Suppurative Thrombophlebitis in Childhood

PEDIATRICS ◽  
1981 ◽  
Vol 68 (5) ◽  
pp. 630-632
Author(s):  
Nicholas Sears ◽  
Jay L. Grosfeld ◽  
Thomas R. Weber ◽  
Martin B. Kleiman
Keyword(s):  
Surgical Management ◽  
Inflammatory Reaction ◽  
Early Recognition ◽  
Intravenous Therapy ◽  
Intravenous Catheter ◽  
Life Threatening ◽  
Life Threatening Complication

Thrombophlebitis in children is almost always related to intravenous therapy. In most cases the inflammatory reaction is self-limited and resolves when the intravenous catheter or needle is removed. In some cases contamination may result in suppurative thrombophlebitis, a potentially life-threatening complication of intravenous therapy. This report describes two 6-year-old children with suppurative thrombophlebitis that was successfully treated by drainage of periphlebitic abscess and excision of the infected vein. Early recognition and prompt surgical management should reduce morbidity and prevent mortality in these cases.

scholarly journals Peripheral Intravenous Catheter Placement Is an Underrecognized Source of Staphylococcus aureus Bloodstream Infection

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Eloise D. Austin ◽  
Sean B. Sullivan ◽  
Susan Whittier ◽  
Franklin D. Lowy ◽  
Anne-Catrin Uhlemann
Keyword(s):  
Staphylococcus Aureus ◽  
Bloodstream Infection ◽  
Catheter Placement ◽  
Intravenous Catheter ◽  
Staphylococcus Aureus Bacteremia ◽  
Peripheral Intravenous Catheter ◽  
Life Threatening ◽  
Staphylococcus Aureus Bloodstream Infection ◽  
Life Threatening Complication ◽  
Intravenous Catheters

Abstract Few studies have focused on the risks of peripheral intravenous catheters (PIVs) as sources for Staphylococcus aureus bacteremia (SAB), a life-threatening complication. We identified 34 PIV-related infections (7.6%) in a cohort of 445 patients with SAB. Peripheral intravenous catheter-related SAB was associated with significantly longer bacteremia duration and thrombophlebitis at old PIV sites rather than current PIVs.

scholarly journals Acute respiratory distress syndrome in a case of diabetic ketoacidosis requiring ECMO support

2021 ◽  
Vol 2021 ◽  
Author(s):  
Milad Darrat ◽  
Brian Gilmartin ◽  
Carmel Kennedy ◽  
Diarmuid Smith
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Diabetic Ketoacidosis ◽  
Distress Syndrome ◽  
Early Recognition ◽  
Ecmo Support ◽  
List Type ◽  
Life Threatening ◽  
Life Threatening Complication

Summary Acute respiratory distress syndrome (ARDS) is a rare but life-threatening complication of diabetic ketoacidosis (DKA). We present the case of a young female, with no previous diagnosis of diabetes, presenting in DKA complicated by ARDS requiring extra corporeal membrane oxygenation (ECMO) ventilator support. This case report highlights the importance of early recognition of respiratory complications of severe DKA and their appropriate management. Learning points ARDS is a very rare but life-threatening complication in DKA. The incidence of ARDS remains unknown but less frequent than cerebral oedema in DKA. The mechanism of ARDS in DKA has multifactorial aetiology, including genetic predisposition. Early recognition and consideration of rare pulmonary complication of DKA can increase survival rate and provide very satisfactory outcomes. DKA patients who present with refractory ARDS can be successfully rescued by ECMO support.

Morning sickness of pregnancy: more than meets the eye

2016 ◽  
Vol 30 (3) ◽  
Author(s):  
Noorazizah Arsad ◽  
Kah Teik Chew ◽  
Nur Azurah Abdul Ghani ◽  
Hui Jan Tan ◽  
Norasyikin A. Wahab ◽  
...  
Keyword(s):  
Gestational Age ◽  
Small For Gestational Age ◽  
Hyperemesis Gravidarum ◽  
Early Recognition ◽  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Morning Sickness ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
In Pregnancy

AbstractWernicke’s encephalopathy (WE) is a rare life-threatening complication following severe hyperemesis gravidarum. Early recognition of this condition and prompt thiamine administration is the key to preventing devastating sequelae. We report a successful delivery of a small-for-gestational-age (SGA) baby by a patient with WE and thyrotoxicosis in pregnancy.

