scholarly journals PRONA espontânea na COVID-19. Relato de caso Prone position in COVID-19 / Case report

2020 ◽  
Vol 65 (1) ◽  
pp. 1
Author(s):  
Jonathan Dalavina ◽  
Bruno Fernandes Costa Ferreira ◽  
Camila Vitelli Molinari ◽  
Vivian Bertoni Xavier ◽  
Vera Lúcia Dos Santos Alves
Keyword(s):  
Case Report ◽  
Prone Position ◽  
Low Cost ◽  
Ventilatory Support ◽  
Progressive Increase ◽  
High Concentration ◽  
Radiographic Images ◽  
The Third ◽  
History Of ◽  
Clinical Worsening

         Introdução: A pandemia da COVID-19 gerou a necessidade do estudo de medidas que possam alterar a evolução da doença, principalmente na internação hospitalar com o paciente que apresenta sinais de insuficiência respiratória e alteração da oxigenação que classifica a gravidade dos pacientes e a posição PRONA pode tornar-se um recurso indicado. Objetivo: Apresentar uma experiência de utilização da posição PRONA intermitente em paciente sem o suporte ventilatório invasivo com diagnóstico de COVID-19 sob internação hospitalar. Relato de Caso: Homem de 49 anos, com COVID-19, antecedente de asma controlada, com três dias de sintomas, que foi internado devido à piora clínica com evolução grave nos primeiros seis dias de internação. Foi indicada a utilização da PRONA a partir do terceiro dia. O paciente adotou o recurso espontaneamente com aumento progressivo e referia se posicionar devido à percepção de melhora do desconforto respiratório. As imagens radiográficas de tórax, uso de oxigenoterapia em alta concentração e o cálculo da PaO2 /FiO2 demonstraram que o paciente era de extrema gravidade. Após 17 dias de uso da PRONA o paciente recebeu alta, sem dependência de oxigênio, independente e sem complicações relacionadas ao posicionamento. Conclusão: A posição PRONA mostrou-se como alternativa possível, promissora, de baixo custo e risco, com sucesso para este paciente que recebeu alta hospitalar sem o uso de oxigenoterapia.Palavras-chave: Infecções por coronavirus, Decúbito ventral, Respiração, Fisioterapia, Pneumonia ABSTRACTIntroduction: The pandemic of COVID-19 developed the need to study measures that can change the evolution of the disease, especially in hospitalization with the patient who shows signs of respiratory failure. This happened because the alteration of oxygenation classifies the severity of patients made the prone position an indicated resource. Objective: To present an experience of using the intermittent prone position in a patient without invasive ventilatory support diagnosed with COVID-19 during hospitalization. Case Report: A 49-year-old man with COVID-19, with history of controlled asthma, with three days of symptoms, who was hospitalized due to clinical worsening with severe evolution in six days initially of hospitalization. The use of the prone was indicated in the third day. Afterwards, the patient spontaneously adopted the resource with progressive increase and referred to position himself due to the perception of improvement in respiratory distress. Radiographic images of the chest, use of oxygen in high concentration and the calculation of PaO2 / FiO2 demonstrated that the patient was extremely serious. After 17 days, the patient was discharged, without oxygen dependence, independently and without complications related to positioning. Conclusion: The prone position proved to be a possible, promising, low cost and risky alternative, successfully for this patient who was discharged from the hospital without the use of oxygen therapy.Keyworks: Coronavirus infections, Prone position, Respiration, Physical therapy specialty, Pneumonia

scholarly journals A case report on placental chorioangioma

2021 ◽  
Vol 10 (12) ◽  
pp. 4555
Author(s):  
Kalyani P. Barde ◽  
Gautam S. Aher ◽  
Urmila G. Gavali
Keyword(s):  
Case Report ◽  
Preterm Labour ◽  
Second Trimester ◽  
Perinatal Complications ◽  
Amniotic Fluid Index ◽  
Solitary Nodule ◽  
The Third ◽  
History Of ◽  
Multiple Nodules

Chorioangioma is the term used to describe an abnormal proliferation of vessels arising from chorionic tissue, which is most commonly observed in the third, and less frequently in the second trimester of pregnancy as a solitary nodule or, less commonly, as multiple nodules. We here report a case of placental chorioangioma which presented as a case of preterm labour. 21 year old primigravida presented to us at 26 weeks of gestation with history of PV leak and pain in abdomen. Ultrasound showed a single live foetus corresponding to 24-26 weeks of gestation with amniotic fluid index (AFI): 5 cm (oligohydramnios) there was evidence of 58×42 mm heterogeneously hypoechoic lesion noted over placenta likely s/o chorioangioma. Patient went into spontaneous preterm labour on day 5 and delivered vaginally. Placenta weighted 700 gm. A globular mass of size 6×7 cm was attached to foetal surface of placenta with a pedicle with confirmed the finding of ultrasonography. Placental chorioangioma is associated with high rates of perinatal complications. Most complications may appear early and delivery is problematic due to prematurity. Thus better prenatal investigations and regular follow up is required for early diagnosis and treatment.

