Lingual Abscess in a Psychiatric Patient: A Case Report

Introduction: Abdominal pain is a common chief complaint that can represent a wide breadth of diagnoses, ranging from benign to life-threatening. As our diagnostic tools become more sophisticated, we are able to better identify more causes of potentially life-threatening diseases. One such disease that is relatively unfamiliar to clinicians is spontaneous isolated celiac artery dissection (SICAD). Case Report: We describe a case of a 46-year-old man who presented to our emergency department with a chief complaint of abdominal pain and was found to have a SICAD and was successfully treated with anticoagulation, antihypertensives, and observation. Conclusion: It is important for emergency physicians to keep this potentially life-threatening condition in mind and to know the appropriate first steps once identified.

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T-wave inversion in the precordial leads: сardiac and non-cardiac causes

Kardiologiia ◽

10.18087/cardio.2020.5.n668 ◽

2020 ◽

Vol 60 (5) ◽

pp. 136-145

Author(s):

I. R. Tsoy ◽

I. P. Kolos

Keyword(s):

Pulmonary Embolism ◽

Differential Diagnosis ◽

Anterior Wall ◽

Left Ventricular ◽

Arrhythmogenic Cardiomyopathy ◽

Cardiac Memory ◽

T Wave ◽

Wave Inversion ◽

Threatening Condition ◽

Life Threatening

The T-wave inversion (TWI) is a common electrocardiographic finding. Causes for TWI are numerous and sometimes TWI may appear in life-threatening conditions. The aim of this review was to provide an up-to-date analysis of TWI, including i) definition and prevalence; ii) causes, and iii) differential diagnosis in benign TWI, reversible myocardial ischemia of the left ventricular anterior wall; takotsubo cardiomyopathy; subarachnoid hemorrhage; pulmonary embolism; right ventricular arrhythmogenic cardiomyopathy; and “cardiac memory”. The review presents practical electrophysiological criteria, which allow suspecting in time a life-threatening condition to choose an up-to-date treatment.

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Brain abscess due to Aggregatibacter aphrophilus and Bacteroides uniformis

Acta Medica Academica ◽

10.5644/ama2006-124.144 ◽

2015 ◽

Vol 44 (2) ◽

pp. 181

Author(s):

Maja Bogdan ◽

Vlasta Zujić Atalić ◽

Ivan Hećimović ◽

Dubravka Vuković

Keyword(s):

Magnetic Resonance Imaging ◽

Case Report ◽

Surgical Treatment ◽

Brain Abscess ◽

Neurological Deficit ◽

Resonance Imaging ◽

Aggregatibacter Aphrophilus ◽

Threatening Condition ◽

Life Threatening ◽

The Brain

Objective. The aim of this report was to describe the occurrence of a bacterial brain abscess in a healthy individual, without any predisposing condition. Case report. A thirteen-year old boy was admitted to the Department of Neurosurgery after the onset of vomiting, headache and dizziness. A neurological deficit was detected during the physical examination so urgent magnetic resonance imaging of the brain was performed, revealing an intrahemispheric, right positioned solitary expansive mass with ring enhancement. Purulent material was obtained during osteoplastic craniotomy with total extirpation of the brain abscess. Aggregatibacter aphrophilus and Bacteroides uniformis were isolated. The patient’s general condition improved and the neurological deficit subsided as a result of the prompt recognition and treatment of this life threatening condition. Conclusion. To achieve a favourable clinical outcome, prompt recognition and surgical treatment of a brain abscess are of primary importance,followed by administration of appropriate antimicrobial therapy. To our best knowledge, this is the first report of this combination of microorganisms as the cause of a brain abscess.

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Dieulafoy Lesion of Ileum: A Case Report

Nepal Medical Journal ◽

10.37080/nmj.89 ◽

2020 ◽

Vol 3 (1) ◽

pp. 64-66

Author(s):

