scholarly journals Generalized tetanus in an 11-year-old boy: A case report

2021 ◽  
Vol 11 (1) ◽  
pp. 69-75
Author(s):  
Artem A. Kozlov ◽  
Irina V. Shevchuk ◽  
Aleksei E. Zavialov ◽  
Anatoly N. Emelyanov
Keyword(s):  
Case Report ◽  
Respiratory Failure ◽  
Gastrointestinal Tract ◽  
Pain Relief ◽  
Antibiotic Therapy ◽  
Clinical Course ◽  
Treatment Strategies ◽  
Adequate Pain Relief ◽  
Choice Of Treatment ◽  
Severe Tetanus

The study presents a case report of a generalized form of severe tetanus in an unvaccinated 11-year-old child. Pain and convulsive syndromes, respiratory failure, and damage to the gastrointestinal tract prevailed in the acute period. Antibiotic therapy, anti-tetanus serum, adequate pain relief, and anticonvulsant therapy were the leading treatments of the child. Moreover, the paper discusses literature data on the options for the clinical course and choice of treatment strategies. The lack of planned vaccination in children is unsafe.

Idiopathic Trigeminal Neuralgia: A Case Report

2018 ◽  
Vol 31 (04) ◽  
pp. 254-258
Author(s):  
Shruti Jain ◽  
Chetna Lamba
Keyword(s):  
Case Report ◽  
Pain Relief ◽  
Trigeminal Neuralgia ◽  
Facial Pain ◽  
Conventional Medicine ◽  
Positive Role ◽  
Idiopathic Trigeminal Neuralgia ◽  
Adequate Pain Relief ◽  
The Face

AbstractTrigeminal neuralgia (TN) is the most frequent type of neuropathic facial pain affecting one or more branches of trigeminal nerve. Here, a 51-year-old woman diagnosed with idiopathic trigeminal neuralgia (ITN) presented with complaints of pain over right side of the face with redness of the eyes and excessive lachrymation since 5 years with weekly acute episodes of shooting pain. Chelidonium was chiefly prescribed followed by few doses of Spigelia as per indications which provided adequate pain relief. The complaints flared up following stressful circumstances for which Pulsatilla was prescribed after detailed case taking. The frequency, duration and intensity of pain reduced after homoeopathic treatment. The need for conventional medicine was also reduced. This suggests positive role of individualised homoeopathy in the treatment of ITN. Further studies should be undertaken to evaluate the role of homoeopathy in ITN.

scholarly journals Vaping-associated lung injury: a case report and literature review

2021 ◽  
Vol 5 (2) ◽  
pp. 1-4
Author(s):  
Dewansh Goel ◽  
Kenneth Iyamu
Keyword(s):  
Case Report ◽  
Respiratory Failure ◽  
Lung Injury ◽  
Clinical Presentation ◽  
Clinical Course ◽  
Electronic Cigarettes ◽  
Invasive Mechanical Ventilation ◽  
Young Male ◽  
Acute Onset ◽  
Current Evidence

Usage of vaping and electronic cigarettes products is a growing trend among young adults, with rising rates worldwide. Such products are gaining popularity for many reasons including an alternative to smoking cigarettes, trying something new, or as a means to relax. While users may feel that these products are less harmful or a safer substitute to smoking traditional products, the side effect profile of vape inhalation has the potential for profound injury to the lung tissue and significant respiratory failure. We would like to present a case in which a young male who was evaluated at our Emergency department for acute onset respiratory failure subsequently requiring invasive mechanical ventilation in the setting of vaping associated lung injury (VALI). In the case report, we will highlight the patient’s clinical course as well as a summary of the current evidence surrounding evaluation, diagnosis and management of this emerging pathology. We want to emphasize the importance of a detailed history which should include the use of vaping products when a young patient presents with acute respiratory failure, allowing VALI to be in the differential diagnosis. Additionally, we want to compare the clinical presentation of VALI to that of COVID-19 pneumonia as they both have many similar attributes including symptoms and findings on lung imaging studies.

scholarly journals Significance of Correct Diagnosis of Odontogenic Extraoral Sinus: A Report Of Two Cases

2018 ◽  
Vol 1 (11) ◽  
pp. 334-338
Author(s):  
Shweta Bansal ◽  
Ruchi Juneja ◽  
Gyanendra Mishra ◽  
Akshay Nambiar
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Antibiotic Therapy ◽  
Clinical Course ◽  
Correct Diagnosis ◽  
Sinus Tract ◽  
Short Term ◽  
Diagnostic Challenge ◽  
Odontogenic Origin

