International journal of medical and pharmaceutical case reports最新文献_第10页

Unilateral Giant Bullous Emphysema; Vanishing Lung Syndrome 单侧巨大大泡性肺气肿;肺消失综合征

International journal of medical and pharmaceutical case reports Pub Date : 2022-04-16 DOI: 10.9734/ijmpcr/2022/v15i330158

Bayrakçi Onur, Akinci Gülay

{"title":"Unilateral Giant Bullous Emphysema; Vanishing Lung Syndrome","authors":"Bayrakçi Onur, Akinci Gülay","doi":"10.9734/ijmpcr/2022/v15i330158","DOIUrl":"https://doi.org/10.9734/ijmpcr/2022/v15i330158","url":null,"abstract":"Bullous lung disease is an illness characterized by nonfunctional air-filled spaces caused by deterioration of alveolar tissue. Lung diseases such as chronic bronchitis, emphysema, and bronchiolitis are associated with smoking. We aimed to present a case of giant bullous emphysema without any known comorbidity and who was admitted to the clinic with progressive dyspnea in a short time. A 52-years-old male patient was admitted to the clinic with the complaint of increasing dyspnea in the last 3 months. Smoking was 26 pack years, and no chronic disease. Giant bullae with a size of 13x15x20 cm, starting from the right apical and extending posteriorly to the lower lobe fissure, and diffuse emphysematous pathologies were seen in the thorax CT. The patient was operated on for a giant bullous lesion that subtotally contains the upper lobe of the right lung and causes respiratory dysfunction with the compression effect on the middle lobe and lower lobe (resection of the giant bulla was operated by the right thoracotomy). Except for the operation-related pain complaint, no respiratory symptoms were seen. The patient said with an effort, respiratory distress decreased significantly. No complications were observed, and the patient was discharged on the 6th day of the operation. Vanishing Lung Syndrome is a complication of Chronic Obstructive Pulmonary Disease, and it is defined as idiopathic giant bullous emphysema. This illness defined as giant bulla occupying one-third of the hemithorax, it compresses the mediastinum and lung parenchyma. Differentiating bullous lesions of the lung from pneumothorax is important in the treatment. Surgical treatment is a successful option in symptomatic giant bullae or with compression of lung parenchyma. Bullectomy improves the patient's symptoms, pulmonary function, quality of life, and expansion of the lung parenchyma.","PeriodicalId":90548,"journal":{"name":"International journal of medical and pharmaceutical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45971783","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

Transient Biventricular Dysfunction Following Pericardiocentesis for Cardiac Tamponade 心包穿刺治疗心包填塞后一过性双室功能障碍

International journal of medical and pharmaceutical case reports Pub Date : 2022-04-15 DOI: 10.9734/ijmpcr/2022/v15i330156

M. Akrim, B. Dihi, M. Câmara, M. Jamili, S. Karimi, D. Benzarouel, M. Hattaoui

引用次数: 0

Gadolinium Enhancement in Cervical Myelopathy: Case Report of a Surgically Treated Patient 钆增强治疗宫颈脊髓病一例报告

International journal of medical and pharmaceutical case reports Pub Date : 2022-04-11 DOI: 10.9734/ijmpcr/2022/v15i230154

Nehat Halili, A. Xhumari, Mirel Grada, Erjon Spaho

{"title":"Gadolinium Enhancement in Cervical Myelopathy: Case Report of a Surgically Treated Patient","authors":"Nehat Halili, A. Xhumari, Mirel Grada, Erjon Spaho","doi":"10.9734/ijmpcr/2022/v15i230154","DOIUrl":"https://doi.org/10.9734/ijmpcr/2022/v15i230154","url":null,"abstract":"Background: Spinal cord contrast enhancement is an unusual radiological finding in chronic degenerative disorders of the spine and often it is misdiagnosed with neoplastic or inflammatory disease. \u0000Case Description: Here we present the case of a 62-year-old male with cervical degenerative spondylosis at the C4–C5 and C6-C7 level. Preoperative magnetic resonance imaging showed severe spinal cord compression with intramedullary hyperintensity on T2-weighted sequences and spinal cord enhancement at the C4-5 level after administration of Gadolinium. The patient with several weeks’ history of worsening spastic tetraparesis, underwent two-level anterior discectomy with fusion and anterior stabilization at the myelopathy level. \u0000Conclusion: Intramedullary gadolinium enhancement due to cervical spondylotic myelopathy (CSM) is an important consideration in the differential of inflammatory disease or intramedullary tumors, especially since misdiagnosis may result in serious consequences, including neurological disability from delayed surgical interventions and unnecessary treatments. Persistent enhancement for months to years following decompressive surgery is usual. Recognition is important to prevent inappropriate interventions or delay in consideration of a potentially beneficial decompressive surgery.","PeriodicalId":90548,"journal":{"name":"International journal of medical and pharmaceutical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44033155","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

