scholarly journals Veillonella Bacteremia in Alcoholic Hepatitis

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Patrick Lee ◽  
Brandon K. K. Fields ◽  
Tom Liang ◽  
Michael P. Dubé ◽  
Seth Politano
Keyword(s):  
Case Report ◽  
Early Identification ◽  
Liver Diseases ◽  
Alcoholic Hepatitis ◽  
Clinical Manifestations ◽  
Commensal Bacteria ◽  
Gut Dysbiosis ◽  
Severe Alcoholic Hepatitis ◽  
Life Threatening ◽  
Susceptible Populations

Veillonella species are commensal bacteria of the human oral, gut, and vaginal microbiota that are rarely identified as clinically relevant pathogens. Here, we describe a novel case of Veillonella atypica bacteremia in a patient with biopsy-proven alcoholic hepatitis. Veillonella species have been correlated with disease severity and hepatic encephalopathy in liver diseases such as autoimmune hepatitis and cirrhosis. Their abundance has also been recently observed to be increased in alcoholic hepatitis, where postinflammatory infections are known to impact mortality. This case report highlights the possible clinical manifestations that result from significant gut dysbiosis in patients with severe alcoholic hepatitis. Early identification and treatment of Veillonella bacteremia in susceptible populations could be crucial to survival given this organism’s predilection for causing life-threatening infections, including meningitis, endocarditis, and osteomyelitis.

scholarly journals Complicated staphylococcal pericarditis in a child: a case report

2020 ◽  
Vol 7 (11) ◽  
pp. 2252
Author(s):  
Fehmida Sultana ◽  
Deepti Jujaray ◽  
Ravi P. V. Kiran
Keyword(s):  
Case Report ◽  
Pericardial Effusion ◽  
Early Identification ◽  
Clinical Presentation ◽  
Paediatric Population ◽  
Acute Pericarditis ◽  
Life Threatening

Although primary pericarditis is unusually experienced and diagnosed in paediatric population, it has probable life threatening sequel. This case report presents a case of complicated community acquired staphylococcal pericarditis, which illustrates how evasive the diagnosis of pericardial effusion can be. Early identification of pericarditis and pericardial effusion is vital to enable emergent intervention to enhance prognosis and alleviate mortality. The purpose of this report is to probe into the etiology of acute pericarditis and also to review the clinical presentation, the management and complications connected with acute pericarditis. 

scholarly journals Incidental amniocele in a case of antepartum haemorrhage

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.

scholarly journals Unusual Infections Complicating the Use of Steroids with Severe Alcoholic Hepatitis: Report of 2 Cases

1995 ◽  
Vol 9 (2) ◽  
pp. 81-84
Author(s):  
Vitor Arantes ◽  
Pina Michieletti ◽  
Ross Cameron ◽  
Jenny Heathcote ◽  
Morris Sherman
Keyword(s):  
Renal Failure ◽  
Steroid Therapy ◽  
Alcoholic Hepatitis ◽  
Alcoholic Cirrhosis ◽  
Lung Abscess ◽  
Septic Emboli ◽  
Intravenous Line ◽  
Acute Alcoholic Hepatitis ◽  
Severe Alcoholic Hepatitis ◽  
Life Threatening

Corticosteroid therapy for acute alcoholic hepatitis has been demonstrated to enhance survival in patients who are encephalopathic, and who do not have renal failure or gastrointestinal bleeding. However, the complications of steroid therapy in such patients have been less well documented. The authors report two patients with alcoholic liver disease who developed life-threatening infections after steroid therapy was started. The first patient initially developed diabetes followed by Fournier's gangrene of the perineum, and a lung abscess following septic emboli. The second patient had established alcoholic cirrhosis rather than alcoholic hepatitis. She developed a necrotic ulcer on the arm at the site of an intravenous line, which was infected with a rhizopus species. Despite surgical debridement the lesion progressed and contributed to her death. Treatment of alcoholic hepatitis with steroids is not innocuous, and physicians should be aware of the potential for life-threatening complications.

scholarly journals Sumag (sulphacetamide) induced allergic reaction, aggravating superficial thrombophlebitis

