, S. Suteparuk, P. Chattranukulchai, A. Ariyachaipanich
{"title":"Cardiac MRI-Proven Myocarditis Mimicking ST-Elevation Myocardial Infarction after a Cobra Bite","authors":"Palapun Waitayangkoon, S. Suteparuk, P. Chattranukulchai, A. Ariyachaipanich","doi":"10.1159/000495907","DOIUrl":"https://doi.org/10.1159/000495907","url":null,"abstract":"Cardiac complications following snake envenomation occur infrequently. Myocarditis, as a consequence of the toxic effect of the snake venom, is rare, and only a few cases have been reported. We present a case of an 84-year-old man who was envenomed by a cobra. In addition to respiratory failure due to neurotoxicity of the venom, cardiac abnormalities including elevated cardiac markers and abnormal electrocardiogram were found. The findings on cardiac magnetic resonance imaging confirmed the diagnosis of acute myocarditis. The patient spontaneously recovered without any momentous events. To our knowledge, this is the first reported case of myocarditis associated with cobra envenomation. Physicians should be familiar with potential life-threatening cardiac effects of these toxins.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"61 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131776049","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
Early Initiation of Hemodialysis for Progressive Lactic Acidosis in a Diabetic Patient 糖尿病患者进行性乳酸酸中毒的早期血液透析治疗
Case Reports in Acute Medicine Pub Date : 2018-11-19 DOI: 10.1159/000495198
K. Nyunoya, Naoki Hayase, Kent Doi, Toshifumi Asada, Yoshihiro Ueda, Yoichi Kitsuta, N. Morimura
{"title":"Early Initiation of Hemodialysis for Progressive Lactic Acidosis in a Diabetic Patient","authors":"K. Nyunoya, Naoki Hayase, Kent Doi, Toshifumi Asada, Yoshihiro Ueda, Yoichi Kitsuta, N. Morimura","doi":"10.1159/000495198","DOIUrl":"https://doi.org/10.1159/000495198","url":null,"abstract":"Metformin, a widely used medicine for diabetes mellitus, is well known to cause lactic acidosis, which may require intensive care, including hemodialysis, especially in severe cases because of the high mortality rate. Because metformin is effectively removed by renal replacement therapy, early initiation of hemodialysis is crucial for metformin overdose. We report a case of a 38-year-old male who was brought to our emergency department (ED) with altered mental status. He subsequently developed severe lactic acidosis with a peak lactate level of 33.4 mmol/L. No clear etiology was identified for these critical conditions at the ED. Although metformin intoxication could not be confirmed at this time, we decided to start hemodialysis immediately. Soon after hemodialysis, blood pH and lactate levels dramatically improved. The patient fully recovered after 9 days of intensive care unit (ICU) stay. Later on, his serum metformin concentration was revealed to be 146 μg/mL and 26 μg/mL at ICU admission and after dialysis at day 3, respectively (therapeutic range, 1–2 μg/mL). Early initiation of hemodialysis might be beneficial for diabetic patients with unexplained severe lactic acidosis despite uncertainties in history of overdose or serum concentration of metformin.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132264753","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
Peripartum Cardiomyopathy with Respiratory Failure and Cardiac Arrest 围生期心肌病伴呼吸衰竭和心脏骤停
Case Reports in Acute Medicine Pub Date : 2018-10-11 DOI: 10.1159/000493665
Sakura Minami, Hayato Taniguchi, T. Abe, T. Doi, I. Takeuchi
{"title":"Peripartum Cardiomyopathy with Respiratory Failure and Cardiac Arrest","authors":"Sakura Minami, Hayato Taniguchi, T. Abe, T. Doi, I. Takeuchi","doi":"10.1159/000493665","DOIUrl":"https://doi.org/10.1159/000493665","url":null,"abstract":"We describe the case of a 33-year-old female who went into cardiac arrest outside the hospital 7 days postpartum. We diagnosed her with peripartum cardiomyopathy (PPCM). After the return of spontaneous circulation, she suffered from acute pulmonary edema and hypoxia. The patient received intensive care after gaining return of spontaneous circulation. We also present an effective use of venovenous extracorporeal membrane oxygenation (VV-ECMO), which led to a rather short stay in the intensive care unit (ICU). An echocardiogram showed global hypokinesis with an ejection fraction of 28% and a left ventricular dilation with a diastolic dimension. The patient’s lungs recovered steadily during her stay in the ICU. VV-ECMO was disconnected on the seventh day of hospitalization, and intubation was withdrawn on the tenth day. On the thirteenth day, she was released from the ICU and transferred to another hospital. If a pregnant or postpartum woman presents with cardiopulmonary arrest, heart diseases such as PPCM should be considered.