Annals of Medicine and Surgery最新文献

筛选
英文 中文
Coexistence of Cecal duplication cyst and Meckel's diverticulum presenting as intestinal obstruction: a rare case report: Retraction. 以肠梗阻为表现的盲肠重复囊肿和梅克尔憩室并存:一例罕见病例报告:撤回。
IF 1.7
Annals of Medicine and Surgery Pub Date : 2024-10-04 eCollection Date: 2024-10-01 DOI: 10.1097/MS9.0000000000002572
{"title":"Coexistence of Cecal duplication cyst and Meckel's diverticulum presenting as intestinal obstruction: a rare case report: Retraction.","authors":"","doi":"10.1097/MS9.0000000000002572","DOIUrl":"10.1097/MS9.0000000000002572","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1097/MS9.0000000000002431.].</p>","PeriodicalId":8025,"journal":{"name":"Annals of Medicine and Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142379968","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
Bladder transitional cell carcinoma anatomic primary site as a predictor of survival and mortality: a population-based retrospective cohort study. 膀胱过渡细胞癌解剖学原发部位作为生存率和死亡率的预测因素:一项基于人群的回顾性队列研究。
IF 1.7
Annals of Medicine and Surgery Pub Date : 2024-09-18 eCollection Date: 2024-10-01 DOI: 10.1097/MS9.0000000000002581
Ali Hemade, Souheil Hallit
{"title":"Bladder transitional cell carcinoma anatomic primary site as a predictor of survival and mortality: a population-based retrospective cohort study.","authors":"Ali Hemade, Souheil Hallit","doi":"10.1097/MS9.0000000000002581","DOIUrl":"10.1097/MS9.0000000000002581","url":null,"abstract":"<p><strong>Background: </strong>Bladder cancer is a heterogeneous disease with varying prognostic outcomes based on the primary tumor site within the bladder. This study aims to evaluate the impact of tumor location on overall survival and cancer-specific survival in bladder cancer patients.</p><p><strong>Methods: </strong>The authors conducted a retrospective cohort study using data from the Surveillance, Epidemiology, and End Results database. Patients with primary transitional cell carcinoma of the bladder were categorized based on their tumor locations. Survival outcomes were assessed using Kaplan-Meier analysis and Cox proportional hazards regression models, adjusted for age, sex, race, cancer stage, and treatment modalities. Additionally, binary logistic regression models were employed to predict overall mortality (OM) and cancer-specific mortality (CSM) at 1, 5, and 10 years.</p><p><strong>Results: </strong>The study included 107 909 patients diagnosed with primary bladder cancer between 2000 and 2021. Significant differences in survival outcomes were observed across different tumor sites. Bladder cancer originating in the urachus had the worst OS before 100 months and the worst CSS overall. Tumors in the anterior wall showed the worst OS after 100 months. In the Cox multivariable analysis, anterior wall tumors were associated with a 1.513-fold increased risk of death compared to lateral wall tumors. The binary logistic regression models showed that anterior wall tumors predicted the highest OM and CSM at 1-year, while urachal tumors had the worst outcomes at 5 and 10 years.</p><p><strong>Conclusions: </strong>The primary site of bladder cancer is a significant predictor of survival outcomes, with tumors in the urachus and anterior wall associated with a poorer prognosis. These findings underscore the importance of considering tumor location in the prognosis and management of bladder cancer. Future studies should aim to validate these findings in more diverse populations and explore the underlying biological mechanisms that drive these differences.</p>","PeriodicalId":8025,"journal":{"name":"Annals of Medicine and Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364102","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
Male breast cancer: a 32-year retrospective analysis in radiation therapy referral center in northern Iran. 男性乳腺癌:伊朗北部放射治疗转诊中心 32 年的回顾性分析。
IF 1.7
Annals of Medicine and Surgery Pub Date : 2024-09-12 eCollection Date: 2024-10-01 DOI: 10.1097/MS9.0000000000002571
Mahboobeh Asgharian, Dariush Moslemi, Hossein-Ali Nikbakht, Mohammad-Ali Jahani, Ali Bijani, Hakimeh Mehdizadeh
