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Neuroleptic malignant syndrome in puerperal women – frozen in summer 产褥期妇女的神经性恶性综合征--夏季冰冻
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2024-06-05 DOI: 10.33706/jemcr.1420313
Sadesvaran Muniandy
{"title":"Neuroleptic malignant syndrome in puerperal women – frozen in summer","authors":"Sadesvaran Muniandy","doi":"10.33706/jemcr.1420313","DOIUrl":"https://doi.org/10.33706/jemcr.1420313","url":null,"abstract":"Introduction \u0000Neuroleptic malignant syndrome is an rare event, even more so among patient from puerperal period. The incidence risk is of 0.11%. It is often occurs when a patient is prescribed on antipsychotic for long duration of time. \u0000 \u0000Case Report \u0000We report a case of a female patient, two weeks in post natal period presented with altered behaviour at home. She has prior admission being treated for post partum psychosis with anti psychotic. However antipschotic was withheld as she developed extrapyramidal symptoms while in ward. At home, she developed fever, altered sensorium and fitting-like-episode. On arrival patient was unresponsive and with features of impaired airway patency. Her had unstable vital sign with elevated blood pressure, heart rate and temperature. Brain imagine came back normal, excluding brain pathology. She was diagnosed as neuroleptic malignant syndrome as fulfilled features of elevated creatine kinase. She was treated symptomatic by providing first aid to reduce temperature and started on benzodiazepines. She was subsequently admitted to intensive ward and responded well to treatment \u0000 \u0000Conclusion \u0000Physician must be familiar and have high index of suspicious to identify and treat neuroleptic malignant syndrome. Without prompt treatment, it is highly fatal.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141385610","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 Case of Pulmonary Embolism after to Receiving a Dose of Sildenafil 一个服用西地那非后发生肺栓塞的病例
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2024-06-05 DOI: 10.33706/jemcr.1398042
Emin Fatih Vişneci, Tevhid Aydın, F. Tekin, Demet Acar
{"title":"A Case of Pulmonary Embolism after to Receiving a Dose of Sildenafil","authors":"Emin Fatih Vişneci, Tevhid Aydın, F. Tekin, Demet Acar","doi":"10.33706/jemcr.1398042","DOIUrl":"https://doi.org/10.33706/jemcr.1398042","url":null,"abstract":"Introduction: Several studies have posited the potential of PDE5Is to precipitate arterial and venous thrombotic or embolic incidents, albeit rare occurrences. The present investigation documents a case of pulmonary thromboembolism (PTE) in an elderly male patient, aged 81, following the consumption of sildenafil. Case Report: An 81-year-old male patient who was previously diagnosed with syncope was admitted to our Emergency Department. He reported symptoms of dyspnea and vertigo. Approximately two hours before admission, there was a history of accidentally ingesting a total dose of 100 milligrams of sildenafil. Conclusion: The occurrence of PTE after sildenafil administration in this case, albeit rare, underscores the significance of meticulous evaluation of medications during patient history-taking. This case report, the importance of thorough efforts to rule out the diagnosis of PTE and to address even the slightest suspicion.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141382477","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 case report of non hodgkin lymphoma presenting with upper gastrointestinal tract bleeding 以上消化道出血为表现的非霍奇金淋巴瘤病例报告
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2024-06-05 DOI: 10.33706/jemcr.1491478
Zekeriya Aksöz
{"title":"A case report of non hodgkin lymphoma presenting with upper gastrointestinal tract bleeding","authors":"Zekeriya Aksöz","doi":"10.33706/jemcr.1491478","DOIUrl":"https://doi.org/10.33706/jemcr.1491478","url":null,"abstract":"Abstract: Initial evaluation of patients with acute gastrointestinal (GI) tract bleeding includes assessment of hemodynamic stability and resuscitation if necessary \u0000Case Report: A 48-year-old male patient was admitted to the emergency department with complaints of dizziness, intense weakness, vomiting in the form of coffee grounds and black diarrhea \u0000Conclusion: Aggressive non-hodgkin lymphoma may be among the etiologies of upper gastrointestinal bleeding. In cases where endoscopic and surgical methods are inadequate, chemotherapy may be a life-saving option considering the possible risks.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141382798","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
