scholarly journals Lip angioedema after indirect contact with a sea anemone

2021 ◽  
pp. 014556132110557
Author(s):  
Stergios Lialiaris ◽  
Georgios Fyrmpas ◽  
Melina Katsilidou ◽  
Despoina Vitsa ◽  
Michaels Katotomihelakis
Keyword(s):  
Sea Anemone ◽  
High Index ◽  
Uneventful Recovery ◽  
Sea Anemones ◽  
Marine Animals ◽  
Indirect Contact ◽  
Skin Contact ◽  
High Index Of Suspicion ◽  
Toxic Reactions

Sea anemones are marine animals that can produce toxins causing severe angioedema. Swimmers and divers should be aware of sea anemone species that can cause local and systemic toxic reactions and avoid indirect or direct skin contact. High index of suspicion, full laboratory workup, and treatment with steroids and antibiotics are imperative for an uneventful recovery.

scholarly journals Kawasaki disease: A case report

2012 ◽  
Vol 1 (1) ◽  
pp. 26-28 ◽  
Author(s):  
AR Ojha ◽  
A Nepal ◽  
R Acharya ◽  
KN Shakya
Keyword(s):  
Case Report ◽  
Kawasaki Disease ◽  
Intravenous Immunoglobulin ◽  
Diagnostic Criteria ◽  
High Index ◽  
Uneventful Recovery ◽  
Medical College ◽  
Prolonged Fever ◽  
History Of ◽  
High Index Of Suspicion

Kawasaki disease is a vasculitis of medium sized arteries which is diagnosed by exclusion and by use of diagnostic criteria. It needs a high index of suspicion to diagnose and should be suspected in any child with history of fever for more than a week with rash and lymphadenopathy. Such patients should be treated with intravenous immunoglobulin and Aspirin to prevent complications. Here we report a case of Kawasaki Disease who presented with prolonged fever, rash and lymphadenopathy and made an uneventful recovery. DOI: http://dx.doi.org/10.3126/jkmc.v1i1.7252 Journal of Kathmandu Medical College, Vol. 1, No. 1, Issue 1, Jul.-Sep., 2012 pp.26-28

Neurobrucellosis associated with feral swine hunting in the southern United States

2020 ◽  
Vol 13 (12) ◽  
pp. e238216
Author(s):  
Harry Ross Powers ◽  
Jared R Nelson ◽  
Salvador Alvarez ◽  
Julio C Mendez
Keyword(s):  
United States ◽  
At Risk ◽  
High Index ◽  
Southern United States ◽  
Endemic Country ◽  
Feral Swine ◽  
Neurological Sequelae ◽  
Initial Symptoms ◽  
The Usa ◽  
High Index Of Suspicion

Although uncommon, Brucella infection can occur outside the areas of high endemicity, such as the USA. In the southern USA, hunters of wild swine are at risk for brucellosis. We present a case of a patient with fever, headache and constitutional symptoms that were ongoing for 11 months. He was diagnosed with neurobrucellosis. The patient was treated successfully with intravenous ceftriaxone, oral doxycycline and oral rifampin therapy. He had persistent neurological sequelae after completing treatment. This case illustrates the high index of suspicion needed to diagnose neurobrucellosis in a non-endemic country because initial symptoms can be subtle. The disease can be treated successfully, but long-lasting neurological sequelae are common.

Gametogenesis and the reproductive cycle in the deep-sea anemone Paracalliactis stephensoni (Cnidaria: Actiniaria)

1990 ◽  
Vol 70 (1) ◽  
pp. 163-172 ◽  
Author(s):  
Michel Praet-Van
Keyword(s):  
Organic Matter ◽  
Shallow Water ◽  
Deep Sea ◽  
Phytoplankton Bloom ◽  
Sea Anemone ◽  
Bay Of Biscay ◽  
Sea Anemones ◽  
Spring Phytoplankton Bloom ◽  
Sea Floor ◽  
Ultrastructural Investigation

This ultrastructural investigation of gametogenesis in a deep-sea anemone of the Bay of Biscay trawled around 2000 m depth, contributes to the knowledge of biology and strategy of reproduction of deep-sea benthos.This sea anemone is dioecious. The sperm appears very similar to those of shallow water sea anemones of the genus, Calliactis. The ultrastructural investigation of oogenesis allows the characteristics of the stages of previtellogenesis and vitellogenesis to be defined. The latter begins with a period of lipogenesis correlated with the formation of a trophonema. Mature oocytes measure up to 180 (im in diameter. Study of spermatogenesis and oogenesis reveals that spawning occurs in April/May. In males, the main area of testicular cysts, full of sperm, reaches maximal development from March to May and, in females, the percentage of mature oocytes decreases from 33% in April to 1% in May.Spawning may be induced by the advent in the deep-sea of the products of the spring phytoplankton bloom. This period of spawning, during the increased deposition of organic matter to the deep-sea floor, may be an advantageous strategy for early development of Paracalliactis.