Prakash Poudel ◽

Ramesh Dhakwa

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Gastrointestinal Bleeding ◽

Gastrointestinal Haemorrhage ◽

Definitive Diagnosis ◽

Gi Bleeding ◽

Mucosal Defect ◽

Life Threatening ◽

High Index Of Suspicion ◽

Dieulafoy Lesion

Dieulafoy lesion is a rare cause of massive GI bleeding. It’s an abnormal sub-mucosal artery protruding from a minute mucosal defect (≤3 mm). A 31 yearold male presented with complaints of hematochezia. Preliminary investigations failed to locate the exact source of bleed. Enteroscopy suggested distal ileal bleed. At laparotomy, an ulcerated nodular lesion, approximately 0.5 cm was identified in distal ileum. 30 cm of ileum along with mesentery was resected. Histology revealed it to be Dieulafoy lesion. Dieulafoy lesion is uncommon but one of the causes of obscure gastrointestinal bleeding that could result in treacherous and life-threatening gastrointestinal haemorrhage. This lesion is difficult to identify and high index of suspicion is required to make diagnosis. Hence, it should be considered in the differential diagnosis of active GI bleeding. The definitive diagnosis is based only on histopathology.

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Methaemoglobinaemia from Vagisil creme in a 50-year-old woman

BMJ Case Reports ◽

10.1136/bcr-2020-239697 ◽

2021 ◽

Vol 14 (3) ◽

pp. e239697

Author(s):

Sarah Cheyney ◽

Zachary Field ◽

Jacqueline Kropf ◽

Steve Carlan

Keyword(s):

Emergency Department ◽

Differential Diagnosis ◽

Topical Anaesthetic ◽

Over The Counter ◽

Perimenopausal Woman ◽

Threatening Condition ◽

Life Threatening

Methaemoglobinaemia is a life-threatening condition that results from increased methaemoglobin production. As methaemoglobin is unable to reversibly bind to oxygen potentially lethal hypoxia and functional anaemia can occur. Benzocaine can be used as a topical anaesthetic and can be found in many nonprescription preparations marketed for self-application. It is known to cause methaemoglobinaemia in rare cases but most reports describe the complication occurring during endoscopy procedures. Methaemoglobinaemia occurring after topical benzocaine use on the perineum of a perimenopausal woman is exceedingly rare. A 50-year-old woman with methaemoglobinaemia secondary to the perineal application of over-the counter Vagisil (benzocaine 20% and resorcinol 3%- an antiseptic and disinfectant, respectively) presented to the emergency department. She had been using Vagisil for severe, chronic vaginal itching. While methaemoglobinaemia secondary to excessive use of over-the-counter medications such as Vagisil creme is exceedingly rare, it should be included in the differential diagnosis.

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Systemic lupus erythematosus—clinical features and aetiopathogenesis

Oxford Textbook of Rheumatology ◽

10.1093/med/9780199642489.003.0117_update_002 ◽

2013 ◽

pp. 923-937

Author(s):

Caroline Gordon

Keyword(s):

Systemic Lupus Erythematosus ◽

Differential Diagnosis ◽

Autoimmune Disease ◽

Clinical Features ◽

Lupus Erythematosus ◽

Immune Complexes ◽

Clinical Manifestations ◽

Systemic Lupus ◽

Life Threatening ◽

Symptoms And Signs

Systemic lupus erythematosus (SLE or lupus) is a multisystem, autoimmune disease associated with the formation of autoantibodies that form pathological immune complexes and activate a number of inflammatory pathways. The disease is characterized by remissions and relapses (flares) that can present with a variety of clinical manifestations. The symptoms and signs may range from mild features that can be treated easily to organ and even life threatening manifestations requiring potent immunosuppression. This chapter will review the epidemiology and pathology of lupus, then the clinical features including differential diagnosis and investigation of adult patients with SLE. Finally the classification, diagnosis, monitoring and outcome of lupus patients will be discussed.

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Recurrent ipsilateral ectopic pregnancy after partial salpingectomy: case-report

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20182908 ◽

2018 ◽

Vol 7 (7) ◽

pp. 2930

Author(s):

Tanjona Andriamanetsiarivo Ratsiatosika ◽

Romuald Randriamahavonjy ◽

Baco Abdallah Abasse ◽

Mahefarisoa Fnat ◽

Ibrahim Housni ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Ectopic Pregnancy ◽

