scholarly journals Endovascular thrombectomy for critical lower limb ischaemia in a patient with COVID-19

2021 ◽  
Vol 14 (11) ◽  
pp. e244941
Author(s):  
Subhash Kumar ◽  
Anup Kumar ◽  
Ruchi Sinha ◽  
Mala Mahto
Keyword(s):  
Case Report ◽  
Pulmonary Disease ◽  
Lower Limb ◽  
Critical Limb Ischaemia ◽  
Limb Ischaemia ◽  
The Novel ◽  
Endovascular Thrombectomy ◽  
Novel Coronavirus ◽  
Infrapopliteal Arteries ◽  
Severe Pulmonary Disease

Hypercoagulable and proinflammatory states induced by the novel coronavirus (SARS-CoV-2) lead to thrombotic and embolic events. In this case report, the authors describe how they successfully managed acute critical limb ischaemia in a patient of COVID-19 illness with severe pulmonary disease and high thrombus burden in the infrapopliteal arteries.

scholarly journals Nonepileptic Myoclonus in COVID-19: Case Report

2021 ◽  
pp. 194187442110043
Author(s):  
Henly Hewan ◽  
Annie Yang ◽  
Aparna Vaddiparti ◽  
Benison Keung
Keyword(s):  
Case Report ◽  
Critically Ill ◽  
Recovery Phase ◽  
Critically Ill Patient ◽  
High Dose ◽  
The Novel ◽  
Neurological Manifestations ◽  
Immune Mediated ◽  
Novel Coronavirus ◽  
Post Infectious

In late 2019, the novel coronavirus, SARS-CoV-2, and the disease it causes, COVID-19, was identified. Since then many different neurological manifestations of COVID-19 have been well reported. Movement abnormalities have been rarely described. We report here a critically ill patient with COVID-19 who developed generalized myoclonus during the recovery phase of the infection. Myoclonus was associated with cyclical fevers and decreased alertness. Movements were refractory to conventional anti-epileptic therapies. There was concern that myoclonus could be part of a post-infectious immune-mediated syndrome. The patient improved fully with a 4-day course of high-dose steroids. Our experience highlights a rare, generalized myoclonus syndrome associated with COVID-19 that may be immune-mediated and is responsive to treatment.

scholarly journals 1529 Management of A Rare Case of Bilateral Persistent Sciatic Artery Aneurysms Causing Critical Limb Ischaemia With Staged Embolisation And Femoropopliteal Bypass: A Case Report

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Lau ◽  
C MacLeod ◽  
A Vesey ◽  
P F Lau ◽  
P Ghibu
Keyword(s):  
Case Report ◽  
Symptomatic Relief ◽  
Late Presentation ◽  
Tissue Loss ◽  
Critical Limb Ischaemia ◽  
Limb Ischaemia ◽  
Femoropopliteal Bypass ◽  
Contralateral Limb ◽  
Ct Angiogram ◽  
Internal Iliac

Abstract Introduction Bilateral persistent sciatic arteries (PSA) are rare with an incidence of 0.001%. They represent a persistence of the embryonic axial limb circulation via the internal iliac artery. Normally the PSA involutes and is replaced by the superficial femoral artery (SFA). Failure of regression leads to a PSA with varying configurations. Up to 50% of PSAs are aneurysmal and may present with rupture or acute/chronic ischaemia, typically at 40-50 years old. Case Report A 74-year-old female presented with limb threatening ischaemia manifesting with rest pain, sensory deficit and early tissue loss (Rutherford IIb). She had a left femoral pulse but absent pulses distally. Pedal pulses were noted on the contralateral limb. CT angiogram revealed bilateral complete PSAs with incomplete hypoplastic SFAs (Pillet-Gauffre 2a). Both PSAs were aneurysmal; the left PSA was acutely occluded distal to the aneurysm. She underwent staged intervention with percutaneous embolisation of the left PSA, followed by femoropopliteal bypass. She was discharged six days later with good symptomatic relief at one month follow up. We are planning to treat the contralateral limb in a similar manner electively in case complications occur. Conclusions PSAs are commonly associated with limb threatening complications but due to their rarity there are limited reports on the management of this condition. Here we can report a good outcome in a late presentation using staged embolisation with open reconstruction.

scholarly journals Psychosocial effect of COVID-19 lockdown suicidal cut throat injury: a case report

