AN EARLY CASE REPORT OF INFANTILE DEHYDRATION IN COLONIAL AMERICA (1663)

PEDIATRICS ◽  
1978 ◽  
Vol 61 (2) ◽  
pp. 255-255
Author(s):  
John Pynchon

In colonial America the outstanding members of the governing class who were acknowledged as physicians were the two John Winthrops, father and son. John Winthrop, Jr. (1606-1676), Governor of Connecticut, far surpassed his father in the extent of his medical activities. His medical advice was sought, usually by letter, by hundreds of people. Typical of the letters he received is the one below, sent to him by John Pynchon concerning his daughter's illness. I believe this is the first case report of dehydration in American medical literature and, to my knowledge, has never been published. Much Honored Sir- We are bold to crave your advice concerning our young daughter about or neere one yeare & three quarters old. God having pleased to visit her with Illness. She hath not bin welt these 3 or 4 days, but especially yesterday morning was taken with a greate looseness & vomiting which doth continue much & exceedingly weakens her. Shee is very restless & unquiet & sleepes litle & is exceding dry craving for drink: how the Lord may deale with her & us we know not, but desire in the use of meanes to submit to his good pleasure: desiring your helpfullness in what you conceive needfull. I comend you & your affaires to the guidance of God & humbly take leave to subscribe.

PEDIATRICS ◽  
1978 ◽  
Vol 61 (2) ◽  
pp. 318-318
Author(s):  
J. Le Beau ◽  
T. E. C.

I believe this is one of the earliest case reports of precocious puberty in American medical literature. I take the liberty to acquaint you with an extraordinary case of prematurity in a child, which fell under my observation in this city. Matilda H. was born of a white family in low circumstances, the 31st of September, 1827. She came into this world with her mammae perfectly formed, and the mons veneris covered with hair, as much as a girl between thirteen and fourteen years old; when precisely three years of age the menses made their appearance, and have continued to reappear regularly every month until the present time, and as copious as any woman might have them-each period lasting four days. She is now four years and five months old; she measures forty-two inches and a half in height, French measure; her features are regular; she has a rosy complexion; her hair chestnut colour; her eyes bluish-gray; she is what may be called handsome; and conformation of her body is very strong; her mammae are now of the size of a full-grown orange, and the dimensions of the pelvis are, in my opinion, such as to enable her to bear children when eight years old, and very likely sooner. She constantly enjoys good health.


PEDIATRICS ◽  
1978 ◽  
Vol 61 (5) ◽  
pp. 790-791
Author(s):  
John Kirkland ◽  
Yoram Ben-Menachem ◽  
Mohammad Akhtar ◽  
Robert Marshall ◽  
Stanley Dudrick

Congenital islet cell adenomas of the pancreas are rare. Fewer than 20 cases have been documented.1,2 The purpose of this article is to present what we believe is the first case in which a preoperative diagnosis of an insulinoma was established by selective angiography in a neonate and to describe the histological findings. CASE REPORT A girl weighing 2,759 gm was the product of a normal 38-week pregnancy with an uncomplicated labor and delivery. The one- and five-minute Apgar scores were 8 and 9. At 19 hours of age she was observed to be cold, pale, and diaphoretic. A sepsis evaluation was initiated.


2021 ◽  
Vol 4 (2) ◽  
pp. 84-86
Author(s):  
Ramesh Choudhary ◽  
Romesh Gauttam ◽  
Vishnu Pansari ◽  
Anand Kumawat

Bohring–Opitz syndrome also known as Opitz C syndrome or Oberklaid–Danks syndrome is a rare syndrome. We are reporting a 2 months old male child with Bohring-Opitz like syndrome with all classical features and eventration of diaphragm   (left side) which has not  been reported yet with this syndrome.  To our knowledge, a total of 23 cases with this syndrome have been reported in the medical literature to date and this is probably the first case report from India. Although there is overlap, a clinical distinction from the Bohring-Opitz syndrome and other syndromes seems possible, and thus a specific causal entity may be postulated.


1970 ◽  
Vol 29 (6) ◽  
Author(s):  
Berhanetsehay Teklewold ◽  
Anteneh Kehaliw ◽  
Melat Teka ◽  
Bereket Berhane

Background: Peritoneal loose bodies are rare lesions that are usually found as an incidental finding during abdominal surgery. Large loose bodies, measuring more than 5 cm, are rare and only a few cases are reported in the literature. Peritoneal loose bodies are usually infarcted appendices epiploicae, which become detached and appear as a peritoneal loose body in the abdominal cavity.Case Presentation: We report here the first case, in the local Ethiopian context, of a giant “egg-like” loose peritoneal body measuring 7 × 6 cm found in a 50-year-old man who presented with a cramping abdominal pain and features of abdominal obstruction. The current hypothesis as regards these bodies and the diagnostic challenges is discussed.Conclusion: Small peritoneal loose bodies are common but giant and symptomatic ones’, like the one discussed here, are very rare and a diagnostic challenge. And, in the context of intestinal obstruction, a high index of suspicion is needed in order to diagnose them.


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 9
Author(s):  
Lourdes de Fátima Ibañez Valdés ◽  
Jerry Geroge ◽  
Sibi Joseph ◽  
Mohamed Alshmandi ◽  
Wendy Makaleni ◽  
...  

