Fulminant hepatorenal syndrome due to Acetaminophen toxicity: A case report

Hepatorenal syndrome is a rare life-threatening complication of acetaminophen toxicity. It is not responsive to fluid therapy and need performing an emergent liver transplantation. Here, we introduce a 24-year-old woman with a history of chronic high doses of acetaminophen consumption, presenting with nausea, vomiting, lethargy, oliguria, and severe metabolic acidosis.

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Identification of Persistent Aortocaval Fistula Using Ultrasonography in the Outpatient Setting: A Case Report

Journal for Vascular Ultrasound ◽

10.1177/1544316720933379 ◽

2020 ◽

Vol 44 (3) ◽

pp. 150-153

Author(s):

Richard A. Meena ◽

Melissa N. Warren ◽

Thomas E. Reeve ◽

Olamide Alabi

Keyword(s):

Abdominal Aortic Aneurysm ◽

Case Report ◽

Surgical Repair ◽

Outpatient Setting ◽

Aortocaval Fistula ◽

Abdominal Aortic ◽

Life Threatening ◽

History Of ◽

Life Threatening Complication

Aortocaval fistula (ACF) is a rare and life-threatening complication associated with rupture of an abdominal aortic aneurysm (rAAA). Early detection and management of ACF’s during surgical repair of rAAAs is recommended to reduce the risk of future aneurysm-related complications, including mortality. There is a paucity of current literature on the natural history of ACFs postendovascular exclusion. We present a case study describing the detection of a persistent ACF by duplex ultrasonography (DU) postendovascular aortic repair (EVAR).

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Severe metabolic acidosis during haemodialysis: a rare but life threatening complication

Nephrology Dialysis Transplantation ◽

10.1093/ndt/16.12.2416 ◽

2001 ◽

Vol 16 (12) ◽

pp. 2416-2417 ◽

Cited By ~ 1

Author(s):

Costas Fourtounas ◽

Ioannis Kopelias ◽

George Dimitriadis ◽

Aris Paraskevopoulos ◽

Basil Agroyannis

Keyword(s):

Metabolic Acidosis ◽

Severe Metabolic Acidosis ◽

Life Threatening ◽

Life Threatening Complication

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Risperidone-Induced Neuroleptic Malignant Syndrome: A Case Report and Review

The Canadian Journal of Psychiatry ◽

10.1177/070674379604100112 ◽

1996 ◽

Vol 41 (1) ◽

pp. 52-54 ◽

Cited By ~ 21

Author(s):

Gb Meterissian

Keyword(s):

Case Report ◽

Side Effects ◽

Neuroleptic Malignant Syndrome ◽

Clinical Features ◽

Prior History ◽

Extrapyramidal Side Effects ◽

Life Threatening ◽

History Of ◽

Life Threatening Complication ◽

The One

Objectives: 1. To report the case of a 53-year-old patient who developed neuroleptic malignant syndrome (NMS) — a rare but potentially life-threatening complication of neuroleptic therapy — 4 days after treatment with risperidone was initiated. 2. To review previously reported cases of NMS associated with risperidone. Methods: A computerized search of several databases, including MEDLINE, was conducted to find all previously reported cases of NMS with risperidone. Results: Five reported cases of risperidone-induced NMS were found in the literature. All cases including the one reported here displayed typical clinical features of NMS and all 6 patients had a prior history of extrapyramidal side effects and/or NMS. Age and duration of exposure to risperidone did not seem to be of significance. Conclusions: These cases illustrate that clinicians should be on the lookout for risperidone-induced NMS.

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A RARE CASE REPORT ON MYXOEDEMA COMA

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2021.v14i3.32401 ◽

2021 ◽

pp. 1-3

Author(s):

SHANTHI B ◽

MARY CHANDRIKA A

Keyword(s):

Case Report ◽

Female Patient ◽

Rare Case ◽

Previous History ◽

Altered Mental Status ◽

Electrolyte Imbalance ◽

Rare Case Report ◽

Life Threatening ◽

History Of ◽

Life Threatening Complication

Myxoedema coma is a sporadic life-threatening complication of severe hypothyroidism with high mortality. Altered mental status and hypothermia are the main symptoms of myxoedema coma. Apart from that, hypoxia, bradycardia, hypotension, anemia, and hyponatremia would be present. Few patients present comatose with severe myxoedema. Presenting coma may mislead the diagnosis of this condition. A female patient presented with fever, breathlessness, and disorientation was admitted. First diagnosed to have electrolyte imbalance and treatment was started accordingly. The patient did not show much of an improvement, and it took a day to identify the presence of severe hypothyroidism. Treating hypothyroidism resulted in an advance in the patient condition. Patients’ previous history of hypothyroidism was not informed during admission. It is always tough to diagnose myxoedema coma when the patients’ previous history of hypothyroidism is unknown. Hence, it is still essential to have hypothyroidism in mind while treating patients with comatose. This case has been reported to alert physicians in diagnosing myxoedema coma patients and to proceed with the treatment at the earliest.

