scholarly journals Congenital epignathus associated with a cleft palate: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Fabrice Lele Mutombo ◽  
Jason Nzanzu Kikuhe ◽  
Noé Kasereka Mwanamolo ◽  
Marc H. Erickson ◽  
Neil Wetzig ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Neonatal Period ◽  
Successful Management ◽  
Respiratory Compromise ◽  
Case Presentation ◽  
Live Births ◽  
Congenital Teratoma ◽  
Threatening Condition ◽  
Newborn Girl ◽  
Life Threatening

Abstract Background Epignathus is a rare, benign, congenital teratoma of the hard palate with an estimated incidence of 1 in 200,000 live births. Epignathus frequently leads to a high mortality (80–100%) due to airway obstruction in the neonatal period. Case presentation We report a case of successful management of a rare oropharyngeal teratoma in a African newborn girl who was referred to our institute with a large protruding intraoral mass, combined with cleft palate, causing some respiratory compromise. The palatal mass was removed on the fifth day after birth, and a palatoplasty performed on day 30. Conclusion Epignathus is a life-threatening condition at the time of delivery. Appropriate management begins with securing the airway, followed by complete resection of the tumor.

scholarly journals Successful treatment of pulmonary mucormycosis caused by Rhizopus microsporus with posaconazole

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
F. Yuan ◽  
J. Chen ◽  
F. Liu ◽  
Y. C. Dang ◽  
Q. T. Kong ◽  
...  
Keyword(s):  
Fungal Culture ◽  
Rhizopus Microsporus ◽  
Pulmonary Tissue ◽  
Case Presentation ◽  
Common Cause ◽  
Pulmonary Mucormycosis ◽  
Threatening Condition ◽  
Life Threatening ◽  
One Year

Abstract Background Mucormycosis is a rare fungal infection occurring chiefly in the lung or the rhino-orbital-cerebral compartment, particularly in patients with immunodeficiency or diabetes mellitus. Among Mucorales fungi, Rhizopus spp. are the most common cause of mucormycosis. Case presentation We report a case of pulmonary mucormycosis caused by Rhizopus microsporus in a young patient with diabetes but no other apparent risk factors. The diagnosis mainly relied on clinical manifestation, positive pulmonary tissue biopsy, and fungal culture. The patient was successfully treated with posaconazole oral suspension and remains asymptomatic at one-year follow-up. Conclusions Pulmonary mucormycosis is a life-threatening condition and posaconazole is an effective treatment for pulmonary mucormycosis caused by Rhizopus microspores.

scholarly journals X-Linked Chronic Granulomatous Disease: Initial Presentation with Intracranial Hemorrhage from Vitamin K Deficiency in Infant

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Boonchai Boonyawat ◽  
Yiwa Suksawat ◽  
Punchama Pacharn ◽  
Piradee Suwanpakdee ◽  
Chanchai Traivaree
Keyword(s):  
Intracranial Hemorrhage ◽  
Vitamin K ◽  
Neonatal Period ◽  
Granulomatous Disease ◽  
Mycobacterial Disease ◽  
Vitamin K Deficiency ◽  
Vitamin K Deficiency Bleeding ◽  
Threatening Condition ◽  
Life Threatening ◽  
K Deficiency

Vitamin K deficiency bleeding (VKDB) is a life-threatening condition and can be found in children as early as neonatal period with early onset intracranial hemorrhage (ICH). Here, we reported a 1-year-old boy who initially presented with intracranial hemorrhage secondary to vitamin K deficiency since 3 months of age and later found to have XL-CGD which was complicated by malabsorption due to severe vaccine-associated mycobacterial disease.

Transesophageal Echocardiogram-Guided Stent Placement in Superior Vena Cava Syndrome Secondary to Granulomatous Lung Disease: A Case Series and Literature Review

2017 ◽  
Vol 51 (8) ◽  
pp. 562-566 ◽  
Author(s):  
Kaiwen Sun ◽  
Rishi Batra ◽  
Nicholas W. Markin ◽  
Melissa Suh ◽  
Iraklis I. Pipinos ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Stent Placement ◽  
Superior Vena ◽  
Vena Cava ◽  
Case Series ◽  
Stent Migration ◽  
Respiratory Compromise ◽  
Svc Syndrome ◽  
Threatening Condition ◽  
Life Threatening

Obstruction of the superior vena cava (SVC) is an uncommon, but potentially life-threatening condition due to likely development of edema in the head and neck and potential respiratory compromise. Less than half of those affected by SVC syndrome survive more than a year. Obstruction can be from neoplasms or secondary to benign disease. Treatment for most cases of symptomatic SVC syndrome involves placement of a stent to relieve the stenosis. Serious complications such as stent migration, pulmonary embolism, and cardiac tamponade can occur in 5% to 10% of cases, and inadequate imaging of the SVC–atrial junction by fluoroscopy contributes to these problems. The overlapping contrast in the atrium makes it difficult to precisely place the distal end of the stent, potentially allowing for embolization of the stent to occur. We present a case series of 3 patients wherein transesophageal echocardiography was used for guidance of stent placement in the SVC and significantly aided in placement.

