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Two Cardiac Arrests that Occurred after the Administration of Sugammadex: A Case of Kounis Syndrome. 两例心脏骤停发生在服用Sugammadex后:一例Kounis综合征。
Case Reports in Emergency Medicine Pub Date : 2020-02-17 eCollection Date: 2020-01-01 DOI: 10.1155/2020/6590101
Machi Yanai, Koichi Ariyoshi
{"title":"Two Cardiac Arrests that Occurred after the Administration of Sugammadex: A Case of Kounis Syndrome.","authors":"Machi Yanai,&nbsp;Koichi Ariyoshi","doi":"10.1155/2020/6590101","DOIUrl":"https://doi.org/10.1155/2020/6590101","url":null,"abstract":"<p><p>Kounis syndrome is a form of acute coronary syndrome caused by allergic reactions. No cases of cardiac arrest caused by Kounis syndrome that arose after the administration of sugammadex have been reported. A 71-year-old female suffered two cardiac arrests. The first occurred after sugammadex was administered at the end of an operation for a right radial distal fracture. The patient was resuscitated and transferred to our intensive care unit. She was subsequently discharged home. Five months later, she suffered a second cardiac arrest after sugammadex was administered at the end of an operation for a right femoral neck fracture at our hospital. Urgent coronary angiography revealed multiple coronary spasms. Kounis syndrome was diagnosed based on the patient's elevated serum trypsin levels and a positive result in a skin allergy test of sugammadex. In cases of cardiac arrest with unclear etiologies, Kounis syndrome should be considered.</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2020 ","pages":"6590101"},"PeriodicalIF":0.0,"publicationDate":"2020-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/6590101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37702863","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: 9
Descending Necrotizing Mediastinitis Resulting from Pharyngitis with Perforation of the Aryepiglottic Fold. 下行坏死性纵隔炎，由咽炎伴动脉瓣襞穿孔引起。
Case Reports in Emergency Medicine Pub Date : 2020-02-13 eCollection Date: 2020-01-01 DOI: 10.1155/2020/4963493
Alexandra Pulst-Korenberg, Stephen C Morris
{"title":"Descending Necrotizing Mediastinitis Resulting from Pharyngitis with Perforation of the Aryepiglottic Fold.","authors":"Alexandra Pulst-Korenberg,&nbsp;Stephen C Morris","doi":"10.1155/2020/4963493","DOIUrl":"https://doi.org/10.1155/2020/4963493","url":null,"abstract":"<p><p>Descending necrotizing mediastinitis and pharyngeal perforation are uncommon complications of pharyngitis that are associated with high morbidity and mortality. This case report describes a previously healthy 18-year-old male who presented to the emergency room with 5 days of severe sore throat, intermittent fevers, and vomiting and was found to have extensive posterior pharyngeal and mediastinal air along with extravasation of contrast on computed tomography, consistent with perforation of the left aryepiglottic fold as well as descending necrotizing mediastinitis. The patient had a complicated hospital course including multiple operative interventions, abscess formation, and development of pericardial and pleural effusions. Successful treatment required swift resuscitation including broad-spectrum antibiotics and significant coordination of emergent operative intervention between otolaryngology and cardiothoracic surgery. It is important to recognize descending necrotizing mediastinitis as a clinical entity that may result from oropharyngeal infections as early intervention significantly decreases subsequent complications and mortality. Furthermore, pharyngeal perforation is an extremely rare complication which requires either CT with oral contrast or esophagram for diagnosis.</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2020 ","pages":"4963493"},"PeriodicalIF":0.0,"publicationDate":"2020-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/4963493","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37677681","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: 3
Lateral Malleolar Fracture with Concurrent Achilles Tendon Rupture: A Case Report and Literature Review. 外踝骨折并发跟腱断裂1例报告及文献复习。
