scholarly journals Pheochromocytoma/paraganglioma crisis: case series from a tertiary referral center for pheochromocytomas and paragangliomas

HORMONES ◽  
2021 ◽  
Author(s):  
Anouk C Meijs ◽  
Marieke Snel ◽  
Eleonora P M Corssmit
Keyword(s):  
Case Series ◽  
Signs And Symptoms ◽  
Hemodynamic Instability ◽  
Organ Damage ◽  
Pharmacological Therapy ◽  
Tertiary Referral ◽  
Tertiary Referral Center ◽  
Referral Center ◽  
Life Threatening ◽  
Prompt Diagnosis

AbstractPheochromocytoma/paraganglioma (PPGL)-induced catecholamine crisis is a rare endocrine emergency leading to life-threatening hemodynamic instability causing end-organ damage or dysfunction. As it is associated with a significant mortality rate of approximately 15%, recognizing the signs and symptoms and making the appropriate diagnosis are critical. For this purpose, we report the clinical course of the crisis in four out of a total of six patients with a PPGL crisis from a cohort of 199 PPGL patients of a single tertiary referral center for PPGL patients in the Netherlands diagnosed between 2002 and 2020. Successful treatment of a PPGL crisis demands prompt diagnosis, vigorous pharmacological therapy, and emergency tumor removal if the patient continues to deteriorate.

scholarly journals Incidence and surgical care of retinal detachment during the first SARS-CoV-2 lockdown period at a tertiary referral center in Austria

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248010
Author(s):  
Markus Schranz ◽  
Michael Georgopoulos ◽  
Stefan Sacu ◽  
Adrian Reumueller ◽  
Gregor S. Reiter ◽  
...  
Keyword(s):  
Reference Group ◽  
Case Series ◽  
Surgical Care ◽  
Control Group ◽  
Tertiary Referral ◽  
Total Delay ◽  
Tertiary Referral Center ◽  
Referral Center ◽  
Time Period ◽  
Number Of Patients

Purpose To assess the influence of the SARS-CoV-2 lockdown in spring on frequency, severity and quality of care of rhegmatogeneous retinal detachments (RRD) in a tertiary referral center in Vienna, Austria. Methods Single center, consecutive case series with historical controls. Patients presenting with primary RRD during the first Austrian SARS-CoV-2 lockdown (March 16th–May 3rd 2020) and a corresponding control group consisting of the same time period of the preceding 3 years. Results The mean number of patients with RD in the reference group (RG) was 22 (± 1) and in the lockdown group (LG) 15. Median total delay, defined as onset of symptoms until surgery, in the RG was 5 (lower quartile: 3.0; upper quartile: 8.0) compared to 7 (3.0; 12.0) days in the LG, (p = 0.740). During the lockdown 67% of patients were referred from an external ophthalmologist compared to 52% in the RG, (p = 0.395). 34% of patients in the RG presented with an attached macula compared to 33% in the LG (p = 0.597). PVR was present in 49% of cases in the RG compared to 73% in the LG. Single surgery success (SSS) rates were lower in the LG (73.3%) compared to the RG (85.3%), (p = 0.275). Conclusion Patients with RRD during the SARS-CoV-2 lockdown presented and were treated within acceptable time limits, showed the same macula-on ratios but a higher PVR rate and a tendency towards worse SSS rates compared to the time period of the preceding 3 years.

