scholarly journals Adipsic Hypernatremia with Neurologic Manifestations in a Patient with Severe COVID-19 Pneumonia: A Case Report

2021 ◽  
Author(s):  
Mohammad Kasim ◽  
Gustav Strandvic ◽  
Ismail Mahmood ◽  
Muayad Ahmad ◽  
Abdulqadir Nashwan
Keyword(s):  
Case Report ◽  
Neurologic Manifestations ◽  
Shortness Of Breath ◽  
History Of

This report describes a case of a 50-year-old man with hypertension who was admitted with a history of fever, chills, and shortness of breath and tested positive for COVID-19. Shortly after resolving his ARDS, he developed an adipsic hypernatremia with associated confusion, lethargy, and weakness.

scholarly journals Pulmonary fibrosis and embolism secondary to silicon implant leak

2019 ◽  
Vol 12 (6) ◽  
pp. e229470 ◽  
Author(s):  
Ahad Azeem ◽  
Samreen Khuwaja ◽  
Rukma Parthvi ◽  
Teekaram Persaud
Keyword(s):  
Case Report ◽  
Respiratory Failure ◽  
Side Effects ◽  
Pulmonary Fibrosis ◽  
Breast Implants ◽  
Shortness Of Breath ◽  
Silicone Breast Implants ◽  
Embolism Syndrome ◽  
History Of ◽  
Prompt Diagnosis

Pulmonary fibrosis in a patient with history of ruptured silicone breast implants may present a therapeutic challenge to diagnose and treat. In this case report, we aim to discuss our experience in diagnosing a patient with chronic silicone embolism syndrome masquerading as refractory multifocal pneumonia that presented with respiratory failure. A young woman with no significant past exposure having recurrent admissions to the hospital due to fever and shortness of breath was found to have chronic silicone embolism with pneumonitis. This case report emphasis the prompt diagnosis and treatment of silicone induced fibrosis and approach to the most common side effects of breast implants.

scholarly journals Miliary Tuberculosis Presenting with ARDS and Shock: A Case Report and Challenges in Current Management and Diagnosis

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Keevan Singh ◽  
Saara Hyatali ◽  
Stanley Giddings ◽  
Kevin Singh ◽  
Neil Bhagwandass
Keyword(s):  
Septic Shock ◽  
Weight Loss ◽  
Case Report ◽  
Treatment Initiation ◽  
Miliary Tuberculosis ◽  
Shortness Of Breath ◽  
Current Management ◽  
Tb Treatment ◽  
History Of ◽  
Hiv Negative

Miliary tuberculosis, complicated by ARDS and septic shock, is a rare and lethal presentation of this disease. Here we present a case of such a patient, following which we discuss the management of tuberculosis in the ICU and some of the challenges that may be faced. A young HIV negative female presented to us with an acute history of worsening shortness of breath on a background of weight loss, nonproductive cough, and fever. CXR and CT scan showed bilateral miliary type opacities and the patient was admitted to the hospital. Within forty-eight hours of admission she became hypoxemic and was intubated and transferred to the ICU. There she experienced worsening organ dysfunction and developed circulatory shock. Despite escalating doses of noradrenaline, she continued to decline and died before specific anti-TB treatment could be started. Timely diagnosis and treatment initiation are the keys to improving outcomes in critically ill TB patients. However there are many challenges in doing so, especially in a general ICU located in a country with a low TB incidence.

scholarly journals A huge haemorrhagic suprarenal pseudocyst: an unusual presentation of a rare condition

2021 ◽  
Vol 14 (2) ◽  
pp. e235158
Author(s):  
Adekunle A Olowu ◽  
Adel Abbas Alzehairy
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Incidental Findings ◽  
Respiratory Symptoms ◽  
Rare Condition ◽  
Shortness Of Breath ◽  
Primary Healthcare Centre ◽  
History Of ◽  
Intraperitoneal Bleeding ◽  
Endocrine Symptoms

