scholarly journals Organophosphate poisoning in a young child: a case report

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Namita Sharma ◽  
Rosa Nin-Gonzalez
Keyword(s):  
Case Report ◽  
Young Child ◽  
East Africa ◽  
Organophosphate Poisoning ◽  
Patient History ◽  
Common Cause ◽  
Neurologic Sequela ◽  
Poisoning In Children ◽  
High Index Of Suspicion

ABSTRACT Unintentional ingestions are a common form of poisoning in children worldwide. Organophosphates are commonly used in households worldwide and are a common cause of childhood poisonings. This case report describes an unintentional ingestion of a child in East Africa. A thorough patient history and a high index of suspicion are needed in recognizing an organophosphate poisoning. Prompt patient stabilization and treatment improve outcomes. Neurologic sequela may occur and thus patient follow-up is recommended.

Can anisodamine be a potential substitute for high-dose atropine in cases of organophosphate poisoning?

2014 ◽  
Vol 33 (11) ◽  
pp. 1186-1190 ◽  
Author(s):  
W Wang ◽  
Q-F Chen ◽  
H-L Ruan ◽  
K Chen ◽  
B Chen ◽  
...  
Keyword(s):  
Case Report ◽  
Emergency Room ◽  
Organophosphate Poisoning ◽  
High Dose

A case of organophosphate (OP) poisoning was admitted to the emergency room. The patient accepted treatment with pralidoxime (PAM), atropine, and supporting therapy. It was observed that even after 22 h after treatment, 960 mg of atropine was not enough for the patient to be atropinized. However, a 160-mg follow-up treatment of anisodamine was quite enough for atropinization after 4 h. As a case report, more studies are required before any definite conclusion can be reached regarding the use of anisodamine as a potential substitute for high-dose atropine in cases of OP poisoning.

scholarly journals Seeking spark- ocular myasthenia gravis in a juvenile – an Indian case report

2020 ◽  
Vol 5 (7) ◽  
pp. 190-193
Author(s):  
Dr. Usha BR. ◽  
◽  
Dr. Nandhini K ◽  
Dr. Chaitra MC ◽  
◽  
...  
Keyword(s):  
Case Report ◽  
Neuromuscular Junction ◽  
Myasthenia Gravis ◽  
Autoimmune Disorder ◽  
Bilateral Ptosis ◽  
Ocular Myasthenia ◽  
Ocular Myasthenia Gravis ◽  
History Of ◽  
High Index Of Suspicion

Myasthenia gravis (MG) is a rare autoimmune disorder affecting neuromuscular junction by muscleweakness. Myasthenia gravis can be generalized or localized as ocular myasthenia gravis. Casepresentation: We report an 8-year-old boy who presented with 10 days history of drooping of botheyelids and 8 days history of diplopia. Examination revealed bilateral ptosis. A diagnosis of JuvenileOcular Myasthenia gravis was made when symptoms improved with intramuscular Edrophoniumadministration. He was commenced on oral Neostigmine at a dose of 2mg/Kg/ day,4 hourly individed doses and is on regular follow up and had a good response. Conclusion: Ocular Myastheniagravis (OMG) is a rare disease in itself. A high index of suspicion is required in a juvenile as it iseven rarer.

Use of the Tissue Stress Model as a Paradigm for Developing an Examination and Management Plan for a Patient with Plantar Fasciitis

2002 ◽  
Vol 92 (9) ◽  
pp. 499-506 ◽  
Author(s):  
Michael Ross
Keyword(s):  
Case Report ◽  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Management Plan ◽  
Stress Model ◽  
Patient History ◽  
Stress Treatment ◽  
Patient Reported ◽  
History Of

This case report demonstrates the use of the tissue stress model to develop an examination, evaluation, and management plan for a patient with an 8-week history of plantar fasciitis. The patient history focused on determining which tissues were being excessively stressed, and the physical examination was used to apply controlled stresses to these tissues and to determine factors contributing to the patient’s condition. After it was confirmed that the patient’s plantar fascia was under excessive mechanical stress, treatment first focused on reducing pain, inflammation, and stress on the plantar fascia and then on returning the patient to her running program while maintaining symptoms at a diminished level. The patient reported being free of pain 7 weeks after the initial physical therapy examination and at the 11-week telephone follow-up. Although no experimental evidence is given, this report suggests that this patient responded positively to treatment based on the tissue stress model. (J Am Podiatr Med Assoc 92(9): 499-506, 2002)