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"06 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127201035","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
Coincident Detection and Concomitant Repair of a Ventricular Septal Defect during Emergency Coronary Artery Bypass Grafting and Left Ventricular Aneurysm Resection 急诊冠状动脉搭桥术和左心室动脉瘤切除术中室间隔缺损的同步检测和修复
Case Reports in Acute Medicine Pub Date : 2018-10-08 DOI: 10.1159/000493869
A. Mogaldea, S. Ruemke, A. Haverich, I. Ismail
{"title":"Coincident Detection and Concomitant Repair of a Ventricular Septal Defect during Emergency Coronary Artery Bypass Grafting and Left Ventricular Aneurysm Resection","authors":"A. Mogaldea, S. Ruemke, A. Haverich, I. Ismail","doi":"10.1159/000493869","DOIUrl":"https://doi.org/10.1159/000493869","url":null,"abstract":"This case report presents an accidental detection of a post-infarct ventricular septal defect (VSD) by a patient undergoing emergent coronary artery bypass grafting and left ventricular aneurysm resection. Both myocardial lesions were repaired simultaneously through the left ventricular aneurysm. The patient’s postoperative course was uneventful. This case shows the importance of intraoperative transesophageal echocardiography, as well as inspection of the interventricular septum, in an emergency setting to detect possible infarct VSDs.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130865895","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
Tracheal Perforation following Chemotherapy of Diffuse Large B-Cell Lymphoma 弥漫性大b细胞淋巴瘤化疗后气管穿孔
Case Reports in Acute Medicine Pub Date : 2018-08-03 DOI: 10.1159/000491829
N. Kongpolprom
{"title":"Tracheal Perforation following Chemotherapy of Diffuse Large B-Cell Lymphoma","authors":"N. Kongpolprom","doi":"10.1159/000491829","DOIUrl":"https://doi.org/10.1159/000491829","url":null,"abstract":"Tracheal perforation is a rare and life-threatening complication following the treatment of lymphoma. There are only a few published cases of tracheal disruption from invasive lymphoma, and most of the patients did not survive. Tumor erosion and nodal necrosis from rapid tumor growth or chemotherapeutic response can cause tracheal disruption. We report here a case of tracheal perforation after chemotherapy of lymphoma. A 69-year-old Thai man presented with upper airway obstruction from a large neck mass encasing and invading the trachea. The patient was intubated to bypass the tracheal obstruction. Biopsy of the mass showed diffuse large B-cell lymphoma. Chemotherapy was urgently administered. Two days after treatment, the patient developed acute respiratory distress with high airway resistance. Emergency bronchoscopy and chest computerized tomography revealed disrupted anterior wall of trachea and endotracheal tube displacement, which created a false track into the mass. Tumor necrosis was thought to be the cause of this perforation and tube malposition. The tube was repositioned by bronchoscopic guidance. Unfortunately, the disrupted trachea could not be reconstructed. Palliative care was consequently provided, and the patient finally passed away a week after the catastrophic event. This report demonstrates clinical presentation, chest imaging, and bronchoscopic findings of tracheal perforation, which is a rare complication following the treatment of lymphoma.","PeriodicalId":400314,"journal":{"name":"Case Reports in Acute Medicine","volume":"175 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121224643","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
首页 上一页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信
小红书