Haemorrhagic suprarenal pseudocysts are very rare and are often incidental findings at surgery or autopsy, though they can sometimes present with predominantly gastrointestinal or endocrine symptoms, including intraperitoneal bleeding or sepsis. Our case report is of a 48-year-old man who presented at our primary healthcare centre with 2-month history of predominantly respiratory symptoms of cough and shortness of breath. CT scan revealed a suprarenal cyst measuring 14.2×13.5×13.1 cm for which he was operated and made a full recovery. A detailed literature review reveals that there has never been a case of a haemorrhagic suprarenal pseudocyst presenting with predominantly respiratory symptoms, which is why we decided to document this case report.

scholarly journals Favipiravir-Induced Nephrotoxicity in a Patient with COVID-19: a case report

2021 ◽  
Author(s):  
Asmaa Abdelbary ◽  
Ahmad Alharafsheh ◽  
Afif Ahmed ◽  
Abdulqadir Nashwan
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Male Patient ◽  
Shortness Of Breath ◽  
Runny Nose ◽  
History Of

This report describes a case of 45 years old male patient who tested positive for COVID-19 presented to the emergency department on March 2021 complaining of fever, cough, runny nose, and shortness of breath. The patient denied any history of nausea or diarrhea who has eventually developed favipiravir-induced nephrotoxicity.

scholarly journals Successful treatment of tuberculosis combined with drug-induced myopathy using corticosteroid therapy: a case report

2021 ◽  
Vol 49 (9) ◽  
pp. 030006052110432
Author(s):  
Xinke Yuan ◽  
Sijia Chen ◽  
Yinghong Huang
Keyword(s):  
Case Report ◽  
Corticosteroid Therapy ◽  
Shortness Of Breath ◽  
Intravenous Methylprednisolone ◽  
Local Hospital ◽  
Drug Induced ◽  
Muscle Enzyme ◽  
History Of ◽  
Tuberculous Pleurisy ◽  
Loss Of Appetite

A 39-year-old woman was admitted to our hospital on 19 January 2019 because of a 10-day history of intolerance to oils in her food, fatigue, and yellowing of the skin and sclera. In December 2018, the patient had been diagnosed with tuberculous pleurisy at a local hospital and received quadruple anti-tuberculosis treatment. Ten days before presentation to our hospital, she had developed anorexia, fatigue, nausea, loss of appetite, cough, and shortness of breath. She visited a local hospital, where she was considered to have drug-induced hepatitis. She discontinued the anti-tuberculosis drugs and liver protection treatment. After 3 days, her symptoms had not substantially improved. She visited the infection department of our hospital for further diagnosis and treatment. After 6 days of treatment, the patient’s symptoms were not significantly improved, her liver and muscle enzyme concentrations were further increased, and her limbs had become weaker and more difficult to move. We considered diagnoses of drug-induced hepatitis and drug-induced myopathy. The patient was treated with intravenous methylprednisolone at 40 mg once a day for 16 days and other symptomatic treatments. Her symptoms significantly improved and she was discharged.

scholarly journals Case Report: Risk of Electric Injury on Delayed Initial Treatment

2021 ◽  
Vol 4 (1) ◽  
pp. 11
Author(s):  
Ulfa Elfiah ◽  
Dissa Yulianita Suryani
Keyword(s):  
Skeletal Muscle ◽  
Case Report ◽  
Burn Injury ◽  
Shortness Of Breath ◽  
Tissue Necrosis ◽  
Complicated Case ◽  
Subconjunctival Hemorrhage ◽  
Tubular Necrosis ◽  
History Of ◽  
Electric Injury

Electric Injury is a very aggressive burn injury with severe functional and aesthetic consequences caused by progressive and prolonged tissue necrosis. Necrosis that attacks the skeletal muscle can lead to rhabdomyolysis which results in complications if not treated properly. A complicated case of electric injury in Dr. Soebandi Jember General Hospital, a 26 years old man came to the emergency room with complaints of severe shortness of breath and urinary disorders. The patient had a history of having an electric shock in his right hand when turning on the fan a week prior of admission. The examination showed that the patient had bilateral pulmonary effusion, generalized edema and acute tubular necrosis (ATN) which was characterized by oliguria and even anuria accompanied by hematuria. Other symptoms experienced by patients are anterior uveitis, subconjunctival hemorrhage, and hematemesis.

