scholarly journals Treatment of delirium with phototherapy: a case report

1997 ◽  
Vol 12 (7) ◽  
pp. 367-368 ◽  
Author(s):  
HA Droogleever Fortuyn ◽  
JH Schoemaker
Keyword(s):  
Case Report ◽  
Conventional Treatment ◽  
Circadian Rhythmicity ◽  
Rhythmic Cycles

SummaryA case is described where phototherapy rapidly restored sleep-wake disturbances and concurrent symptoms of delirium in a patient who did not respond to conventional treatment with haloperidol. In this case, the delirious state may have been caused by a change in metabolism as a result of sepsis. Exposition of the patient to 8,000 Lux during 1.5 h for 5 consecutive days was sufficient to suppress all delirious symptoms and to normalize sleep. This result may encourage the setup of systematic studies towards the extent of desynchronization between various rhythmic cycles in delirium and towards the value of phototherapy for the restoration of normal circadian rhythmicity.

Multi-Level Lower Extremity Arterial Revascularization Via Retrograde Pedal Access Under Local Anesthesia in a Patient With Severe Cardiopulmonary Comorbidities: A Case Report

2021 ◽  
pp. 153857442110264
Author(s):  
Hee Korleski ◽  
Laura DiChiacchio ◽  
Luiz Araujo ◽  
Michael R. Hall
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Peripheral Artery Disease ◽  
Critical Limb Ischemia ◽  
Treatment Modality ◽  
Conventional Treatment ◽  
Limb Ischemia ◽  
Peripheral Artery ◽  
Endovascular Revascularization ◽  
Artery Disease

Background: Chronic limb-threatening ischemia is a severe form of peripheral artery disease that leads to high rates of amputation and mortality if left untreated. Bypass surgery and antegrade endovascular revascularization through femoral artery access from either side are accepted as conventional treatment modalities for critical limb ischemia. The retrograde pedal access revascularization is an alternative treatment modality useful in specific clinical scenarios; however, these indications have not been well described in literature. This case report highlights the use of retrograde pedal access approach as primary treatment modality in a patient with an extensive comorbidities precluding general anesthesia nor supine positioning. Case Presentation: The patient is a 60-year-old female with multiple severe cardiopulmonary comorbidities presenting with dry gangrene of the right great toe. Her comorbidities and inability to tolerate supine positioning precluded her from receiving open surgery, general anesthesia or monitored sedation, or percutaneous femoral access. Rather, the patient underwent ankle block and retrograde endovascular revascularization via dorsalis pedis artery access without post-operative complications. Discussion: The prevalence of comorbidities related to peripheral artery disease is increasing and with it the number of patients who are not optimal candidates for conventional treatment methods for critical limb ischemia. The retrograde pedal access revascularization as initial treatment modality offers these patients an alternative limb salvaging treatment option.

Citric acid treatment of oral ulcers refractory to conventional treatment: a case study

2019 ◽  
Vol 28 (7) ◽  
pp. 461-463
Author(s):  
Nawab Jamadar ◽  
Basavraj Nagoba ◽  
Milind Davane ◽  
Ahtesham Ahmed ◽  
Arshiya Tangsal
Keyword(s):  
Case Report ◽  
Citric Acid ◽  
Alternative Treatment ◽  
Conventional Therapy ◽  
Acid Treatment ◽  
Conventional Treatment ◽  
Complete Healing ◽  
Topical Agent ◽  
Oral Ulcers

Objective: Oral ulcers are painful sores that appear in the mouth. Most of them are usually harmless and clear up on their own. Sometimes, they are non-responsive and difficult to manage. This report describes the case of an 80-year-old female patient with chronic oral ulcers of three years duration and which were refractory to conventional therapy. The ulcers were subsequently treated using 3% citric acid as a sole topical agent, applied three times a day that resulted in complete healing of oral ulcers by day 10 of treatment. The findings of this case report suggest that topical citric acid is a possible alternative treatment for chronic oral ulcers unresponsive to conventional treatment.

scholarly journals Stabilization of Bilateral Progressive Rheumatoid Corneal Melt with Infliximab

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Sheelah F. Antao ◽  
Tariq Ayoub ◽  
Hasan Tahir ◽  
Dipak N. Parmar
Keyword(s):  
Rheumatoid Arthritis ◽  
Case Report ◽  
Amniotic Membrane ◽  
Conventional Treatment ◽  
Penetrating Keratoplasty ◽  
Amniotic Membrane Transplantation ◽  
Cyanoacrylate Glue ◽  
Ocular Discomfort ◽  
History Of ◽  
Ulcerative Keratitis