Dyke-Davidoff-Masson syndrome (DMMS) is a non-inherited rare condition with a clinical constellation of hemiparesis/hemiplegia, facial asymmetry, intellectual disability, and epilepsy. The radiological features can be including unilateral cerebral atrophy, calvarial thickening, and hyper pneumatization of the paranasal sinuses. The condition can either be congenital or acquired. The presentation usually occurs during childhood or early adolescents, but there have been adult cases reported. Here we report a 48-year-old male who was a known poorly controlled epileptic that contracted SARS-CoV-2 with subsequently developed status epilepticus and, when worked up, was shown to have features of DDMS. This case is unique as the patient had hemiatrophy and epilepsy but managed to lead a normal, physically demanding, and high functioning academic career and presented late in life. Perhaps only due to coronavirus disease 2019 (COVID-19) was this diagnosis picked up. This report contains a case presenting atypical DDMS in status epilepticus and COVID -19 plus other complications. From our knowledge, this is the first case presenting these comorbidities reported to the medical literature.


2021 ◽  
Vol 7 (10) ◽  
pp. 877
Author(s):  
Dan Alexandru Toc ◽  
Carmen Costache ◽  
Alexandru Botan ◽  
Razvan Marian Mihaila ◽  
Ioana Alina Colosi ◽  
...  

The SARS-CoV-2 pandemic has proved to be a significant risk addition for invasive infections with Aspergillus. Even though there are plenty of data about the COVID-19-associated pulmonary aspergillosis (CAPA), especially involving Aspergillus fumigatus, recent studies are presenting cases of CAPA involving more than one species of Aspergillus. We report the first case of a SARS-CoV-2 patient associating co-infection with, most likely, Aspergillus section Fumigati and Aspergillus section Flavi from Romania, and we review the existing medical literature in order to shed light upon mixed etiology cases of CAPA. Since mortality remains high in these cases, there is an acute need for more information about the interaction between SARS-CoV-2 and Aspergillus spp., and the therapies for CAPA. The emerging number of cases and the high mortality rate must be considered an incentive for future research.


2018 ◽  
Vol 80 (2) ◽  
pp. 184-186 ◽  
Author(s):  
Khalid Muqueem ◽  
Somasekhar Kasa ◽  
Nagareddy Patil ◽  
Mohammed Minhajuddin Harsoori

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Marek Brzezinski ◽  
Maren Gregersen ◽  
Luiz Gustavo Schuch ◽  
Ricarda Sawatzki ◽  
Joy W. Chen ◽  
...  

Discharge against medical advice (DAMA) can have detrimental effects on patient outcomes. Recently, the diagnosis of posttraumatic stress disorder (PTSD) has been linked with DAMA in the mental health setting. However, PTSD as a risk factor for DAMA in surgical patients has not received much consideration, although such patients may be at risk for triggering or amplification of PTSD symptoms perioperatively. We present the first case report series of three surgical patients with PTSD who left the hospital AMA. These cases differ markedly from DAMA in non-PTSD patients. In all three subjects, the stress of feeling misunderstood by clinicians and the distress of public detainment by hospital security in the setting of chronic PTSD led to aggressive and risky behavior. All three subjects represented a risk to themselves and to others at the time of DAMA. Finally, all three subjects were difficult to contact for follow-up or medical care and missed appointments.


2017 ◽  
Vol 107 (4) ◽  
pp. 318-323 ◽  
Author(s):  
Harry J. Visser ◽  
Khawar Malik ◽  
Robert A. Djali

Malreduction of a distal fibular fracture can lead to degenerative changes in the ankle joint. Previous studies have shown that the selective use of various fibular reconstructive osteotomies may halt the progression of degenerative arthritis by restoring the normal tibiotalar contact area and decreasing the stresses on the articular cartilage. In this case report, we achieved alignment with restoration of the talocrural angle and Shenton's line of the ankle using a transfibular osteotomy and an allogeneic fresh-frozen femoral head graft to fill the resultant defect. The advantage of this procedure is twofold. First, fibular-lengthening procedures may potentially decrease the eventual need for joint-sacrificing procedures such as an arthrodesis or arthroplasty. Second, an allograft allows for larger deficit correction without concern for donor-site morbidity. To our knowledge, this is the first case report using a fresh-frozen femoral head allograft for a fibular-lengthening osteotomy in the podiatric medical literature. Further research with larger patient populations is needed to establish whether fresh-frozen femoral head allograft is a reliable graft option for fibular-lengthening procedures.


Author(s):  
Monica Gupta ◽  
Dipti Handa ◽  
Amit Chaturvedi ◽  
Ram Singh ◽  
S. S. Lehl

<p class="abstract">Cartap hydrochloride, an analogue of nereistoxin, belongs to a relatively new class of insecticidal chemistry, and its poisoning is uncommon in India. We describe a 50-year-old farmer who presented to emergency department in altered sensorium and alleged history of accidental inhalation of cartap hydrochloride while working in the fields. The patient improved with conservative management with BAL (British anti-lewisite) without any residual complications. As per the current medical literature; this is probably the first case report of cartap inhalational accidental poisoning. </p><strong>Keywords: </strong>Cartap hydrochloride, Pesticide, Inhalational poisoning


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