scholarly journals New-onset haemoptysis and associated lung mass in the setting of dental care avoidance during the COVID-19 pandemic

2021 ◽  
Vol 14 (12) ◽  
pp. e242850
Author(s):  
Geralyn Palmer ◽  
Fady Jamous
Keyword(s):  
Differential Diagnosis ◽  
Dental Care ◽  
Traumatic Injury ◽  
Lung Lesion ◽  
Chest Imaging ◽  
Lung Mass ◽  
Tooth Fracture ◽  
Radiographic Improvement ◽  
New Onset

We present a case of new-onset haemoptysis and associated lung lesion on chest imaging in the setting of the COVID-19 pandemic. This was believed to be due to dental care avoidance after tooth fracture and long-term use of temporary dental filler, with subsequent aspiration and bronchial injury. Our patient underwent bronchoscopy due to persistent haemoptysis with findings of mild traumatic injury. She responded to conservative management with no pharmacologic intervention. With time, there was resolution of symptoms and radiographic improvement of the lung lesion. We include a brief discussion on the influence of the COVID-19 pandemic on healthcare avoidance, complications of tooth fracture and the differential diagnosis of a new solitary lung lesion on chest imaging.

Macroglossia combined with lymphangioma: a case report

2004 ◽  
Vol 27 (2) ◽  
pp. 167-169 ◽  
Author(s):  
Marcio Guelmann ◽  
Joseph Katz
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Dental Care ◽  
Clinical Presentation ◽  
Traumatic Injury ◽  
Diagnosis And Treatment ◽  
White Female ◽  
Severe Bleeding ◽  
Incisional Biopsy ◽  
Review Of The Literature

A four year old white female with a clinical presentation of macroglossia is described. Speech disturbances and occasional episodes of traumatic injury to the tongue with severe bleeding brought the patient to seek dental care. Lymphangioma was diagnosed after incisional biopsy. The differential diagnosis of tongue enlargement in children is discussed including review of the literature relevant to the diagnosis and treatment of lymphangioma.

Long-term impact of new-onset atrial fibrillation complicating acute myocardial infarction on heart failure: insights from the NOAFCAMI-SH registry

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
S.L Xu ◽  
J Luo ◽  
H.Q Li ◽  
Z.Q Li ◽  
B.X Liu ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Atrial Fibrillation ◽  
Acute Myocardial Infarction ◽  
Natural Science ◽  
Funding Source ◽  
Onset Atrial Fibrillation ◽  
New Onset

Abstract Background New-onset atrial fibrillation (NOAF) complicating acute myocardial infarction (AMI) has been associated with poor survival, but the clinical implication of NOAF on subsequent heart failure (HF) is still not well studied. We aimed to investigate the relationship between NOAF following AMI and HF hospitalization. Methods This retrospective cohort study was conducted between February 2014 and March 2018, using data from the New-Onset Atrial Fibrillation Complicating Acute Myocardial Infarction in ShangHai registry, where all participants did not have a documented AF history. Patients with AMI who discharged alive and had complete echocardiography and follow-up data were analyzed. The primary outcome was HF hospitalization, which was defined as a minimum of an overnight hospital stay of a participant who presented with symptoms and signs of HF or received intravenous diuretics. Results A total of 2075 patients were included, of whom 228 developed NOAF during the index AMI hospitalization. During up to 5 years of follow-up (median: 2.7 years), 205 patients (9.9%) experienced HF hospitalization and 220 patients (10.6%) died. The incidence rate of HF hospitalization among patients with NOAF was 18.4% per year compared with 2.8% per year for those with sinus rhythm. After adjustment for confounders, NOAF was significantly associated with HF hospitalization (hazard ratio [HR]: 3.14, 95% confidence interval [CI]: 2.30–4.28; p<0.001). Consistent result was observed after accounting for the competing risk of all-cause death (subdistribution HR: 3.06, 95% CI: 2.18–4.30; p<0.001) or performing a propensity score adjusted multivariable model (HR: 3.28, 95% CI: 2.39–4.50; p<0.001). Furthermore, the risk of HF hospitalization was significantly higher in patients with persistent NOAF (HR: 5.81; 95% CI: 3.59–9.41) compared with that in those with transient NOAF (HR: 2.61; 95% CI: 1.84–3.70; p interaction = 0.008). Conclusion NOAF complicating AMI is strongly associated with an increased long-term risk of heart. Cumulative incidence of outcome Funding Acknowledgement Type of funding source: Public grant(s) – National budget only. Main funding source(s): 1. National Natural Science Foundation of China, 2. Natural Science Foundation of Shanghai

scholarly journals Financial toxicity is associated with worse physical and emotional long-term outcomes after traumatic injury

