Takotsubo cardiomyopathy secondary to haemophagocytic lymphohistiocytosis in HIV patients: a comprehensive review

Haemophagocytic lymphohistiocytosis (HLH) is an immune dysregulation disorder with variable presentations and non-specific features making it extremely difficult to diagnose early in the clinical course. Here, we are presenting a case of a young man who presented in cardiogenic shock with findings of anterolateral wall ischaemia on ECG. Echocardiography findings were consistent with takotsubo cardiomyopathy (TCM). Cardiac catheterisation showed clean coronary arteries and pulmonary artery pressure measurements showed high output cardiac failure. After extensive workup, the patient was diagnosed with HLH. In spite of aggressive supportive and definitive therapy, he eventually died due to a complicated clinical course. We did a comprehensive literature review and found that this is the first reported case of HLH presenting as TCM as the initial clinical manifestation.

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Immune-mediated Neuropathies Our Experience over 3 Years

Journal of Neurosciences in Rural Practice ◽

10.4103/jnrp.jnrp_376_17 ◽

2018 ◽

Vol 09 (01) ◽

pp. 030-035 ◽

Cited By ~ 1

Author(s):

Sadanandavalli Retnaswami Chandra ◽

Venkata Raviteja Karru ◽

M. A. Mukheem Mudabbir ◽

Subashree Ramakrishnan ◽

Anitha Mahadevan

Keyword(s):

Clinical Laboratory ◽

Clinical Course ◽

Immune Dysregulation ◽

Response To Treatment ◽

Dominant Type ◽

The Past ◽

Immune Mediated ◽

Sensory Motor ◽

Chronic Neuropathy

ABSTRACT Introduction: Immune-mediated peripheral neuropathy is the term applied to a spectrum of peripheral nerve disorders where immune dysregulation plays a role. Therefore, they are treatable. We analyzed the cases seen in the past 3 years by us and evaluated the clinical, laboratory, and outcome parameters in these patients. Patients and Methods: Consecutive patients seen by the authors and diagnosed as immune-mediated neuropathy were analyzed for etiology, pathology, and outcome assessed. Results: A total of sixty patients, 31 acute and 29 chronic neuropathies, were identified. Their subtypes treatment and outcome assessed. Males were significantly more in both acute and chronic cases. Miller Fisher 4, AMAN 1, paraplegic type 1, motor dominant type 19, Sensory-motor 1, MADSAM 3, Bifacial 2. Nonsystemic vasculitis was seen in 16 out of 29 chronic neuropathy and HIV, POEMS, and diabetes mellitus one each. Discussion: There is a spectrum of immune-mediated neuropathy which varies in clinical course, response to treatment, etc., Small percentage of uncommon cases are seen. In this group, mortality was nil and morbidity was minimal. Conclusion: Immune-mediated neuropathies are treatable and hence should be diagnosed early for good quality outcome.

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Spinal Myxopapillary Ependymoma: The Sapienza University Experience and Comprehensive Literature Review Concerning the Clinical Course of 1602 Patients

World Neurosurgery ◽

10.1016/j.wneu.2019.05.206 ◽

2019 ◽

Vol 129 ◽

pp. 245-253 ◽

Cited By ~ 7

Author(s):

Alessandro Pesce ◽

Mauro Palmieri ◽

Daniele Armocida ◽

Alessandro Frati ◽

Massimo Miscusi ◽

...

Keyword(s):

Literature Review ◽

Clinical Course ◽

Myxopapillary Ependymoma ◽

Comprehensive Literature Review ◽

University Experience

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Subdiaphragmatic Bronchogenic Cysts: A Comprehensive Review of the Literature

The American Surgeon ◽

10.1177/000313480507101210 ◽

2005 ◽

Vol 71 (12) ◽

pp. 1034-1041 ◽

Cited By ~ 9

Author(s):

Mike K. Liang ◽

Herman T. Yee ◽

Jae W. Song ◽

Jenifer L. Marks

Keyword(s):

English Language ◽

Bronchogenic Cyst ◽

Cystic Mass ◽

Review Of The Literature ◽

Comprehensive Review ◽

Left Flank ◽

Comprehensive Literature Review ◽

Bronchogenic Cysts ◽

Columnar Cells ◽

Left Flank Pain

Bronchogenic cysts are foregut-derived developmental anomalies most commonly encountered in the mediastinum and rarely in the abdomen or retroperitoneally. A comprehensive review of the English-language literature of subdiaphragmatic bronchogenic cysts (sBCs) revealed only 48 reported cases of sBC. Although most cases are incidentally discovered, preoperative differential diagnosis often includes tumors with malignant potential and necessitates surgical resection to obtain a definitive diagnosis. Herein, we describe a case of a 46-year-old female presenting with intermittent left flank pain, upon which computed tomography demonstrated a retroperitoneal mass. Upon resection, histopathology revealed the mass to be a thin-walled cystic mass lined by ciliated columnar cells and cartilage, consistent with a subdiaphragmatic bronchogenic cyst. A comprehensive literature review of sBC was also performed.

