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Journal of Emergency Medicine Case Reports最新文献

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Diagnosis of Transient Brain Lesion in the Corpus Callosum Splenium in Emergency Service and Elucidation of Accompanying Conditions 胼胝体脾区短暂性脑损伤的急诊诊断及相关情况说明
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2022-08-16 DOI: 10.33706/jemcr.1137059
M. Yılmaz, A. K. Erenler
{"title":"Diagnosis of Transient Brain Lesion in the Corpus Callosum Splenium in Emergency Service and Elucidation of Accompanying Conditions","authors":"M. Yılmaz, A. K. Erenler","doi":"10.33706/jemcr.1137059","DOIUrl":"https://doi.org/10.33706/jemcr.1137059","url":null,"abstract":"Corpus Callosum Cytotoxic Lesion (CLOCCs) once rarely seen in the literature has been more often diagnosed in emergency services nowadays with widespread use of cranial magnetic resonance imaging (MRI). CLOCCs is defined as a clinical and radiological spectrum disorder. Patient’s neurological symptoms usually improve completely within 1 month after the onset of the disease without any sequel. This is generally associated with cytotoxic edema of the splenium corpus callosum. It is important investigate the primary causes that lead to this condition and start the appropriate treatment according to the real diagnosis. We present a case diagnosed as CLOCCs secondary to pneumonia upon admission to our emergency service.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42604422","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 dorsal dislocation of the 5th carpometacarpal joint; a missed injury 孤立性第5掌关节背脱位;漏伤
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2022-08-15 DOI: 10.33706/jemcr.1108021
Ümit Aygün, A. Yazici
{"title":"Isolated dorsal dislocation of the 5th carpometacarpal joint; a missed injury","authors":"Ümit Aygün, A. Yazici","doi":"10.33706/jemcr.1108021","DOIUrl":"https://doi.org/10.33706/jemcr.1108021","url":null,"abstract":"Introduction: 5th carpometacarpal (CMC) joint dislocations of the wrist region are very rare and easily overlooked injuries. In this type of injury, which causes serious functional problems in the hand if not treated appropriately, closed methods are generally used in the treatment. In this study, we present a case with fracture-dislocation of the 5th CMC joint. \u0000Case: Fracture-dislocation of the 5th CMC joint of a 25-year-old patient who was admitted to the emergency department due to wrist pain was not noticed. The diagnosis was made during the follow-up of the patient, and the joint was reduced with closed method and fixed with a K wire. No serious problems were encountered in the patient's controls. \u0000Conclusion: Undiagnosed 5th CMC joint dislocation disrupts the transverse and longitudinal arches of the hand, so the patient has a weak and painful gripping function. Radiological findings may be unclear on anterior-posterior and lateral views, and additional images may be obtained if in doubt.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42166819","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
Coexistence of Late Diagnosed Pericardial and Diaphragmatic Ruptures Caused by Rib Fracture: Case Report 肋骨骨折并发晚期诊断心包膈破裂1例
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2022-08-15 DOI: 10.33706/jemcr.1131413
M. Ağar, Semih Koçyiğit
{"title":"Coexistence of Late Diagnosed Pericardial and Diaphragmatic Ruptures Caused by Rib Fracture: Case Report","authors":"M. Ağar, Semih Koçyiğit","doi":"10.33706/jemcr.1131413","DOIUrl":"https://doi.org/10.33706/jemcr.1131413","url":null,"abstract":"INTRODUCTION: While rib fractures due to blunt traumas are common, pericardial and diaphragmatic injuries caused by rib fractures are rarely seen. Diagnosis is challenging due to the difference in clinical symptoms which may have severe clinical consequences. \u0000CASE: A 58-year-old female patient who had a traffic accident was referred to our centre due to left pericardial effusion while being followed up for tibial fracture. Left diaphragmatic rupture was detected in the radiographs taken. Intraoperative pericardial rupture was observed in the operated patient. The defects were repaired primarily and the patient was discharged in good health. \u0000CONCLUSION: Although the diagnosis is difficult In multitraumas including thoracic trauma, especially in cases with multiple rib fractures, one should be more attentive considering the possibility of diaphragmic and pericardial ruptures.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42878576","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
Persistent High Fever After Metchloropramide Treatment; Neuroleptic Malignant Syndrome 甲氯帕胺治疗后持续高热;抗精神病药恶性综合征
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2022-08-03 DOI: 10.33706/jemcr.1112956
C. Sezer, F. Tekin