Successful Treatment of Pulmonary Mucormycosis Caused by Rhizopus Microsporus With Posaconazole

2021 ◽  
Author(s):  
Fan Yuan ◽  
Jun Chen ◽  
Fang Liu ◽  
Yongchao Dang ◽  
Qingtao Kong ◽  
...  
Keyword(s):  
Fungal Culture ◽  
Rhizopus Microsporus ◽  
Pulmonary Tissue ◽  
Case Presentation ◽  
Common Cause ◽  
Pulmonary Mucormycosis ◽  
Threatening Condition ◽  
Life Threatening ◽  
One Year

Abstract Background: Mucormycosis is a rare fungal infection occurring chiefly in the lung or the rhino-orbital-cerebral compartment, particularly in patients with immunodeficiency or diabetes mellitus. Among Mucorales fungi, Rhizopus spp. are the most common cause of mucormycosis. Case presentation: We report the case of pulmonary mucormycosis caused by Rhizopus microsporus in a young patient with diabetes but no other apparent risk factors. The diagnosis has mainly relied on clinical manifestation, positive pulmonary tissue biopsy, and fungal culture. The patient was successfully treated with posaconazole oral suspension and remains asymptomatic at one-year follow-up.Conclusions: Pulmonary mucormycosis is a life-threatening condition and based on direct microscopy, histopathology, and culture for the diagnosis.

Thyroid storm after choking

2018 ◽  
Vol 31 (8) ◽  
pp. 933-936 ◽  
Author(s):  
Ana L. Creo ◽  
Bryan C. Cannon ◽  
Siobhan T. Pittock
Keyword(s):  
Adolescent Girl ◽  
Pediatric Patients ◽  
Medical Attention ◽  
Thyroid Storm ◽  
Neck Swelling ◽  
Case Presentation ◽  
Cat Scan ◽  
Threatening Condition ◽  
Life Threatening ◽  
Hyperthyroid Patients

Abstract Background: A thyroid storm (TS) is a rare, but life-threatening condition in hyperthyroid patients. Mortality in adult TS patients may be as high as 10%. Typically, a trigger precipitates the storm in hyperthyroid patients. Case presentation: We report the case of an adolescent girl with untreated hyperthyroidism who developed fulminant TS after a significant choking episode. Initially, she was found to have neck swelling and tachycardia leading providers to suspect infection. She deteriorated after a CAT Scan (CT) was performed with iodine contrast, potentially worsening storm symptoms. Here, we describe the case, the treatment strategy and propose a treatment modification for pediatric patients. Conclusions: While many children are found to have minor abnormalities in thyroid studies, this case highlights the critical importance of prompt medical attention for any child with significantly elevated free thyroxine (FT4) levels as morbidity can occur when left untreated.

Successful treatment of neonatal pulmonary thrombosis in congenital nephrotic syndrome

2012 ◽  
Vol 23 (2) ◽  
pp. 271-273 ◽  
Author(s):  
Krit Makonkawkeyoon ◽  
Suchaya Silvilairat ◽  
Wattana Chartapisak
Keyword(s):  
Nephrotic Syndrome ◽  
Congenital Nephrotic Syndrome ◽  
Venous Catheter ◽  
Tissue Type ◽  
Successful Management ◽  
Central Venous ◽  
Artery Thrombosis ◽  
Type Plasminogen Activator ◽  
Threatening Condition ◽  
Life Threatening

AbstractThe incidence of neonatal thrombosis has been increasing in recent times because of the use of a central venous catheter. A treatment modality consisting of fibrinolytic agents has been administered for this life-threatening condition. This case report presents the successful management of a pulmonary artery thrombosis with a recombinant tissue-type plasminogen activator in a patient with neonatal congenital nephrotic syndrome.

scholarly journals Anemia That Presented with Desaturation: A Focus on Core Concepts

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Lakshmi Shobhavat ◽  
Antonio D’Costa ◽  
Karthik Shroff
Keyword(s):  
Blood Smear ◽  
Intensive Care Admission ◽  
Case Presentation ◽  
Threatening Condition ◽  
Core Concepts ◽  
Life Threatening ◽  
History Of ◽  
The Common ◽  
Treatable Condition ◽  
Prompt Diagnosis