AB0595 Favourable Renal Outcome in AAV Nephritis: A CASE Series Reported from A Tertiary Referral Center

2014 ◽  
Vol 73 (Suppl 2) ◽  
pp. 1002.1-1002
Author(s):  
M. Sarı ◽  
B. Ince ◽  
Y. Ozluk ◽  
B. Erer ◽  
A. Gul ◽  
...  
Keyword(s):  
Case Series ◽  
Renal Outcome ◽  
Tertiary Referral ◽  
Tertiary Referral Center ◽  
Referral Center

scholarly journals Pancreatic Neuroendocrine Tumors – Update on a Case Series from a Tertiary Referral Center

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S900-S901
Author(s):  
J.O. Silva ◽  
C. Robalo ◽  
J. Teixeira Oliveira ◽  
C. Silva ◽  
C. Branco ◽  
...  
Keyword(s):  
Neuroendocrine Tumors ◽  
Case Series ◽  
Pancreatic Neuroendocrine Tumors ◽  
Tertiary Referral ◽  
Tertiary Referral Center ◽  
Referral Center

How safe is pregnancy after liver transplantation? A large case series study at tertiary referral center in Turkey

2018 ◽  
Vol 33 (7) ◽  
pp. 1218-1224 ◽  
Author(s):  
Çağrι Gülümser ◽  
Mahir Kinap ◽  
Filiz Bilgin Yanik ◽  
Nihal Sahin Uysal ◽  
Gokhan Moray ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Case Series ◽  
Tertiary Referral ◽  
Tertiary Referral Center ◽  
Referral Center ◽  
Case Series Study ◽  
Large Case Series ◽  
Series Study ◽  
Large Case

The Influence of Surgical Timing on Clinical Outcomes in Primary Extramacular Retinal Detachment in a Tertiary Referral Center

2019 ◽  
Vol 4 (2) ◽  
pp. 91-95
Author(s):  
Nicolas A. Yannuzzi ◽  
Karen Brown ◽  
Natalia F. Callaway ◽  
Nimesh A. Patel ◽  
Thomas A. Albini ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Clinical Outcomes ◽  
Case Series ◽  
Tertiary Referral ◽  
Retrospective Case ◽  
Tertiary Referral Center ◽  
Referral Center ◽  
Short Time ◽  
Anatomic Success

Purpose: This article reports the influence of timing on the clinical outcomes in primary extramacular rhegmatogenous retinal detachment (RRD) at a tertiary referral center. Methods: A retrospective case series was conducted of all patients presenting between January 1, 2014 and December 31, 2016, with primary extramacular RRD. Retinal detachments with grade C proliferative vitreoretinopathy, combined tractional and RRD, eyes with inflammatory disease, and prior retinal surgery were excluded. The main outcome measures were single-operation anatomic success (SOAS), final anatomic success, and best-corrected visual acuity (BCVA). Results: There were 202 eyes of 198 patients with an average of 22 months’ follow-up (range, 6-47 months). Eyes were operated on an average of 1.1 days after initial presentation. At last clinical examination, SOAS had been achieved in 174 (86%) eyes, final anatomic success in 200 (99%) eyes, and average postoperative logarithm of the minimum angle of resolution (logMAR) BCVA was 0.18 (Snellen equivalent, 20/30; SD, 0.36). In those treated the day of presentation, average postoperative logMAR BCVA was 0.18 (Snellen, 20/31) in comparison to 0.18 (Snellen, 20/30) in those treated the day after presentation and 0.14 (Snellen, 20/28) in those treated after 2 days or more ( P = .92). Conclusions: Regarding timing of surgery, SOAS and BCVA outcomes in primary extramacular RRDs were favorable with an urgent and semiurgent approach to repair. There was no difference in visual and anatomic outcomes between patients who were operated on the day of presentation and those treated a short time later when clinical decisions were made by the treating surgeon on a case-by-case basis.

Spectrum of Brevundimonas vesicularis infections in neonatal period: a case series at a tertiary referral center

Infection ◽  
2012 ◽  
Vol 40 (5) ◽  
pp. 509-515 ◽  
Author(s):  
N. Karadag ◽  
B. S. Karagol ◽  
A. A. Kundak ◽  
A. Dursun ◽  
N. Okumus ◽  
...  
Keyword(s):  
Neonatal Period ◽  
Case Series ◽  
Tertiary Referral ◽  
Tertiary Referral Center ◽  
Referral Center ◽  
Brevundimonas Vesicularis
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