scholarly journals Severe Respiratory and Hemodynamic Failures following Successful Spontaneous Pneumothorax Drainage

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Nicolas Mayeur ◽  
Samuel Groyer ◽  
Sylvie Vimeux ◽  
Jérôme Roustan

Spontaneous pneumothorax is a frequent situation in respiratory medicine, and its treatment is based on conservative treatment or pleural drainage. Reexpansion pulmonary edema (REPE) is often a mild complication following pneumothorax drainage. We report here a severe case of unilateral REPE following spontaneous pneumothorax drainage associated with major pulmonary plasmatic leakage. The clinical presentation was severe and sudden with respiratory and circulatory failures. Initial resuscitation was mostly based on prone and head-down positioning in association to fluid expansion and mechanical ventilation. On the basis of this clinical case report, we strongly suggest to think about severe pulmonary reexpansion edema when respiratory and hemodynamic failures occur few hours after pneumothorax-related efficient pleural tube drainage.

Author(s):  
Ainur Bilmakhanbetova ◽  
Meruyert Beisenbay ◽  
Daulet Marat ◽  
Gulnur Zhakhina

This case report deals with a clinical case of a patient who underwent inpatient treatment of the underlying disease acute leukemia. In the selection of treatment for complications, medications of various groups were prescribed. This therapy led to the clinical death of the patient, caused by drug-induced QT/QTc prolongation.


2009 ◽  
Vol 39 (Suppl) ◽  
pp. 287 ◽  
Author(s):  
Ki-Tae Koo ◽  
Jang-Yeol Park ◽  
Jun-Seok Park ◽  
Tae-Il Kim ◽  
Yang-Jo Seol ◽  
...  

2020 ◽  
Vol 22 (3) ◽  
pp. 60-65
Author(s):  
A. S. Nikitin ◽  
R. M. Nanaev

The objective is to describe the clinical case of arachnoid cyst of occipital bone.Case report. Patient with arachnoid cyst of occipital bone was treated in the clinic of the A.I. Evdokimov Moscow State University of Medicine and Dentistry. The patient had severe pain in the occipital region for several years, conservative treatment was ineffective. Neuroimaging revealed an unusual intraosseous defect in the occipital bone. A partial resection of the occipital bone was performed and cranioplasty was made. During operation it was discovered that the patient had an intraosseous arachnoid cyst, the diagnosis was further confirmed by histological examination. After surgery, regression of pain in the occipital region was noted.Conclusion. The intraosseous arachnoid cyst of the skull is an extremely rare and can cause a severe local headache. Surgery is an effective treatment of this pathology.


RSBO ◽  
2017 ◽  
Vol 1 (2) ◽  
pp. 106
Author(s):  
Fernanda Tiboni ◽  
Rafaela Scariot ◽  
Andrea Oliveira Gebert ◽  
Luciana Signorini

Fractures of the mandibular condylar region are very common, but treatment is controversial; the same fracture can be treatment by either conservative treatment or surgery. When surgery is chosen, the search for the best surgical access also has many doubts. The options for open surgical accesses are: pre-auricular, submandibular, and retromandibular. For intraoral access (similarto sagittal osteotomy of the ramus), the aid of endoscopy, an image equipment, enables the perpendicular visualization of the fracture. Case report: In this clinical case, the authors describe a high mandibular ramus fracture in which the intraoral approach was used associated with endoscopy for the reduction and fixation ofthe fracture. Conclusion: Success of the radiographic and clinical outcome could be observed by the anatomical reduction of the fracutre and the solution of the patient’s requests.


RSBO ◽  
2017 ◽  
Vol 14 (2) ◽  
pp. 106-13
Author(s):  
Fernanda Tiboni ◽  
Rafaela Scariot ◽  
Andrea Oliveira Gebert ◽  
Luciana Signorini

: Fractures of the mandibular condylar region are very common, but treatment is controversial; the same fracture can be treatment by either conservative treatment or surgery. When surgery is chosen, the search for the best surgical access also has many doubts. The options for open surgical accesses are: pre-auricular, submandibular, and retromandibular. For intraoral access (similar to sagittal osteotomy of the ramus), the aid of endoscopy, an image equipment, enables the perpendicular visualization of the fracture. Case report: In this clinical case, the authors describe a high mandibular ramus fracture in which the intraoral approach was used associated with endoscopy for the reduction and fixation of the fracture. Conclusion: Success of the radiographic and clinical outcome could be observed by the anatomical reduction of the fracutre and the solution of the patient’s requests.


2020 ◽  
Vol 3 (1) ◽  
pp. 5-13
Author(s):  
Fernando Gutiérrez Rincón Oscar ◽  
◽  
Moreno García Santiago ◽  
José Hoyos Bedoya Maria ◽  
Juliana Builes Cerón Sarah ◽  
...  

Cavernous malformations are alterations in the conformation of arteries and veins that can be found both intracranial and intraspinal; however, the variables are very important for the diagnosis and treatment of patients. The main clinical manifestation is epileptic seizures in cases of bleeding, but in many cases they are asymptomatic in the course of life and are found as findings related to neuroimaging studies for other reasons. It is more common to find unique lesions, but in cases of multiple lesions it is likely to find an autosomal dominant hereditary factor, which makes the person more likely to convulse due to sporadic bleeding. Medical management focuses on the clinical presentation and management of epileptic seizures, while surgical management takes into account the size, location and bleeding. Below is a clinical case that represents one of the different clinical manifestations and the approach that was given in said patient.


2021 ◽  
Vol 55 (8) ◽  
Author(s):  
Meircurius Dwi Condro Surboyo ◽  
Bagus Soebadi ◽  
Hening Tuti Hendarti ◽  
Desiana Radithia

Most insects have a stinging apparatus at the tail end of their abdominal segment and can deliver venom. The venom can usually result in pain, erythema, abscess, or allergic reaction in human tissues such as the skin and even the lips. The presentation of lip abscess, especially in the vermilion, is rare and needs to be appropriately managed. A 39-year-old prediabetic male presented with a swollen right lower lip stung by an insect six days before the consult. The swelling started as a vesicle which became bigger, then burst, exuding a yellowish fluid and blood. The swollen area became more significant, and pain was felt. The clinical presentation was that of a lower lip abscess. Adequate antibiotics were prescribed along with a corticosteroid and a topical antiseptic. The treatment was essential to prevent the dissemination of infection and the likelihood of tissue necrosis. This case report is presented as a rare clinical case of a lower lip abscess due to an insect sting with spontaneous drainage after treatment in a prediabetic male. The dentist and clinician needed to identify this condition and to manage the case properly.


2021 ◽  
Author(s):  
Ermelindo Tavares-Bello ◽  
Raquel Sabino ◽  
Helena Simões ◽  
Cristina Veríssimo ◽  
Esperança Ussene

Dermatophytoses are superficial and contagious infections caused by dermatophyte fungi. They are the most frequent infectious dermatosis in clinical practice, and can affect the skin, hair and nails. Its correct diagnosis allows the understanding of clinical, ecological and epidemiological aspects associated with these microorganisms. Clinical presentation is variable and depends on the habitat (human, animal or soil origin), virulence of the fungus and on thehost’s immune status.We report the clinical case of a 62-year-old man with tinea corporis, which stands out for its exuberant clinical presentation and by the isolated agent, Trichophyton benhamiae (formerly known as Arthroderma benhamiae), an etiological agent of dermatophytosis that has not been scientifically reported in Portugal yet.


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