scholarly journals A CASE REPORT ON ISOLATED HEMATURIA WITH ANEMIA DUE TO SCHISTOSOMA HAEMATOBIUM

2017 ◽  
Vol 9 (10) ◽  
pp. 251
Author(s):  
Sagar Pamu ◽  
Lakshmi Thakkalapally ◽  
Balakrishna Vuyyala
Keyword(s):  
Schistosoma Haematobium ◽  
Urine Analysis ◽  
Shortness Of Breath ◽  
Past Medical History ◽  
North African ◽  
Medication History ◽  
African Patient ◽  
Chief Complaints ◽  
Night Sweats ◽  
Rbc Count

An unsual case in India was reported with an Isolated Hematuria with Anemia due to Schistosoma Haematobium. A male North African patient aged with 22 years admitted in hospital in Hyderabad with chief complaints of hematuria with dysuria, fever with night sweats and shortness of breath during exercise. His skin appears as pale. His history known that he came to India for his academics. He has a habit of swimming in lake at his country. He has no known past medical history and medication history. His blood reports were found to be low hemoglobin levels and low RBC count. His urine analysis results with reddish colored erythrocytes and crystals with an absence of proteins and casts. Microscopic examination of urine detects Schistosoma Haematobium eggs by using repeated concentration techniques.

scholarly journals Adolescent COVID-19-Associated Fatal Rhabdomyolysis

2020 ◽  
Vol 11 ◽  
pp. 215013272098564
Author(s):  
Huda Anwar ◽  
Anwaar Al Lawati
Keyword(s):  
Polymerase Chain Reaction ◽  
Global Health ◽  
Respiratory Tract ◽  
Sore Throat ◽  
Shortness Of Breath ◽  
Past Medical History ◽  
Chain Reaction ◽  
Viral Illness ◽  
Polymerase Chain ◽  
High Index Of Suspicion

Coronavirus disease 2019 (COVID-19) has become an urgent global health priority. Although most patients with COVID-19 manifest with fever and respiratory tract symptoms, COVID-19 infections may also involve other organs and extrarespiratory manifestations, including cardiac, gastrointestinal, hepatic, renal, and neurological symptoms. This case describes a 16-year-old boy who presented with fever, sore throat, myalgia, and subsequently with shortness of breath. A diagnosis of COVID-19 was confirmed by polymerase chain reaction. His condition deteriorated and he died within 3 days of admission. An evaluation of his past medical history confirmed an episode of viral illness which had progressed to myositis and rhabdomyolysis 1 year prior. Clinicians should be aware of this complication and maintain a high index of suspicion in cases of COVID-19 presenting with extrapulmonary symptoms.

Rhabdomyolysis: An evidence-based approach

2021 ◽  
pp. 175114372110507
Author(s):  
Sarah Burgess
Keyword(s):  
Fluid Overload ◽  
Kidney Injury ◽  
Community Acquired Pneumonia ◽  
Evidence Based ◽  
Shortness Of Breath ◽  
Past Medical History ◽  
Urine Dipstick ◽  
The Past ◽  
Acting Insulin ◽  
History Of

A 76-year-old lady was found on the floor following a fall at home. She was uninjured, but unable to get up, and had been lying on the floor for roughly 18 hours before her son arrived. She had been unwell for the past 3 days with a cough and shortness of breath. She had a past medical history of diabetes, hypertension, hypercholesterolaemia and atrial fibrillation (AF). On examination, she was alert but distressed, clinically dehydrated, febrile and tachycardic. She was treated for community acquired pneumonia with co-amoxiclav and was fluid resuscitated with Hartmann’s solution. Her hyperkalaemia was treated with 50 mL of 50% glucose containing 10 units of rapid-acting insulin. Her creatinine kinase (CK) on admission was 200,000, and she had an acute kidney injury (AKI). Urine dipstick was positive for blood. However, her renal function continued to deteriorate over the succeeding 48 h, when she required renal replacement therapy (RRT) due to fluid overload and anuria.

scholarly journals Uncommon cause of respiratory failure due to a bezoar in the hypopharynx: a case report