Acquired Rectovaginal Fistula and Faecal Incontinence Following Sexual Assault in a 4-Year-Old Girl 一名4岁女孩性侵犯后获得性直肠阴道瘘和大便失禁

International journal of medical and pharmaceutical case reports Pub Date : 2022-03-25 DOI: 10.9734/ijmpcr/2022/v15i230153

H. Shehu, M. Shehu

{"title":"Acquired Rectovaginal Fistula and Faecal Incontinence Following Sexual Assault in a 4-Year-Old Girl","authors":"H. Shehu, M. Shehu","doi":"10.9734/ijmpcr/2022/v15i230153","DOIUrl":"https://doi.org/10.9734/ijmpcr/2022/v15i230153","url":null,"abstract":"Background: Child Sexual Abuse (CSA) is a crime against children. It is largely under-reported and commonly goes unpunished in our society. \u0000Case report: The patient is a 4-year-old girl who presented to our emergency paediatric unit with 14 hours duration of faecal incontinence following sexual assault by her landlord’s son. She also complains of pelvic pain and difficulty in walking. The landlords’s son forced his penis into her anus and inserted his fingers through her vagina. \u0000On examination of her anal region, there was anal sphincter tear at six 0’ clock, extending exteriorly to the right measuring 1 cm long and 0.5 cm deep with a rectovaginal fistula. Vaginal examination revealed minor laceration and excoriation on the right lateral wall and floor of the vagina, with mild bleeding. She had a left hymenal tear at the lower aspect and a vagina floor tear. Results of urine microscopy culture and sensitivity (MCS) revealed white blood counts (WBC) 2+, leucocytes 2+, epithelial cells+, Staphylococcus aureus was isolated which was sensityive to amoxiciilin. \u0000The child was resuscitated and given antibiotics and analgesics and prophylactic antiretroviral drugs. She had a perineal tear repair by the paediatric surgeon. She was placed on sitz bath and she responded well with good healing and recovery. She was discharged after 2 weeks on admission and came back for follow-up. \u0000This report highlights the management of a case of rectovaginal fistula in a child as a result of sexual assault.","PeriodicalId":90548,"journal":{"name":"International journal of medical and pharmaceutical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45799508","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

Massive Acute Hemolysis in Two Siblings with Glucose Dehydrogenase Deficiency and Parvovirus B19 Infection 两个葡萄糖脱氢酶缺乏和细小病毒B19感染的兄弟姐妹的大规模急性溶血

International journal of medical and pharmaceutical case reports Pub Date : 2022-02-20 DOI: 10.9734/ijmpcr/2022/v15i230152

K. Yokoyama, A. Yoshida

引用次数: 0

An Atypical Presentation of Vitamin B12 Deficiency with Hemolytic Anemia 维生素B12缺乏伴溶血性贫血的非典型表现

International journal of medical and pharmaceutical case reports Pub Date : 2022-02-15 DOI: 10.9734/ijmpcr/2022/v15i230151

Fahad Alkaabba, Mary Caitlyn, Kelsey S. Ivey

引用次数: 0

Vitamin D Deficiency Associated with Staying Indoors during the COVID-19 Pandemic: A Report of Two Infants 新冠肺炎大流行期间与呆在室内有关的维生素D缺乏：两名婴儿的报告

International journal of medical and pharmaceutical case reports Pub Date : 2022-02-07 DOI: 10.9734/ijmpcr/2022/v15i230150

K. Yokoyama, A. Yoshida

引用次数: 0

Anomalous Connection of the Coronary Artery Causing ST Segment Elevation Myocardial Infarction: A Case Report 冠状动脉异常连接导致ST段抬高型心肌梗死1例

International journal of medical and pharmaceutical case reports Pub Date : 2022-01-25 DOI: 10.9734/ijmpcr/2022/v15i130149

A. Ech-chenbouli, S. Arous, Mohamed Elghali Benouna, Habbal Rachida

{"title":"Anomalous Connection of the Coronary Artery Causing ST Segment Elevation Myocardial Infarction: A Case Report","authors":"A. Ech-chenbouli, S. Arous, Mohamed Elghali Benouna, Habbal Rachida","doi":"10.9734/ijmpcr/2022/v15i130149","DOIUrl":"https://doi.org/10.9734/ijmpcr/2022/v15i130149","url":null,"abstract":"Background: With an angiographic prevalence approaching 1%, Anomalous connections of the Coronary arteries (ANOCOR) are rare. The term connection is preferred over origin since the coronary arteries do not grow out of the aorta but grow into the aorta from the peri truncal ring of coronary arterial vasculature. Very often these anatomical shapes are incidental findings without clinical impact; however, in some specific cases, clinical symptoms may occur arriving to sudden cardiac death (SCD), this is particularly true when there is a an interarterial course between the ascending aorta and the pulmonary. Case Presentation: This case is about patient that we receive in emergency department presenting with an inferior ST segment elevation myocardial infarction (STEMI) which was found to be caused by compression of the proximal right coronary artery (RCA) between the aorta and the pulmonary trunk. Surgery was indicated by the heart team for the treatment of this condition. Conclusions: This case presents a severe manifestation of proximal anomalous connection of the right coronary artery with a “malignant” course between the aorta and the pulmonary artery. This variant has been called malignant because of its association with sudden death especially in young asymptomatic athletes. In current guidelines for symptomatic ANOCOR with interarterial course the treatment recommended is surgery.","PeriodicalId":90548,"journal":{"name":"International journal of medical and pharmaceutical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45714445","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

