Clinical presentation of geriatric polytrauma patients with severe pelvic fractures: comparison with younger adult patients

2016 ◽  
Vol 26 (8) ◽  
pp. 885-890 ◽  
Author(s):  
Shozo Kanezaki ◽  
Masashi Miyazaki ◽  
Naoki Notani ◽  
Hiroshi Tsumura
Keyword(s):  
Clinical Presentation ◽  
Pelvic Fractures ◽  
Adult Patients ◽  
Polytrauma Patients

scholarly journals Clinical and laboratory profiles of visceral leishmaniasis among adult patients admitted to Felege Hiwot Hospital, Bahir Dar, Ethiopia

2021 ◽  
Vol 9 ◽  
pp. 205031212110367
Author(s):  
Berhanu Tarekegn ◽  
Ayanaw Tamene
Keyword(s):  
Visceral Leishmaniasis ◽  
Leishmania Donovani ◽  
Clinical Presentation ◽  
Winter Season ◽  
Adult Patients ◽  
Sand Fly ◽  
Timely Initiation ◽  
Vector Borne Disease ◽  
Vector Borne ◽  
Endemic Areas

Background: Visceral leishmaniasis is a vector-borne disease caused by Leishmania donovani transmitted by sand fly species. It is the third most common vector-borne disease globally. Visceral leishmaniasis is endemic in Ethiopia with an estimated annual incidence ranging from 3700 to 7400 cases. This research aimed to assess the clinical presentations and laboratory profiles of visceral leishmaniasis for early diagnosis and timely initiation of management. Objective: To describe the clinical and laboratory manifestation and diagnostic modalities of visceral leishmaniasis among adult patients admitted to Felege Hiwot Hospital, from 1 September 2016 to 30 August 2019. Method: Institution-based retrospective cross-sectional study was conducted among 141 patients admitted to Felege Hiwot Hospital from 1 September 2016 to 30 August 2019. Descriptive statistics were used to describe the clinical presentation and laboratory profiles of patients with visceral leishmaniasis. Results: Among a total of 141 enrolled patients in the study, males were affected 13-fold. Most of them were travelers to endemic areas during the winter season for labor work. The mean duration of illness was 48 days. Common symptoms were fever (96.5%), weightless (82.5%), jaundice (18.4%), vomiting/diarrhea (13.5%), and bleeding episodes (11.3%). Splenomegaly was seen in 98.6%, ascites in 35.5%, and lymphadenopathy in 9.9%. Lymphadenopathy was seen significantly in HIV patients (40%). Anemia was seen in 95%, thrombocytopenia in 90.2%, leukopenia in 86.4%, and pancytopenia in 79.4%. Half of the patients had coinfection. Neutropenic sepsis was seen in 21.3%. The diagnosis was made by tissue aspiration in 65% of patients. Conclusion: The majority of patients who were diagnosed to have visceral leishmaniasis were young male adults who traveled to the endemic areas seasonally. Fever and splenomegaly were seen as the commonest clinical presentation. Lymphadenopathy occurred in high frequency among HIV co-infected patients. Anemia was the commonest hematologic finding.

A case of subacute sclerosing panencephalitis presenting as depression

2006 ◽  
Vol 18 (1) ◽  
pp. 55-57 ◽  
Author(s):  
Soumitra Shankar Datta ◽  
Rajesh Jacob ◽  
Sudhir Kumar ◽  
Susan Jeyabalan
Keyword(s):  
Clinical Presentation ◽  
Subacute Sclerosing Panencephalitis ◽  
Diagnostic Delay ◽  
Depressive Syndrome ◽  
Adult Patients ◽  
Rare Presentation ◽  
Affective Symptoms

Summary:Subacute sclerosing panencephalitis (SSPE) is rare in adult patients. Clinical presentation in intial phases of SSPE may be non-specific leading to diagnostic delay. We present a 24-year-old patient with depressive syndrome of five months' duration prior to the onset of typical features of SSPE, which is a rare presentation. This patient had responded partially to Sertraline, for a brief period, before he was diagnosed to have SSPE. This case illustrates affective symptoms can be the presenting features of SSPE in adults.

