Journal of Emergency Medicine Case Reports最新文献_第10页

A Rare Cause of the Emergency Department Visit: Internal Jugular Vein Thrombosis 罕见的急诊就诊原因：颈内静脉血栓形成

IF 0.1

Journal of Emergency Medicine Case Reports Pub Date : 2021-03-18 DOI: 10.33706/JEMCR.859366

Gökhan Akdur, Okan Bardakçı, O. Akdur, Murat Daş, U. Atalay

引用次数: 0

Common Symptom, Rare Etiology: A Case Metastatic Cancers of Unknown Primary Origin Presenting with Epistaxis and Gingival Bleeding 常见症状，罕见病因:1例原发不明的转移性癌症，表现为鼻出血和牙龈出血

IF 0.1

Journal of Emergency Medicine Case Reports Pub Date : 2021-03-18 DOI: 10.33706/JEMCR.885104

F. Yalçınkaya, O. A. Uyaroğlu

{"title":"Common Symptom, Rare Etiology: A Case Metastatic Cancers of Unknown Primary Origin Presenting with Epistaxis and Gingival Bleeding","authors":"F. Yalçınkaya, O. A. Uyaroğlu","doi":"10.33706/JEMCR.885104","DOIUrl":"https://doi.org/10.33706/JEMCR.885104","url":null,"abstract":"Introduction: Epistaxis and gingival bleeding are among the most common presentation to the emergency department for patients with thrombocytopenia. Here, we present a case who was admitted to the emergency department with thrombocytopenia and was diagnosed with metastatic cancer of unknown primary origin. Case Report: A 26-year-old male patient was admitted to the emergency department with gingival bleeding and epistaxis. The body temperature was 38.3 °C. Petechial rash, ecchymosis or organomegaly was not detected on physical examination. Laboratory results revealed thrombocytopenia as 31 × 103 (159-388 × 103/μL). Although hemoglobin and leukocyte counts were normal, no band or precursor cell was observed in the patient's peripheral blood smear. There was no history of weight loss, night sweats, arthritis, malar rash, photosensitivity, contact with ticks, animals, or a COVID-19 patient. Serological tests performed for infections such as HIV, EBV, HCV, Crimean-Congo hemorrhagic fever were negative. Bone marrow biopsy was performed due to the unexplained cytopenia, reported as \"signet ring cell metastatic adenocarcinoma\". Gastrointestinal system endoscopy was performed to detect primary cancer. A biopsy was taken from the antrum and corpus revealed gastritis. An FDG PET-CT was revealed heterogeneously pathologically increased FDG attitude in all axial and appendicular bones. Despite all the modalities of diagnosis, the origin was not found and the patient was transferred to the oncology department for treatment with a diagnosis of cancer of unknown origin with bone marrow infiltration. Conclusion: Bone marrow metastases should be kept in mind in patients presenting with thrombocytopenia.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48607683","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 cause for sciatalgia: Piriformis syndrome 梨形肌综合征是一种罕见的分娩痛病因

IF 0.1

Journal of Emergency Medicine Case Reports Pub Date : 2021-03-18 DOI: 10.33706/JEMCR.883699