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Seyed-Hasan Adeli ◽  
Malihe Sehat ◽  
Gholamreza Azarnia Samarin ◽  
Jamshid Vafaeimanesh ◽  
Sajjad Ahmadpour ◽  
...  
Keyword(s):  
Respiratory Symptoms ◽  
Outlet Obstruction ◽  
Diagnostic Procedures ◽  
Shortness Of Breath ◽  
Case Presentation ◽  
Chest Computed Tomography ◽  
Magill Forceps ◽  
Chief Complaints ◽  
Surgery Department ◽  
Pulmonary Ct

Abstract Background Trichotillomania and trichophagia cause trichobezoars, which are masses made of hair. The main presentation of this condition is abdominal pain. However, other complications include gastric outlet obstruction, nausea, vomiting, weight loss, malnutrition, hematemesis, diarrhea, and constipation. Case presentation A 57-year-old woman with trichotillomania was admitted to the Emergency Department with the chief complaints of dyspnea on exertion, shortness of breath, dysphagia, generalized weakness, and hoarseness. Spiral chest computed tomography (CT) scan did not reveal any parenchymal lesions Pulmonary CT angiography did not reveal pulmonary embolism. The patient was admitted to the Surgery Department for hand fasciotomy due to contrast leakage, and during laryngoscopy, a trichobezoar was detected that was removed with Magill forceps. Conclusions Rare cases of trichobezoars can be observed in humans with gastrointestinal and respiratory symptoms. Precise and timely diagnosis are key for the prevention of more invasive diagnostic procedures.

scholarly journals A rare PANK2 deletion in the first north African patient affected with pantothenate kinase associated neurodegeneration

2020 ◽  
Vol 410 ◽  
pp. 116639
Author(s):  
Stephanie Efthymiou ◽  
Yamna Kriouile ◽  
Vincenzo Salpietro ◽  
Rhouda Hajar ◽  
Zouiri Ghizlane ◽  
...  
Keyword(s):  
North African ◽  
Pantothenate Kinase ◽  
African Patient

scholarly journals Methamphetamine Use With Subsequent Thyrotoxicosis/Thyroid Storm, Agranulocytosis, and Modified Total Thyroidectomy: A Case Report

2017 ◽  
Vol 10 ◽  
pp. 117955061774129 ◽  
Author(s):  
Omar Viswanath ◽  
Deanna C Menapace ◽  
Don B Headley
Keyword(s):  
Emergency Department ◽  
Total Thyroidectomy ◽  
Feedback Loop ◽  
Blood Stream ◽  
Vascular Supply ◽  
Thyroid Storm ◽  
Shortness Of Breath ◽  
Past Medical History ◽  
Methamphetamine Use ◽  
Significant Mortality

Thyroid storm is a rare, potentially lethal condition involving collapse of the hypothalamic-pituitary-thyroid feedback loop. Thyroid storm carries a significant mortality rate, thus requiring prompt identification and treatment. A 47-year-old woman presented to the emergency department complaining of palpitations, shortness of breath, and emesis for 24 hours after using methamphetamine. Past medical history was significant for untreated hyperthyroidism. Physical examination revealed a prominent, palpable thyroid. The Burch-Wartofsky-Score was 35. Management for thyroid storm included propylthiouracil (PTU), super saturated potassium iodide, intravenous hydrocortisone, and propranolol. However, a rare drug reaction to PTU on day 3 resulted in agranulocytosis. Propylthiouracil was withheld and a modified total thyroidectomy performed on day 8 without complications and the patient discharged on day 10 with levothyroxine. Undertreated hyperthyroidism may predispose patients to catecholamine-induced thyrotoxicosis due to catecholamine hypersensitivity. With known methamphetamine use, methamphetamine toxicity and a methamphetamine-exacerbated thyroid storm need to be included in the differential diagnosis in a patient presenting with signs of thyrotoxicosis. In addition, treating patients with agranulocytosis from PTU with a modified total thyroidectomy using ligation of the vascular supply as the initial surgical step limits release of thyroid hormone into the blood stream during thyroidectomy and decreases the possibility of intra operative thyroid storm.

scholarly journals Acute Stridor and Respiratory Failure due to Retrosternal Subglottic Stenosis of Unknown Origin