scholarly journals Biliary-Pleural Fistula following Portal Vein Embolization for Perihilar Cholangiocarcinoma

2017 ◽  
Vol 11 (2) ◽  
pp. 277-283 ◽  
Author(s):  
Mujtaba Mohammed ◽  
Katsuhiro Kobayashi ◽  
Mohammed Jawed
Keyword(s):  
Respiratory Failure ◽  
Pleural Effusion ◽  
Portal Vein ◽  
Portal Vein Embolization ◽  
Biliary Obstruction ◽  
Early Recognition ◽  
Pleural Space ◽  
Perihilar Cholangiocarcinoma ◽  
Life Threatening ◽  
Life Threatening Complication

Biliary-pleural fistula (BPF), an abnormal communication between the biliary tract and pleural space, is a rare but potentially life-threatening complication following percutaneous biliary intervention. We report a case of BPF following portal vein embolization (PVE) in a 79-year-old woman with obstructive jaundice secondary to perihilar cholangiocarcinoma. The patient successfully underwent right-sided PVE; however, the patient developed a symptomatic right-sided bilious pleural effusion the following day. Despite aggressive drainage of the pleural effusion with a large-bore chest tube and maximal medical management, the patient died from respiratory failure and pneumonia. Although rare, knowledge of this complication is important when performing PVE in patients with biliary obstruction because it can be life-threatening. Early recognition and management of this complication are crucial to avoid a poor outcome.

Drug-Induced Parkinsonism Associated with Dysphagia and Aspiration: A Brief Report

1996 ◽  
Vol 9 (3) ◽  
pp. 133-135 ◽  
Author(s):  
Guy Bashford ◽  
Patricia Bradd
Keyword(s):  
Elderly Patients ◽  
Antipsychotic Medication ◽  
Early Recognition ◽  
Temporal Association ◽  
Drug Induced ◽  
Life Threatening ◽  
Idiopathic Parkinsonism ◽  
Life Threatening Complication ◽  
Symptoms And Signs

Idiopathic Parkinsonism is a well-recognized cause of dysphagia and resultant aspiration. Symptoms and signs attributable to dopaminergic underactivity after administration of antipsychotic medication are commonly seen in elderly patients. We report a case of a 74-year-old woman, without prior symptoms of Parkinsonism or dysphagia, who presented with the temporal association of both after administration of trifluoperazine hydrochloride. Dysphagia is a potentially life-threatening complication of drug-induced parkinsonism. Its early recognition allows treatment by simple medical, physical, and dietary manipulations.

scholarly journals Nasogastric Tube Syndrome; Severe Complication Associated with Nasointestinal ileus Tube: A Case Report and Literature Review

2020 ◽  
Author(s):  
Kenkichiro Taira ◽  
Kazunori Fujiwara ◽  
Fukuhara Takahiro ◽  
Satoshi Koyama ◽  
Tsuyoshi Morisaki ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Literature Review ◽  
Nasogastric Tube ◽  
Early Recognition ◽  
Proper Treatment ◽  
Proper Management ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Uncommon Complication

Abstract BackgroundNasogastric tube syndrome induced by nasointestinal ileus tube is uncommon complication and potentially life-threatening complication. The early detection and proper treatment for NGTS is necessary.Case presentaionWe describe a case of a 78-year-old patient with this syndrome induced by nasointestinal ileus tube. The symptom of this syndrome was improved by immediate proper management. Immediate removal of tube and early recognition of symptom are the first step in treatment for this syndrome, in addition to initiation of steroids, proton pomp inhibitor and antibiotic therapy. The cause of NGTS is supposed to be a continuous pressure on hypopharynx and cervical esophagus.ConclusionsNasogastric tube syndrome should be considered in patients not only with nasogastric tube but also nasointestinal ileus tube. Early diagnosis and proper management for NGTS are important

scholarly journals Macrophage Activation Syndrome Presented in a Case of Neonatal Lupus

2021 ◽  
Vol 28 (3) ◽  
pp. 139-142
Author(s):  
Chang Min Kang ◽  
Jinwha Choi ◽  
JungHwa Lee
Keyword(s):  
Autoimmune Disease ◽  
Autoimmune Diseases ◽  
Macrophage Activation Syndrome ◽  
Macrophage Activation ◽  
Early Recognition ◽  
Transplacental Passage ◽  
Neonatal Lupus ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Activation Syndrome

Macrophage activation syndrome (MAS) is a potentially life-threatening complication in many autoimmune diseases. Early recognition and intervention are essential for a favorable outcome. Neonatal lupus, an acquired autoimmune disease in neonates caused by the transplacental passage of maternal autoantibodies, is rare and usually self-limited. Herein, we report a case of MAS in a patient with neonatal lupus, which improved with intravenous immunoglobulin.