Purpose. To report the use of infliximab in the rapid stabilization of a case of progressive, bilateral rheumatoid peripheral ulcerative keratitis (PUK) that failed to respond to conventional immunosuppressive therapy.Methods. A single interventional case report.Results. A patient with rheumatoid arthritis presented with bilateral PUK following a 2-month history of ocular discomfort and redness. His systemic prednisolone (PDN) and methotrexate (MTX) were increased and, despite an initial favorable response, bilateral recurrent corneal perforations ensued. Both eyes underwent cyanoacrylate glue repair, amniotic membrane transplantation (AMT), and penetrating keratoplasty (PKP). Recurrence of the disease and bilateral perforations of the second PKP in both eyes prompted administration of intravenous infliximab immediately after the fourth PKP. The disease activity rapidly settled in both eyes, and at eighteen-month followup, after 12 infliximab infusions, the PUK remains quiescent with no further graft thinning or perforation.Conclusion. Infliximab can be used to arrest the progression of severe bilateral rheumatoid PUK in cases that are refractory to conventional treatment.

scholarly journals Oral myiasis treated with ivermectin: case report

2004 ◽  
Vol 15 (1) ◽  
pp. 79-81 ◽  
Author(s):  
Elio Hitoshi Shinohara ◽  
Marcelo Zillo Martini ◽  
Humberto Gomes de Oliveira Neto ◽  
André Takahashi
Keyword(s):  
Cerebral Palsy ◽  
Case Report ◽  
Mechanism Of Action ◽  
Conventional Treatment ◽  
Mechanical Removal

Oral myiasis is a rare pathology and a risk to the patient's life. Conventional treatment is mechanical removal of the larvae (maggots) one by one, which is painful, distressing, and embarrassing both to the patient and to the dentist. We present a case report of a patient with cerebral palsy that had oral myiasis treated successfully with ivermectin. The use of this antibiotic in humans, its mechanism of action and indications are discussed.

scholarly journals Meningioma canino: tratamento convencional associado à homeopatia - relato de caso / Canine meningioma: conventional treatment associated with homeopathy - case report

2021 ◽  
Vol 4 (2) ◽  
pp. 2481-2489
Author(s):  
Isabelle Adad Ferreira ◽  
Maria Leonora Veras De Mello ◽  
Cecília Riscado Pombo ◽  
Tatiana Didonet Lemos
Keyword(s):  
Case Report ◽  
Conventional Treatment

O meningioma é a neoplasia intracraniana mais comum entre cães e gatos, é um tumor benigno que atinge as meninges causando um crescimento anormal da região, comprimindo as estruturas neurais. Este trabalho visa relatar uma ocorrência de meningioma lipomatoso em canino da raça Maltês, seu processo de diagnóstico e suas alternativas de tratamento. Canino, fêmea, 8 anos de idade, começou a apresentar mudanças bruscas de comportamento, como dificuldade para respirar e postura anormal. Foram realizados exames como radiografia, ecocardiografia, hemograma e bioquímica, e o diagnóstico definitivo foi estabelecido através da ressonância magnética do crânio. O tratamento de escolha foi a cirurgia para excisão do tumor através da histopatologia, seguido por radioterapia e corticoides. O tratamento homeopático foi utilizado para minimizar os efeitos da radioterapia e do crescimento acelerado do tumor. Após esse período, o paciente apresentou melhoras no quadro clínico, os medicamentos homeopáticos continuam em uso e têm como prioridade oferecer uma melhor qualidade de vida, tendo em vista a possibilidade de recidiva tumoral. Conclui-se que, tratamentos integrativos e complementares como a homeopatia, mesmo diante de uma doença grave podem auxiliar na qualidade de vida e bem estar do animal que apresentou neoplasia intracraniana e risco de metástases. 

scholarly journals Different Clinical Applications of Bondable Reinforcement Ribbond in Pediatric Dentistry

2009 ◽  
Vol 03 (04) ◽  
pp. 329-334 ◽  
Author(s):  
Nuray Tuloglu ◽  
Sule Bayrak ◽  
Emine Sen Tunc
Keyword(s):  
Case Report ◽  
Conventional Treatment ◽  
Wide Spectrum ◽  
Pediatric Dentistry ◽  
Clinical Applications ◽  
Partial Denture ◽  
Fixed Partial Denture ◽  
Space Maintainer ◽  
Natural Tooth

ABSTRACTRibbond is a bondable, biocompatible, esthetic, translucent and easy-to-use reinforced ribbon. By virtue of its wide spectrum of intended properties, it enjoys various applications in clinical dentistry. This case report demonstrates usage of Ribbond as a space maintainer, a fixed partial denture with a natural tooth pontic, an endodontic post and cores and a splint material in children. Ribbond can be used as an alternative to conventional treatment in pediatric dentistry. (Eur J Dent 2009;3:329-334)

Failure of conventional treatment and losartan in Camurati-Engelmann disease: A case report

2018 ◽  
Vol 85 (5) ◽  
pp. 649-650 ◽  
Author(s):  
Alice Combier ◽  
Elisabeth Palazzo ◽  
Marine Forien ◽  
Anais Gardette ◽  
Philippe Dieudé ◽  
...  
Keyword(s):  
Case Report ◽  
Conventional Treatment ◽  
Engelmann Disease
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