I. Akbas, A. Koçak, Alpaslan Unlu, S. Doğruyol, S. T. A. Gur

{"title":"A rare cause for sciatalgia: Piriformis syndrome","authors":"I. Akbas, A. Koçak, Alpaslan Unlu, S. Doğruyol, S. T. A. Gur","doi":"10.33706/JEMCR.883699","DOIUrl":"https://doi.org/10.33706/JEMCR.883699","url":null,"abstract":"The clinical symptoms comprising piriformis syndrome emerge as a result of the compression of the sciatic nerve due to anatomical variations or patho- logical conditions related to the piriformis muscle. The underlying cause in 6% of cases of lumbar pain, piriformis syndrome might be also defined as entrapment neuropathy of the sciatic nerve. While piriformis syndrome is not rare, it is not well known. As the clinical symptoms may be misleading, it can easily be overlooked, or lead the clinician to an incorrect diagnosis (such as discopathy). In this report, our objective was to present the case of a 18-year-old female patient who presented to the emergency department with sciatalgia and received a diagnosis of piriformis syndrome caused by pyomyositis of the piriformis muscle. The patient arrived at the emergency department reporting severe pain and paresthesia in the right pelvis, thigh, and leg with the inability to walk due to pain. Vital signs were normal except for a high fever. Her Lasègue test was positive, and the patient had severe pain with both internal and external rotation. After radiological examination, the patient was diagnosed with an abscess in the piriformis muscle due to pyomyositis. It was determined that the cause of sciatalgia was piriformis syndrome, with the abscess in the piriformis muscle compressing the sciatic nerve. The abscess was drained after the patient was admitted to the hospital; the patient was then discharged without further complication. The need for high-cost therapeutic methods or even death may result in instances where piriformis syndrome is overlooked by emergency department clinicians, or when it is given the misleading diagnosis of sciatalgia.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48682888","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 New Risk Factor for Hepatic Encephalopathy: Ingestion of Mad Honey 肝性脑病的新危险因素:食用狂蜂蜜

IF 0.1

Journal of Emergency Medicine Case Reports Pub Date : 2021-03-09 DOI: 10.33706/JEMCR.861552

M. Yakarışık, Cafer Akköz, M. Ayvaz, A. Dülger

{"title":"A New Risk Factor for Hepatic Encephalopathy: Ingestion of Mad Honey","authors":"M. Yakarışık, Cafer Akköz, M. Ayvaz, A. Dülger","doi":"10.33706/JEMCR.861552","DOIUrl":"https://doi.org/10.33706/JEMCR.861552","url":null,"abstract":"Introduction: Hepatic encephalopathy (HE) is a neuropsychiatric syndrome that occurs in the severe liver dysfunction and is characterized by a wide range of central nervous system symptoms. Hepatic encephalopathy precipitated with mostly infections, gastrointestinal bleeding, diuretic overdose, electrolyte imbalance, constipation and drugs. Traditional local foods for example honey can contain toxins for the liver and could cause acute decompensation in patients with chronic liver disease (CLD). This toxins can cause dose related severe symptoms. Spectrum of the symptoms are from nausea, vomiting to life threatening bradycardia and/or hypotension. Case Report: A 66-years-old man with prior hepatitis B-related Child-Pugh B cirrhosis admitted to the hospital with nausea, vomiting, confusion, gross disorientation and bizarre behavior. By the aid of medical history, physical examination, laboratory tests and imaging techniques; hepatic encephalopathy diagnosed with distinct aetiology, is mad honey consumption. Conclusion: In this paper; we reported first time in English literature a cirrhotic case with hepatic encephalopathy due to consumption of mad honey. words:","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47764370","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

Pseudoulnar Palsy Due to Ischemic Stroke; Case Report 缺血性脑卒中所致假掌性麻痹病例报告

IF 0.1

Journal of Emergency Medicine Case Reports Pub Date : 2021-02-23 DOI: 10.33706/JEMCR.870978

Ş. Atiş, Ö. Bozan, B. Çekmen

引用次数: 0

LATE ACUTE SPONTANEOUS GIANT EPIDURAL HEMATOMA AFTER VENTRICULOPERITONEAL SHUNT SURGERY 脑室-腹腔分流术后晚期急性自发性巨大硬膜外血肿

IF 0.1

Journal of Emergency Medicine Case Reports Pub Date : 2021-02-23 DOI: 10.33706/JEMCR.836595