Cutaneous draining sinus tracts of odontogenic origin often are a diagnostic challenge. A delay in correctly diagnosing these types of lesions can result in unnecessary antibiotic therapy and surgical treatment. This case report presents the clinical course of two cases with extra-oral sinus tract formation, from diagnosis and treatment to short-term follow-up and evaluation. These facial lesions were initially misdiagnosed as lesions of non-odontogenic origin. Later on an odontogenic cause was identified and endodontic intervention resulted in resolution of the problem, confirming the initial misdiagnosis.

Intestinal Myiasis Caused by Parasarcophaga crassipalpis (Diptera: Sarcophagidae)

PEDIATRICS ◽  
1990 ◽  
Vol 85 (2) ◽  
pp. 215-217
Author(s):  
TSUNEZO SHIOTA ◽  
YUKIO YOSHIDA ◽  
SACHIYO HIRAI ◽  
SHOZO TORII
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Clinical Course ◽  
Age Distribution ◽  
Signs And Symptoms ◽  
Severe Abdominal Pain ◽  
Small Children

Intestinal myiasis occurs when fly eggs or larvae that were previously deposited in food are ingested and survive in the gastrointestinal tract. Some infested patients are asymptomatic; others have abdominal pain, vomiting, and diarrhea. Although babies and small children seem more susceptible to intestinal myiasis than adults, probably the age distribution can be explained by childhood activity, fearlessness of wormlike creatures, and experimentation.1,2 The signs and symptoms of intestinal myiasis can easily be confused with other intestinal disturbances. In this article, we describe the clinical course of intestinal myiasis in a 4-year-old boy with severe abdominal pain. CASE REPORT The patient was a 4-year-old previously healthy boy residing in Osaka City, Japan.

scholarly journals An unexplained death after routine cardiac surgery: how long have we dealt with coronavirus disease 2019?

2020 ◽  
Vol 31 (6) ◽  
pp. 904-905
Author(s):  
Laura Varela Barca ◽  
Isabel Torralba Cloquell ◽  
Jaime Herrero Cereceda ◽  
Jose Ignacio Sáez de Ibarra
Keyword(s):  
Cardiac Surgery ◽  
Case Report ◽  
Respiratory Failure ◽  
Severe Acute Respiratory Syndrome ◽  
Clinical Course ◽  
Epidemiological Data ◽  
Spike Protein ◽  
Post Mortem ◽  
Immunohistochemical Detection ◽  
Unexplained Death

Abstract We present a case report of fatal respiratory failure after cardiac surgery in the early stages of the coronavirus disease 2019 outbreak. Although not supported by epidemiological data nor clinical course, coronavirus disease 2019 infection was revealed post-mortem by immunohistochemical detection of the severe acute respiratory syndrome coronavirus 2 spike protein in lung tissue.

scholarly journals Endocarditis of Native Valve due to Proteus mirabilis: Case Report and Literature Review

2021 ◽  
Author(s):  
Beatrice Tiri ◽  
Giulia Priante ◽  
Alessandro Mariottini ◽  
Emanuela Sensi ◽  
Sara Gioia ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Antibiotic Therapy ◽  
Proteus Mirabilis ◽  
Clinical Presentation ◽  
Relevant Literature ◽  
Native Valve ◽  
Duration Of Therapy ◽  
Native Valve Endocarditis ◽  
Choice Of Treatment

AbstractEndocarditis due to Proteus mirabilis is very uncommon and the optimal surgical and/or antibiotic treatment is not well defined. Guidelines from the AHA and ESC recommend prolonged courses of combined antibiotic therapy but information regarding the clinical presentation, the choice of treatment, the surgical management, and the duration of therapy can only be taken from clinical cases reported in literature. We describe a case of native valve endocarditis due to Proteus mirabilis, successfully treated with antibiotic therapy alone with a review of the relevant literature on this topic.

scholarly journals Clinical Course of a Covid-19 Patient with Gastrointestinal Symptoms- A Case Report

2020 ◽  
Vol 8 (2) ◽  
pp. 148-151
Author(s):  
Sidra Agarwal ◽  
Hemanshi Mistry
Keyword(s):  
New York ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Respiratory Symptoms ◽  
Clinical Course ◽  
Gastrointestinal Symptoms ◽  
Oral Route ◽  
Nasopharyngeal Swab ◽  
Virus Shedding ◽  
Angiotensin Converting Enzyme 2