{"title":"Persistent High Fever After Metchloropramide Treatment; Neuroleptic Malignant Syndrome","authors":"C. Sezer, F. Tekin","doi":"10.33706/jemcr.1112956","DOIUrl":"https://doi.org/10.33706/jemcr.1112956","url":null,"abstract":"Introduction: Neuroleptic Malignant Syndrome(NMS) is a state neurotransmitter levels fluctuate subsequent to administration of neuroleptic agents. Etiology of NMS is unclear. It’s a neurological emergency includes symptoms like altered mental status, rigidity, fever and dysautonomy. Our aim in here is to mention the side effects of metochlopramide, which is commonly used in Emergency Departments(ED). In our case, subsequent to intravenous admission of metochlopramide, patients clinic worsened with NMS symptoms and this was quite unexpected and unwanted for ED doctors. By this case report it is wanted to raise awareness against, side effects of metoclopramide and NMS. \u0000Case Report: Subsequent to intravenous administration of single dose metoclopramide to relieve abdominal pain into 21 years old male with no history of chronical diseases, symptoms of fever, muscle rigidity, confusion and fluctuating blood pressure levels quickly emerged along with leukocytosis and high levels of Creatine Kinase. ED Doctors suspected NMS. Futher laboratory and imaging stuides has excluded other central nervous system pathologies and infections. Eventually, patients clinic got better with symptomatic theraphy and he was discharged fully recovered. \u0000Conclusion: NMS due to metoclopramide is quite rare, but usage of therapies includes Metoclopramid at ED’s are quite often. Subsequent to administration of this drug, if patients clinical state worsens with fever, confusion and muscle rigidity, phycisians should keep NMS in mind.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43719839","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 Postoperative Complication of Acute Appendicitis: Portal Vein Thrombosis Required Small Intestine Resection 急性阑尾炎术后罕见并发症:门静脉血栓形成需行小肠切除术
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2022-08-03 DOI: 10.33706/jemcr.1141241
T. Kalaycı
{"title":"A Rare Postoperative Complication of Acute Appendicitis: Portal Vein Thrombosis Required Small Intestine Resection","authors":"T. Kalaycı","doi":"10.33706/jemcr.1141241","DOIUrl":"https://doi.org/10.33706/jemcr.1141241","url":null,"abstract":"This case report aims to present the diagnosis and treatment process of portal vein thrombosis, which occurred one week after laparoscopic appendectomy and required small bowel resection. A thirty-eight-year-old man was admitted with abdominal pain in the periumbilical and epigastric regions. He had a history of appendectomy and occlusive cerebrovascular disease. In the physical examination of the abdomen, tenderness was detected in the epigastric region on deep palpation. Leucocytosis, increased levels of alanine transaminase level, aspartate transaminase, gamma-glutamyl transferase, lactate dehydrogenase, c-reactive protein, and d-dimer were detected in laboratory analyses. CT scan revealed total thrombus in the portal vein, oedema in the segment of approximately 10 cm in the distal ileum, and free fluid in the pelvic region. Enoxaparin sodium was started. During follow-up, widespread defence and rebound in all quadrants of the abdomen occurred. 20 cm ileal resection with end ileostomy was performed. Enoxaparin sodium treatment was continued. On the 6th day of the service follow-up, the patient had left leg pain, and a subacute thrombus was detected in the main femoral, superficial femoral and deep femoral veins on doppler USG. Edoxaban tosylate 60 mg tablet every 24 hours started as an anti-coagulant treatment, and the patient was discharged without complications on the 18th day of hospitalisation.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43287390","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 unusual pediatric monteggia equivalent lesion: a rare case report 一例罕见的儿童孟氏当量病变
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2022-07-07 DOI: 10.33706/jemcr.1132878
Metin Çeli̇k, E. Arıkan, Ö. Yilmaz
{"title":"An unusual pediatric monteggia equivalent lesion: a rare case report","authors":"Metin Çeli̇k, E. Arıkan, Ö. Yilmaz","doi":"10.33706/jemcr.1132878","DOIUrl":"https://doi.org/10.33706/jemcr.1132878","url":null,"abstract":"Abstract: Monteggia lesion is a rare fracture in which ulna shaft fracture and radial head dislocation occur together. Monteggia equivalent is the lesion associated with ulna shaft fracture and radius head and/or neck fracture. We offer a case of Monteggia equivalent in a 9-years-old boy. In the surgery of the patient, anatomical plating was performed for ulna shaft fracture and intramedullary nail was applied for radius neck fracture. When we look at the literature, such case reports are very rare. \u0000Conclusion: In the 1-year follow-up of the patient, there was no loss in flexion, extension, supination and pronation range of motion.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49299387","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
Coexistence of carbon monoxide intoxication and COVID-19 一氧化碳中毒与新冠肺炎共存
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2022-06-22 DOI: 10.33706/jemcr.1107564
H. Akça, D. Atik, Fulya Köse