Fallopian Tube ◽

Vaginal Bleeding ◽

Postoperative Recovery ◽

Common Site ◽

Threatening Condition ◽

Life Threatening ◽

Bilateral Salpingectomy

Ectopic pregnancy is a life-threatening condition occurring in 1-2% of all pregnancies. The most common site of implantation for an ectopic pregnancy is the fallopian tube. Authors report a case of recurrent ipsilateral ectopic pregnancy following right partial salpingectomy of a 29-Year-Old woman that led to tubal rupture. The pregnancy was conceived spontaneously. Diagnostic of ruptured ectopic pregnancy was done after clinical and ultrasonography examination. The presence of a massive hemoperitoneum with a positive pregnancy urinary test that lead us to the diagnosis of ectopic pregnancy. She underwent a laparotomy for a suspicion of ruptured ectopic pregnancy. The ectopic pregnancy was identified in the left remnant fallopian tube. Partial salpingectomy, removal of tubal stump, and resection of the uterine cornua, was performed. The postoperative recovery was uneventful. She has stayed for five days at the Hospital. All patients, even though they have already received a definitive contraception by tubal section and ligature or unilateral or by bilateral salpingectomy for any reason, must seek an ectopic pregnancy in case of pelvic pain, vaginal bleeding and/ or amenorrhea. Authors propose to carry a total salpingectomy after a chosen surgical treatment.

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Incidental amniocele in a case of antepartum haemorrhage

South African Journal of Radiology ◽

10.4102/sajr.v24i1.1817 ◽

2020 ◽

Vol 24 (1) ◽

Author(s):

Sheree C. Gray ◽

Jacobus A. Pienaar ◽

Zelia Sofianos ◽

Jacob Varghese ◽

Ilonka Warnich

Keyword(s):

Case Report ◽

Early Identification ◽

Uterine Rupture ◽

Placenta Previa ◽

Morbidity And Mortality ◽

Severe Morbidity ◽

Antepartum Haemorrhage ◽

Threatening Condition ◽

Life Threatening

An amniocele, or contained uterine rupture, is a phenomenon in which there is herniation of the amniotic sac through a uterine defect, secondary to various causes. It is associated with severe morbidity and mortality. This case presents the findings in a 36-year-old female at 29 weeks gestation who was initially managed as antepartum haemorrhage secondary to placenta previa, based on ultrasound. Upon further imaging, an amniocele was diagnosed. This case report illustrates the importance of early identification of this life-threatening condition.

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Mixed‐type primary germ cell tumor of the mediastinum in a young adult male with a sudden life threatening condition: A case report

Thoracic Cancer ◽

10.1111/1759-7714.13231 ◽

2019 ◽

Vol 11 (1) ◽

pp. 166-169

Author(s):

Tadashi Sakane ◽

Katsuhiro Okuda ◽

Takayuki Murase ◽

Takuya Watanabe ◽

Risa Oda ◽

...

Keyword(s):

Case Report ◽

Young Adult ◽

Germ Cell ◽

Germ Cell Tumor ◽

Adult Male ◽

Mixed Type ◽

Cell Tumor ◽

Young Adult Male ◽

Threatening Condition ◽

Life Threatening

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Spontaneous Heterotopic Pregnancy: Case Report and Literature Review

Medicina ◽

10.3390/medicina56080365 ◽

2020 ◽

Vol 56 (8) ◽

pp. 365 ◽

Cited By ~ 1

Author(s):

Miglė Černiauskaitė ◽

Brigita Vaigauskaitė ◽

Diana Ramašauskaitė ◽

Mindaugas Šilkūnas

Keyword(s):

Emergency Department ◽

Case Report ◽

Laboratory Tests ◽

Heterotopic Pregnancy ◽

Fallopian Tubes ◽

Lower Abdomen ◽

Healthy Baby ◽

Extrauterine Pregnancy ◽

Threatening Condition ◽

Life Threatening

Heterotopic pregnancy is defined as a condition when intrauterine and extrauterine pregnancy occur simultaneously. It is a life-threatening condition that requires immediate and accurate diagnostics and treatment. We present a case of a 28-year-old primigravida female who conceived spontaneously and at her seventh week of gestation and was presented to the emergency department with weakness and acute pain in lower abdomen. Laboratory tests and transvaginal ultrasonography revealed the diagnosis of heterotopic pregnancy. Urgent laparoscopic salpingotomy was chosen as a treatment option. The ectopic pregnancy was successfully removed with the preservation of the intrauterine embryo and fallopian tubes. The course of pregnancy after the surgery was without complications, and a healthy baby was delivered at the 39th week of gestation. When treated properly and on time, a heterotopic pregnancy can result in live childbirth with favorable outcomes for both the child and the mother.

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