Background: COVID-19 most commonly presents with respiratory symptoms. However, it can involve the gastrointestinal tract causing symptoms like diarrhea and the resultant shedding of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in feces. This is due to the virus adhering to angiotensin-converting enzyme 2 receptors largely present in the gastrointestinal tract. This case report recommends routine stool Real-Time Reverse Polymerase Chain Reaction (rRT-PCR) testing for patients presenting with gastrointestinal symptoms. The Case: A healthy 36-year-old male healthcare worker in New York who tested positive for SARS-CoV-2 infection through rRT-PCR of the nasopharyngeal swab. After 7 days of convalescence, he recovered from influenza like symptoms after which he predominantly developed diarrhea, nausea, vomiting and extreme fatigue. Cough was the only lower respiratory symptom during the 3rd week of the clinical course. Anosmia or ageusia preceding the onset of respiratory symptoms was also reported. Due to the outbreak of the pandemic and New York being the epicenter at the time, the patient was recommended to self-isolate with supportive management through antipyretics and electrolyte replacement. Conclusion: This case highlights a SARS-CoV-2 PCR positive patient with predominant gastrointestinal symptoms. The reports regarding virus shedding in feces suggest that SARS-CoV-2 could be transmitted via fecal-oral route and thus routine stool rRT-PCR testing can aid in transmission-based precautions. Furthermore, reports of viral ribonucleic acid present in the stool, suggests direct infectivity of the virus on the intestinal tract. Therefore, screening in patients with only gastrointestinal symptoms can potentially help to contain the virus spread.

scholarly journals IMPROVEMENT OF COMBINED MULTIMODAL ANESTHESIA FOR ABDOMINAL SURGICAL INTERVENTIONS IN CHILDREN

2019 ◽  
Vol 21 (6) ◽  
pp. 362-365
Author(s):  
Otabek Ya. Fayziev ◽  
T. S. Agzamhodjaev ◽  
A. S. Yusupov ◽  
I. A. Mamatkulov
Keyword(s):  
Pain Relief ◽  
Epidural Anesthesia ◽  
Analgesic Effect ◽  
Clinical Course ◽  
Abdominal Cavity ◽  
Heart Rhythm ◽  
Control Groups ◽  
Surgical Interventions ◽  
Adequate Pain Relief ◽  
Combined Anesthesia

The aim of the study was to enhance the efficiency and safety of the combined methods of anesthesia using propofol and epidural anesthesia for the abdominal surgery in children by assessing the hemodynamic regulation of the heart rhythm and the clinical course of anesthesia. Materials and methods. We studied children aged of 1 to 14 years operated for diseases and malformations of the abdominal cavity. To ensure the anesthetic protection in 57% of affected children there was used combined epidural anesthesia by bupivacaine combined with propofol and fentanyl in cases from the 1 (main) group and in 43% of affected children there was applied the combined anesthesia by fentanyl and droperidol with lidocaine epidural anesthesia - 2 (control) groups. Results The results showed the relative stability of the patients providing adequate pain relief after the surgery in children. Use of a combination of drugs: early fentanyl analgesic effect develops, whereas propofol implements its action later, and provides a prolongation of analgesia. Propofol, fentanyl with epidural analgesia bupivacaine for analgesic effect appeared to be several times higher than methods of neuroleptanalgesia.

Management of Giant Carotid Aneurysm with Occlusion of the Carotid Artery - Case Report and Discussion of Treatment Strategies

2019 ◽  
Author(s):  
Deike Weiss ◽  
Jan-Henrik Buhk ◽  
Jessika Johannsen ◽  
Jonas Denecke
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Treatment Strategies

Chylopericardium following Atrial Septal Defect Repair: Case Report

2005 ◽  
Vol 8 (1) ◽  
pp. 23 ◽  
Author(s):  
Sanjay Kumar ◽  
Bharati Sinha
Keyword(s):  
Case Report ◽  
Atrial Septal Defect ◽  
Cardiac Tamponade ◽  
Unusual Case ◽  
Septal Defect ◽  
Clinical Course ◽  
Defect Repair ◽  
Cardiac Operations

Chylopericardium after intrapericardial cardiac operations is extremely rare. We present an unusual case of postoperative chylopericardium with cardiac tamponade following atrial septal defect repair, and we comment on the clinical course and treatment.

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