Case Reports in Emergency Medicine最新文献_第9页

Relapsing Kikuchi-Fujimoto Disease Requiring Prolonged Steroid Therapy. 复发的菊chi- fujimoto病需要长期类固醇治疗。

Case Reports in Emergency Medicine Pub Date : 2019-03-07 eCollection Date: 2019-01-01 DOI: 10.1155/2019/6405687

Ulrich Gerwig, Rolf Guenter Weidmann, Gregor Lindner

引用次数: 3

A Case Report of Massive Acetaminophen Poisoning Treated with a Novel "Triple Therapy": N-Acetylcysteine, 4-Methylpyrazole, and Hemodialysis. 采用新型 "三联疗法 "治疗对乙酰氨基酚大量中毒的病例报告：N-乙酰半胱氨酸、4-甲基吡唑和血液透析。

Case Reports in Emergency Medicine Pub Date : 2019-03-05 eCollection Date: 2019-01-01 DOI: 10.1155/2019/9301432

Emily A Kiernan, Julie A Fritzges, Kathryn A Henry, Kenneth D Katz

{"title":"A Case Report of Massive Acetaminophen Poisoning Treated with a Novel \"Triple Therapy\": N-Acetylcysteine, 4-Methylpyrazole, and Hemodialysis.","authors":"Emily A Kiernan, Julie A Fritzges, Kathryn A Henry, Kenneth D Katz","doi":"10.1155/2019/9301432","DOIUrl":"10.1155/2019/9301432","url":null,"abstract":"Massive acetaminophen (N-acetyl-p-aminophenol; APAP) ingestion is characterized by a rapid onset of mitochondrial dysfunction, including metabolic acidosis, lactemia, and altered mental status without hepatotoxicity which may not respond to the standard doses of N-acetylcysteine (NAC). A 64-year-old woman without medical history presented comatose after an ingestion of 208 tablets of Tylenol PM™ (APAP 500 mg and diphenhydramine 25 mg). The initial APAP concentration measured 1,017 µg/mL (therapeutic range 10-30 µg/mL), and elevated anion gap metabolic acidosis, lactemia, and 5-oxoprolinemia were detected. High-dose intravenous (IV) NAC, 4-methylpyrazole (4-MP), and hemodialysis (HD) were initiated. She was transferred to a liver transplant center and continued both NAC and HD therapies until complete resolution of metabolic acidosis and coma without developing hepatitis. She was discharged without sequelae. This is the fourth highest APAP concentration recorded in a surviving patient. Moreover, this is the first report of a novel \"triple therapy\" using NAC, 4-MP, and HD in the setting of massive APAP ingestion that presents with coma, elevated anion gap metabolic acidosis, and lactemia. Emergency physicians should recognize these critically ill patients and consider high-dose NAC, 4-MP, and HD to be initiated in the emergency department (ED).","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37127519","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

Tension Pneumocephalus Induced by Nasal Cannula. 鼻插管致张力性脑积水。

Case Reports in Emergency Medicine Pub Date : 2019-02-17 eCollection Date: 2019-01-01 DOI: 10.1155/2019/2757561

Hao Xiao, Tony Chen, Andrew Tagg

引用次数: 1

Accidental Strangulation with Cervical Nerve Root Injury Caused by the Entrapment of Clothing in a Soybean Milling Machine. 因衣物被套入大豆碾磨机致颈神经根损伤的意外勒死。

Case Reports in Emergency Medicine Pub Date : 2019-02-05 eCollection Date: 2019-01-01 DOI: 10.1155/2019/4706278

Kazuhiko Omori, Ikuto Takeuchi, Youichi Yanagawa

{"title":"Accidental Strangulation with Cervical Nerve Root Injury Caused by the Entrapment of Clothing in a Soybean Milling Machine.","authors":"Kazuhiko Omori, Ikuto Takeuchi, Youichi Yanagawa","doi":"10.1155/2019/4706278","DOIUrl":"https://doi.org/10.1155/2019/4706278","url":null,"abstract":"The clothing of a forty-five-year-old man became entrapped by the mixing rotator while he was operating a soybean milling machine. His clothing was wound around the rotator, and tightened around his neck and chest, causing strangulation and a loss of consciousness. He was rescued by his coworkers and transported to our hospital by helicopter. Upon arrival, he regained consciousness. A physiological examination revealed multiple petechiae on his face and strangulation marks with subcutaneous hemorrhage on his neck and upper trunk. In addition, he had motor weakness of the right upper extremity and bilateral paresthesia from C5 to Th1. All radiological studies were negative. He was admitted for observation. After the patient's creatine phosphokinase level peaked and his focal neurological signs improved, he was discharged on foot on the 6th hospital day. Accidental ligature strangulation with cervical nerve root injury, in which an article of clothing is caught in an electrical machine and strangles the wearer, is very rare. This case is presented for its rarity and the unique pattern of injury.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/4706278","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37053113","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

Atraumatic Gluteal Compartment Syndrome Presenting in a Young Female with Unilateral Lower Extremity Symptoms. 一名年轻女性出现单侧下肢症状时出现的创伤后臀肌筋膜室综合征。

