scholarly journals Poisoning due to consumption of horse chestnut seed

2021 ◽  
Vol 8 (4) ◽  
pp. 333-335
Author(s):  
Hwa Yeon Yi ◽  
Jang Young Lee
Keyword(s):  
Conservative Treatment ◽  
Serum Amylase ◽  
Liver Enzymes ◽  
Epigastric Pain ◽  
Horse Chestnut ◽  
Blood Tests ◽  
The Past ◽  
Horse Chestnut Seed ◽  
Electrocardiogram Monitoring ◽  
Common Tree

Horse chestnut (Aesculus hippocastanum) is a common tree found on roads and parks. The shape of the fruit is very similar to that of the edible Korean chestnut (Castanea crenata); thus, people can eat it by mistake. However, reports of the side effects and toxicity from ingestion are very rare. A 46-year-old male who had no unusual findings in the past had eaten horse chestnut seed which he had mistaken to be Korean chestnut. He visited the emergency department (ED) with complaints of epigastric pain, nausea, and sweating. Blood tests showed a slight increase in the levels of liver enzymes, serum amylase, and pancreatic amylase. During the monitoring, he complained of palpitations, and electrocardiogram showed atrial fibrillation. On the following day after conservative treatment, blood testing and electrocardiogram showed normal findings. He was discharged from the ED as he did not complain of any further symptoms. When a patient who has eaten horse chestnut visits the ED, blood examination and electrocardiogram monitoring are needed, and conservative treatment is required.

Phänologische Trends bei den Waldbäumen in der Schweiz | Phenological trends regarding the forest trees in Switzerland

2005 ◽  
Vol 156 (6) ◽  
pp. 207-210 ◽  
Author(s):  
Claudio Defila
Keyword(s):  
Regional Differences ◽  
Early Growth ◽  
Horse Chestnut ◽  
Forest Trees ◽  
Spring Season ◽  
Arrival Times ◽  
The Past ◽  
Early Arrival ◽  
Southern Side ◽  
The Alps

Numerous publications are devoted to plant phenological trends of all trees, shrubs and herbs. In this work we focus on trees of the forest. We take into account the spring season (leaf and needle development) as well as the autumn (colour turning and shedding of leaves) for larch, spruce and beech, and,owing to the lack of further autumn phases, the horse chestnut. The proportion of significant trends is variable, depending on the phenological phase. The strongest trend to early arrival in spring was measured for needles of the larch for the period between 1951 and 2000 with over 20 days. The leaves of the horse chestnut show the earliest trend to turn colour in autumn. Beech leaves have also changed colour somewhat earlier over the past 50 years. The trend for shedding leaves, on the other hand, is slightly later. Regional differences were examined for the growth of needles in the larch where the weakest trends towards early growth are found in Canton Jura and the strongest on the southern side of the Alps. The warming of the climate strongly influences phenological arrival times. Trees in the forest react to this to in a similar way to other plants that have been observed (other trees, shrubs and herbs).

scholarly journals Perforated Carcinoma in the Gastric Remnant: A Case of Conservative Treatment Prior to Successful Curative R0 Resection

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Ken Yuu ◽  
Hiroshi Kawashima ◽  
Sho Toyoda ◽  
Satoshi Okumura ◽  
Kansuke Yamamoto ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Conservative Treatment ◽  
Epigastric Pain ◽  
Acute Onset ◽  
Gastric Remnant ◽  
R0 Resection ◽  
Upper Gastrointestinal Endoscopy ◽  
Remnant Gastric Cancer ◽  
Lesser Curvature ◽  
Nasogastric Tube Insertion

An 80-year-old man who had undergone distal gastrectomy and Billroth-II gastrojejunostomy 38 years previously, for a benign gastric ulcer, was diagnosed with remnant gastric cancer based on upper gastrointestinal endoscopy findings. He presented at our emergency department with acute-onset epigastric pain due to perforated remnant gastric cancer. Conservative medical management was selected, including nasogastric tube insertion, antibiotics, and proton pump inhibitors, because his peritonitis was limited to his epigastrium and his general condition was stable. Twenty-one days after the perforation occurred, curative total remnant gastrectomy and D2 lymphadenectomy were performed. Adhesion between the lateral segment of the liver and the dissected lesser curvature of the gastric remnant may have contributed to the peritonitis in this case, which was limited to the epigastrium. This is the first report of perforated remnant gastric cancer in which conservative treatment was effective prior to curative resection. The protocol reported here may be of use to other clinicians who may encounter this clinical entity in their practices.

INTELLIGENCE OF THE UNIDENTIFIED PHENYLKETONURIC CHILD

PEDIATRICS ◽  
1967 ◽  
Vol 40 (2) ◽  
pp. 247-249
Author(s):  
Eleanor S. Brown ◽  
Harry A. Waisman
Keyword(s):  
Mental Retardation ◽  
Risk Group ◽  
High Risk Group ◽  
Routine Testing ◽  
Blood Tests ◽  
The Past ◽  
Results Of Treatment ◽  
Expected Outcome ◽  
Mental Abilities ◽  
Severe Retardation