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A serious clinical course of a very elderly patient with takotsubo cardiomyopathy

Heart and Vessels ◽

10.1007/s00380-004-0771-y ◽

2005 ◽

Vol 20 (2) ◽

pp. 77-81 ◽

Cited By ~ 11

Author(s):

Kenya Sakai ◽

Hiroyuki Ochiai ◽

Norihiko Katayama ◽

Kenji Nakamura ◽

Keiko Arataki ◽

...

Keyword(s):

Elderly Patient ◽

Takotsubo Cardiomyopathy ◽

Clinical Course ◽

Very Elderly

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Takotsubo cardiomyopathy: how much do we know of this syndrome in children and young adults?

Cardiology in the Young ◽

10.1017/s1047951114000080 ◽

2014 ◽

Vol 24 (4) ◽

pp. 580-592 ◽

Cited By ~ 18

Author(s):

Lazaro E. Hernandez

Keyword(s):

Young Adults ◽

Takotsubo Cardiomyopathy ◽

Clinical Course ◽

Course Management ◽

Pathogenic Mechanisms ◽

Children And Young Adults

AbstractSince Takotsubo cardiomyopathy was first described by Sato in 1990, multiple cases have been reported, but only few in children, among whom this type of cardiomyopathy is to some extent underappreciated. A series of children with this syndrome were therefore reviewed, drawing comparison with cases reported by others. The review addresses the current challenges in diagnosis, presentation, triggers, clinical course, management, and possible pathogenic mechanisms of the entity.

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A Comprehensive Review of Seven Steps to a Comprehensive Literature Review

The Qualitative Report ◽

10.46743/2160-3715/2018.3374 ◽

2018 ◽

Author(s):

Jan Williams

Keyword(s):

Literature Review ◽

Best Practices ◽

Empirical Research ◽

Educational Policies ◽

Master's Level ◽

Comprehensive Review ◽

Doctoral Level ◽

Strong Potential ◽

Comprehensive Literature Review

Onwuegbuzie and Frels (2015) provide the framework for evaluating current research and present seven steps for developing a Comprehensive Literature Review. Today a significant dilemma of research involves the sparse number of rigorous, empirical research studies to guide development of best practices of writing. The authors describe the purpose of their book as “a tool and guide for master’s-level students, doctoral-level students, and new and experienced researchers” to approach writing a CLR in a through and investigative way. The thrust and challenge is for researchers to concentrate on improving their methods and practices when reviewing topics with strong potential for shaping long-term educational policies.

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Clinical course of von Szily reaction: Case report and comprehensive review of the literature

American Journal of Ophthalmology Case Reports ◽

10.1016/j.ajoc.2020.100927 ◽

2020 ◽

Vol 20 ◽

pp. 100927

Author(s):

Caleb C. Ng ◽

Judy J. Chen ◽

Anita Agarwal ◽

Emmett T. Cunningham

Keyword(s):

Case Report ◽

Clinical Course ◽

Review Of The Literature ◽

Comprehensive Review

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Slovak agriculture and the integration into the EU

Agricultural Economics (Zemědělská ekonomika) ◽

10.17221/5174-agricecon ◽

2012 ◽

Vol 50 (No. 3) ◽

pp. 100-104 ◽

Cited By ~ 1

Author(s):

G. Blaas

Keyword(s):

Adverse Effects ◽

Economic Performance ◽

Agricultural Commodity ◽

Comprehensive Review ◽

Output Performance ◽

Starting Point ◽

Future Challenges ◽

Direct Payments ◽

The Eu ◽

High Output

The paper is briefly outlining the expected changes in the economic and financial pre-conditions for Slovak farming during the period after the country’s accession to the EU. The starting point of authors reasoning is the current piece of knowledge, saying that the economic performance of individual farms is widely differentiated and the ability of individual farms to meet the future challenges and to use the opportunities is very unevenly distributed among them. Also the competitiveness if a particular agricultural commodity varies. Despite of expectations concerning the price development after accession, not all commodities will be competitive on the single market. The economic situation of farms will considerably benefit from direct payments. Nevertheless, the fact that the Slovak government opted for the Single Area payment Scheme will have some adverse effects on possible gains from payments in productive regions and in farms with high output performance. In order to mitigate these redistribution effects the author is proposing to implement a different scheme of allocation of national top-up is to direct payments. In the final part of his paper the author gives a comprehensive review on payments aimed to promote rural development and payments from the Guidance section of the EAGGF targeted at enhancement of farm re-structuring.

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