Inadvertent Intravenous Administration of an Oral Preparation of Ibuprofen 无意中静脉注射布洛芬口服制剂

International journal of medical and pharmaceutical case reports Pub Date : 2022-01-17 DOI: 10.9734/ijmpcr/2022/v15i130148

Muhammad Gulzaib, Salwa Ahsan, Y. Najam

{"title":"Inadvertent Intravenous Administration of an Oral Preparation of Ibuprofen","authors":"Muhammad Gulzaib, Salwa Ahsan, Y. Najam","doi":"10.9734/ijmpcr/2022/v15i130148","DOIUrl":"https://doi.org/10.9734/ijmpcr/2022/v15i130148","url":null,"abstract":"The inadvertent intravenous administration of oral suspension which is rarely reported has contributed to potential patient harm. We received an incident report in which a patient had received an oral liquid formulation intravenously. This has been happening when an oral liquid is prepared or dispensed in a parenteral syringe. Due to the break-in mental concentration, the medicine had been administered intravenously. Some health professionals did not accept the fact that the Luer connection on an intravenous syringe facilitates mis-administration. This is why we constantly repeat recommendations to dispense and administer unit doses of oral liquids in particular oral syringes. We strongly support that, the dispensing and administering of commercially available and compounded medicine in a particular cup and oral syringes or any other suitable containers. In order to avoid such medication administration error ensure the availability of oral syringes in the hospital and patient areas where liquid doses are administered orally. \u0000Oral syringes are not available in Pakistan and nurses routinely use injection syringes for oral liquid administration, as it helps in preventing spill of dose especially in young/non-cooperative children or patients. Availability of oral syringes in the hospital may reduce the inadvertent administration of medicine.","PeriodicalId":90548,"journal":{"name":"International journal of medical and pharmaceutical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48313391","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

Anti-Tuberculosis Treatment Induced DRESS Syndrome – A Case Report 抗结核治疗诱导DRESS综合征1例报告

International journal of medical and pharmaceutical case reports Pub Date : 2022-01-12 DOI: 10.9734/ijmpcr/2022/v15i130147

Y. Patil, I. Rao, K. Fatima, Mohammad Junaid Ahmed

{"title":"Anti-Tuberculosis Treatment Induced DRESS Syndrome – A Case Report","authors":"Y. Patil, I. Rao, K. Fatima, Mohammad Junaid Ahmed","doi":"10.9734/ijmpcr/2022/v15i130147","DOIUrl":"https://doi.org/10.9734/ijmpcr/2022/v15i130147","url":null,"abstract":"Introduction: Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) is a medical condition that is a severe adverse drug event. Anti-tuberculosis medications may precipitate this condition. \u0000Study Design: Case presentation. \u0000Place and Duration of Study: Sample: Department of internal Medicine, and Department of Pathology, Krishna Institute of Medical Sciences (KIMS) Hospital, HYDERABAD, \u0000Methodology: A 73-year-old gentleman had complaints suggestive of left ankle arthritis of 8 months duration and was diagnosed with tuberculous osteomyelitis 6 weeks ago based on positive Gene-Expert® MTB/RIF(mycobacterium tuberculosis resistant rifampicin) and necrotizing granulomatous inflammation on histopathology. He was started on anti-tuberculosis treatment and presented 6 weeks later with high-grade fever, generalized rashes, and itching. Eosinophilia was noted in the complete hemogram and liver enzymes were elevated. Skin biopsy showed SJS (Stevens-Johnson syndrome). He was diagnosed as drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome. It was most likely caused by Anti-Tuberculosis medications. His tuberculosis medications were modified and steroids were started after which his condition improved. \u0000Discussion: This case presentation depicts, most of the first-line anti-tuberculosis medications can cause DRESS Syndrome. Clinical suspicion and early diagnosis with appropriate tests help to treat this condition early without any significant morbidity and mortality. The causative drug should be withdrawn, Steroids, and Intravenous immunoglobulin-g can be used for the treatment depending on the severity.","PeriodicalId":90548,"journal":{"name":"International journal of medical and pharmaceutical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44391177","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