scholarly journals Childhood Brainstem Gliomas: A non-Aggressive Management

2022 ◽  
pp. 101488
Author(s):  
Nourou Dine Adeniran Bankole ◽  
Yao Christian Hugues Dokponou ◽  
Milena Christine Sayore ◽  
Mahjouba Boutarbouch ◽  
Loubna Rifi ◽  
...  
Keyword(s):  
Aggressive Management

The Need for Aggressive Pursuit of Healthy Childhood Voices

1989 ◽  
Vol 20 (1) ◽  
pp. 102-107 ◽  
Author(s):  
Joel C. Kahane ◽  
Robert Mayo
Keyword(s):  
Early Identification ◽  
Voice Disorders ◽  
Prevention Programs ◽  
Incidence Trends ◽  
Aggressive Management ◽  
Prevention And Treatment ◽  
Current Incidence

In this paper we argue for the aggressive management of voice disorders. Aggressive management includes early identification, prevention, and treatment of voice disorders. The argument for aggressive management is supported by current incidence trends, laryngologists' expectations, and the benefits of prevention programs.

Cervical Myelopathy as a Complication of Untreated Motor Tics: A Cautionary Tale

2020 ◽  
Author(s):  
Mariam Hull ◽  
Mered Parnes
Keyword(s):  
Cervical Myelopathy ◽  
Management Strategies ◽  
Vertebral Artery Dissection ◽  
Tic Disorders ◽  
Artery Dissection ◽  
Cautionary Tale ◽  
Eye Injuries ◽  
Tic Disorder ◽  
Aggressive Management ◽  
Motor Tics

AbstractTic disorders are common, affecting approximately 0.5 to 1% of children and adolescents. Treatment is required only when symptoms are bothersome or impairing to the patient, so many do not require intervention. However, on occasion tics may cause significant morbidity and are referred to as “malignant.” These malignant tics have resulted in cervical myelopathy, subdural hematoma secondary to head banging, biting of lips leading to infection of oral muscles, self-inflicted eye injuries leading to blindness, skeletal fractures, compressive neuropathies, and vertebral artery dissection. We describe a case of malignant tic disorder, with accompanying video segment, resulting in cervical myelopathy and quadriparesis in a child. We also discuss aggressive management strategies for neurologists to prevent potential lifelong disability. This case emphasizes that these malignant tics must be treated with all due haste to prevent such complications.

scholarly journals Gitelman syndrome and ectopic calcification in the retina and joints

2021 ◽  
Author(s):  
Yeji Ham ◽  
Heather Mack ◽  
Deb Colville ◽  
Philip Harraka ◽  
B Biomed ◽  
...  
Keyword(s):  
Calcium Pyrophosphate ◽  
Bartter Syndrome ◽  
Gitelman Syndrome ◽  
Ectopic Calcification ◽  
Aggressive Management ◽  
Renal Tubular Disorder ◽  
Rate Of Progression ◽  
Renal Tubular ◽  
Retinal Photography

ABSTRACT Gitelman syndrome is a rare inherited renal tubular disorder with features that resemble thiazide use, including a hypokalemic metabolic alkalosis, hypomagnesemia, hypocalciuria, a low or normal blood pressure, and hyperreninemia and hyperaldosteronism. Treatment is primarily correction of the K and Mg levels. The diagnosis is confirmed with genetic testing but Gitelman syndrome is often not suspected. However the association with ectopic calcification in the retina, blood vessels and chondrocalcinosis in the joints is a useful pointer to this diagnosis. Bilateral symmetrical whitish deposits of calcium pyrophosphate are visible superotemporally on ophthalmoscopy and retinal photography but are actually located beneath the retina in the sclerochoroid. Optical coherence tomography is even more sensitive for their detection. These deposits increase in size with time, but the rate of progression slows with long-term correction of the hypomagnesemia. Calcification may be complicated by atrophy of the overlying retina and visual loss. The deposits often correlate with ectopic calcification in the aorta, coronary and cerebral vessels. Chondrocalcinosis occurs in the large joints such as the knees. Ectopic calcification in Gitelman syndrome indicates the need for more aggressive management of Ca and Mg levels. Calcification is much less common in Bartter syndrome which itself is rarer and associated less often with hypomagnesemia.