{"title":"Male breast cancer: a 32-year retrospective analysis in radiation therapy referral center in northern Iran.","authors":"Mahboobeh Asgharian, Dariush Moslemi, Hossein-Ali Nikbakht, Mohammad-Ali Jahani, Ali Bijani, Hakimeh Mehdizadeh","doi":"10.1097/MS9.0000000000002571","DOIUrl":"10.1097/MS9.0000000000002571","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer commonly occurs in women, and male breast cancer makes up less than 1% of all cases of breast cancer. The limited prevalence of male breast cancer has led to decreased attention being paid to this condition, resulting in its diagnosis occurring at later ages and at more severe disease stages.</p><p><strong>Objectives: </strong>This study evaluates the demographic and clinicopathological characteristics of male patients diagnosed with breast cancer who visited the northern region of Iran from 1992 to 2023.</p><p><strong>Methods: </strong>This descriptive study reviewed data from 58 cases of male breast cancer between 1992 and 2023. The study aimed to examine and describe the information connected to these patients. The data were analyzed with SPSS.22 set at <i>P</i> value less than 0.05.</p><p><strong>Results: </strong>The mean age of the patients examined was 62.10±13.40 years, while their mean BMI was 27.08±4.95. The study found no statistically significant correlation between BMI with stage and kinds of recurrence, including metastasis and local recurrence (<i>P</i>>0.05). The right and left breast involvement rates were equal (48.28%) in 28 cases, and 2 cases (3.40%) had bilateral involvement. The bone was the predominant site of metastasis, accounting for 69.23% of cases. The analysis revealed no significant correlation between stage and metastasis (<i>P</i>=1.000) or local recurrence (<i>P</i>=0.543). Most metastasis and all the local recurrence were observed in stages 3 and 4.</p><p><strong>Conclusion: </strong>Male breast cancer mainly occurs in older age and is diagnosed in the advanced stages of the disease. Therefore, it is recommended to inform men and develop suitable screening programs, especially in high-risk families.</p>","PeriodicalId":8025,"journal":{"name":"Annals of Medicine and Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364077","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
Bilateral visual loss as the initial presentation of chronic myeloid leukemia: a case report. 慢性髓性白血病初期表现为双侧视力丧失:病例报告。
IF 1.7
Annals of Medicine and Surgery Pub Date : 2024-09-12 eCollection Date: 2024-10-01 DOI: 10.1097/MS9.0000000000002570
Salah Marwan Saadeldine, Yara Mohammad Alammouri
{"title":"Bilateral visual loss as the initial presentation of chronic myeloid leukemia: a case report.","authors":"Salah Marwan Saadeldine, Yara Mohammad Alammouri","doi":"10.1097/MS9.0000000000002570","DOIUrl":"10.1097/MS9.0000000000002570","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic myeloid leukemia (CML) is the most common leukemia in adults. It can present with a wide variable range of symptoms and signs related to the phase of the disease. Ophthalmic manifestations as the first presentation of CML are unique, although they can occur during any stage of the disease. Ocular lesions in CML patients may be asymptomatic, so all patients should undergo an eye evaluation at the initial diagnosis.</p><p><strong>Case presentation: </strong>The authors report a case of a 17-year-old Syrian male who initially presented with progressive loss of vision, fatigue, and abdominal pain. Clinical examination showed bilateral retinal aneurysm hemorrhage, jaundice, and splenomegaly. Bone marrow biopsy results were consistent with the diagnosis of CML returning to AML. The patient was treated with intensive chemotherapy and then prepared for hematopoietic transplantation.</p><p><strong>Discussion: </strong>CML can present with variable symptoms and signs, but the ophthalmic manifestations are uncommon. Ophthalmic problems occur either from infiltration of neoplastic cells or from secondary causes, like thrombocytopenia, leukocytosis, hyperviscosity syndrome, or leukoembolization. In the literature, only some case reports presented eye involvement in CML as the first manifestation.</p><p><strong>Conclusion: </strong>Although this is a rare presentation of CML, we believe that it should be taken into consideration when managing these situations to obtain the right diagnosis and better treatment results. Collaboration between hematologists and ophthalmologists is necessary in deciding the treatment. Acute myeloid leukemia needs immediate medical attention and different treatment from CML.</p>","PeriodicalId":8025,"journal":{"name":"Annals of Medicine and Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364101","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