Case Reports in Emergency Medicine Pub Date : 2020-02-11 eCollection Date: 2020-01-01 DOI: 10.1155/2020/6479140
Leslie H Pyle, Raed W Al-Gharib, Erik C Kissel
{"title":"Lateral Malleolar Fracture with Concurrent Achilles Tendon Rupture: A Case Report and Literature Review.","authors":"Leslie H Pyle,&nbsp;Raed W Al-Gharib,&nbsp;Erik C Kissel","doi":"10.1155/2020/6479140","DOIUrl":"https://doi.org/10.1155/2020/6479140","url":null,"abstract":"<p><p>Achilles tendon and malleolar fractures are commonly seen in isolation, but only a few cases of combined injuries have been reported. In this case, we present a 53-year-old male who sustained an isolated lateral malleolus fracture with an Achilles tendon rupture. Emergency Medicine physicians should consider the possibility of these injuries in combination.</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2020 ","pages":"6479140"},"PeriodicalIF":0.0,"publicationDate":"2020-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/6479140","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37674386","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: 1
Hypercalcemic Encephalopathy as an Initial Presentation of Multiple Myeloma. 高钙血症性脑病是多发性骨髓瘤的初始表现。
Case Reports in Emergency Medicine Pub Date : 2020-02-08 eCollection Date: 2020-01-01 DOI: 10.1155/2020/4746865
Durga Shankar Meena, Gopal Krishana Bohra, Mahendra Kumar Garg, Abhishek Purohit, Deepak Kumar, Swapnil Tripathi
{"title":"Hypercalcemic Encephalopathy as an Initial Presentation of Multiple Myeloma.","authors":"Durga Shankar Meena,&nbsp;Gopal Krishana Bohra,&nbsp;Mahendra Kumar Garg,&nbsp;Abhishek Purohit,&nbsp;Deepak Kumar,&nbsp;Swapnil Tripathi","doi":"10.1155/2020/4746865","DOIUrl":"https://doi.org/10.1155/2020/4746865","url":null,"abstract":"<p><p>We report the case of an 84-year-old female presented to us with acute onset altered sensorium. On investigation, neurological and infectious causes were ruled out. On further evaluation, her serum calcium was found elevated (15.07 gm/dl). The diagnosis of hypercalcemic encephalopathy was made with the possibility of multiple myeloma due to raised total protein and globulin levels. Serum electrophoresis, immunofixation, and bone marrow examination confirmed the diagnosis of multiple myeloma. The patient was treated with bortezomib, dexamethasone, and lenalidomide. After 1 week, she improved with normalization of serum calcium. Herein, we highlight hypercalcemia as an important cause of encephalopathy. As our report suggests, metabolic encephalopathy can be the first presentation in multiple myeloma.</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2020 ","pages":"4746865"},"PeriodicalIF":0.0,"publicationDate":"2020-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/4746865","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37670690","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: 1
Brain Abscess Secondary to a Dental Infection. 继发于牙齿感染的脑脓肿。
Case Reports in Emergency Medicine Pub Date : 2020-02-06 eCollection Date: 2020-01-01 DOI: 10.1155/2020/3248174
Léonor Costa Mendes, Frédéric Vaysse, Delphine Maret
{"title":"Brain Abscess Secondary to a Dental Infection.","authors":"Léonor Costa Mendes,&nbsp;Frédéric Vaysse,&nbsp;Delphine Maret","doi":"10.1155/2020/3248174","DOIUrl":"https://doi.org/10.1155/2020/3248174","url":null,"abstract":"<p><p>The risk of a brain abscess is a complication of odontogenic infection that is rarely considered by physicians and little spoken of, yet treating dental infections may avoid a potentially life-threatening condition. We report a case of 7-year-old boy with a brain abscess secondary to a dental infection. He was immediately taken to the operating theatre for drainage and cleaning of the abscess. A dental examination revealed root abscesses on temporary molars, which were extracted under general anaesthetic. Two months after his admission, the child was switched to oral antibiotherapy and could return home. A brain abscess represents a life-threatening disease. Childhood brain abscess is uncommon but may be encountered by all physicians and students as a clinical emergency. It is indispensable that physicians finding symptoms similar to those in this case study refer the patient for emergency care and that possible dental foci of infection be assessed, whether or not the patient is being followed for dental care.