Transient complete right bundle branch block due to lung contusion: case report 肺挫伤导致的一过性完全性右束支传导阻滞：病例报告
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2024-03-21 DOI: 10.33706/jemcr.1410026
N. Kozaci, İsmail Erkan Aydin, Durmus Ali Ersahi̇n, Yavuz Yüksel
{"title":"Transient complete right bundle branch block due to lung contusion: case report","authors":"N. Kozaci, İsmail Erkan Aydin, Durmus Ali Ersahi̇n, Yavuz Yüksel","doi":"10.33706/jemcr.1410026","DOIUrl":"https://doi.org/10.33706/jemcr.1410026","url":null,"abstract":"Introduction: Right bundle branch block (RBBB) may occur in lung diseases and cardiovascular diseases. \u0000Case Report: A 25-year-old male patient was admitted to emergency department after a motorcycle accident. Contusion was detected in bilateral lungs, and pneumothorax with laceration were detected in the right lung. ECG revealed 103 bpm, right axis deviation, and complete RBBB. ECG revealed 83 bpm, complete RBBB continued at the 6th hour after tube thoracostomy, and high sensitive TnI was normal. Chest X-ray was normal on the 4th day of hospitalization, and ECG revealed 74 bpm, normal sinus rhythm. \u0000Conclusion: In thoracic trauma, ECG changes may develop as a result of lung contusion. ECG findings improve as the lung contusion heals.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140223391","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
Cornelia De Lange Syndrome with left heart hypoplasia: a case study 科妮莉亚-德-朗格综合征伴左心发育不良：病例研究
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2024-02-15 DOI: 10.33706/jemcr.1395190
Elif Sena Ozcan, Sevim Yener, Gulam Hekimoğlu, Nurullah Yücel, Z. İlçe
{"title":"Cornelia De Lange Syndrome with left heart hypoplasia: a case study","authors":"Elif Sena Ozcan, Sevim Yener, Gulam Hekimoğlu, Nurullah Yücel, Z. İlçe","doi":"10.33706/jemcr.1395190","DOIUrl":"https://doi.org/10.33706/jemcr.1395190","url":null,"abstract":"Cornelia de Lange syndrome (CdLS) is characterized by slow growth that can lead to short stature. Despite mutations in the NIPBL, RAD21 or SMC3 genes, CdLS is thought to be inherited in an autosomal dominant manner. Findings include intellectual disability and bone abnormalities in the upper extremities and distinct facial features. It has similar characteristics to autism spectrum disorder, which is a developmental condition that affects communication and social interaction. The physical and clinical findings of a one-and-a-half-year-old girl patient diagnosed with CdLS were reported. In addition to NIPBL gene mutation, atrioventricular septal defect (AVSD), an overriding aorta, and a hypoplastic left heart (HLH) were observed in our case. This study revealed the patient's physical and clinical findings consistent with the diagnosis of CdLS. Additionally emphasized HLH. The importance of performing corrective surgery immediately following the evaluation of congenital heart diseases in CdLS patients can be emphasized.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455181","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
Forensic Emergencies In The Context Of Genital Injuries: A Case Report 生殖器损伤的法医急诊：病例报告
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2024-02-15 DOI: 10.33706/jemcr.1392555
Zafer Li̇man, Uğur Kayhan