Case Reports in Emergency Medicine Pub Date : 2019-01-29 DOI: 10.1155/2019/7891275

Morgan Maxon, Curt Cackovic

{"title":"Atraumatic Gluteal Compartment Syndrome Presenting in a Young Female with Unilateral Lower Extremity Symptoms.","authors":"Morgan Maxon, Curt Cackovic","doi":"10.1155/2019/7891275","DOIUrl":"10.1155/2019/7891275","url":null,"abstract":"Gluteal compartment syndrome is a rare condition that often develops following immobilization either secondary to illicit drug and alcohol abuse or improper surgical positioning. A case of a 22-year-old female with left lower extremity pain, weakness, and numbness after prolonged stasis from a night of drug and alcohol use is presented. She also complained of left low back pain. Her initial neurologic examination was significant for decreased deep tendon reflexes, decreased motor strength, and decreased sensation in the left lower extremity. Severe pain in the affected region persisted despite several attempts at pain control utilizing multiple modalities. An emergent MRI of the lumbar spine revealed gluteal compartment syndrome. The patient ultimately underwent emergent fasciotomy with resultant improvement in neurologic symptoms. Because presenting symptoms are frequently nonspecific in initial stages, gluteal compartment syndrome is often misdiagnosed. This can lead to unnecessary morbidity and mortality. It is important to maintain a high index of suspicion for gluteal compartment syndrome because delay in diagnosis can lead to nerve palsy, acute kidney injury, sepsis, and/or death.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/7891275","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37027820","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

Pulmonary Edema Occurring after Nitric Acid Exposure. 硝酸暴露后发生的肺水肿。

Case Reports in Emergency Medicine Pub Date : 2019-01-15 eCollection Date: 2019-01-01 DOI: 10.1155/2019/9303170

Christopher W Meaden, John S Kashani, Stephen Vetrano

{"title":"Pulmonary Edema Occurring after Nitric Acid Exposure.","authors":"Christopher W Meaden, John S Kashani, Stephen Vetrano","doi":"10.1155/2019/9303170","DOIUrl":"https://doi.org/10.1155/2019/9303170","url":null,"abstract":"Nitric acid (HNO3) is a strong acid and oxidizing agent used for various applications including production of ammonium nitrate in the fertilizer industry. Nitrogen oxides formed when nitric acid interacts with the environment have been implicated in inhalation injuries. This describes a case of a 49-year-old male who presented to the emergency department complaining of an acute onset of shortness of breath approximately 12 hours after being exposed to nitric acid fumes. He presented with a room air oxygen saturation of 80 percent with moderate to severe respiratory distress. His plain film chest radiograph showed bilateral pulmonary infiltrates and pulmonary edema. Over a seven-day hospital course, he had an improvement in his clinical status and chest X-ray with normal pulmonary function tests one month after discharge. Although exposure to the fumes of nitric acid is known to cause delayed pulmonary edema, it is rarely reported in the medical literature. This case serves as a reminder to consider exposure to fumes of nitric acid in a patient presenting with pulmonary edema and highlights the importance of obtaining a work history.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/9303170","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36568379","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: 2

Lamotrigine ODT-Induced Seizure in a 3-Year-Old Child after Accidental Ingestion. 3岁儿童误服拉莫三嗪致癫痫。

Case Reports in Emergency Medicine Pub Date : 2019-01-13 eCollection Date: 2019-01-01 DOI: 10.1155/2019/2675931

Ashley Griswold, Briana Tully, Kenneth Katz, Gillian Beauchamp, Matthew Cook, Robert Cannon

引用次数: 4

Drug-Drug Interaction of Ergotamine with a Combination of Darunavir, Abacavir, and Lamivudine Causing a Fatal Vasospastic Ischemia. 麦角胺与达若那韦、阿巴卡韦和拉米夫定联合用药引起致死性血管痉挛缺血的相互作用。

Case Reports in Emergency Medicine Pub Date : 2018-12-19 eCollection Date: 2018-01-01 DOI: 10.1155/2018/4107450

Elisabeth Petit, Karen Schoonheydt, Philippe Meert, Marie Van Laer

引用次数: 2

Contralateral Traumatic Hemopneumothorax. 对侧创伤性血气胸。

Case Reports in Emergency Medicine Pub Date : 2018-12-19 eCollection Date: 2018-01-01 DOI: 10.1155/2018/4328704

Quevedo-Florez Leonardo Alexander, Montenegro-Apraez Alvaro Andrés, Aguiar-Martinez Leonar Giovanni, Hernández Juan Carlos, Cortés-Tascón Juan David

引用次数: 1

Renal Colic: A Red Herring for Mucocele of the Appendiceal Stump. 肾绞痛:阑尾残端粘液囊肿的红鲱鱼。

Case Reports in Emergency Medicine Pub Date : 2018-12-06 eCollection Date: 2018-01-01 DOI: 10.1155/2018/2502183

Sameera Ganti, Pothiawala Sohil

引用次数: 4