scholarly journals A Case ofAcinetobacterSeptic Pulmonary Embolism in an Infant

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Poonam Wade ◽  
Anitha Ananthan ◽  
Jane David ◽  
Radha Ghildiyal
Keyword(s):  
Computed Tomography ◽  
Pulmonary Embolism ◽  
Blood Culture ◽  
Early Diagnosis ◽  
Complete Recovery ◽  
Blood Cultures ◽  
Lower Zone ◽  
Septic Pulmonary Embolism ◽  
The Right ◽  
Case Characteristics

Case Characteristics. An 11-month-old girl presented with fever and breathlessness for 5 days. Patient had respiratory distress with bilateral coarse crepitations. Chest radiograph revealed diffuse infiltrations in the right lung with thick walled cavities in mid and lower zone. Computed tomography showed multiple cystic spaces and emboli. Blood culture grewAcinetobacterspecies.Intervention. Patient was treated with Meropenem and Vancomycin.Outcome. Complete clinical and radiological recovery was seen in child.Message. Blood cultures and CT of the chest are invaluable in the evaluation of a patient with suspected septic pulmonary embolism. With early diagnosis and appropriate antimicrobial therapy, complete recovery can be expected in patients with septic pulmonary embolism.

scholarly journals CORRELATION OF D-DIMER LEVEL WITH THE PRESENCE AND SEVERITY OF PULMONARY EMBOLISM ON COMPUTED TOMOGRAPHY PULMONARY ANGIOGRAPHY

2020 ◽  
pp. 33-34
Author(s):  
Mantavya Patel ◽  
Sanjay Paliwal ◽  
Rachit Saxena
Keyword(s):  
Computed Tomography ◽  
Pulmonary Embolism ◽  
Early Diagnosis ◽  
Pulmonary Angiography ◽  
Clinical Suspicion ◽  
Early Prediction ◽  
Computed Tomography Pulmonary Angiography ◽  
Negative Prediction ◽  
D Dimer

Introduction: Early diagnosis of pulmonary embolism can reduce morbidity and motility. D-dimer is well known parameter having high negative prediction value. This study focused on role of D-dimer in early prediction of presence and severity of pulmonary embolism. Material and Methods: Thirty patients with clinical suspicion of pulmonary embolism along with high D-dimer value were included in this study. All selected patients underwent computed tomography pulmonary angiography assessment. D-dimer value was correlated with presence and proximity of pulmonary embolism. Results: Out of thirty selected patients 50% had pulmonary embolism on computed tomography pulmonary angiography assessment. D-dimer value correlated well with presence and proximity of pulmonary embolism. Conclusion: D-dimer value more than 4000 ng/ml had high positive prediction value (79%) in suspected clinical cases. Value more than 8000 ng/ml further improve value to nearly 100% in suspected cases.

Computed tomography angiography with pulmonary artery thrombus burden and right-to-left ventricular diameter ratio after pulmonary embolism

Vascular ◽  
2016 ◽  
Vol 25 (1) ◽  
pp. 54-62 ◽  
Author(s):  
Kenneth Ouriel ◽  
Richard L Ouriel ◽  
Yeun J Lim ◽  
Gregory Piazza ◽  
Samuel Z Goldhaber
Keyword(s):  
Computed Tomography ◽  
Pulmonary Embolism ◽  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Computed Tomography Angiography ◽  
Intraclass Correlation ◽  
Left Ventricular ◽  
Observer Agreement ◽  
Left Ventricular Diameter ◽  
The Right