2020 ◽  
Vol 6 (8) ◽  
pp. 1546
Author(s):  
Sandeep Shetty ◽  
Shilpa Chandrashekar ◽  
Nitish Aggarwal ◽  
Kumar Shankar De
Keyword(s):  
Case Report ◽  
The Novel ◽  
Addictive Disorders ◽  
Psychosocial Effect ◽  
Novel Coronavirus ◽  
Alcohol Dependent

<p>The novel coronavirus pandemic of 2020 presents vast challenges to the population particularly to vulnerable ones such as those with addictive disorders amid lockdown with no access to alcohol and difficult to reach overburdened healthcare. We present such a case of a 45 years old alcohol dependent in withdrawal with self-inflicted cut throat injury.</p>

scholarly journals SARS-CoV-2 Infection as a Cause of Acute Pancreatitis in a Child—A Case Report

2021 ◽  
Vol 13 (4) ◽  
pp. 552-557
Author(s):  
Natalia Kopiczko ◽  
Kamila Kwiatek-Średzińska ◽  
Mirosława Uścinowicz ◽  
Monika Kowalczuk-Krystoń ◽  
Dariusz Marek Lebensztejn
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Case Report ◽  
The Novel ◽  
Gastrointestinal Manifestations ◽  
Number Of Patients ◽  
Growing Body ◽  
Novel Coronavirus ◽  
Mild Acute Pancreatitis ◽  
First Time

The novel coronavirus disease (COVID-19) was detected for the first time in China in December 2019. Soon after it was declared a pandemic. Main symptoms include fever, dyspnea, cough, muscle pain, headache, anosmia and ageusia, however a growing body of evidence shows that other organs can be affected. Gastrointestinal manifestations have been observed in a considerable number of patients and include abdominal pain, diarrhea and vomiting. The involvement of liver as well as pancreas has been also described, however there are only a few cases of acute pancreatitis reported in patients with COVID-19. Therefore, we present a case of 6-year-old child with mild acute pancreatitis and COVID-19 pneumonia.

scholarly journals Case Report: Disposition of Symptomatic Probable COVID-19

2020 ◽  
Vol 4 (3) ◽  
pp. 336-339
Author(s):  
Aleq Jaffery ◽  
John Slakey ◽  
David Zodda ◽  
Douglas Finefrock
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Distress Syndrome ◽  
Healthcare Providers ◽  
The Novel ◽  
Moderate Risk ◽  
Risk Of Progression ◽  
Novel Coronavirus ◽  
Tools And Techniques

Introduction: The novel coronavirus disease 2019 (COVID-19) presents a challenge for healthcare providers in terms of diagnosis, management, and triage of cases requiring admission. Case Report: A 47-year-old male with symptoms suspicious for COVID-19, pulse oximetry of 93% on room air, and multifocal pneumonia was risk stratified and safely discharged from the emergency department (ED) despite having moderate risk of progression to acute respiratory distress syndrome. He had resolution of his symptoms verified by telephone follow-up. Conclusion: Various risk-stratifying tools and techniques can aid clinicians in identifying COVID-19 patients who can be safely discharged from the ED.

scholarly journals Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report

2020 ◽  
Vol 8 ◽  
pp. 2050313X2090674
Author(s):  
Nicholas Brian Shannon ◽  
Pradesh Kumar ◽  
Kiang Hiong Tay ◽  
Sia Yang Tan ◽  
Siew Ping Chng ◽  
...  
Keyword(s):  
Case Report ◽  
Early Detection ◽  
Lower Limb ◽  
Spinal Surgery ◽  
Epidural Haematoma ◽  
Arterial Catheter ◽  
Limb Ischaemia ◽  
Spinal Epidural Haematoma ◽  
Catheter Directed Thrombolysis ◽  
Spinal Epidural

A 79-year-old Chinese gentleman presented with unilateral acute lower limb ischaemia and received intra-arterial catheter-directed thrombolysis, initially with good result and reversal of the ischaemia. However, he developed an extensive spontaneous spinal epidural haematoma within hours of the procedure and was left with permanent paraplegia after being deemed unsuitable for decompressive spinal surgery. This report serves as a reminder of the risk of severe complications of catheter-directed thrombolysis by describing this rare but devastating side-effect that occurred even despite early detection from onset of symptoms.

scholarly journals Episcleritis as a possible presenting sign of the novel coronavirus disease: A case report

2020 ◽  
Vol 20 ◽  
pp. 100917
Author(s):  
Wael Otaif ◽  
Abdulaziz Ismail Al Somali ◽  
Ahmed Al Habash
Keyword(s):  
Case Report ◽  
The Novel ◽  
Novel Coronavirus
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