</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2020 ","pages":"3248174"},"PeriodicalIF":0.0,"publicationDate":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/3248174","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37670689","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: 4
The Untimely Popping Phial: Poppers as an Unusual Cause of Skin Corrosion of the Thigh. 不合时宜的破瓶:破瓶器是大腿皮肤腐蚀的不寻常原因。
Case Reports in Emergency Medicine Pub Date : 2020-01-30 eCollection Date: 2020-01-01 DOI: 10.1155/2020/2058624
Fabienne Moret, Gregor Lindner, Bertram K Woitok
{"title":"The Untimely Popping Phial: Poppers as an Unusual Cause of Skin Corrosion of the Thigh.","authors":"Fabienne Moret,&nbsp;Gregor Lindner,&nbsp;Bertram K Woitok","doi":"10.1155/2020/2058624","DOIUrl":"https://doi.org/10.1155/2020/2058624","url":null,"abstract":"<p><strong>Background: </strong>Alkyl nitrites or \"poppers\" are widely used as sex-drugs due to their aphrodisiac and muscle relaxant effects. We describe the rare case of a large-sized dermatitis after direct skin contact with the poppers-fluid in a poppers user. <i>Case Presentation</i>. A 52-year-old patient presented to the emergency department due to burning pain on his proximal right thigh and scrotum. Clinical examination showed an 8 × 5 cm measuring burning wound resembling lesion. During further history the patient mentioned that the day before presentation a \"poppers\" phial unintentionally opened in his pocket and the fluid leaked.</p><p><strong>Conclusions: </strong>The present case shows severe skin defects after skin-contact with alkyl nitrates in a \"poppers\" user. Maculopathy and methemoglobinemia are prominent unwanted side effects of \"poppers\" use. However, our report demonstrates that attention should also be paid to potential harm for the skin.</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2020 ","pages":"2058624"},"PeriodicalIF":0.0,"publicationDate":"2020-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/2058624","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37664916","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: 3
Epileptic Seizure from Ginkgo Nut Intoxication in an Adult. 成人因银杏中毒致癫痫发作。
Case Reports in Emergency Medicine Pub Date : 2020-01-28 eCollection Date: 2020-01-01 DOI: 10.1155/2020/5072954
Yoshinori Kosaki, Hiromichi Naito, Tsuyoshi Nojima, Atsunori Nakao
{"title":"Epileptic Seizure from Ginkgo Nut Intoxication in an Adult.","authors":"Yoshinori Kosaki,&nbsp;Hiromichi Naito,&nbsp;Tsuyoshi Nojima,&nbsp;Atsunori Nakao","doi":"10.1155/2020/5072954","DOIUrl":"https://doi.org/10.1155/2020/5072954","url":null,"abstract":"<p><p>The ginkgo tree is a well-known, highly adaptable urban plant. Ginkgo nuts are the product of the ginkgo tree. Interior ginkgo nuts are cooked and served in Asian countries; however, the potential toxicity of the gingko nuts is not commonly known. Herein, we report a 48-year-old male patient experiencing acute convulsions presumably due to overconsumption of gingko nuts. The patient was transferred to our department after several episodes of acute generalized tonicclonic seizures lasting approximately 30 seconds each and starting one hour before the visit. The patient also complained of vomiting, vertigo, diarrhea, and tremors in both upper limbs following the seizures. Elevated 4-O-methylpyridoxine (312 ng/mL), low blood pyridoxal phosphate (2.4 <i>μ</i>g/L), and low vitamin B1 (20 ng/mL) levels were found in the blood analysis. No other remarkable abnormalities were detected. We diagnosed the patient with ginkgo nut intoxication, and he was orally administered 400 mg of pyridoxal phosphate. His symptoms resolved after treatment, and no seizures recurred thereafter. Our report may help raise awareness of the clinical presentation and management of this intoxication among emergency physicians.</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2020 ","pages":"5072954"},"PeriodicalIF":0.0,"publicationDate":"2020-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/5072954","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37634077","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: 9