Left gastric artery pseudoaneurysm as a sequelae of chronic pancreatitis: recognizing a life-threatening complication

Open Medicine ◽  
2014 ◽  
Vol 9 (3) ◽  
pp. 370-373
Author(s):  
Deepak Pattanshetty ◽  
Pradeep Bhat
Keyword(s):  
Abdominal Pain ◽  
Chronic Pancreatitis ◽  
Early Recognition ◽  
Left Gastric Artery ◽  
Gastric Artery ◽  
Artery Pseudoaneurysm ◽  
Life Threatening ◽  
History Of ◽  
Life Threatening Complication ◽  
High Index Of Suspicion

AbstractLeft gastric artery pseudoaneurysm is a rare but important life-threatening complication of chronic pancreatitis. We report a case of a 54-year-old male with chronic pancreatitis who presented with history of severe abdominal pain. Following an initial suspicion of acute pancreatitis, a computed tomography of abdomen was obtained that showed a large left gastric artery pseudoaneurysm (4×4 cm) with circumferential thrombosis. The patient then underwent successful angiographic coiling of the aneurysm, thus preventing a potentially life-threatening hemorrhage. In conclusion, in patients with a history of chronic pancreatitis who present with abdominal pain, a high index of suspicion should be maintained for alternate causes of abdominal pain such as visceral aneurysms involving left gastric artery. Early recognition is critical and consequences of missing these lesions can be catastrophic.

scholarly journals Conservative management of bronchopulmonary artery perforation without associated haemothorax occurring at thoracentesis: a case report

2010 ◽  
Vol 92 (5) ◽  
pp. e69-e72
Author(s):  
Yao-Tsung Chuang ◽  
Teng-Fu Tsao ◽  
Chun-Hung Su ◽  
Ming-Cheng Lin
Keyword(s):  
Case Report ◽  
Pulmonary Artery ◽  
Surgical Management ◽  
Conservative Management ◽  
Unusual Case ◽  
Surgical Intervention ◽  
Arterial Embolisation ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Pulmonary Artery Perforation

Puncture or laceration of the pulmonary, intercostal, or peripheral vessels is an uncommon, but potentially life-threatening, complication of thoracentesis, which has been reported to result in severe haemothorax in 75% of patients. Damage to these vessels typically requires surgical intervention or intra-arterial embolisation. We report the successful non-surgical management of an unusual case of pulmonary artery perforation without concomitant haemothorax in an 82-year-old man who underwent thoracentesis.

scholarly journals Rectus sheath hematoma associated with apixaban

2017 ◽  
Vol 7 (3) ◽  
Author(s):  
Kulothungan Gunasekaran ◽  
Amanda R. McFee Winans ◽  
Swetha Murthi ◽  
Mudassar Raees Ahmad ◽  
Scott Kaatz
Keyword(s):  
Computed Tomography ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Early Recognition ◽  
Rectus Sheath ◽  
Factor Xa ◽  
Bleeding Complications ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Rectus Sheath Hematoma

Apixaban is an oral anticoagulant that directly inhibits Factor Xa and is indicated for the prophylaxis and treatment of deep venous thrombosis and stroke prevention in non-valvular atrial fibrillation. Rectus sheath hematoma is a rare, life-threatening complication of anticoagulant treatment. We describe a case of an elderly patient on apixaban for the treatment of deep venous thrombosis who developed severe abdominal pain during hospitalization. Computed tomography of the abdomen revealed left rectus sheath hematoma. Apixaban was discontinued and the patient was monitored for extension of the hematoma. After 2 days she was discharged home. Outpatient computed tomography 1 month later showed complete resolution of the rectus sheath hematoma. We recommend that clinicians become aware of the potential for rare and serious bleeding complications of anticoagulants and identify the need for early recognition and prompt management.

Sign in / Sign up

Export Citation Format

Share Document