Archives of clinical and medical case reports最新文献_第3页

Massive Pulmonary Embolism Presenting as Obstructive Shock in a Nigerian Woman: A Case Report 大面积肺栓塞表现为梗阻性休克在尼日利亚妇女:一个病例报告

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550613

Bernard B Akpu, Chidimma A. Ahaneku, Agbo J Etim, Ezoke J Epoke, D. E. Elem, B. Ekeng, Edikan B Bassey, C. Njoku, V. Ansa, C. O. Odigwe

{"title":"Massive Pulmonary Embolism Presenting as Obstructive Shock in a Nigerian Woman: A Case Report","authors":"Bernard B Akpu, Chidimma A. Ahaneku, Agbo J Etim, Ezoke J Epoke, D. E. Elem, B. Ekeng, Edikan B Bassey, C. Njoku, V. Ansa, C. O. Odigwe","doi":"10.26502/acmcr.96550613","DOIUrl":"https://doi.org/10.26502/acmcr.96550613","url":null,"abstract":"Background: Massive pulmonary embolism is a life-threatening emergency associated with high mortality if prompt diagnosis and urgent intervention is delayed, especially in patients presenting in obstructive shock. It usually requires advanced therapies such as systemic thrombolysis, pharmaco-mechanical catheter-directed therapy, surgical embolectomy and inferior vena cava filter placement. The dearth in skilled manpower, delay in diagnosis, relative unavailability and high cost of fibrinolytics especially in resource poor environments may account for poor clinical outcomes and eventually death in such patients. Case Presentation: We present a 50-year-old Nigerian woman of Bahumono ethnicity who was admitted into our hospital with complains of sudden onset breathlessness. On presentation, she was tachypneic, tachycardic and hypotensive. D-Dimer and Troponin I levels were elevated. Computed tomography pulmonary angiography (CTPA) with intravenous contrast confirmed the diagnosis of massive pulmonary embolism. She was initially treated with low molecular weight heparin, then thrombolyzed with intravenous alteplase and later discharged on tablet dabigatran. Her symptoms had resolved at the time of discharge and she has remained stable for over 3 months. Conclusion: Pulmonary embolism, the most serious clinical presentation of venous thromboembolism can become catastrophic when it presents as the massive type. Prompt diagnosis and urgent appropriate medical intervention ensures good clinical outcomes.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344304","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

Endocarditis at Prior Venous Cannulation Site after Sternal Wound Infection: Case Report 胸骨伤口感染后静脉插管部位心内膜炎1例

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550617

Jared Cappelli, Amber Edwards

{"title":"Endocarditis at Prior Venous Cannulation Site after Sternal Wound Infection: Case Report","authors":"Jared Cappelli, Amber Edwards","doi":"10.26502/acmcr.96550617","DOIUrl":"https://doi.org/10.26502/acmcr.96550617","url":null,"abstract":"Endocarditis originating from a prior venous cannulation site is undescribed in the current literature. Infections of the heart pose significant morbidity and mortality to patients, therefore prompt recognition, diagnosis, and treatment are critical. Our patient underwent coronary artery bypass grafting (CABG) and developed a postoperative sternal wound infection with methicillin resistant staphylococcus aureus (MRSA). After failing nonoperative management, redo-sternotomy was performed with atrial wall debridement and patch repair. During this procedure, two unexpected small discrete abscess pockets of the right atrial epicardium were discovered. One of the abscess pockets fistulized into the right atrium and was noted to be at his prior venous cannulation site for cardiopulmonary bypass as evidenced by neighboring prolene suture. The patient had an uneventful recovery and was discharged home on postoperative day 7. Transthoracic echo was obtained 6 weeks after his second operation and did not show any recurrence of endocarditis. We present a unique case of persistent cardiac infection with a complicated course and management strategy.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344366","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

Oral Lichenoid Lesions May Regress after Amalgama Removal: A Case Report Becomes a Proof of the Concept 口腔苔藓样病变可能在汞合金去除后消退:一个病例报告成为概念的证明

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550626

Bettoni E, Bellucci G, Damiani G, Crescentini M

引用次数: 0

Arthroscopic Removal of Shoulder Joint Embedded Gunshot Bullet: A Case Report 关节镜下肩关节内嵌子弹取出1例

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550586

Joseph E Nassar, Yehia Tfayli, M. Issa, Akram Al Ramlawi, A. Naja

引用次数: 0

Tapia syndrome: an Unusual Complication to Recognize at the Time of the COVID-19 Pandemic Tapia综合征:在COVID-19大流行时期要识别的不寻常并发症

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550589

M. Piagnerelli, Delphine Ranwez, Perrine Arnould, Chloe d’Adesky, P. Biston, Myriam Houa

{"title":"Tapia syndrome: an Unusual Complication to Recognize at the Time of the COVID-19 Pandemic","authors":"M. Piagnerelli, Delphine Ranwez, Perrine Arnould, Chloe d’Adesky, P. Biston, Myriam Houa","doi":"10.26502/acmcr.96550589","DOIUrl":"https://doi.org/10.26502/acmcr.96550589","url":null,"abstract":"Guidelines for acute respiratory distress syndrome (ARDS) management include sedation, neuromuscular blockade for protective ventilation and the need for the prone position. This technique can lead to neurologic sequelae like the Tapia syndrome following the patient position. We reported two ARDS COVD-19 patients with Tapia syndrome due to prone position. Both patients, a white European 57 year-old female and a Black African 50 year-old male, were intensive care unit (ICU) admitted for ARDS due to COVID-19. They were orotracheal intubated and mechanical ventilated for respectively 23 and 68 days with 7 and 4 sessions of prone position. Both were tracheotomized during their ICU stay. We observed during the respiratory weaning, swallowing difficulties associated with a tongue deviation during protusion and paralysis of the ipsilateral vocal cord suggesting a Tapia syndrome. Prone position for the treatment of hypoxic ARDS COVID-19 patients with lateral flexion of the head could induce a compression on the lower cranial nerves and their collateral branches and lead to the Tapia syndrome with long neurologic sequelae: swallowing disorder, dysarthria and dysphagia due to difficulty to move the tongue with paralysis of the vocal cord. Because mechanical ventilation on prone position is a cornerstone of the treatment of hypoxic COVID-19 patients, the number of patients with Tapia syndrome may increase in the future.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344001","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