BESSMAN has raised a number of questions regarding treatment of patients with phenylketonuria (PKU), some of which can be answered by data presently available. The most important of these concerns the expected outcome for an untreated phenylketonuric child. If it is possible, as Bessman suggests, that PKU is often very benign and that we have identified only the atypical severe cases, then the apparent results of treatment may be due simply to observing the more usual course of the disease. Therefore, it is important to study a high-risk group of children who have not previously been tested for PKU. This group consists of those siblings who were already born at the time that the proband was diagnosed. Since routine testing for PKU has only been done recently, these children presumably have not been tested previously. The number of PKU siblings expected in this group of previously untested brothers and sisters is partially dependent upon the frequency and degree of mental retardation in the disease as suggested by the following possibilities: 1. If mental retardation is incidental in PKU, then one fourth of these siblings would be expected to have PKU as determined by blood and urine tests, and their mental abilities, which might be normal, would be considered typical of untreated phenylketonuric individuals. This would also indicate that most families with PKU members have not been found during the past 10 years, when most cases were ascertained because of mental retardation. 2.If PKU causes severe retardation and urine and blood tests are done on all retarded children, then the first affected child would be identified as the proband in each family; all siblings born before the proband would be non-PKU, and all children with true PKU would be clearly identified.

scholarly journals A Case of Massive Hepatic Infarction in a Patient with HELLP Syndrome

2019 ◽  
Vol 09 (01) ◽  
pp. e84-e87
Author(s):  
Jessica Morgan ◽  
Micaela Della Torre ◽  
Anna Whelan ◽  
Sophia Rodriguez ◽  
Laura DiGiovanni
Keyword(s):  
Liver Enzymes ◽  
Epigastric Pain ◽  
Early Recognition ◽  
Rare Complication ◽  
Liver Function Tests ◽  
True Incidence ◽  
Hepatic Infarction ◽  
Elevated Liver Enzymes ◽  
Blood Pressures ◽  
The Right

Background Hepatic infarction is an exceedingly rare complication of hemolysis, elevated liver enzymes, and low platelets syndrome. Few cases have been described in the medical literature and the true incidence remains unknown. It can lead to fulminant liver failure, liver transplant, or death if not promptly addressed. Case Report A 22-year-old primigravida presented with right upper quadrant and epigastric pain at 28 weeks' gestation. She had severely elevated blood pressures requiring intravenous antihypertensives as well as proteinuria, thrombocytopenia, and mild transaminitis. Within 6 hours of admission, her rapidly rising liver function tests (LFTs) necessitated urgent delivery by primary cesarean section. Her liver enzymes continued to rapidly worsen postoperatively and immediate postpartum computed tomography of the abdomen and pelvis revealed massive hepatic infarction, 11 × 10 × 15 cm, of the right lobe of the liver. Her transaminases peaked at alanine transferase of 2,863 IU/L and aspartate transferase of 2,732 IU/L. She received supportive multidisciplinary intensive care, and LFTs returned to normal by postoperative day 20. Conclusion Hepatic infarction is an extraordinarily rare complication of pre-eclampsia. Early recognition and prompt multidisciplinary management are vital to prevent catastrophic bleeding, hepatic failure, and death.

scholarly journals Jejunal Diverticular Perforation Causing Small Bowel Obstruction in a Type 4 Hiatal Hernia: A Rare Case Report of a Nonagenarian Patient and Review of Relevant Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Saptarshi Biswas ◽  
Shekhar Gogna ◽  
Prem Patel
Keyword(s):  
Small Bowel ◽  
Rare Case ◽  
Epigastric Pain ◽  
Relevant Literature ◽  
Exploratory Laparotomy ◽  
The Past ◽  
Type Iv ◽  
Intestinal Gas ◽  
Mesenteric Side ◽  
Rare Case Report

Type IV paraesophageal hernia (PEH) is very rare and is characterized by the intrathoracic herniation of the abdominal viscera other than the stomach into the chest. We describe a case of a 90-year-old male patient who presented at our emergency department complaining of epigastric pain that he had experienced over the past few hours and getting progressively worse. On the day after admission, his pain became severe. Chest radiography revealed an intrathoracic intestinal gas bubble; emergency exploratory laparotomy identified a type IV PEH with herniation of only the jejunum with perforated diverticula on mesenteric side through a hiatal defect into mediastinum. There are a few published cases of small bowel herniation into the thoracic cavity in the literature. Our patient represents a rare case of an individual diagnosed with type IV PEH with herniation of jejunum with perforated diverticula.

scholarly journals The evolution of bacterial resistance against bacteriophages in the horse chestnut phyllosphere is general across both space and time

2015 ◽  
Vol 370 (1675) ◽  
pp. 20140297 ◽  
Author(s):  
Britt Koskella ◽  
Nicole Parr
Keyword(s):  
Bacterial Resistance ◽  
Time Frame ◽  
Time Shift ◽  
Horse Chestnut ◽  
Spatial And Temporal Scales ◽  
The Past ◽  
Host Parasite Interactions ◽  
Shift Experiment ◽  
Temporal And Spatial ◽  
Host Parasite

Insight to the spatial and temporal scales of coevolution is key to predicting the outcome of host–parasite interactions and spread of disease. For bacteria infecting long-lived hosts, selection to overcome host defences is just one factor shaping the course of evolution; populations will also be competing with other microbial species and will themselves be facing infection by bacteriophage viruses. Here, we examine the temporal and spatial patterns of bacterial adaptation against natural phage populations from within leaves of horse chestnut trees. Using a time-shift experiment with both sympatric and allopatric phages from either contemporary or earlier points in the season, we demonstrate that bacterial resistance is higher against phages from the past, regardless of spatial sympatry or how much earlier in the season phages were collected. Similarly, we show that future bacterial hosts are more resistant to both sympatric and allopatric phages than contemporary bacterial hosts. Together, our results suggest the evolution of relatively general bacterial resistance against phages in nature and are contrasting to previously observed patterns of phage adaptation to bacteria from the same tree hosts over the same time frame, indicating a potential asymmetry in coevolutionary dynamics.

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