A Prospective Evaluation of the Clinical Presentation of Pediatric Pelvic Fractures

2001 ◽  
Vol 51 (1) ◽  
pp. 64-68 ◽  
Author(s):  
Edward P. Junkins ◽  
Douglas S. Nelson ◽  
Kristen L. Carroll ◽  
Kristine Hansen ◽  
Ronald A. Furnival
Keyword(s):  
Clinical Presentation ◽  
Pelvic Fractures ◽  
Prospective Evaluation

Internal Fixation for Unstable Pelvic Ring Injuries in Polytrauma Patients

2009 ◽  
Vol 16 (3) ◽  
pp. 74-79
Author(s):  
V A Sokolov ◽  
E I Byalik ◽  
Aleksey Maksimovich Fayn ◽  
D V Evstigneev ◽  
V A Sokolov ◽  
...  
Keyword(s):  
Pelvic Ring ◽  
Functional Results ◽  
Symphysis Pubis ◽  
Multiple Injury ◽  
Scientific Research Institute ◽  
Pelvic Fractures ◽  
Basic Part ◽  
Pelvic Ring Injuries ◽  
Polytrauma Patients ◽  
Unstable Pelvic Ring Injuries

During the period from 1997 to 2008 three hundred twenty two polytrauma patients with unstable pelvic ring injuries were operated on at the department of concomitant and multiple injury of Sclifosovskiy Scientific-Research Institute for Emergency Care. External fixation of pelvic ring fragments was the basic part of antishock therapy. Avulsion of symphysis pubis was treated using original pelvic plate. In multiple pelvic fractures two specially designed reconstructive plates were applied via 2 endopelvic mini approaches. Elaborated treatment tactics enabled to achieve good anatomical and functional results in the majority of patients.

Clinical Presentation and Risk Factors for Poor Outcomes Among Adult Patients With Posterior Reversible Encephalopathy Syndrome

2020 ◽  
Vol 25 (6) ◽  
pp. 162-167
Author(s):  
Marcelo G. Vallone ◽  
Carolina Vázquez ◽  
Santiago Pigretti ◽  
Lucrecia L. Oses ◽  
Federico Angriman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Clinical Presentation ◽  
Adult Patients ◽  
Posterior Reversible Encephalopathy ◽  
Poor Outcomes ◽  
Reversible Encephalopathy

scholarly journals Madelung’s Disease – Case Series and Treatment by Tumescent Liposuction or Lipectomy

2017 ◽  
Vol 5 (4) ◽  
pp. 427-431 ◽  
Author(s):  
Uwe Wollina ◽  
Birgit Heinig
Keyword(s):  
Surgical Treatment ◽  
Alcohol Consumption ◽  
Clinical Presentation ◽  
Case Series ◽  
Heterogeneous Group ◽  
Adult Patients ◽  
Gender Distribution ◽  
Madelung Disease ◽  
Disease Case ◽  
Tumescent Liposuction

Madelung disease is a disfiguring disorder belonging to the heterogeneous group of lipomatosis. The aetiology is not well understood, but alcohol consumption has been regarded as of importance. The reported incidence is about 1 in 25,000 inhabitants. We reviewed our files of the last ten years and identified eight adult patients with an equal gender distribution. Their age was between 60 and 85 years of life. Comorbidities are frequent. Clinical presentation may vary. Surgical treatment is reported and discussed. Both cold steel surgery and tumescent liposuction have their place in treatment.

scholarly journals Clinical and epidemiological aspects of the incidence of nonpolio enteroviral infections in Primorsky Krai

2013 ◽  
Vol 18 (6) ◽  
pp. 16-21
Author(s):  
S. L. Kolpakov ◽  
A. F. Popov ◽  
N. V. Mirgorodskaya
Keyword(s):  
Clinical Presentation ◽  
Viral Meningitis ◽  
Adult Patients ◽  
Primorsky Krai ◽  
Seasonal Incidence ◽  
Enteroviral Infection ◽  
Modes Of Transmission ◽  
Minor Illness ◽  
Dramatic Shift ◽  
A Minor

There are considered problems of epidemiology and clinical presentation of enteroviral infections in the territory of Primorsky Krai. Among the hospitalized adult patients during the period from 2006 to 2012 persons aged from 18 to 39 years (49,3%) prevailed. The main clinicalforms of enteroviral infection (EVI) are a "minor" illness (55.6 %) and serous meningitis (21.7 %). In the study of a series of cytokines the differences in patients with the "minor" illness and serous viral meningitis have been identified. From 2009 to 2012 the incidence of EVI has a sporadic seasonal character (previously there was epidemic seasonal incidence). Adults are mainly affected. The epidemic process is formed owing to corporate and school-university types, with a dominated contact-community-acquired pathway of transmission. The dramatic shift in the nature of EVI rate in recent years, likely due to the exchange of the leading modes of transmission pathway, nutritional, which determined the carrying non-typical for the Primorsky Krai pathogen variants (ECHO - 30), by the contact-community-acquired pathway of transmission.

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