scholarly journals FUSOBACTERIUM: AN UNCOMMON CAUSE OF POST-PARTUM SEPTIC SHOCK AND SEPTIC EMBOLI IN A YOUNG FEMALE

CHEST Journal ◽  
2021 ◽  
Vol 160 (4) ◽  
pp. A732
Author(s):  
Dillon Noland ◽  
Rafael Arciniegas Flores
1995 ◽  
Vol 18 (1) ◽  
pp. 1
Author(s):  
R.T. Gemmell

The brushtail possum is a common arboreal marsupial that is well adapted to the Australian urban environment and to rearing in captivity. Data obtained from 100 female possums housed in a semi-captive colony over a 7 year period demonstrate the reproductive capability of this marsupial. The main breeding season is from March to June with a declining number of births occurring from July to October. The possums gave birth to 259 single young and one set of twins. The range of the lactation period was from 177 to 200 days with the birth of the subsequent young occurring at 188.4 ± 4.1 days post partum (SD, n = 5). The growth rate of the young female possum varied greatly after day 100 post partum, the mean body weight of possums at day 172, being 753.0 ± 76.2g (SD, n = 5) with a range of 685 to 851 g. Female possums, with a mean body weight of 2171 ± 388g, gave birth to their first litter on day 345.9 ± 69.3 days postpartum (mean, SD, n = 7). Although two female possums trapped in the wild were held in captivity for 64 and 63.4 months and one possum bred in captivity had a life span of 51.5 months, the mean life span was 21.0 ± 12.5 months (SD, n =3D 8), with a range of 14.3 to 51.5 months. This life span is very variable and it is of interest to determine if this is an artefact of captivity or is also observed in the wild.


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 364
Author(s):  
Dhekra Toumi ◽  
Korbi Asma ◽  
Marwa Badr ◽  
Farouk Ennaceur ◽  
Boujemaa Touati ◽  
...  

Post-partum pubic symphysitis is an exceptional pathology. Its diagnosis is difficult, based on a high clinical semiological finesse complemented by imaging examinations, the most specific of which are CT and pelvic MRI. The earlier the diagnosis, the better the evolution. We report a case of pubic symphysitis occurring in the aftermath of a low-pathway delivery discovered in a septic shock table. Evolution was good under antibiotic and heparin therapy.


2021 ◽  
Vol 10 (35) ◽  
pp. 3074-3076
Author(s):  
Sameera Dronamraju ◽  
Yash Gupte ◽  
Twinkle Pawar ◽  
Sourya Acharya ◽  
Sunil Kumar

A frequent cause for patient presentation to the emergency department and the most serious gastrointestinal condition resulting in admission is acute pancreatitis. Pancreatitis is an inflammatory process within the pancreas. Although the disease is mostly mild, the mortality rate of severe forms may be up to 30 percent. Two of the following three criteria are required for diagnosis: epigastric abdominal pain, elevated lipase, and pancreatic inflammation on imaging.1 The occurrence of acute pancreatitis is approximately 1 in 1000 to 5000 births and is commonly seen in the last weeks of gestation or in post-partum period. Cholelithiasis, which accounts for more than 65 percent of cases, is the most common cause of acute pancreatitis in pregnancy.2 Pancreatic ascites results from persistent leakage of pancreatic secretions in the peritoneum from pancreatic duct injury. The extent of pancreatic ascites varies, depending on the site and degree of ductal damage and infection.3 The complications of acute or chronic pancreatitis are pancreatic pseudocysts. Initial diagnosis is mostly done by imaging. Endoscopic ultrasound with fine needle aspiration cytology (FNAC) has become the standard test to help differentiate pseudocyst from other cystic lesions of the pancreas. With supportive treatment, most pseudocysts resolve spontaneously. Poor predictors for the potential of pseudocyst resolution or complications are the size of the pseudocyst and the length of time the cyst has been present, but larger cysts in general are more likely to be symptomatic or cause complications.4 We report a case of young female presenting with jaundice and ascites two days post-partum, who was eventually diagnosed as a case of pancreatic ascites with large pancreatic pseudocyst.


