Mortality supposedly due to intoxication by pyrrolizidine alkaloids fromheliotropium indicumin a horse population in costa rica: A case report

This paper discusses the diagnosis and clinical management of a case of equine keratomycosis. A pregnant Iberic mare was diagnosed with Aspergillus subgenus Circumdati section Circumdati, by direct microscopic examination, cytology, and fungal culture after being treated with a topical antibiotic and steroid drops in her left eye for over a month. The mare developed a melting ulcer and, as a result, topical miconazole 1% was prescribed; while being treated the iris prolapsed, and surgery was suggested but not conducted. After the treatment, the eye was not visual but in the orbit.

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Escorpionismo por Tityus championi Pocock, en Panamá, reporte de caso (Scorpionism by Tityus championi Pocock, in Panama, case report)

Revista Médica de Panamá - ISSN 2412-642X ◽

10.37980/im.journal.rmdp.2018485 ◽

2019 ◽

Vol 38 (3) ◽

Author(s):

Roberto Julio Miranda ◽

Margarita Ríos ◽

Ingrid Lorena Murgas ◽

Dimelza Araúz ◽

José Antonio Suárez

Keyword(s):

Case Report ◽

Costa Rica ◽

Central America ◽

Probability Of Occurrence ◽

First Time

[Scorpionism by Tityus championi Pocock, in Panama, Case Report.]Resumen Panamá reporta la incidencia más alta de escorpionismo en la región centroamericana, incluyendo casos fatales. Se describe por primera vez un caso de escorpionismo por Tityus championi, una especie poco conocida de Buthidae. El accidente ocurre en Río Sereno, poblado fronterizo con Costa Rica. El paciente sufrió picada en el dedo del pie derecho; presentó síntomas concordantes con envenenamiento moderado. Se plantea la probabilidad de ocurrencia de casos que pueden llegar a ser severos en Panamá y Costa Rica, provocados por T.championi. Abstract Panama reports the highest incidence of scorpionism in Central America, including fatal cases. A case of scorpionism by Tityus championi is described by first time, a little-known species of Buthidae. The accident occurs in Río Sereno, a border settling near to Costa Rica. The patient suffered sting in a right toe; presented symptoms consistent with moderate poisoning. The probability of occurrence of cases that can become severe in Panama and Costa Rica, caused by T. championi, is presented.

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Extensive Mucocutaneous Histiocytic Sarcoma raised from an Acute B Lymphocytic Leukemia: A Case Report at Hospital Mexico, Costa Rica

Hematology & Transfusion International Journal ◽

10.15406/htij.2017.04.00105 ◽

2017 ◽

Vol 4 (6) ◽

Author(s):

Rodríguez Pineda M

Keyword(s):

Case Report ◽

Costa Rica ◽

Histiocytic Sarcoma ◽

Lymphocytic Leukemia

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Zika Virus Infection in a Massachusetts Resident After Travel to Costa Rica: A Case Report

Annals of Internal Medicine ◽

10.7326/l16-0075 ◽

2016 ◽

Vol 164 (8) ◽

pp. 574 ◽

Cited By ~ 17

Author(s):

Lin H. Chen

Keyword(s):

Case Report ◽

Costa Rica ◽

Virus Infection ◽

Zika Virus ◽

Zika Virus Infection

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First surgical experience with a COVID-19 positive patient in Costa Rica: case report, staff safety protocol and brief review of literature

Surgical Case Reports ◽

10.1186/s40792-020-01054-x ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Alfredo Sanchez-Betancourt ◽

Pablo Sibaja-Alvarez ◽

Milagros Gonzalez-Cole ◽

Ivannia Mendez-Barboza ◽

Crishtna Ledezma-Cruz ◽

...

Keyword(s):

Case Report ◽

Costa Rica ◽

Surgical Management ◽

Healthcare Workers ◽

Tertiary Care ◽

Care Hospital ◽

Review Of Literature ◽

Personal Protection Equipment ◽

Protection Measures ◽

First Case

Abstract Background The safe management of patients with COVID-19 has been a challenge during the current pandemic, leading to healthcare workers being disproportionately affected by the virus. In Costa Rica, 20% of all infections and 27% of all ICU cases during the initial weeks of the outbreak were healthcare workers. The existing recommendations and protocols on how to care for an infected patient that requires acute surgical management have been applied successfully in various scenarios. We look to describe the first case of a COVID-19 patient that required surgical management in Costa Rica and present a summary of the protection measures utilized in a tertiary care hospital. Materials and methods A review of literature utilizing Embase, Medline Complete and Google Scholar was performed. A surgical case report using the SCARE statement guidelines was drafted and a brief summary of the 54 items contained in the hospital’s COVID-19 surgical protocol is described. Case presentation We present the case of a 29 year old obese male who had acute appendicitis with perforation that contracted SARS-CoV-2 and became symptomatic at home on pod#3, who later required multiple surgeries to address an infected abdominal hematoma both while having an active COVID-19 infection and afterwards. Conclusions Safety measures for both staff and patients are of the utmost importance during the current coronavirus pandemic. Limitations in the availability of personal protection equipment as well a lack of knowledge and experience with handling surgical patients with this condition have led to various safety and attention protocols being drafted. The successful management of this patient is the first experience in Costa Rica on how to properly address staff safety during a surgical procedure. None of the workers involved in care of this patient were diagnosed with SARS-CoV-2.

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Identification of Maize Rayado Fino Virus by Immunoelectron Microscopy

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100119879 ◽

1985 ◽

Vol 43 ◽

pp. 636-637

Author(s):

O. E. Bradfute

Keyword(s):

Electron Microscopy ◽

Zea Mays ◽

Costa Rica ◽

Severe Disease ◽

Rabbit Serum ◽

Normal Rabbit Serum ◽

Virus Particles ◽

Far North ◽

Maize Rayado Fino Virus ◽

Antibody Coating

Maize rayado fino virus (MRFV) causes a severe disease of corn (Zea mays) in many locations throughout the neotropics and as far north as southern U.S. MRFV particles detected by direct electron microscopy of negatively stained sap from infected leaves are not necessarily distinguishable from many other small isometric viruses infecting plants (Fig. 1).Immunosorbent trapping of virus particles on antibody-coated grids and the antibody coating or decoration of trapped virus particles, was used to confirm the identification of MRFV. Antiserum to MRFV was supplied by R. Gamez (Centro de Investigacion en Biologia Celular y Molecular, Universidad de Costa Rica, Ciudad Universitaria, Costa Rica).Virus particles, appearing as a continuous lawn, were trapped on grids coated with MRFV antiserum (Fig. 2-4). In contrast, virus particles were infrequently found on grids not exposed to antiserum or grids coated with normal rabbit serum (similar to Fig. 1). In Fig. 3, the appearance of the virus particles (isometric morphology, 30 nm diameter, stain penetration of some particles, and morphological subunits in other particles) is characteristic of negatively stained MRFV particles. Decoration or coating of these particles with MRFV antiserum confirms their identification as MRFV (Fig. 4).

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Misophonia: An Evidence-Based Case Report

American Journal of Audiology ◽

10.1044/2020_aja-19-00111 ◽

2020 ◽

Vol 29 (4) ◽

pp. 685-690

Author(s):

C. S. Vanaja ◽

Miriam Soni Abigail

Keyword(s):

Quality Of Life ◽

Case Report ◽

Case History ◽

Pure Tone ◽

Physiological Responses ◽

Evidence Based ◽

Management Option ◽

Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

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