{"title":"Forensic Emergencies In The Context Of Genital Injuries: A Case Report","authors":"Zafer Li̇man, Uğur Kayhan","doi":"10.33706/jemcr.1392555","DOIUrl":"https://doi.org/10.33706/jemcr.1392555","url":null,"abstract":"Introduction \u0000A review of gynecological emergency cases shows that traumatic injuries observed in consensual sexual relations, sexual abuse victims or following an abortion, secondary infections, internal organ injuries, and massive bleeding are gynecological forensic cases that may require an emergency approach. In this case; it is aimed to discuss the case of a child who was diagnosed as sexual abuse and reported as a forensic case. \u0000Case report \u0000In the evaluation of the case of a 15-year-old girl who applied to the emergency service with a history of the foot of a stool entering her vaginal area, it was seen that she had a complaint of active vaginal bleeding but was referred to Child Monitoring Center(ÇİM) without taking a detailed anamnesis or performing any tests. During the forensic interviews at ÇİM, on account of the fact that the patient complained of dizziness, an emergency forensic vaginal examination and operation was performed. Active vaginal bleeding, 3 cm transverse laceration, and uterine artery injury were found in the area between the upper cervix and lower uterine segment. \u0000Conclusion \u0000Our study aims to contribute to raising awareness about the importance of medical evaluation and healthy anamnesis in the emergency department regarding these issues.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456058","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
AN UNCOMMON PRESENTATION OF SEPTUM PELLUCIDUM ANATOMICAL VARIATIONS: A CASE REPORT OF GENERALIZED TONIC-CLONIC SEIZURE IN A HEALTHY ADULT 一种不常见的透明隔解剖变异：健康成年人全身强直-阵挛发作病例报告
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2024-02-11 DOI: 10.33706/jemcr.1421495
Nurullah Parça, I. Atas, Ali Çeli̇k, Özlem Bi̇li̇r
{"title":"AN UNCOMMON PRESENTATION OF SEPTUM PELLUCIDUM ANATOMICAL VARIATIONS: A CASE REPORT OF GENERALIZED TONIC-CLONIC SEIZURE IN A HEALTHY ADULT","authors":"Nurullah Parça, I. Atas, Ali Çeli̇k, Özlem Bi̇li̇r","doi":"10.33706/jemcr.1421495","DOIUrl":"https://doi.org/10.33706/jemcr.1421495","url":null,"abstract":"ABSTRACT: \u0000Introduction: The septum pellucidum (SP) is a thin, transparent, dual-membrane structure located between the lateral ventricles of the brain. Incidentally identified through imaging modalities, this variation, while rare, may manifest with symptoms such as neuropsychiatric disorders, headache, dizziness, seizures, nausea, and vomiting. In this report, we present the case of a healthy middle-aged man with CV and CSP, who sought medical attention in the emergency department (ED) due to a generalized tonic-clonic seizure (GTCS). \u0000Case Report: A 40-year-old male without any known medical history presented to our emergency department with a GTCS. Considering this as the first seizure, blood and imaging tests were conducted, all of which showed no abnormalities. Non-contrast computed tomography revealed sequel cystic encephalomalacic areas in the left occipital and right frontal cerebral hemispheres, consistent with a parapharyngeal epidermoid cyst, and the presence of cavum septum pellucidum et vergae. Emergency consultation from the neurological clinic was sought, and an electroencephalogram showed no seizure activity. He was subsequently discharged with a recommendation for follow-up at the neurology outpatient clinic. \u0000Conclusion: This case prompts critical considerations in the emergency medicine realm regarding the potential relationship between anatomical variations in the septum pellucidum and emergent seizure activity. \u0000Keywords: Septum pellucidum, seizure, cavum vargae, emergency","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139785929","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
AN UNCOMMON PRESENTATION OF SEPTUM PELLUCIDUM ANATOMICAL VARIATIONS: A CASE REPORT OF GENERALIZED TONIC-CLONIC SEIZURE IN A HEALTHY ADULT 一种不常见的透明隔解剖变异：健康成年人全身强直-阵挛发作病例报告
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2024-02-11 DOI: 10.33706/jemcr.1421495
Nurullah Parça, I. Atas, Ali Çeli̇k, Özlem Bi̇li̇r