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Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽

10.33883/jms.v21i2.328 ◽

2019 ◽

Vol 21 (2) ◽

pp. 117-119

Author(s):

Munir Ahmad Wani ◽

Mubarak Ahmad Shan ◽

Syed Muzamil Andrabi ◽

Ajaz Ahmad Malik

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Ct Scan ◽

Bowel Obstruction ◽

Emergency Surgery ◽

Gallstone Ileus ◽

Gall Stone ◽

Life Threatening ◽

Life Threatening Complication ◽

Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

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Asymptomatic mediastinal extra-adrenal paraganglioma as a cause of sudden death: a case Report

Open Life Sciences ◽

10.1515/biol-2019-0062 ◽

2019 ◽

Vol 14 (1) ◽

pp. 564-567

Author(s):

Qiancheng Xu ◽

Yingya Cao ◽

Hongzhen Yin ◽

Rongrong Wu ◽

Tao Yu ◽

...

Keyword(s):

Blood Pressure ◽

Case Report ◽

Respiratory Failure ◽

Pressure Drop ◽

Thoracic Cavity ◽

Severe Hypotension ◽

Life Threatening ◽

History Of ◽

Posterior Mediastinal ◽

Extra Adrenal Paraganglioma

AbstractA 23-year-old female patient was referred for treatment of a posterior mediastinal tumour. There was no history of hypertension or headache and no other complaints. The patient’s blood pressure increased to 210/125 mmHg after surgically manipulating the tumour, subsequently reversing to severe hypotension (25/15 mmHg) immediately after the tumour was removed. The life-threatening and irreversible blood pressure drop was difficult to treat with fluid and vasopressors, and the patient ultimately died of cardio-respiratory failure. Asymptomatic paraganglioma can be non-functional but can also be fatal. For any lump in the thoracic cavity, paraganglioma should be ruled out.

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Arterial Thrombosis and Gangrene Secondary to Arachnidism

Vascular ◽

10.2310/6670.2009.00022 ◽

2009 ◽

Vol 17 (4) ◽

pp. 239-242

Author(s):

Jan M. Eckermann ◽

Theodore H. Teruya ◽

Christian Bianchi ◽

Ahmed M. Abou-Zamzam

Keyword(s):

Case Report ◽

Lower Extremity ◽

Vascular Disease ◽

Tissue Damage ◽

Arterial Thrombosis ◽

Progressive Necrosis ◽

Life Threatening ◽

History Of ◽

Spider Bites ◽

Spider Bite

Spider bites can cause local tissue damage as well as life-threatening complications. This is a case report of a female with no history of lower extremity vascular disease who presented with a spider bite on the dorsum of her foot. She developed progressive necrosis and eventually suffered limb loss despite attempts at revascularization.

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COVID-19 Infection with Refractory Diabetic Ketoacidosis- A case Report

The Journal of Medical Research ◽

10.31254/jmr.2021.7206 ◽

2021 ◽

Vol 7 (2) ◽

pp. 54-56

Author(s):

Reshmi Mishra ◽

◽

Jyoti Ranjan Behera ◽

P. Ramkumar ◽

Mukesh Kumar Jain ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 1 Diabetes ◽

Metabolic Acidosis ◽

Diabetic Ketoacidosis ◽

Vital Organ ◽

Increased Risk ◽

Life Threatening ◽

Life Threatening Complication ◽

New Onset

Diabetic ketoacidosis is an acute life-threatening complication of type 1 diabetes. Sometimes it is the first presentation in an undiagnosed child. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) disease (COVID-19) and diabetes mellitus are very much interrelated as diabetes mellitus is associated with an increased risk of severe COVID19 at the same time, many cases of new-onset diabetes had been diagnosed. Hyperglycemia, metabolic acidosis, and ketonemia are classical presentations. It is essential to correct the acidosis and fluid correction and insulin therapy in these patients, leading to vital organ dysfunction. In refractory metabolic acidosis, renal replacement therapy may help

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Case Report: Poor oral hygiene leading to an emergency condition: A case report of Ludwig’s angina

F1000Research ◽

10.12688/f1000research.74692.1 ◽

2021 ◽

Vol 10 ◽

pp. 1219

Author(s):

Prashant Pant ◽

Oshan Shrestha ◽

Pawan Budhathoki ◽

Nebula Devkota ◽

Prabin Kumar Giri ◽

...

Keyword(s):

Case Report ◽

Oral Hygiene ◽

Common Source ◽

Poor Oral Hygiene ◽

Presenting Symptoms ◽

Dental Procedures ◽

Life Threatening ◽

History Of ◽

Ludwig’S Angina ◽

Ludwig's Angina

Ludwig’s angina (LA) is a rapidly spreading and potentially life-threatening infection having an odontogenic infection as the most common source. It involves the floor of the mouth and neck. Modernization in medical care has made this entity rare and of low mortality at the present but it is still feared as a lethal entity due to rapidly progressive airway obstruction that follows. Here we report a case of a 15-year-old male who suffered from LA. Presenting symptoms and findings of the examination helped in the clinical diagnosis. Immediate intubation, use of broad-spectrum antibiotics, and treatment of complications aided the patient’s recovery. LA should be considered for differential diagnosis in the case of neck swelling especially in those having a history of poor oral hygiene and recent dental procedures. Management of LA and its complications should always involve doctors from multiple disciplines.

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