{"title":"Coexistence of carbon monoxide intoxication and COVID-19","authors":"H. Akça, D. Atik, Fulya Köse","doi":"10.33706/jemcr.1107564","DOIUrl":"https://doi.org/10.33706/jemcr.1107564","url":null,"abstract":"Introduction \u0000This case report aimed to report two patients admitted to the emergency department with a preliminary diagnosis of carbon monoxide intoxication and was diagnosed with COVID-19 during their follow-up. \u0000Case 1 \u0000A 73-year-old female patient presented with weakness and shortness of breath complaints to the emergency department. Carboxyhemoglobin (COhgb) reached 36.2 %. Atypical pneumonic infiltration with peripheral and central patchy consolidations in the zones in hemothorax images from computerized tomography. The patient was tested positive for COVID-19 after a PCR test. The COhgb values of the patient reached 16 % after 3 h. Then, it dropped to 3.0 % after 8 h. \u0000Case 2 \u0000A 77-year-old male patient presented with shortness of breath and nausea complaints to the emergency department. COhgb (carboxyhemoglobin) reached 30%. Emphysematous changes in the lung parenchyma and increased peribronchial densities in the lobes were shown in computed tomography. The patient was tested positive for COVID-19 after a PCR test. The COhgb values of the patient reached 13 after 3 h. It dropped to 2.4 after 8 h. \u0000Conclusion \u0000Carbon monoxide intoxication is a significant public health problem with a high probability of death. Detailed studies and meta-analyses are needed to affect the prognosis of COVID-19 disease.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47378840","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
Acute motor and sensory axonal neuropathy (AMSAN) associated with COVİD-19 infection ; a case report 与COVİD-19感染相关的急性运动和感觉轴索神经病(AMSAN);病例报告
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2022-06-08 DOI: 10.33706/jemcr.1099690
H. Sipahioğlu, Merve Elmaağaç, Yesim CELİK KANTAR, A. I. Günal
{"title":"Acute motor and sensory axonal neuropathy (AMSAN) associated with COVİD-19 infection ; a case report","authors":"H. Sipahioğlu, Merve Elmaağaç, Yesim CELİK KANTAR, A. I. Günal","doi":"10.33706/jemcr.1099690","DOIUrl":"https://doi.org/10.33706/jemcr.1099690","url":null,"abstract":"Myalgia and headache are relatively common in COVID-19 disease, but the serious neurological disease is rare. In this case, we describe the symptoms and clinic of AMSAN, a rare variant of Guillain-Barre syndrome (GBS) due to COVID 19. We presented a case of AMSAN, a rare variant of GBS, in a 46-year-old male patient with a poor overall condition that did not recover after COVID-19 disease, loss of strength in all four extremities, and CSF and EMG findings. We added another GBS case due to Covid-19 infection to the literature. It should always be kept in mind that GBS may develop after the COVID-19 disease.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44654421","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 new-onset refractory status epilepticus (NORSE) due to Herpes Simplex Virus-1 encephalitis 单纯疱疹病毒-1型脑炎致新发难治性癫痫持续状态1例
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2022-06-08 DOI: 10.33706/jemcr.1087340
S. Alkan, T. Önder, Anıl Akça, A. Şener
{"title":"A case of new-onset refractory status epilepticus (NORSE) due to Herpes Simplex Virus-1 encephalitis","authors":"S. Alkan, T. Önder, Anıl Akça, A. Şener","doi":"10.33706/jemcr.1087340","DOIUrl":"https://doi.org/10.33706/jemcr.1087340","url":null,"abstract":"In the medical literature, the term of \"new-onset refractory status epilepticus\" (NORSE) is a novel term. Herpes Simplex Virus-1 and other viral infections can be cause to NORSE. Seizures are a rare sign of HSV encephalitis, but they can occur as the first symptom. Herein, we present a case of NORSE triggered by HSV-1 encephalitis, which had been diagnosed via cerebrospinal fluid polymerase chain reaction (PCR) method and magnetic resonance imaging findings.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44075476","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
ARTERIAL AND VENOUS EMBOLISM DUE TO COVID-19 VACCINE (BIONTECH): CASE SERIES 新冠肺炎疫苗引起的动脉和静脉栓塞（BIONTECH）：病例系列
IF 0.1
Journal of Emergency Medicine Case Reports Pub Date : 2022-05-18 DOI: 10.33706/jemcr.1089785
O. Güven, L. Tuna, İbrahim Atakan Geçi̇ci̇, Zeynep Sümeyye Durgun, Ö. Işık
{"title":"ARTERIAL AND VENOUS EMBOLISM DUE TO COVID-19 VACCINE (BIONTECH): CASE SERIES","authors":"O. Güven, L. Tuna, İbrahim Atakan Geçi̇ci̇, Zeynep Sümeyye Durgun, Ö. Işık","doi":"10.33706/jemcr.1089785","DOIUrl":"https://doi.org/10.33706/jemcr.1089785","url":null,"abstract":"Introduction: Although the most prominent effect of Corona disease, respiratory disease it disrupts the vascular structure and causes vascular occlusion. Intravascular coagulation, has also begun to be observed in people who have been vaccinated. Therefore, clinicians had to add anti-coagulants or antiaggregants to the treatment. \u0000Case Reports: In this article; We will try to present the patient who developed arterial and venous embolism after BioNTech vaccine. These patients without known vascular disease responded well to treatment. \u0000Conclusion: The rate of sickness dropped after the vaccine was discovered to be the most effective strategy to protect against Covid-19. It was discovered that vaccinated patients exhibited symptoms similar to corona disease but had a moderate course.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46895653","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
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