2019 ◽  
Vol 87 (5) ◽  
pp. 1189-1196
Author(s):  
Patrick B. Murphy ◽  
Sarah Severance ◽  
Stephanie Savage ◽  
Samilia Obeng-Gyasi ◽  
Lava R. Timsina ◽  
...  
Keyword(s):  
Traumatic Injury ◽  
Financial Toxicity ◽  
Long Term Outcomes

scholarly journals PREDICTORS AND LONG-TERM CLINICAL OUTCOME OF NEW ONSET DIABETES AFTER PERCUTANEOUS CORONARY INTERVENTION

2015 ◽  
Vol 65 (10) ◽  
pp. A1413
Author(s):  
Kyeong-Hyeon Chun ◽  
Byeong-Keuk Kim ◽  
Dong-Ho Shin ◽  
Jung-Sun Kim ◽  
Young-Guk Ko ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Clinical Outcome ◽  
Coronary Intervention ◽  
Onset Diabetes ◽  
Percutaneous Coronary ◽  
New Onset

Toxoplasma Appendicitis: A Once-in-a-Lifetime Diagnosis!

2017 ◽  
Vol 26 (1) ◽  
pp. 89-92 ◽  
Author(s):  
Anisha M. Fernandes ◽  
Maheshkumar M. Lakhe ◽  
Sanjay A. Pai
Keyword(s):  
Differential Diagnosis ◽  
Acute Appendicitis ◽  
Muscularis Propria ◽  
Immunocompromised Patients ◽  
Lymphoid Follicles ◽  
Negative Results ◽  
Immunosuppressed Patients ◽  
Life Threatening

Toxoplasmosis is generally asymptomatic in immunocompetent individuals, but it can be life-threatening in immunocompromised patients. We present a case of a 62-year-old man with clinical features of acute appendicitis. Histology showed a transmural infiltrate of eosinophils. In addition, there were reactive lymphoid follicles with histiocytes in the submucosa and tachyzoites in the muscularis propria. Immunohistochemistry confirmed the diagnosis of toxoplasma appendicitis. Serological evaluation yielded negative results. Retrospective review of the history revealed that the patient was on long-term immunosuppressive therapy with methotrexate. The patient was treated with sulfamethoxazole-trimethoprim and is asymptomatic at 7-month follow-up. Toxoplasma appendicitis must be considered in the differential diagnosis of appendicitis in immunosuppressed patients.

Non-syndromic oligodontia in siblings: A spectrum of experience

Dental Update ◽  
2021 ◽  
Vol 48 (2) ◽  
pp. 135-139
Author(s):  
Claudia Heggie ◽  
L Gartshore
Keyword(s):  
Family History ◽  
Preventive Care ◽  
Dental Care ◽  
Multidisciplinary Team ◽  
Dental Students ◽  
Permanent Teeth ◽  
Tooth Surface ◽  
Affect Expression ◽  
Relevant Family History

Non-syndromic oligodontia, the agenesis of six or more teeth, has a prevalence of 0.14–0.25%. Genetic, epigenetic and environmental influences affect expression. Three brothers presented with agenesis of 14, 21 and 23 permanent teeth, respectively. They were medically well, with no relevant family history. Each case presented with caries, microdontia and attritive tooth surface loss. Comprehensive care was delivered in each case by undergraduate dental students. Individualized prevention and stabilization were completed before referral for multidisciplinary long-term planning. Primary dental care practitioners are instrumental in delivering preventive care and stabilizing the dentition in cases of dental anomaly, while sharing care with specialist teams. CPD/Clinical Relevance: An unusual presentation of non-syndromic oligodontia relevant to primary dental care practitioners who are likely to provide the first clinical contact and referral to the wider multidisciplinary team.

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