Case Reports in Critical Care最新文献

A Rare Case of Pulmonary Edema Secondary to Hydrochlorothiazide Use. 使用氢氯噻嗪导致肺水肿的罕见病例

Case Reports in Critical Care Pub Date : 2024-11-07 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9423545

Evan J Chen, Laurie Hayrapetian, Katherine Frishe

引用次数: 0

Hemophagocytic Lymphohistiocytosis Presenting With ARDS in a Young Adult: A Case Report. 嗜血细胞淋巴组织细胞增多症伴有 ARDS 的年轻成人：病例报告。

Case Reports in Critical Care Pub Date : 2024-11-07 eCollection Date: 2024-01-01 DOI: 10.1155/2024/1266606

Zehra Dhanani, Stephen Dachert

引用次数: 0

Sudden Onset of Coma and Fulminant Progression to Brain Death in a 48-Year-Old Male With Cerebral Malaria. 一名 48 岁男性脑疟疾患者突然昏迷并发展为脑死亡。

Case Reports in Critical Care Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI: 10.1155/2024/4621985

Marina Costa, Cristiana Barbosa, Mauro Pereira, Luís Ribeiro, Pedro Silveira

{"title":"Sudden Onset of Coma and Fulminant Progression to Brain Death in a 48-Year-Old Male With Cerebral Malaria.","authors":"Marina Costa, Cristiana Barbosa, Mauro Pereira, Luís Ribeiro, Pedro Silveira","doi":"10.1155/2024/4621985","DOIUrl":"https://doi.org/10.1155/2024/4621985","url":null,"abstract":"Cerebral malaria is the most severe complication of Plasmodium falciparum infection. Left untreated, it is universally fatal. Coma is the clinical hallmark, emerging between the first and third days of fever. Adults typically present with mild cerebral edema, usually with a more favorable prognosis compared to the pediatric population. We present a case of a 48-year-old man with a recent travel to Angola who presented comatose on the second day of a febrile illness with clinical signs of cerebral herniation and diffuse cerebral edema and cerebellar tonsil ectopia on cranioencephalic computed tomography. He had a missed diagnosis on a first visit to the emergency department 2 days prior. The diagnosis of cerebral malaria was confirmed after the identification of the parasite in peripheral blood. He was admitted to an intensive care unit; however, progression to brain death was inevitable within a few hours. Malaria affects 5% of the world's population. In Portugal, it has an incidence of 0.01 in every 1000 inhabitants, and all cases are imported. Despite its rarity in a nonendemic country, its severity alerts to the consideration of this syndrome in the etiologic workup of coma. The early recognition of the diagnosis is of major importance for the establishment of definitive treatment, as its timely administration has a crucial impact on the outcome.","PeriodicalId":52357,"journal":{"name":"Case Reports in Critical Care","volume":"2024 ","pages":"4621985"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11458264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Utility of Point-of-Care Ultrasound During Prone Positioning Cardiopulmonary Resuscitation. 俯卧位心肺复苏期间护理点超声波的实用性。

Case Reports in Critical Care Pub Date : 2024-09-14 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9256556

Haris Patail, Tinatin Saralidze, Gabriel Hernandez Romero, Hassan Patail

引用次数: 0

A Neglected Disease: Hidradenitis Suppurativa a Rare Cause of Amyloidosis Complicated With Sepsis and Renal Failure: A Case Report. 一种被忽视的疾病：淀粉样变性并发败血症和肾衰竭的罕见病因--化脓性扁桃体炎：病例报告

Case Reports in Critical Care Pub Date : 2024-08-27 eCollection Date: 2024-01-01 DOI: 10.1155/2024/4893040

Orhun Demir, Omer Zuhtu Yondem, Mehmet Doganay

引用次数: 0

Tenecteplase Catheter-Directed Thrombolytic Therapy in Submassive Pulmonary Embolism: A Case Report. 特奈普酶导管引导溶栓疗法治疗亚严重肺栓塞：病例报告。

Case Reports in Critical Care Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.1155/2024/3839630