Unveiling post-COVID-19 Rasmussen's encephalitis: a case report of rare neurological complication. 揭开 COVID-19 后拉斯穆森脑炎的神秘面纱:罕见神经系统并发症的病例报告。
IF 1.7
Annals of Medicine and Surgery Pub Date : 2024-09-12 eCollection Date: 2024-10-01 DOI: 10.1097/MS9.0000000000002569
Zaira Naisr, Abdullah Munir Ahmed, Hajira Arooj, Lava Abdullah, Zunaira Naeem, Muhammad Usman Hashmi
{"title":"Unveiling post-COVID-19 Rasmussen's encephalitis: a case report of rare neurological complication.","authors":"Zaira Naisr, Abdullah Munir Ahmed, Hajira Arooj, Lava Abdullah, Zunaira Naeem, Muhammad Usman Hashmi","doi":"10.1097/MS9.0000000000002569","DOIUrl":"10.1097/MS9.0000000000002569","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Rasmussen encephalitis (RE) is a rare autoimmune disorder that causes unilateral inflammation of the cerebral cortex and can lead to drug-resistant epilepsy and progressive neurological decline. Although the emergence of RE following COVID-19 has not been well documented, it emphasizes the need to understand the impact of COVID-19 on neurological health. This case emphasizes the importance of early recognition and intervention to prevent adverse outcomes related to post-COVID-19 neurological complications.</p><p><strong>Case presentation: </strong>A 30-year-old woman, recently diagnosed with COVID-19, experienced recurrent seizures that primarily affected the left side of her body. Despite medical management, signs of progressive weakness and altered consciousness were observed. Neurological examination, imaging, and electroencephalography confirmed a diagnosis of post-COVID-19 RE. Despite conservative management, the patient's condition continued to deteriorate, ultimately resulting in fatal outcomes.</p><p><strong>Clinical discussion: </strong>The relationship between COVID-19 and autoimmune responses, which can lead to neurological complications, such as RE, is a matter of concern. Accurate diagnosis of RE depends on imaging and EEG studies; however, a definitive diagnosis often requires histopathological examination. The management of RE involves the use of anti-seizure medications and surgical interventions to control symptoms and improve outcomes. However, the unusual presentation of this case, along with challenges in diagnosis and treatment, underscores the need for increased awareness and extensive research on the neurological consequences of COVID-19.</p><p><strong>Conclusion: </strong>This case underscores the severe neurological consequences that can emerge after COVID-19, emphasizing the need for prompt identification and intervention. Additional research is essential to improve the comprehension and management of the neurological aftermath of COVID-19 with the ultimate goal of enhancing patient outcomes.</p>","PeriodicalId":8025,"journal":{"name":"Annals of Medicine and Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364154","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
Multiple primary malignancies: sequential development of Ewing sarcoma and carcinoid tumor in a single patient. 多种原发性恶性肿瘤:一名患者相继罹患尤文肉瘤和类癌。
IF 1.7
Annals of Medicine and Surgery Pub Date : 2024-09-11 eCollection Date: 2024-10-01 DOI: 10.1097/MS9.0000000000002561
Huzafa Ali, Dipendra Adhikari, Azka Noor, Husnain Abbas, Huzaifa Saqib, Ayesha Siddiqa, Amna Khan, Nayab Naeem