{"title":"AN UNCOMMON PRESENTATION OF SEPTUM PELLUCIDUM ANATOMICAL VARIATIONS: A CASE REPORT OF GENERALIZED TONIC-CLONIC SEIZURE IN A HEALTHY ADULT","authors":"Nurullah Parça, I. Atas, Ali Çeli̇k, Özlem Bi̇li̇r","doi":"10.33706/jemcr.1421495","DOIUrl":"https://doi.org/10.33706/jemcr.1421495","url":null,"abstract":"ABSTRACT: \u0000Introduction: The septum pellucidum (SP) is a thin, transparent, dual-membrane structure located between the lateral ventricles of the brain. Incidentally identified through imaging modalities, this variation, while rare, may manifest with symptoms such as neuropsychiatric disorders, headache, dizziness, seizures, nausea, and vomiting. In this report, we present the case of a healthy middle-aged man with CV and CSP, who sought medical attention in the emergency department (ED) due to a generalized tonic-clonic seizure (GTCS). \u0000Case Report: A 40-year-old male without any known medical history presented to our emergency department with a GTCS. Considering this as the first seizure, blood and imaging tests were conducted, all of which showed no abnormalities. Non-contrast computed tomography revealed sequel cystic encephalomalacic areas in the left occipital and right frontal cerebral hemispheres, consistent with a parapharyngeal epidermoid cyst, and the presence of cavum septum pellucidum et vergae. Emergency consultation from the neurological clinic was sought, and an electroencephalogram showed no seizure activity. He was subsequently discharged with a recommendation for follow-up at the neurology outpatient clinic. \u0000Conclusion: This case prompts critical considerations in the emergency medicine realm regarding the potential relationship between anatomical variations in the septum pellucidum and emergent seizure activity. \u0000Keywords: Septum pellucidum, seizure, cavum vargae, emergency","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139845813","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
ISOLATED CRICOID CARTILAGE FRACTURE AFTER BLUNT THORACOCERVICAL TRAUMA: A CASE REPORT 胸颈椎钝挫伤后孤立性环状软骨骨折：病例报告
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2024-01-30 DOI: 10.33706/jemcr.1316442
Ahmet Aksoy, Kürşat Güreşci̇
{"title":"ISOLATED CRICOID CARTILAGE FRACTURE AFTER BLUNT THORACOCERVICAL TRAUMA: A CASE REPORT","authors":"Ahmet Aksoy, Kürşat Güreşci̇","doi":"10.33706/jemcr.1316442","DOIUrl":"https://doi.org/10.33706/jemcr.1316442","url":null,"abstract":"ABSTRACT \u0000İntroduction: Although cricoid cartilage fracture is rare because of the firm and stable structure of the cricoid cartilage, it can cause fatal complications. Prompt diagnosis and rapid airway safety are incredibly vital. \u0000 Case Report: A 24-year-old male patient was admitted to the emergency department due to blunt trauma to the thoracocervical region. The computed tomography taken after the first interventions detected a displaced fracture of the cricoid cartilage. \u0000Conclusion: In light of the patient's clinical findings, the patient was treated conservatively and non-surgically with close follow-up of the airway safety. \u0000Keywords: Cricoid fracture, subcutaneous emphysema, larynx trauma, thoracocervical blunt trauma, conservative treatment","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140481069","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
Two Cases of Digoxin Intoxication: Insights into ECG Findings and Visual Disturbances 两例地高辛中毒：洞察心电图结果和视觉障碍
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2024-01-29 DOI: 10.33706/jemcr.1368189
Zülfi Engi̇ndeni̇z, Busra Nallar, Muhammed Dayi
{"title":"Two Cases of Digoxin Intoxication: Insights into ECG Findings and Visual Disturbances","authors":"Zülfi Engi̇ndeni̇z, Busra Nallar, Muhammed Dayi","doi":"10.33706/jemcr.1368189","DOIUrl":"https://doi.org/10.33706/jemcr.1368189","url":null,"abstract":"Digoxin, a widely prescribed cardiac glycoside, is known for its therapeutic benefits in managing various cardiac conditions. However, its narrow therapeutic index poses a significant risk of toxicity. We present two cases of digoxin intoxication with pathognomic electrocardiographic (ECG) findings and visual disturbances. The detailed analysis of ECG abnormalities and visual disturbances associated with digoxin toxicity will aid in prompt diagnosis and appropriate management, ultimately improving patient outcomes","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140489207","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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