scholarly journals A young patient with heart failure – picture Quiz Question

2012 ◽  
Vol 11 (1) ◽  
pp. 28-28
Author(s):  
H Patel ◽  
◽  
G Dhillon ◽  
A Bandali ◽  
Neil Patel ◽  
...  
Keyword(s):  
Heart Failure ◽  
Case Report ◽  
Chest Pain ◽  
Young Patient ◽  
Loss Of Consciousness ◽  
Productive Cough ◽  
Shortness Of Breath ◽  
Pleuritic Chest Pain ◽  
History Of

Case report A 28 year old gentleman presented after an episode of collapse with loss of consciousness. He gave a history of non-specific malaise and myalgia over the previous 7 days, with fever, a generalised rash and a non productive cough. He developed progressive shortness of breath with sharp, pleuritic chest pain that was unresponsive to antibiotics in the community.

scholarly journals Pulmonary Alveolar Microlithiasis: A Case Report with Emphasis on Imaging Findings

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Guilherme Abdalla ◽  
Edson Marchiori ◽  
Gláucia Zanetti ◽  
Antonio Mucillo ◽  
Mariana Leite Pereira ◽  
...  
Keyword(s):  
Case Report ◽  
High Resolution ◽  
Lung Biopsy ◽  
Shortness Of Breath ◽  
Imaging Findings ◽  
Alveolar Space ◽  
Pulmonary Alveolar Microlithiasis ◽  
Ground Glass Attenuation ◽  
History Of ◽  
Alveolar Microlithiasis

Pulmonary alveolar microlithiasis (PAM) is a rare disease characterized by the presence of small calculi in the alveolar space. The authors report a case of a 21-year-old man with a 2-year history of shortness of breath on exertion and dry cough. Physical examination was altered only for crackles at auscultation. Pulmonary function revealed a mild restrictive ventilatory defect and the chest radiograph demonstrated paracardiac confluence of dense micronodular infiltrate. High-resolution CT scan revealed diffuse ground glass attenuation and septal thickening, more pronounced in lower pulmonary regions, with calcifications along the interlobar septa and subpleural regions. A transbronchial lung biopsy confirmed the diagnosis of PAM.

scholarly journals The Forgotten Valve, Isolated Pulmonic Valve Endocarditis, a Rare Case Report

2020 ◽  
Vol 5 (5) ◽  
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Rare Case ◽  
Pulmonary Valve ◽  
Sudden Onset ◽  
Shortness Of Breath ◽  
Past Medical History ◽  
Pulmonic Valve ◽  
Rare Case Report ◽  
History Of

Of the four cardiac valves, the pulmonic valve is the least suspected in most pathologies when one thinks of endocarditis, pulmonary valve is hardly considered. We can call it a “forgotten valve”. Isolated pulmonary valve endocarditis has less than 100 reported cases [1]. We present a case of isolated pulmonary valve endocarditis in a 27-year-old male with past medical history of IVDA, who presented to the hospital with sudden onset of chest pain and shortness of breath.

Large Substernal Thyroid Goiter Associated with Saddle Pulmonary Embolism

2016 ◽  
Vol 8 (3) ◽  
pp. 214-216
Author(s):  
Daniel W Nelson ◽  
Melissa LoPinto ◽  
Charif Sidani ◽  
John I Lew
Keyword(s):  
Computed Tomography ◽  
Pulmonary Embolism ◽  
Case Report ◽  
Vascular Compression ◽  
Pulmonary Emboli ◽  
Shortness Of Breath ◽  
Successful Management ◽  
Cervical Incision ◽  
Thyroid Goiter ◽  
History Of

ABSTRACT A 75-year-old woman with a longstanding history of a substernal thyroid goiter presented with acute shortness of breath, and she was intubated due to respiratory distress. Computed tomography (CT) scan revealed a compressive substernal goiter with associated vascular compression, axillosubclavian thrombosis, and saddle pulmonary embolism. Weight-based heparin was immediately administered, and the patient subsequently underwent successful thyroidectomy via a cervical incision. This case report of a rare saddle pulmonary embolism associated with a substernal thyroid goiter underscores the importance of early elective thyroidectomy. Successful management of these potentially devastating pulmonary emboli (PE) associated with large substernal goiters is possible. How to cite this article Nelson DW, LoPinto M, Sidani C, Lew JI. Large Substernal Thyroid Goiter Associated with Saddle Pulmonary Embolism. World J Endoc Surg 2016;8(3):214-216.

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