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Tharindu Vithanage ◽  
Gerben Keijzers ◽  
Nicola Jane Willis ◽  
Tara Cochrane ◽  
Linda Smith
Keyword(s):  
Respiratory Failure ◽  
Multidisciplinary Approach ◽  
Unknown Origin ◽  
Subglottic Stenosis ◽  
Upper Respiratory Tract ◽  
Shortness Of Breath ◽  
Oral Antibiotics ◽  
Night Sweats ◽  
Upper Respiratory ◽  
Tone Of Voice

Respiratory failure due to subglottic stenosis is a rare but serious condition. A 22-year-old male presented to the emergency department (ED) with shortness of breath, stridor, and change in tone of voice. The patient did not complain of B-symptoms (fever, weight loss, and night sweats). In the week before this presentation, he was diagnosed with an upper respiratory tract infection with associated bronchospasm and discharged on oral antibiotics and inhaled salbutamol without effect. He developed hypercapnic respiratory failure in the ED after a coughing episode. A normal nasopharyngoscopic examination and a subtle mediastinal abnormality on chest radiograph lead to a working diagnosis of retrosternal subglottic obstruction. The complexities of his airway management and suggestions for multidisciplinary approach are discussed.

scholarly journals Recurrent spontaneous pneumothorax in pregnancy-a case report

2021 ◽  
Vol 8 (11) ◽  
pp. 3449
Author(s):  
Muhammad S. Shafique ◽  
Fatima Rauf ◽  
Hamza W. Bhatti ◽  
Noman A. Chaudhary ◽  
Muhammad Hanif
Keyword(s):  
Case Report ◽  
Spontaneous Pneumothorax ◽  
Respiratory Illness ◽  
Tube Thoracostomy ◽  
Shortness Of Breath ◽  
Past Medical History ◽  
Pleuritic Chest Pain ◽  
X Ray ◽  
Chest X Ray ◽  
In Pregnancy

Spontaneous pneumothorax during pregnancy is a rare but a serious condition. The typical symptoms of spontaneous pneumothorax include pleuritic chest pain and shortness of breath. Diagnosis is usually made on chest X-ray with abdominal shielding. Management differs according to severity and no specific guidelines are described for management of spontaneous pneumothorax in pregnancy. We report a case of a 27-year-old multigravida, with insignificant past medical history for any respiratory illness, presenting with recurrent, left sided spontaneous pneumothorax during a single pregnancy. It was managed by chest tube thoracostomy each time and patient was discharged with tube till the delivery of the fetus.

scholarly journals Mapping Schistosoma haematobium for Novel Interventions against Female Genital Schistosomiasis and Associated HIV Risk in KwaZulu-Natal, South Africa

2021 ◽  
Author(s):  
Mahala Livingston ◽  
Pavitra Pillay ◽  
Siphosenkosi Gift Zulu ◽  
Leiv Sandvik ◽  
Jane Dene Kvalsvig ◽  
...  
Keyword(s):  
South Africa ◽  
Young Women ◽  
Primary Schools ◽  
Schistosoma Haematobium ◽  
Urine Analysis ◽  
Hiv Infections ◽  
Epidemiological Data ◽  
Analysis Data ◽  
Kwazulu Natal ◽  
Female Genital

Women with female genital schistosomiasis (FGS) have been found to have genital symptoms and a three-fold higher risk of HIV infection. Despite WHO recommendations, regular antischistosomal mass drug administration (MDA) has not yet been implemented in South Africa possibly because of the lack of updated epidemiological data. To provide data for future prevention efforts against FGS and HIV, this study explored Schistosoma haematobium prevalence in girls and young women and the effects of antischistosomal MDA, respectively. Urinary schistosomiasis and genital symptoms were investigated in 70 randomly selected secondary schools in three districts within KwaZulu-Natal and 18 primary schools. All study participants were treated for schistosomiasis, and schools with the highest urinary prevalence were followed up after 1 and 4 years of MDA. At baseline, urine analysis data showed that most schools were within the moderate-risk prevalence category where biennial antischistosomal MDA is recommended, as per WHO guidelines. Young women had high prevalence of genital symptoms (36%) after correcting for sexually transmitted infections. These symptoms may be caused by infection with schistosomes as FGS cannot be diagnosed by urine analysis alone. In KwaZulu-Natal rural schools, this study suggests that antischistosomal MDA with praziquantel could prevent genital symptoms in more than 200,000 young women. Furthermore, it is feasible that more than 5,000 HIV infections could be prevented in adolescent girls and young women by treatment and prevention of FGS.