Purpose Computed tomography angiography is used for quantifying the significance of pulmonary embolism, but its reliability has not been well defined. Methods The study cohort comprised 10 patients randomly selected from a 150-patient prospective trial of ultrasound-facilitated fibrinolysis for acute pulmonary embolism. Four reviewers independently evaluated the right-to-left ventricular diameter ratios using the standard multiplanar reformatted technique and a simplified (axial) method, and thrombus burden with the standard modified Miller score and a new, refined Miller scoring system. Results The intraclass correlation coefficient for intra-observer variability was .949 and .970 for the multiplanar reformatted and axial methods for estimating right-to-left ventricular ratios, respectively. Inter-observer agreement was high and similar for the two methods, with intraclass correlation coefficient of .969 and .976. The modified Miller score had good intra-observer agreement (intraclass correlation coefficient .820) and was similar to the refined Miller method (intraclass correlation coefficient .883) for estimating thrombus burden. Inter-observer agreement was also comparable between the techniques, with intraclass correlation coefficient of .829 and .914 for the modified Miller and refined Miller methods. Conclusions The reliability of computed tomography angiography for pulmonary embolism was excellent for the axial and multiplanar reformatted methods for quantifying the right-to-left ventricular ratio and for the modified Miller and refined Miller scores for quantifying of pulmonary artery thrombus burden.

scholarly journals A Case of Urinary Sepsis Secondary to Streptococcus sanguinis

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Ashley Reuter ◽  
Ashley Heyman ◽  
Benjamin Stockton ◽  
David Kraklau ◽  
Michael S. Wang
Keyword(s):  
Computed Tomography ◽  
Ureteral Stone ◽  
Laboratory Data ◽  
Complete Recovery ◽  
Blood Cultures ◽  
Flank Pain ◽  
Transesophageal Echocardiogram ◽  
Streptococcus Sanguinis ◽  
History Of ◽  
Urinary Sepsis

We report a case of a 71-year-old male with a history of BPH who presented with flank pain, fever, chills, abdominal pain, and nausea. He had a dental cleaning 1 month prior to admission and flosses daily. Laboratory data revealed both urine and blood cultures to be positive for streptococcus sanguinis. Computed tomography revealed a 10 mm right ureteral stone, and an ultrasound demonstrated moderate right hydronephrosis. He underwent an ureteroscopy with stent placement. A transesophageal echocardiogram was negative for endocarditis. He completed 2 weeks of IV ceftriaxone and made a complete recovery.

Computed tomography for the detection of free-floating thrombi in the right heart in acute pulmonary embolism

2010 ◽  
Vol 21 (2) ◽  
pp. 240-245 ◽  
Author(s):  
Nicolas Mansencal ◽  
David Attias ◽  
Vincent Caille ◽  
Julien Desperramons ◽  
Julie Guiader ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Pulmonary Embolism ◽  
Acute Pulmonary Embolism ◽  
Right Heart ◽  
The Right

scholarly journals Three-Dimensional Computed Tomography Follow-Up on Spontaneous Bone Healing after Excision of Periorbital Dermoid Cyst: A Case Report

2021 ◽  
Vol 17 (3) ◽  
pp. 213-217
Author(s):  
Hannara Park ◽  
Jaemin Seong ◽  
Hyochun Park ◽  
Hyeonjung Yeo
Keyword(s):  
Computed Tomography ◽  
Dermoid Cyst ◽  
Three Dimensional ◽  
Surgical Excision ◽  
Complete Recovery ◽  
Bony Defect ◽  
Palpable Mass ◽  
Nodular Lesions ◽  
The Right

Dermoid cysts are among the most common periorbital and orbital tumors presenting in childhood. Several studies have shown that dermoid cysts may deform adjacent bones; however, few studies have followed the course of bone regeneration after the excision of a cyst. We report a case of a 29-month-old female infant who presented with a palpable mass over her right lateral eyebrow. Ultrasonography findings suggested a dermoid cyst, and computed tomography revealed a 2.1-cm round bony defect in the right zygoma. After surgical excision of the dermoid cyst, we successfully applied fibrin sealant to eliminate the dead space. Pathological findings showed nodular lesions with flat cystic walls containing lamellated keratin and sebaceous glands, supporting the diagnosis of dermoid cyst. At 6 months postoperatively, a follow-up computed tomography scan confirmed complete recovery of the bone defect in the right zygoma.

scholarly journals Evaluation of the right ventricular ejection fraction according to multislice computed tomography in patients with pulmonary embolism