Engin Yücel, N. Taş

{"title":"LATE ACUTE SPONTANEOUS GIANT EPIDURAL HEMATOMA AFTER VENTRICULOPERITONEAL SHUNT SURGERY","authors":"Engin Yücel, N. Taş","doi":"10.33706/JEMCR.836595","DOIUrl":"https://doi.org/10.33706/JEMCR.836595","url":null,"abstract":"Introduction: Subdural hematoma is the most common type of hemorrhage as a shunt complication following ventriculoperitoneal shunt procedures. This hemorrhage is caused by rupture of the bridging veins between the dura mater and brain due to a suddenly developing decrease in intracranial pressure. On the other hand, the mechanism of late epidural hemorrhage, a complication of ventriculoperitoneal shunt, could not been clarified very clearly. Case Presentation: A 7-year old female patient had been operated for meningomyelocele after birth. One month later, ventriculoperitoneal shunt had been placed. She presented to the emergency department with nausea, vomiting, blurred consciousness and loss of strength (2/5) in the left upper extremity 4 years after the revision. She had a Glasgow Coma Scale score of 10. Brain computed tomography revealed a giant epidural hematoma in the right hemisphere. Conclusion: Brain computed tomography should be obtained in the postoperative period and anti-siphon device should be used when placing ventric-uloperitoneal shunt. In addition, we argue that use of moderate-high pressure shunt is not definitely effective in preventing development of epidural hemorrhage.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45395141","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

Lemierre's Syndrome: A Case Report Lemierre综合征:1例报告

IF 0.1

Journal of Emergency Medicine Case Reports Pub Date : 2021-02-23 DOI: 10.33706/JEMCR.838532

I. Atas, Ö. Bilir, Alpaslan Ünlü, F. Taşçı

引用次数: 0

Angioedema and acute urticaria in a patient with COVID 19 pneumonia: Favipiravir side effect or COVID-19 cutaneous manifestation COVID-19肺炎患者的血管水肿和急性荨麻疹：法维匹拉韦副作用或COVID-19]皮肤表现

IF 0.1

Journal of Emergency Medicine Case Reports Pub Date : 2021-02-02 DOI: 10.33706/JEMCR.851107

Sevil Alkan Çeviker, A. Şener, Cihan Yüksel, T. Önder, Anıl Akça, Servan Vurucu, S. Güçlü

{"title":"Angioedema and acute urticaria in a patient with COVID 19 pneumonia: Favipiravir side effect or COVID-19 cutaneous manifestation","authors":"Sevil Alkan Çeviker, A. Şener, Cihan Yüksel, T. Önder, Anıl Akça, Servan Vurucu, S. Güçlü","doi":"10.33706/JEMCR.851107","DOIUrl":"https://doi.org/10.33706/JEMCR.851107","url":null,"abstract":"Introduction: Coronavirus disease 2019 (COVID-19) has caused thousands of deaths since it was declared as a pandemic. Recently it continues to be one of the most followed topics in the world in terms of its course and treatment. Favipiravir is a broad-spectrum anti-viral agent that has been shown to be effective against various Coronaviruses in vitro. However, as with any drug use, side effects may develop with the use of favipravir treatment. Case Report: We reported a 55-year-old female patient with acute urticarial with angioedema whom had COVID-19 pneumonia. She had no history of allergy, atopy, previous similar episodes or family history of hereditary angioedema. There is no drug or food consumption that may be suspicious in terms of allergy described by the patient other than favipravir. Conclusion: As far as we know, it is the first case reported from our country. Since there is no specific examination for differential diagnosis, we cannot distinguish as a rare side effect due to favipiravir treatment or COVID-19 cutaneous manifestation. As a result, studies involving more cases of COVID-19 skin findings are needed.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46006717","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

Paracetamol Overdose May Cause Transudative Pleural Effusion in Adults 对乙酰氨基酚过量可引起成人胸腔积液

IF 0.1

Journal of Emergency Medicine Case Reports Pub Date : 2021-01-27 DOI: 10.33706/JEMCR.834306

I. Akbas, A. Koçak, S. Utlu, S. Doğruyol, Z. Çakır

引用次数: 0

Magnetic Resonance Imaging Findings in Status Epilepticus: A Case Report 癫痫持续状态的磁共振成像表现:1例报告

IF 0.1

Journal of Emergency Medicine Case Reports Pub Date : 2021-01-20 DOI: 10.33706/JEMCR.845999

Berrak Barutcu Asfuroğlu, Yaprak Özüm Ünsal, Umut Asfuroğlu, A. Koç

引用次数: 0