2020 ◽  
Vol 7 (10) ◽  
pp. 1579
Author(s):  
Dharmendra Jain ◽  
Abhishek Kaushley ◽  
Vaibhav Mishra
Keyword(s):  
Adverse Drug Reaction ◽  
Drug Reaction ◽  
Case Report ◽  
Allergic Reaction ◽  
Early Identification ◽  
Clinical Course ◽  
Superficial Thrombophlebitis ◽  
Management Of Complications ◽  
Life Threatening

Adverse drug reaction (ADR) is not only require early identification of the offending drugs but also requires proper care and management of complications. Also adverse drug reaction need to be differentiated from the problem unrelated to the drug so that needed medications are not unnecessarily stopped. Adverse drug reaction may be unpredictable and represent a life-threatening risk. ADR can also complicate the management of any infection. This case report provide the precise clinical course of a rare ADR.

scholarly journals Vitamin B12 deficiency masquerading Addison’s disease: a case report of an adolescent male

2020 ◽  
Vol 8 (5) ◽  
pp. 1932
Author(s):  
Sudhaa Mani M. ◽  
Yasmeen Ahamed S. ◽  
Nanitha Lakshmi Kavitha Giri ◽  
Jesudasan A.
Keyword(s):  
Case Report ◽  
Clinical Manifestations ◽  
Vitamin B12 Deficiency ◽  
Ultra Violet ◽  
Adolescent Male ◽  
Drug Induced ◽  
Ultra Violet Radiation ◽  
Life Threatening ◽  
B12 Deficiency ◽  
Violet Radiation

Intraoral pigmentations range from innocuous physiologic pigments to life-threatening malignant conditions. It is at the discretion of the observing clinician to identify the abnormal clinical manifestations and provide necessary intervention. There are controversies about delineating the definite etiology of the pigmentation such as race, exposure to ultra-violet radiation, drug-induced pigmentation post-inflammatory pigments of the oral cavity.

scholarly journals Is COVID-19 infection triggering oral herpes zoster? A case report

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110657
Author(s):  
Wafaa Saleh ◽  
Fatma Ata ◽  
Mohamed M Elashry
Keyword(s):  
Case Report ◽  
Herpes Zoster ◽  
Clinical Symptoms ◽  
Oral Care ◽  
Clinical Manifestations ◽  
Oral Lesion ◽  
System A ◽  
Oral Herpes ◽  
Life Threatening ◽  
Rapid Appearance

Patients affected with COVID-19 are at risk of developing serious and life-threatening conditions. The clinical manifestations of COVID-19 were detected in asymptomatic cases to severe clinical symptoms with a major impact on the respiratory system. A few cases of cutaneous as well as an oral lesion of herpes zoster in patients with COVID-19 were reported in the literature. We present a case of the rapid appearance of the oral lesion as a manifestation of herpes zoster associated with COVID-19 infection. Our case highlights the importance of oral examination as well as oral care in patients with COVID-19 infection.

Severe Acute Thromboinflammation: Case Report of Individualized Homeopathic Treatment

Homeopathy ◽  
2021 ◽  
Vol 110 (02) ◽  
pp. 132-136
Author(s):  
Silvia Waisse
Keyword(s):  
Case Report ◽  
Clinical Manifestations ◽  
Acute Phase Reactants ◽  
Present Case Report ◽  
Homeopathic Treatment ◽  
Accurate Picture ◽  
Life Threatening ◽  
Very High ◽  
Suspect Case

AbstractThromboinflammation is a still not well-understood phenomenon, which has recently come to the foreground as a function of its relevance in the pathophysiology of coronavirus disease 2019 (COVID-19). The patient described in the present case report exhibited acute fever, giant urticaria, elevated acute phase reactants, and very high d-dimer levels, thus characterizing thromboinflammation. She was diagnosed as a COVID-19 suspect case, which was not confirmed; urticarial vasculitis was ruled out. Homeopathic treatment was started with the earliest clinical manifestations, resulting in rapid and drastic reduction of inflammation and hypercoagulability within the first 12 hours, and full recovery on 10-day follow-up assessment. This case demonstrates the effectiveness of homeopathy in a severe acute disorder, and points to the need to include laboratory testing in homeopathic clinical assessment to achieve an accurate picture of disease, and to avoid the risk of passing over life-threatening disorders.

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