Femur Neck Fracture in a Patient with Klippel-Trenaunay Syndrome- Case Report Klippel-Trenaunay综合征患者股骨颈骨折1例报告

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550584

Fabio Seiji Mazzi Yamaguchi, Leandro Ejnisman, Julio Parente, D. Bussius, B. A. Rudelli, Helder de Souza Miyhara, Henrique Melo de Campos Gurgel

{"title":"Femur Neck Fracture in a Patient with Klippel-Trenaunay Syndrome- Case Report","authors":"Fabio Seiji Mazzi Yamaguchi, Leandro Ejnisman, Julio Parente, D. Bussius, B. A. Rudelli, Helder de Souza Miyhara, Henrique Melo de Campos Gurgel","doi":"10.26502/acmcr.96550584","DOIUrl":"https://doi.org/10.26502/acmcr.96550584","url":null,"abstract":"Klippel-Trenaunay Syndrome (KTS) is a rare congenital disorder characterized by a triad of capillary malformation with port-wine stain, varicose veins, or venous malformation of the lower limbs, and bony and soft tissue hypertrophy. In this case report, we present the case of a 47-year-old woman who was diagnosed with KTS in her left lower limb at the age of 22. She was admitted to the Hip Group Ambulatory at the Hospital das Clinicas of Sao Paulo, Brazil, due to osteoarthritis in her left hip joint caused by KTS. The patient suffered a Garden 4 left femoral neck fracture after falling from a standing position. Based on imaging, physical examination, and vascular evaluation, our initial surgical plan was Total Hip Arthroplasty (THA) with bone graft and acetabular cage via the posterior approach. However, due to significant blood loss, hemodynamic instability, and the presence of large vessels close to the acetabulum, we decided to abort the initial plan of THA and instead opted for Resection Arthroplasty of Girdlestone. KTS is a challenge for orthopedic surgeons and requires a multidisciplinary evaluation. Patients with KTS who undergo THA require a radiologic study of malformations to choose an appropriate surgical approach, despite the high risk of bleeding.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69343944","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

Physical Effects of Hippotherapy on Balance and Gross Motor Function of a Child with Cerebral Palsy 海马疗法对脑瘫儿童平衡和大运动功能的物理影响

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550597

Faruq Ahmed, Md Abdullah Al Zubayer, Suria Akter, Mst. Hosneara Yeasmin, Mohammad Nazmul Hasan, Z. Mawa, A. Islam

引用次数: 0

Changes in Blood Thallium Concentration during and after Prussian Blue Administration 普鲁士蓝给药前后血铊浓度的变化

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550606

M. Onodera, Y. Fujita, Y. Fujino, Y. Inoue

引用次数: 0

Visceral leishmaniasis in a 10-month-old Austrian girl Epidemiological Aspects and Treatment Strategies with review of the Iiterature 10个月奥地利女孩内脏利什曼病流行病学方面和治疗策略与文献回顾

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550627

H. Dornbusch, T. Perwein, Petra Ritter-Sovinz, C. Urban

引用次数: 0

Promoting Health Students’ Well-Being: The Study Protocol of a Quasi-Experimental Intervention Study 促进健康学生幸福感:一项准实验干预研究的研究方案

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550629

El Ouazzani, Houria,, Bourdaire Christiane, Picard Angélique, Gazaix Lena

{"title":"Promoting Health Students’ Well-Being: The Study Protocol of a Quasi-Experimental Intervention Study","authors":"El Ouazzani, Houria,, Bourdaire Christiane, Picard Angélique, Gazaix Lena","doi":"10.26502/acmcr.96550629","DOIUrl":"https://doi.org/10.26502/acmcr.96550629","url":null,"abstract":"Introduction: Several studies identified high prevalence of anxiety, stress, and depression for health students, including paramedic students. For this reason, the health students’ well-being represents a public health issue. To improve this situation, we need to develop interventions at the beginning of health studies. The implementation of occasional and/or regular well-being promotion interventions meets a real need for many of health students. Objectives of this study: We aim to assess a well-being promotion intervention among paramedic students in Le Havre (France). Methods and analysis: This is a protocol of monocentric quasi-experimental study designed to assess the impact of the intervention on well-being, resilience, self-esteem, and stress among paramedic students throw validated scales distributed before the intervention and 8 months after. Students’ satisfaction will be assessed through a questionnaire. A first analysis will describe the study population. The comparison of average scores will be performed. The results of satisfaction questionnaire will allow evolving the intervention to best meet the needs of students next year. Discussion: The scientific publications on this theme will enrich the literature and contribute to the integration of this approach of well-being promotion nationally and internationally. The expected benefits from this study are the adoption of a healthy lifestyle, the improvement of students’ well-being and their awareness of the importance of health promotion in patients’ care. Ethics and dissemination: The project received ethical approval from the Research Ethics Board of Le Havre Hospital. The results will be disseminated via scientific publications and conference presentations.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344543","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