2019 ◽  
Vol 1 (2) ◽  
pp. 201-210
Author(s):  
M. I. Z. Moni ◽  
M. A. Samad

Background: The Black Bengal goat (BBG) is well adapted food animals with profitable productive and reproductive traits being naturally reared to enhance economic status and food security in rural people. Bangladesh government has taken program through establishment of ‘Government Goat Development Farms’ (GGDF) to enhance the goat rearing activities of the smallholders at rural level but the research reports on the productive and reproductive performances of goats in these GGDF are very limited. Objective: The main objective of this study was to evaluate the productive and reproductive performances of the BBG reared in semi-intensive system at the Rajshahi GGDF Materials and Methods: The Rajshahi GGDF had 398 goat populations of which 121 does were selected to study the productive and reproductive performances during the period from July 2010 to June 2011. The age of first estrus, conception rate by natural service, gestation length, post-partum heat, kidding interval, litter size, survivability of kids, morbidity and mortality of kids and their seasonal influence were studied. Results: The age of young female BBG showed 1st estrus varied from 180 to 270 with an average of 204  27 days. The conception rate varied from 88 to 100 with an average of 97% with natural services. The gestation length varied from 145 to 182 with an average of 150  5 days. The post-partum heat period varied from 60 to 90 days with an average of 69  7 days. The kidding interval varied from 199 to 268 with an average of 219  13 days. The litter size varied from 1 to 3 with an average of 2. Out of 234 kids borne, 47.44% were male and 52.56% female with higher mortality in male (10.81%) than female (5.69%) with an overall average mortality of 8.12%. There was no significant influence of season and parity on the birth weight of kids. However, the heavier birth weight of kids was recorded in male (1.38 kg) than female (1.17kg) kids. The birth of twin kids (56.41%) was found significantly (p < 0.0001) highest in comparison to triplets (26.92%), single (11.54%) and quadruplet (5.13%). Conclusions: The results support promising breeding and reproductive efficiency of BBG under local environmental conditions and therefore, there is a need to be improved milk yield of dam and control of morbidity and mortality in BBG kids. It may be concluded that the productive and reproductive performances of the BBG reared by using semi-intensive system of management appears to be encouraging at the Rajshahi GGDF which could be extended and compared to research findings with other four GGDF in Bangladesh.


2016 ◽  
Vol 03 (01) ◽  
Author(s):  
O'Brien C ◽  
Asadi H ◽  
Kok HK ◽  
Looby S ◽  
O’Hare A ◽  
...  

1985 ◽  
Vol 53 (1) ◽  
pp. 97-105 ◽  
Author(s):  
Julia M. Duerden ◽  
C. J. Bates

1. Young female rats were made riboflavin-deficient by feeding a purified diet containing casein (210 g/kg). This basal diet provided 0.40 mg riboflavin/kg diet, to which was added additional riboflavin at 0, 0.12 or 0.25 mg/kg diet. Control animals received the same diet with 15 mg added riboflavin/kg. The diets were given for 4 weeks before mating, then throughout pregnancy and for 15 d of lactation.2. With no added riboflavin in the diet, reproduction was severely impaired and fetal resorption was usually observed. With 0.12 mg added riboflavin/kg diet, however, reproduction was usually successful, and the growth of dams and pups was only marginally depressed in comparison with pair-fed controls optimally supplied with riboflavin.3. The activation coefficient (stimulated: basal activity) of erythrocyte glutathione reductase (NAD(P)H) (EC 1.6.4.2)was high, and the concentration of riboflavin in the liver was correspondingly low in the dams receiving diets containing 0.12 or 0.25 mg added riboflavin/kg and in their sucking pups at 15 d post partum. Riboflavin levels in the milk from both groups of dams were about eightfold lower than in controls. There was little evidence that the sucking pups could maintain their riboflavin level at the expense of that in the maternal tissues.


Author(s):  
Sunil K. Juneja ◽  
Pooja Tandon ◽  
Vivek Gupta ◽  
Gurpreet S. Wander ◽  
Rajesh Mahajan ◽  
...  

Acute respiratory distress syndrome (ARDS) is an uncommon condition encountered in pregnancy. The incidence of ARDS in pregnancy has been reported to be 1 in 6229 deliveries with mortality rates to range from 24% to 39% in pregnant patients. An essential component in management of ARDS involves good communication between the obstetrics team and critical care specialist and a fundamental understanding of mechanical ventilatory support. In critically ill patients where both cardiorespiratory support is required, Extracorporeal Membrane Oxygenation (ECMO) can be used to help maintain the vital functions. ECMO is a temporary cardio respiratory or respiratory support in critically ill patients who are unresponsive to conventional management.  In present case a young female with post-partum ARDS was successfully managed with extra corporeal membrane oxygenation (ECMO).


2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Divyesh Reddy Nemakayala ◽  
Manoj P Rai ◽  
Shilpa Kavuturu ◽  
Supratik Rayamajhi

Lemierre’s disease is a rare but life-threatening condition characterized by an oropharyngeal infection complicating with thrombophlebitis of the internal jugular vein and disseminated abscesses. We are presenting a case of a young female who initially presented with fevers, chills, sore throat, and swollen neck later developed progressively worsening shortness of breath along with sudden onset pleuritic chest pain. She then developed progressively worsening acute hypoxic respiratory failure requiring intubation and mechanical ventilation. Interval chest X-ray showed worsening bilateral effusions. She also developed septic shock requiring pressors. Blood culture showed Fusobacterium, and antibiotics were changed accordingly following which there was a clinical improvement. The diagnosis of Lemierre’s syndrome was then established based on her presenting age and bilateral pulmonary empyema in the setting of septicemia with Fusobacterium.


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