scholarly journals Diagnostic Dilemma in Groove Pancreatitis: A Case Report

2020 ◽  
Vol 58 (231) ◽  
Author(s):  
Uttam Laudari ◽  
Roshan Ghimire ◽  
Rosi Pradhan ◽  
Dhiresh Kumar Maharjan ◽  
Prabin Bikram Thapa
Keyword(s):  
Case Report ◽  
Chronic Pancreatitis ◽  
Ductal Adenocarcinoma ◽  
Diagnostic Dilemma ◽  
Perioperative Morbidity ◽  
Persistent Symptoms ◽  
Groove Pancreatitis ◽  
History Of ◽  
High Index Of Suspicion

Groove pancreatitis is uncommon form of chronic pancreatitis common in patients with history of smoking and alcohol abuse. High index of suspicion is required as it may masquerade pancreatic ductal adenocarcinoma and both of these conditions are difficult to differentiate preoperatively. Pancreaticoduodenectomy has good outcome in patient with Groove pancreatitis. Hence, we are reporting a case report of Groove pancreatitis in 40 years gentleman, who was being managed by multiple endoscopic dilatations, later underwent pancreaticoduodenectomy for persistent symptoms. He had no perioperative morbidity and doing well in 24 months follow up.

scholarly journals Third reported case of rare necrolytic migratory erythema associated with bacteraemia due to severe zinc deficiency after revisional Roux-En-Y gastric bypass: case report and literature review

2021 ◽  
Author(s):  
Yassmin Salaheldin ◽  
Walid El Ansari ◽  
Esraa Aljaloudi ◽  
Wahiba Elhag
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Risk Factor ◽  
Case Report ◽  
Zinc Deficiency ◽  
Nutritional Deficiencies ◽  
Level Of Evidence ◽  
Necrolytic Migratory Erythema ◽  
High Index Of Suspicion

Abstract Introduction Obesity is a risk factor for zinc deficiency. After bariatric surgery, non-compliance to diet/vitamin supplements, surgical complications leading to vomiting/diarrhea, poor follow-up and malabsorption can precipitate or exacerbate pre-existing zinc deficiency. Case report We report a patient with rare necrolytic migratory erythema associated with bacteraemia due to severe zinc deficiency after revisional Roux-en-Y gastric bypass (following primary laparoscopic sleeve gastrectomy). Conclusion Bariatric teams should screen patients before bariatric surgery for nutritional deficiencies and continue surveillance of their nutritional status after surgery. They should maintain a high index of suspicion for zinc deficiency in patients with skin rash after bariatric surgery. Level of evidence Level V, case report.

scholarly journals Osteosarcoma of the Maxilla Masquerading as Maxillary Mucocele on CT Scan: A Case Report

2009 ◽  
Vol 2 (3) ◽  
pp. 51-54 ◽  
Author(s):  
Satyawati Mohindra ◽  
Amanjit K Bal ◽  
Jagvir Yadav
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Maxillary Sinus ◽  
Systemic Disease ◽  
Rare Tumor ◽  
The Past ◽  
Aggressive Management ◽  
Diagnostic Difficulties ◽  
High Index Of Suspicion

ABSTRACT Purpose The authors intend to present a case of osteosarcoma of the maxilla which presented like a mucocele, a previously unreported phenomenon. Patients and methods Clinical features, radiology, histopathological findings and endoscopically managed osteosarcoma of the maxilla are presented. Diagnostic difficulties and previously reported diagnostic dilemmas related to osteosarcomas of the maxillary sinus are discussed. Results The patient has been on regular follow-up for the past 10 months, and is free from any local or systemic disease. Conclusion Though osteosarcoma of the maxilla is a rare tumor about 6.5% of all osteosarcomas1, patients tend to be in the late-third to mid-fourth decades of life, a high index of suspicion and aggressive management can reduce the morbidity that goes with the management of this condition.

scholarly journals Surgical Treatment of Severe Peri-Implantitis Using a Round Titanium Brush for Implant Surface Decontamination: A Case Report With Clinical Reentry