The Source of the Problem

2019 ◽  
Vol 18 (1) ◽  
pp. 33-33
Author(s):  
Peter Moffitt ◽  
◽  
Adam Williamson ◽  
Peter Stenhouse ◽  
◽  
...  
Keyword(s):  
Emergency Department ◽  
Medical History ◽  
General Malaise ◽  
Shortness Of Breath ◽  
Past Medical History ◽  
Focus Of Infection ◽  
History Of

58-year-old lady presented to the Emergency Department with a two-day history of shortness of breath and confusion, on a background of one week’s history of general malaise, vomiting, fevers and chills. Her past medical history was unremarkable except for a large, benign goitre. Systemic enquiry revealed no symptoms to suggest a focus of infection.

Effects on Local Emergency Departments of Large-Scale Urban Chemical Fire With Hazardous Materials Spill

2002 ◽  
Vol 17 (4) ◽  
pp. 196-201 ◽  
Author(s):  
Edbert B. Hsu ◽  
Jurek G. Grabowski ◽  
Rashid A. Chotani ◽  
Jason A. Winslow ◽  
Donald W. Alves ◽  
...  
Keyword(s):  
United States ◽  
At Risk ◽  
Large Scale ◽  
Hazardous Materials ◽  
Chemical Exposure ◽  
The United States ◽  
Shortness Of Breath ◽  
Populations At Risk ◽  
Chief Complaints ◽  
The City

AbstractIntroduction:On 18 July 2001, a train hauling hazardous materials, including hydrochloric acid, hydrofluoric acid, and acetic acid, derailed in the city of Baltimore, Maryland, resulting in a fire that burned under a downtown street for five days. Firefighters were stymied in their efforts to extinguish the fire, and the city was subjected to thick smoke for several days.Objectives:To determine whether an urban chemical fire with a hazardous materials spill resulted in a detectable public health impact, and to demo-graphically describe the at-risk population for potential smoke and chemical exposure.Methods:The United States Centers for Disease Control and Prevention (CDC) was consulted about possible side effects from chemical exposure. Total numbers of emergency department (ED) patients and admissions from 15:00 hours (h), 15 July 2001 to 15:00 h, 21 July 2001 were collected from five local hospitals. Patient encounters citing specified chief complaints from 15:00 h, 15 July to 15:00 h, 18 July (pre-accident) were compared with the period from 15:00 h, July 18 to 15:00 h, 21 July (post-accident). Data were analyzed using Fisher's exact test. The United States Census Bureau's Topologically Integrated Geographic Encoding and Referencing (TIGER) digital database of geographic features and ArcView Geographic Information Systems (GIS) were used to create maps of Baltimore and to identify populations at-risk using attribute census data. Results: There were 62,808 people residing in the immediate, affected area. The mean of the values for age was 33.7 ±3.2 years (standard deviation; range = 16 yrs) with 49% (30,927) males and 51% (31,881) females. A total of 2,922 ED patient encounters were screened. Chief complaints included shortness of breath, pre-event = 109 vs. post-event = 148; chest complaints = 90 vs. 113; burns and/or skin irritation = 45 vs. 42; eye irritation 26 vs. 34; throat irritation = 33 vs. 27; and smoke exposure = 0 vs. 15. There was a statistically significant increase (p <0.05) for shortness of breath and smoke exposure-related complaints. No statistically significant increase in numbers of admitted patients with these complaints was found.Conclusions:In the setting of a large-scale urban chemical fire, local EDs can expect a significant increase in the number of patients presenting to EDs with shortness of breath and/or smoke inhalation. Most do not require inpatient hospitalization. Careful assessment of impact on local EDs should be considered in future city-accident planning. Some official warnings were widely misinterpreted or ignored. Public education on potential hazards and disaster preparedness targeted to populations at-risk should receive a high priority. Geographic information systems (GIS) may serve as useful tools for identifying demographics of populations at-risk for disaster planning and responses.

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