Aggressive Management of Septic Abortion

1972 ◽  
Vol 65 (12) ◽  
pp. 1480-1484 ◽  
Author(s):  
W. J. CONNOLLY ◽  
JAMES L. BREEN
Keyword(s):  
Aggressive Management ◽  
Septic Abortion

Trilateral retinoblastoma: ocular and pineal retinoblastomas

1985 ◽  
Vol 63 (3) ◽  
pp. 367-370 ◽  
Author(s):  
Dennis L. Johnson ◽  
Roma Chandra ◽  
Wink S. Fisher ◽  
M. Kathryn Hammock ◽  
Craig A. McKeown
Keyword(s):  
Host Resistance ◽  
Early Mortality ◽  
Early Age ◽  
Pineal Tumor ◽  
Multicentric Occurrence ◽  
Content Type ◽  
Aggressive Management ◽  
Bilateral Retinoblastoma ◽  
Trilateral Retinoblastoma ◽  
Germinal Mutation

✓ Trilateral retinoblastomas, the syndrome of bilateral retinoblastoma associated with ectopic retinoblastoma in the pineal gland, is rare but well recognized. In contrast to bilateral retinoblastomas alone, the ocular retinoblastomas in trilateral retinoblastoma develop before the age of 6 months, and a family history positive for retinoblastoma is usually obtained. The retinal tumors are often quiescent at the time that the pineal tumor is discovered, and show no evidence of metastatic spread after enucleation of the globes. Pathologically, the pineal tumor is indistinguishable from the ocular retinoblastoma. The pathophysiology of this syndrome is not well understood, but a germinal mutation is thought to target photoreceptor tissue for further postzygotic mutation. Eventual expression depends on the inherited host resistance to the carcinogenic manifestation of these genes. The low host resistance of trilateral retinoblastoma is evident by the early age of presentation, the multicentric occurrence of the tumor, and the high early mortality rate despite aggressive management.

scholarly journals DENGUE FEVER IN COVID -19 INFECTIONDOUBLE TROUBLE

2021 ◽  
pp. 72-74
Author(s):  
Bijaya Mohanty ◽  
Ashok Sunder ◽  
Zeya Ansari
Keyword(s):  
Dengue Fever ◽  
Aggressive Management ◽  
Additional Challenge

Co infection of Covid -19 with Dengue fever is a serious concern & is an additional challenge to the treating physician especially in Dengue endemic areas.During initial phases the symptoms of both the infections are quite identical & difficult to differentiate unless thorough investigations are done.Timely diagnosis & aggressive management may lead to a fruitful outcome. Here we report two interesting cases of Covid-19 and Dengue co infection which were identified & managed successfully.

scholarly journals A rare clinical entity as large intrarenal abscess in a typeII diabetic patient due to Candida tropicalis: A case report

2019 ◽  
Author(s):  
Abhilash Chandra ◽  
Namrata Rao ◽  
Anupam Das ◽  
Manodeep Sen
Keyword(s):  
Diabetic Patient ◽  
Candida Tropicalis ◽  
Unusual Case ◽  
Antifungal Agents ◽  
Empirical Therapy ◽  
Computed Tomography Scan ◽  
Aggressive Management ◽  
High Virulence ◽  
Global Concern ◽  
Tomography Scan

Background and Purpose: Fungal renal abscesses are rare entities associated with significant morbidity and mortality. Affected kidneys can have microabscess, pyelonephritis, pyonephrosis, or papillary necrosis.Case report: Herein, we reported an unusual case of a large renal abscess cause by Candida tropicalis in a diabetic patient. The entity presented as a lump in the abdomen and later was diagnosed to be an abscess on computed tomography scan. Candida tropicalis was confirmed on the culture of the aspirate. The abscess was successfully treated by percutaneous drainage and administration of amphotericin B deoxycholate.Conclusion: Candida tropicalis is now a global concern because of its rising prevalence and high virulence. The growing resistance of this Candida species to azoles, as in our case, calls for a more judicious usage of antifungal agents. Empirical therapy with either amphotericin or echinocandins is an option in case of high azole resistance. This case highlights the importance of timely diagnosis and implementation of aggressive management in cases suffering from fungal abscesses.

scholarly journals Ciprofloxacin-Induced Thrombotic Thrombocytopenic Purpura: A Case of Successful Treatment and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Hafiz Rizwan Talib Hashmi ◽  
Gilda Diaz-Fuentes ◽  
Preeti Jadhav ◽  
Misbahuddin Khaja
Keyword(s):  
Thrombotic Thrombocytopenic Purpura ◽  
African American Woman ◽  
American Woman ◽  
Successful Outcome ◽  
Peripheral Smear ◽  
Thrombocytopenic Purpura ◽  
Aggressive Management ◽  
First Case ◽  
High Index Of Suspicion ◽  
Elevated Lactate

A 49-year-old African American woman was admitted to our hospital with abdominal pain, nausea, vomiting, lethargy, and confusion. She was receiving ciprofloxacin for a urinary-tract infection prior to admission. Laboratory examination revealed anemia, thrombocytopenia, elevated lactate dehydrogenase, and serum creatinine. Peripheral smear showed numerous schistocytes, and the patient was diagnosed with thrombotic thrombocytopenic purpura (TTP). Ciprofloxacin was identified as the offending agent. The patient received treatment with steroids and plasmapheresis, which led to rapid clinical recovery. This is the first case to our knowledge of successfully treated ciprofloxacin-induced TTP; previously reported cases had fulminant outcomes. Quinolones are an important part of the antibiotic armamentarium, and this case can raise awareness of the association between quinolones and TTP. A high index of suspicion for detection and early and aggressive management are vitally important for a successful outcome.

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