2017 ◽  
Vol 43 (3) ◽  
pp. 218-225 ◽  
Author(s):  
Yin-Zhe An ◽  
Jae-Hong Lee ◽  
Young-Ku Heo ◽  
Jung-Seok Lee ◽  
Ui-Won Jung ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Bone Loss ◽  
Reliability And Validity ◽  
Surgical Approaches ◽  
Implant Surface ◽  
Common Cause ◽  
Regenerative Approach ◽  
Clinical And Radiological Results

The most common cause of peri-implantitis is the accumulation of plaque and the formation of a biofilm on the implant surface. Terminating the development of the disease requires the biofilm to be removed from the implant surface. This paper describes 2 cases of severe peri-implantitis lesions treated through surgical approaches. Complete mechanical debridement with a round titanium brush was mainly performed to detoxify and modify the affected implant surface. A regenerative approach was then performed. In both cases, the surgical procedure was effective in arresting the peri-implantitis, and clinical reentry revealed uneventful healing of the existing bone defect. No further radiographic bone loss was observed over the 2-year follow-up period. This technique has the advantage of effective cleaning the contaminated implant surface, producing positive clinical and radiological results. However, further studies involving more cases are necessary to verify the reliability and validity of this technique.

scholarly journals Postirradiation Osteosarcoma of the Maxilla: A Case Report and Current Review of Literature

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Imene Chabchoub ◽  
Olfa Gharbi ◽  
Sami Remadi ◽  
Sami Limem ◽  
Amel Trabelsi ◽  
...  
Keyword(s):  
Case Report ◽  
Palliative Chemotherapy ◽  
Review Of Literature ◽  
Late Sequelae ◽  
Jaw Bones ◽  
Current Review ◽  
Radiation Induced ◽  
High Index Of Suspicion

Background. Radiation-induced sarcomas are well-known potential late sequelae of radiation therapy. They are of rare occurrence in jaw bones and are even rarer in the maxilla.Case report. We report a case of radiation-induced osteosarcoma involving the maxilla in a patient treated with radiotherapy for nasopharyngeal carcinoma 14 years ago. Despite neoadjuvant chemotherapy, surgical treatment could not be performed, and the patient received palliative chemotherapy.Conclusions. Radiation-induced osteosarcomas are aggressive and often elude early detection and timely intervention, rapidly leading to early demise of afflicted patients. Long-term patient follow-up and a high index of suspicion are crucial for timely intervention.

scholarly journals PRIMARY LARYNGEAL ASPERGILLOSIS IN AN IMMUNOCOMPETENT PATIENT

2020 ◽  
Vol 5 (2) ◽  
pp. 15-19
Author(s):  
K.S. Rajmohan ◽  
I. D. Khan ◽  
U. Kapoor ◽  
S. A. Hashmi ◽  
R. M. Gupta ◽  
...  
Keyword(s):  
Case Report ◽  
Vocal Cord ◽  
Opportunistic Infections ◽  
Histopathological Examination ◽  
Pathogenic Fungus ◽  
Immunocompetent Patient ◽  
Acute Angle ◽  
Oral Itraconazole ◽  
High Index Of Suspicion

Background. Aspergillus is an inherently ubiquitous, weakly pathogenic fungus causing opportunistic infections. It is very rarely localized in the larynx, although laryngeal Aspergillosis may develop in the immunocompromised patients including those with leukaemia and severe aplastic anaemia. Objective. The aim of the research was to explore the primary laryngeal Aspergillosis in an immunocompetent patient thru a case report. Methods. A case report of primary laryngeal Aspergillosis in an immunocompetent patient is presented. Results. A male patient of 40 years old, presenting with chronic worsening hoarseness, was found to have a smooth, white spheroid submucosal growth on left vocal cord with preserved bilateral cord movements on videostroboscopy. Histopathological examination of vocal cord growth revealed squamous epithelium containing septate hyphae with acute angle dichotomous branching pattern consistent with Aspergillus. Voice improved after a four-week course of oral itraconazole 200 mg/day. Post therapy follow up of 24 months was unremarkable. Conclusions. Primary laryngeal Aspergillosis develops in the immunocompetent patients. Iatrogenic, vocal abuse, occupation and lifestyle factors may be contributory. Optimal diagnosis and management mandates a high index of suspicion.

Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel
Keyword(s):  
Case Report ◽  
Therapeutic Intervention ◽  
Intensive Therapy ◽  
Positive Outcome ◽  
Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

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