{"title":"Multiple primary malignancies: sequential development of Ewing sarcoma and carcinoid tumor in a single patient.","authors":"Huzafa Ali, Dipendra Adhikari, Azka Noor, Husnain Abbas, Huzaifa Saqib, Ayesha Siddiqa, Amna Khan, Nayab Naeem","doi":"10.1097/MS9.0000000000002561","DOIUrl":"10.1097/MS9.0000000000002561","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Multiple primary malignancies (MPMs) involve two or more distinct primary cancers in one individual, either simultaneously or at different times. The incidence of MPMs is rising due to advancements in cancer detection, improved survival rates, and long-term treatment effects. This case report, likely the first of its kind, highlights a rare instance of a 30-year-old female developing a carcinoid tumor 5 years after Ewing sarcoma, emphasizing the need for vigilant monitoring of cancer survivors.</p><p><strong>Case presentation: </strong>A 30-year-old female with a history of Ewing Sarcoma diagnosed 5 years prior, initially presenting with a vascular, hard mass on her right shoulder, underwent neoadjuvant chemotherapy and surgical excision. She recently presented with high-grade fever, cough, weight loss, and severe chest pain. Imaging and biopsy confirmed a high-grade carcinoid tumor. Histopathology showed positive markers for Synaptophysin, CD56, and Chromogranin, with a Ki-67 index of 30-40%. The patient passed away after one cycle of chemotherapy.</p><p><strong>Clinical discussion: </strong>Diagnosing and managing MPMs is challenging due to the complexity of distinguishing primary tumors from metastases. This case fits the Warren and Gates' criteria for MPMs. This case confirmed Ewing sarcoma and atypical carcinoid tumor as distinct primary malignancies. Delayed diagnosis worsens outcomes, especially for aggressive atypical carcinoids. This case underscores the importance of thorough diagnostics, long-term follow-up, and improved healthcare infrastructure.</p><p><strong>Conclusion: </strong>This case report emphasizes the importance of a multidisciplinary approach, regular follow-ups, and timely detection for effective management of MPMs.</p>","PeriodicalId":8025,"journal":{"name":"Annals of Medicine and Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364092","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
FDA endorses NALIRIFOX for metastatic pancreatic adenocarcinoma: an editorial. FDA 批准 NALIRIFOX 用于治疗转移性胰腺腺癌:社论。
IF 1.7
Annals of Medicine and Surgery Pub Date : 2024-09-10 eCollection Date: 2024-10-01 DOI: 10.1097/MS9.0000000000002564
Wajiha Urooj, Bisma Ahmed, Yumna Shahzad, Amal Siddiqui, Zaib Un Nisa Mughal, Khabab Abbasher Hussien Mohamed Ahmed
{"title":"FDA endorses NALIRIFOX for metastatic pancreatic adenocarcinoma: an editorial.","authors":"Wajiha Urooj, Bisma Ahmed, Yumna Shahzad, Amal Siddiqui, Zaib Un Nisa Mughal, Khabab Abbasher Hussien Mohamed Ahmed","doi":"10.1097/MS9.0000000000002564","DOIUrl":"10.1097/MS9.0000000000002564","url":null,"abstract":"","PeriodicalId":8025,"journal":{"name":"Annals of Medicine and Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364053","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
Diagnostic accuracy of percutaneous transthoracic needle biopsy among peripheral pulmonary lesions: a multicenter observational study. 经皮穿刺活检对周围肺部病变的诊断准确性:一项多中心观察研究。
IF 1.7
Annals of Medicine and Surgery Pub Date : 2024-09-10 eCollection Date: 2024-10-01 DOI: 10.1097/MS9.0000000000002539
Reza Basiri, Farzad Sharifnezhad, Amir H Jafarian, Sara Samadi, Amirreza Zarghi
{"title":"Diagnostic accuracy of percutaneous transthoracic needle biopsy among peripheral pulmonary lesions: a multicenter observational study.","authors":"Reza Basiri, Farzad Sharifnezhad, Amir H Jafarian, Sara Samadi, Amirreza Zarghi","doi":"10.1097/MS9.0000000000002539","DOIUrl":"10.1097/MS9.0000000000002539","url":null,"abstract":"<p><strong>Introduction: </strong>The diagnosis of peripheral pulmonary lesions (PPL) poses a significant challenge, prompting the widespread utilization of various modalities to ensure the precision in diagnosis. This study aims to assess the diagnostic accuracy of computed tomography-guided percutaneous transthoracic needle biopsy (CT-PTNB) in the context of pulmonary malignancy.</p><p><strong>Methods and materials: </strong>This multicenter retrospective observational study, included 1317 cases of CT-PTNB performed on adult patients with PPLs from January 2018 to December 2022 in Mashhad, Iran. The pathology results of CT-PTNB from 94 cases were compared to the definitive pathology results obtained through methods such as surgery to assess the sensitivity, specificity, and overall accuracy of CT-PTNB in diagnosing of pulmonary malignancy.</p><p><strong>Results: </strong>CT-PTNB exhibits an accuracy of 82.98%, with sensitivity and specificity rates of 75.41 and 91.43%, respectively. This study underscores the issue of false-negative results in CT-PTNB and underscores the importance of integrating clinical, radiological, and additional diagnostic modality to guide diagnostic decisions.</p><p><strong>Conclusion: </strong>In this large-scale multicenter study, the accuracy of CT-PTNB for diagnosis of pulmonary malignancy is acceptable but fairly low compared to previous studies.</p>","PeriodicalId":8025,"journal":{"name":"Annals of Medicine and Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364121","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