2015 ◽  
Vol 96 (6) ◽  
pp. 901-905
Author(s):  
A S Galyavich ◽  
A Yu Rafikov
Keyword(s):  
Computed Tomography ◽  
Pulmonary Embolism ◽  
Ejection Fraction ◽  
Right Ventricular ◽  
Multislice Computed Tomography ◽  
Right Ventricular Ejection Fraction ◽  
Ventricular Ejection Fraction ◽  
End Diastolic Volume ◽  
Left And Right ◽  
The Right

Aim. Evaluation of the global systolic function of the right ventricle according to multislice computed tomography in patients with pulmonary embolism. Methods. 37 people aged 31 to 75 years (20 women and 17 men, mean age 55±12 years) were examined. The study group included 15 patients without clinical or instrumental signs of congenital heart disease and myocardial infarction of the left and right ventricles, with signs of pulmonary embolism according to multislice computed tomography. The control group included 22 patients. Tomographic analysis of end-diastolic volume, ejection fraction of the left and right ventricles was performed during noninvasive multislice computed tomography - coronary angiography, angiopulmonography. The study was conducted on a 64-helical computed tomography Aquillon 64 (Toshiba, Japan). Results. Analyzing group medians in patients with pulmonary embolism there was a decrease of the right ventricular ejection fraction and end-diastolic volume of the left ventricle (р

scholarly journals Compartment Syndrome of the Upper Extremity Induced by Extravasation of Contrast Media after Computed Tomography: A Case Report

2017 ◽  
Vol 20 (4) ◽  
pp. 240-243
Author(s):  
Jae Won Jung ◽  
Young Jae Lim ◽  
Beom Soo Kim ◽  
Chul Hyun Cho
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Early Diagnosis ◽  
Contrast Media ◽  
Compartment Syndrome ◽  
Upper Extremity ◽  
Skin Necrosis ◽  
Severe Damage ◽  
Extravasation Of Contrast Media ◽  
The Right

The incidence of contrast media extravasation has been increasing gradually. Most contrast media extravasations only can cause pain, swelling and erythema. However, in more severe cases, skin necrosis, ulceration, or compartment syndrome may occur, often necessitating a surgery. Early diagnosis and treatment should be established on the spot in order to avoid such a severe damage. We present a case of 42-year-old woman with a compartment syndrome in the right upper extremity caused by extravasation of computed tomography contrast media.

Recurrent neonatal group B streptococcus cellulitis and adenitis syndrome with late-onset sepsis

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Alex Guri ◽  
Eric Scheier ◽  
Uri Balla ◽  
Mikhael Chigrinsky ◽  
Eli Shapiro
Keyword(s):  
Emergency Department ◽  
Late Onset ◽  
Group B Streptococcus ◽  
Complete Recovery ◽  
Blood Cultures ◽  
Case Presentation ◽  
Late Onset Sepsis ◽  
Neonatal Group ◽  
Group B ◽  
The Right

AbstractObjectivesGroup-B streptococcus (GBS) continues to be a significant cause of late-onset neonatal illness. Rarely does it present as cellulitis-adenitis syndrome, and rarely does the infection recur in the same infant after complete recovery.Case presentationHere we report a case of recurrent late-onset cellulitis-adenitis GBS syndrome in a term 12-day-old neonate. The infant presented with fever and cellulitis of the right neck. Full sepsis workup was normal and the infant recovered completely with antibiotics. Three days after the completion of antibiotics the patient returned to the emergency department due to fever, toxic appearance and rapidly spreading cellulitis, and adenitis on the left side of the neck. Blood culture revealed GBS. The patient was re-admitted to the hospital and successfully treated with a prolonged course of antibiotics.ConclusionsThis case highlights the importance of treating neonatal cellulitis with fever as bacteremia, and reminds us of the rare possibility of recurrent invasive GBS disease. Moreover, this case illustrates that GBS cellulitis-adenitis syndrome is possibly underdiagnosed in mild cases. Physicians should be aware that neonatal cellulitis can precede the appearance of severe sepsis. Neonates with fever and cellulitis without a clear external port of entry should undergo a complete sepsis workup and receive antibiotic treatment appropriate for bacteremia, even if the blood cultures are negative. Although the recurrence of GBS sepsis is rare, physicians should be aware of this possibility in order to treat the infection early.

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