Background. Methemoglobinemia is a potentially life-threatening condition which presents with cyanosis and characteristic “chocolate-coloured blood.” Although a co-oximetry would give a prompt diagnosis, there have been multiple reports of misdiagnosing this treatable condition—from being diagnosed as sepsis to asthma and even being operated for “ruptured ectopic pregnancy.” Here, we report a case which presented without the classical signs of poisoning and methemoglobinemia—without vomiting, cyanosis, or chocolate-coloured blood. We also discuss the common misconceptions regarding anemia physiology and the pitfalls in diagnosing this condition and warn the reader regarding the reflexive use of antidotes like methylene blue. Case Presentation. A well-grown 3-year old boy presented with an acute history of irritability, cola-coloured urine, and desaturation on examination. The child was pale, with tachypnoea and in failure. Blood smear was suggestive of severe hemolytic anemia. Methemoglobinemia was diagnosed on co-oximetry. By focussing on physiologic principles of management rather than a specific antidote, the child was discharged home, well and active within 3 days of intensive care admission.

scholarly journals Orbital mucormycosis in immunocompetent children; review of risk factors, diagnosis, and treatment approach

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ali Amanati ◽  
Hamide Barzegar ◽  
Gholamreza Pouladfar ◽  
Anahita Sanaei Dashti ◽  
Mohamad Bagher Abtahi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Fungal Infection ◽  
Clinical Presentation ◽  
Treatment Approach ◽  
Healthy Children ◽  
Surgical Drainage ◽  
Healthy Individuals ◽  
Successful Management ◽  
Case Presentation ◽  
Life Threatening

Abstract Background Orbital mucormycosis is a rare but potentially severe and troublesome invasive fungal infection that could be occurred even in healthy individuals. The initial clinical presentation is similar to bacterial pre-septal or septal cellulitis, especially in early stages. Case presentation Herein, we describe the successful management of a series of five cases presenting with orbital mucormycosis in previously healthy children. Conclusions Orbital mucormycosis is extremely rare in healthy children and maybe life-threatening when diagnosis delayed given a similar clinical presentation with bacterial septal cellulitis. Intravenous antifungal therapy with amphotericin B and timely surgical drainage is live-saving.

scholarly journals Epignathus with Fetiform Features

2011 ◽  
Vol 3 (01) ◽  
pp. 056-058 ◽  
Author(s):  
Kumar Sunil Y. ◽  
Shrikrishna U. ◽  
Jayaprakash Shetty ◽  
Aishwarya Sitaram
Keyword(s):  
Prenatal Diagnosis ◽  
Airway Obstruction ◽  
Endotracheal Intubation ◽  
High Mortality ◽  
Neonatal Period ◽  
Complete Resection ◽  
Immature Teratoma ◽  
Male Baby ◽  
Threatening Condition ◽  
Life Threatening

ABSTRACTEpignathus is an extremely rare oropharyngeal teratoma that commonly arises from the palate, leading to a high mortality (80-100%) due to airway obstruction in the neonatal period. We present a case of epignathus immature teratoma with fetiform features, originating from basisphenoid in a 28-week preterm male baby, who succumbed to death immediately after birth. Since epignathus is a life-threatening condition at the time of delivery, a prenatal diagnosis is essential to coordinate the treatment and appropriate management by securing the airway, either by endotracheal intubation or tracheostomy followed by complete resection of the tumor.

scholarly journals Ultrasound-guided non-invasive retraction for strangulated obturator hernia allows elective radical surgery: analysis of 12 cases

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yuto Maeda ◽  
Osamu Nakahara ◽  
Seiya Saito ◽  
Jiro Nasu ◽  
Hideo Baba
Keyword(s):  
Radical Surgery ◽  
Elective Surgery ◽  
Underlying Disease ◽  
Obturator Hernia ◽  
Case Presentation ◽  
Non Invasive ◽  
Threatening Condition ◽  
Life Threatening ◽  
Perioperative Safety ◽  
Physical Findings

Abstract Background Obturator hernia is a life-threatening condition, requiring emergency intervention due to strangulation, if non-invasive repair for strangulation cannot be complete. Change from emergency surgery to elective surgery using minimal non-invasive options can greatly contribute to perioperative safety and curability of the underlying disease. Case presentation 12 cases of strangulated obturator hernia from April 2013 to February 2020 with male:female patient ratio of 0:12. Reduction under ultrasound guidance was possible amongst 10 out of 12 cases. The average age was 85.3 years (74–97) and average BMI was 17.4 (15.0–20.1). Based on physical findings and CT examination, diagnosis of obturator hernia was made using echo guided non-invasive reduction. Prevention in the intestinal ischemia and perforation was observed in the treated cases. Upon request, elective radical surgery was performed in 7 of these patients after their condition improved and monitored other organs for any signs. Conclusion Attempt to improve the strangulation of obturator hernia under an echo-guided approach could enable elective and safe surgery and is believed to be a diagnostic treatment worth attempting.

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