Dania Ghaziri, Hisham Bou Fakhreddine, Fadi Sawaya, Farah Jaber, Imad Bou Akl

{"title":"Tenecteplase Catheter-Directed Thrombolytic Therapy in Submassive Pulmonary Embolism: A Case Report.","authors":"Dania Ghaziri, Hisham Bou Fakhreddine, Fadi Sawaya, Farah Jaber, Imad Bou Akl","doi":"10.1155/2024/3839630","DOIUrl":"10.1155/2024/3839630","url":null,"abstract":"Introduction: In pulmonary embolism (PE), when used for catheter-directed thrombolysis (CDT), low-dose alteplase is associated with good outcomes. Tenecteplase has been only used as intravenous for this indication. In the context of our national economic crisis where alteplase was unavailable, we describe our experience with tenecteplase CDT. Case: A 73-year-old male, hypertensive and smoker with COPD, presented to the ED with intermediate high-risk PE.(ED) with intermediate high-risk PE. Heparin infusion was initiated. A few hours later, the patient developed atrial fibrillation (AF) for which amiodarone infusion was started. Also, a left femoral and popliteal vein thrombosis was also confirmed by the lower extremity duplex. As the patient remained dyspneic with unstable vital signs, the decision was to perform a CDT. In the absence of alteplase, tenecteplase was used at 0.5 mg/h over 30 h, for a total of 15 mg. Result: Twenty-four hours after tenecteplase initiation, dyspnea and vital signs had significantly improved. Oxygen support was gradually dropping to finally stop. Being on concomitant heparin infusion, the patient had a mild blood oozing at the femoral vein site of entry; however, this did not require any transfusion or discontinuation of heparin. The patient regained his baseline physical and mental functions and was discharged on enoxaparin and amiodarone tablet. Discussion: This is the first experience describing the use of tenecteplase as part of CDT in a patient with acute intermediate high-risk PE. The combination to therapeutic heparin infusion, already described in different clinical scenarios with intravenous tenecteplase, was safe and well tolerated Conclusion: CDT with tenecteplase was, for the first time, safely and effectively used in an intermediate high-risk PE patient. However, more studies are needed to confirm and establish these findings.","PeriodicalId":52357,"journal":{"name":"Case Reports in Critical Care","volume":"2024 ","pages":"3839630"},"PeriodicalIF":0.0,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11357818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paroxysmal Sympathetic Hyperactivity Syndrome in the Setting of Fat Emboli Syndrome Secondary to Polytrauma. 继发于多发性创伤的脂肪栓塞综合征的阵发性交感神经过度活动综合征。

Case Reports in Critical Care Pub Date : 2024-05-29 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9888208

Lauren Gould, Michael Taylor, Matthew Forestiere

引用次数: 0

Bilateral Spontaneous Pneumothoraces in a Case of Tricuspid Valve Endocarditis and Septic Emboli: A Rare Complication 三尖瓣心内膜炎合并化脓性栓子病例中的双侧自发性气胸：罕见并发症

Case Reports in Critical Care Pub Date : 2024-05-21 DOI: 10.1155/2024/3049691

Nim Chan, Bryan Dunn

引用次数: 0

A Rare Case of a Good Neurological Outcome following Traumatic Foix-Chavany-Marie Syndrome 创伤性 Foix-Chavany-Marie 综合征后神经功能恢复良好的罕见病例

Case Reports in Critical Care Pub Date : 2024-05-10 DOI: 10.1155/2024/6652867

Katalin Arki, Christian Degen, Philipp Gruber, Luca Cioccari

引用次数: 0

Simultaneous, Dual Continuous Venovenous Haemodiafiltration as Salvage Therapy for Severe Sodium Valproate Intoxication. 将同步双连续静脉血液透析作为严重丙戊酸钠中毒的抢救疗法。

Case Reports in Critical Care Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.1155/2024/2712480

Aminah Hussan, Ifrah Hasan, Reem El-Hayani, Moustafa Shebl Zahra

{"title":"Simultaneous, Dual Continuous Venovenous Haemodiafiltration as Salvage Therapy for Severe Sodium Valproate Intoxication.","authors":"Aminah Hussan, Ifrah Hasan, Reem El-Hayani, Moustafa Shebl Zahra","doi":"10.1155/2024/2712480","DOIUrl":"10.1155/2024/2712480","url":null,"abstract":"Sodium valproate overdose leads to CNS depression, cerebral oedema, and severe metabolic acidosis in cases of severe toxicity. Extracorporeal removal, specifically through intermittent haemodialysis, is recommended, though not always tolerated by or accessible to haemodynamically unstable patients in intensive care units. We present a case of a male in his mid-twenties presenting following a massive, intentional overdose of 13 g of sodium valproate over 7 hours, with an initial valproate blood concentration of 975 μg/ml (normal 50-100 μg/ml). He was hypoxic and severely acidotic on arrival and was given fluids and L-carnitine according to TOXBASE guidelines. This resulted in only marginal improvement to his acidosis. Once transferred to our intensive care unit, the patient was started on inotropic support followed by continuous venovenous hemofiltration (CVVHDF) at the maximum effluent rate of 60 ml/kg/hr. Due to his persisting metabolic acidosis and worsening hyperlacataemia, dual CVVHDF was started by adding another filter in series after 26 hours, increasing the maximum effluent rate to 96 ml/kg/hr. The patient remained on dual CVVHDF for 31 hours, during which his acidosis and lactate showed considerable improvement, and he was subsequently stepped down to single-filter CVVHDF for a further 20 hours until complete resolution of his acidosis. This case report recognises dual CVVHDF as a viable salvage therapy for severe sodium valproate overdose by facilitating the achievement of a higher effluent flow rate compared to what can be accomplished with single-filter CVVHDF.","PeriodicalId":52357,"journal":{"name":"Case Reports in Critical Care","volume":"2024 ","pages":"2712480"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11090666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140917459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0