Aspergilloma Superimposed Infection on Lymphoid Interstitial Pneumonia. 淋巴间质性肺炎曲菌肿叠加感染。
Case Reports in Emergency Medicine Pub Date : 2020-01-18 eCollection Date: 2020-01-01 DOI: 10.1155/2020/3151036
Daniel Tran, Rajagopalan Rengan, James Lee, Alan Lucerna, James Espinosa
{"title":"Aspergilloma Superimposed Infection on Lymphoid Interstitial Pneumonia.","authors":"Daniel Tran,&nbsp;Rajagopalan Rengan,&nbsp;James Lee,&nbsp;Alan Lucerna,&nbsp;James Espinosa","doi":"10.1155/2020/3151036","DOIUrl":"https://doi.org/10.1155/2020/3151036","url":null,"abstract":"<p><p>We describe a case of a 27-year-old female without any prior underlying immunodeficiency syndromes who presented with hemoptysis secondary to subacute invasive pulmonary aspergillosis and subsequently diagnosed with lymphoid interstitial pneumonia (LIP). CT chest demonstrated bilateral interstitial disease with patchy opacities and multiple large cysts and bullae. Diagnosis was confirmed histologically after surgical lung resection of the mycetoma containing cavitation. Therefore, LIP should be suspected in patients presenting with opportunistic infections in the setting of cystic lung disease.</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2020 ","pages":"3151036"},"PeriodicalIF":0.0,"publicationDate":"2020-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/3151036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37664917","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
Cardiac Syncope with Anoxic Seizure Activity. 心脏性晕厥伴缺氧发作活动。
Case Reports in Emergency Medicine Pub Date : 2020-01-08 eCollection Date: 2020-01-01 DOI: 10.1155/2020/6749382
Samed Talibi, Craig Douglas, Benjamin Pope
{"title":"Cardiac Syncope with Anoxic Seizure Activity.","authors":"Samed Talibi,&nbsp;Craig Douglas,&nbsp;Benjamin Pope","doi":"10.1155/2020/6749382","DOIUrl":"https://doi.org/10.1155/2020/6749382","url":null,"abstract":"<p><p>This is a case report, which explores the presentation to the emergency department of a fit and well female with a known ventricular bigeminy. She presented with convulsive episodes. The working differential diagnosis was of possible cardiac syncope with anoxic seizure activity or neurogenically mediated arrhythmia secondary to subarachnoid haemorrhage. On further collateral history, the patient was on citalopram. The ECGs demonstrated PVCs of multiple morphologies that were transiently bidirectional, raising the possibility of catecholaminergic polymorphic ventricular tachycardia. The presentation of a young fit patient with syncope and seizure-like episodes should always raise concern for the admitting emergency medicine clinician of an underlying cardiac pathology.</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2020 ","pages":"6749382"},"PeriodicalIF":0.0,"publicationDate":"2020-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/6749382","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37574579","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
Immune Associated Myocarditis: A Report of 2 Cases and Literature Review 免疫性心肌炎2例报告并文献复习
Case Reports in Emergency Medicine Pub Date : 2020-01-01 DOI: 10.12677/ACREM.2020.83005
志峰 冯
{"title":"Immune Associated Myocarditis: A Report of 2 Cases and Literature Review","authors":"志峰 冯","doi":"10.12677/ACREM.2020.83005","DOIUrl":"https://doi.org/10.12677/ACREM.2020.83005","url":null,"abstract":"","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"58 1","pages":"25-29"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84845877","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
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