Reevaluating the association between cholecystectomy and gastroesophageal reflux disease: recommendations for enhanced Mendelian randomization analysis. 重新评估胆囊切除术与胃食管反流病之间的关联:加强孟德尔随机分析的建议。
IF 1.7
Annals of Medicine and Surgery Pub Date : 2024-09-10 eCollection Date: 2024-10-01 DOI: 10.1097/MS9.0000000000002541
Xingcheng Zhu, Shi Fu, Junhao Chen
{"title":"Reevaluating the association between cholecystectomy and gastroesophageal reflux disease: recommendations for enhanced Mendelian randomization analysis.","authors":"Xingcheng Zhu, Shi Fu, Junhao Chen","doi":"10.1097/MS9.0000000000002541","DOIUrl":"10.1097/MS9.0000000000002541","url":null,"abstract":"","PeriodicalId":8025,"journal":{"name":"Annals of Medicine and Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364139","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
Purulent pericarditis and cardiac tamponade in HIV: a case report on a dreaded complication of Streptococcus pneumoniae. 艾滋病毒感染者的化脓性心包炎和心脏填塞:肺炎链球菌可怕并发症的病例报告。
IF 1.7
Annals of Medicine and Surgery Pub Date : 2024-09-10 eCollection Date: 2024-10-01 DOI: 10.1097/MS9.0000000000002552
Laxman Wagle, Parmartha Basnyat, Anuj Timshina, Rashmita Regmi, Lakpa Diku Sherpa, Sishir Poudel
{"title":"Purulent pericarditis and cardiac tamponade in HIV: a case report on a dreaded complication of <i>Streptococcus pneumoniae</i>.","authors":"Laxman Wagle, Parmartha Basnyat, Anuj Timshina, Rashmita Regmi, Lakpa Diku Sherpa, Sishir Poudel","doi":"10.1097/MS9.0000000000002552","DOIUrl":"10.1097/MS9.0000000000002552","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Purulent pericarditis is an uncommon complication of <i>Streptococcus pneumoniae</i>, which commonly occurs in an immunocompromised state such as HIV and can lead to life-threatening complications such as cardiac tamponade and potentially death if untreated. Early identification, pericardiocentesis, and general measures such as antibiotics and anti-inflammatory medications can be life-saving.</p><p><strong>Case presentation: </strong>The authors present a case of a 64-year-old male with HIV who presented with clinical symptoms suggestive of pericarditis. Chest imaging revealed multifocal airspace diseases and moderate pericardial effusion. He had worsening lactic acidosis, and bedside point-of-care ultrasound showed pericardial effusion with features suggestive of cardiac tamponade. His lactic acidosis improved with emergency pericardiocentesis. Blood and pericardial fluid cultures revealed <i>Streptococcus pneumoniae</i>. He was further treated with intravenous antibiotics, colchicine, and ibuprofen.</p><p><strong>Clinical discussion: </strong>Although <i>Streptococcus pneumoniae</i> is a common etiology of community-acquired pneumonia (CAP), it has not been cited as the leading cause of pericarditis or pericardial effusion. In immunocompromised patients, it is necessary to consider a broad differential diagnosis as an etiology of acute chest pain, as it may be challenging to differentiate pleuritic and pericarditic chest pain from clinical presentation only. Moreover, infectious etiology of acute pericarditis and pericardial effusion should be considered in this patient population, especially those with HIV. At the same time, it is crucial to promptly identify and treat cardiac tamponade to prevent further deterioration.</p><p><strong>Conclusion: </strong>This case provides insight into the diagnosis and management of CAP and its potential complication of purulent pericarditis and cardiac tamponade in immunocompromised patients.</p>","PeriodicalId":8025,"journal":{"name":"Annals of Medicine and Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364136","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信