Mycobacterium Fortuitum Infections of the Hand

1992 ◽  
Vol 17 (6) ◽  
pp. 675-677 ◽  
Author(s):  
F. K. IP ◽  
S. P. CHOW
Keyword(s):  
Correct Diagnosis ◽  
High Index ◽  
Mycobacterium Fortuitum ◽  
High Index Of Suspicion

Five cases are reported of infection due to Mycobactenum fortuitum involving the hand following contaminated injection or traumatic wounds. Synovectomy, debridement, or amputation together with prolonged chemotherapy using kanamycin or amikacin were required. Doxycycline and sulphamethoxasole also seemed to be the effective antibiotics for this organism. A high index of suspicion is important in order to obtain the correct diagnosis.

scholarly journals Acute permethrin neurotoxicity: Variable presentations, high index of suspicion

2014 ◽  
Vol 1 ◽  
pp. 1026-1028 ◽  
Author(s):  
Bonny Drago ◽  
Namrata S. Shah ◽  
Samir H. Shah
Keyword(s):  
High Index ◽  
High Index Of Suspicion

Benign ano-rectal disorders

2017 ◽  
Vol 10 (5) ◽  
pp. 253-261
Author(s):  
James Kynaston
Keyword(s):  
Primary Care ◽  
High Index ◽  
Diagnosis And Management ◽  
High Index Of Suspicion ◽  
Adult Presentation ◽  
Surgical Referral

Benign ano-rectal disorders are a common adult presentation to primary care; they also generate a significant number of secondary referrals. The exact prevalence of these conditions is difficult to determine, due to under-reporting of symptoms, which patients can find embarrassing and difficult to disclose. It can be challenging to distinguish between different ano-rectal disorders which present with similar symptoms. A high index of suspicion is required to detect serious malignant pathology. The aim of this article is to outline the epidemiology, pathophysiology, diagnosis and management of common benign ano-rectal disorders in primary care. The indications for surgical referral and important cancer referral guidelines are included.

Neonatal chikungunya encephalitis

2021 ◽  
pp. 004947552110632
Author(s):  
R. Sreekanth ◽  
Lakshmi Venugopal ◽  
B. Arunkrishnan ◽  
Somya chaturvedi ◽  
Shanmugha sundaram
Keyword(s):  
Skin Rash ◽  
Perinatal Transmission ◽  
Viral Disease ◽  
High Index ◽  
New Born ◽  
Laboratory Confirmation ◽  
High Index Of Suspicion

Chikungunya is a tropical viral disease and can present in the new born with perinatal transmission. Presentation usually mimics sepsis and high index of suspicion is needed for diagnosis specially at times of outbreak. Characteristic skin rash and perioral blotchy hyperpigmentation can point to diagnosis along with laboratory confirmation with RTPCR.

The Behaviour and Neuromuscular System of Gonactinia Prolifera, A Swimming Sea-Anemone

1971 ◽  
Vol 55 (3) ◽  
pp. 611-640
Author(s):  
ELAINE A. ROBSON
Keyword(s):  
Electrical Stimulation ◽  
Mechanical Stimulation ◽  
Motor Units ◽  
Nerve Cells ◽  
Sea Anemone ◽  
Neuromuscular System ◽  
Sea Anemones ◽  
Nerve Net ◽  
Local Contraction ◽  
Electric Shocks

1. In Gonactinia well-developed ectodermal muscle and nerve-net extend over the column and crown and play an important part in the anemone's behaviour. 2. Common sequences of behaviour are described. Feeding is a series of reflex contractions of different muscles by means of which plankton is caught and swallowed. Walking, in the form of brief looping steps, differs markedly in that it continues after interruptions. Anemones also swim with rapid tentacle strokes after contact with certain nudibranch molluscs, strong mechanical disturbance or electrical stimulation. 3. Swimming is attributed to temporary excitation of a diffuse ectodermal pacemaker possibly situated in the upper column. 4. From the results of electrical and mechanical stimulation it is concluded that the endodermal neuromuscular system resembles that of other anemones but that the properties of the ectodermal neuromuscular system require a new explanation. The size and spread of responses to electric shocks vary with intensity, latency is variable and there is a tendency to after-discharge. There is precise radial localization, for example touching a tentacle or the column causes it to bend towards or away from the stimulus. 5. A model to explain these and other features includes multipolar nerve cells closely linked to the nerve-net which would act as intermediate motor units, causing local contraction of the ectodermal muscle. This scheme can be applied to other swimming anemones but there is no evidence that it holds for sea anemones generally.

scholarly journals Bilateral Charcot hip Arthropathy Due to Tabes Dorsalis: A Case Report

2018 ◽  
Vol 25 (1) ◽  
pp. 21-23
Author(s):  
Ip Hoi Yeung ◽  
Yeung Yip Kan ◽  
Luk Kristine Shik ◽  
Lam Polly Wy ◽  
Wong Kwok Ho
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Course ◽  
High Index ◽  
Tabes Dorsalis ◽  
High Index Of Suspicion

This article illustrates the clinical course of a patient diagnosed to have bilateral Charcot hip arthropathy secondary to tabes dorsalis from delayed untreated syphilitic infection. This differential diagnosis of rapid bilateral hip destruction was a near-extinct entity, and a high index of suspicion is needed to prevent untoward sequelae.

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