scholarly journals Hyperacute Gullain Barre Syndrome (GBS); The Catastrophic Variant- A Rare Case Report

2021 ◽  
pp. 45-52
Author(s):  
Sourya Acharya ◽  
Amol Andhale ◽  
Samarth Shukla ◽  
V. V. S. S. Sagar ◽  
Sunil Kumar
Keyword(s):  
Case Report ◽  
Clinical Laboratory ◽  
Molecular Mimicry ◽  
Ventilatory Support ◽  
Mechanical Ventilatory Support ◽  
Muscle Involvement ◽  
Neurologic Impairment ◽  
Rare Case Report ◽  
History Of ◽  
Upper Respiratory

Guillain-Barré syndrome (GBS) also known as acute demyelinating polyradiculoneuropathy (AIDP) is an immunologically mediated  rare neurological disorder.  The  basic pathogenic mechanism is regulated by molecular mimicry. Usually there is a history of preceding infection which occurs some weeks before the attack. The infections are gastroenteritis or upper respiratory. The clinical spectrum of ranges from  mild weakness to devastating paralysis including respiratory failure. Majority of the cases recover but a few continue to have residual neurodeficit. The usual clinical course of GBS from the starting of weakness to development of maximum neurologic progression usually progresses over 4 weeks. Hyperacute GBS is a term used when the progression of weakness occurs within hours to days to maximum neurologic impairment. In this case report we present a 28 year old female who developed rapidly progressive, areflexic quadriparesis with respiratory muscle involvement requiring mechanical ventilatory support within nine hours. Clinical , laboratory and nerve conduction studies suggested a diagnosis of GBS.

scholarly journals Pyogenic Granuloma of Lower Lip: An Unusual Presentation

2021 ◽  
Vol 2 (1) ◽  
pp. 24-27
Author(s):  
Amita Rai ◽  
Bandana Koirala ◽  
Mamta Dali ◽  
Sneha Shrestha ◽  
Ashish Shrestha
Keyword(s):  
Case Report ◽  
Pyogenic Granuloma ◽  
Tissue Response ◽  
Unusual Presentation ◽  
Anterior Maxilla ◽  
Lower Lip ◽  
Positive History ◽  
The Third ◽  
Fourth Decade ◽  
History Of

Pyogenic granuloma is a benign inflammatory hyperplasia of connective tissue. It depicts an overzealous tissue response to a known stimulus or injury and is commonly found in the gingiva, especially in the anterior maxilla, and rarely on lips, oral mucosa, and tongue. It is commonly seen during the second, third, and fourth decade in females, with predilection in the third decade. This case report depicts the unusual presentation of pyogenic granuloma of the lower lip in an 11-year-old male child following a positive history of trauma and lip biting, which was successfully managed by excision under local anesthesia.

Persistence Detection of Sars-Cov-2 RNA in Healthcare Workers with COVID-19: A Case Report

2020 ◽  
Vol 2 (3) ◽  
pp. 121-129
Author(s):  
Ilzy Jum Ahmad ◽  
Sostro Mulyo ◽  
Abdi Dzul Ikram Hasanuddin
Keyword(s):  
Case Report ◽  
Return To Work ◽  
Healthcare Workers ◽  
Antiviral Treatment ◽  
Rt Pcr ◽  
The Third ◽  
Strategic Approach ◽  
Moderate Disease ◽  
History Of ◽  
Care Worker

Coronavirus Disease 2019 (Covid-19) has now become a concern around the world. Until 6 September 2020, there were 190,665 cases in Indonesia, and it was in the third rank of most cases in the Asian region. It is important to determine the criteria of return to work for healthcare workers with Covid-19 positive in Indonesia. This case report discussed a female patient, 32 years old with chief complaint of fever and itchy throat since 2 days ago. She is a health care worker in the hospital, with a history of treating patients with positive confirmation of Covid-19 for 2 days in the ordinary ward before the case was confirmed with a history of contact approximately 5 days ago. The patient was diagnosed with positive confirmation of Covid-19 and was required for self-isolation. The patient still had positive results of RT-PCR Covid-19 up to the third examination in 30 days after the initial RT-PCR testing, although received specific antiviral treatment with oral oseltamivir and oral supplementation. Based on growing evidence that Sars-Cov-2 may not infectious for more than ten days in the mild-moderate disease, this case report is strengthening the use of symptom-based strategic approach to determine when to return to work in Indonesian healthcare workers with positive COVID-19.

scholarly journals Hemangioblastoma in the Lung: Metastatic or Primary Lesions?

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Li Lu ◽  
Peter A. Drew ◽  
Anthony T. Yachnis
Keyword(s):  
Case Report ◽  
Posterior Fossa ◽  
Surgical Excision ◽  
Metastatic Tumor ◽  
Lung Nodules ◽  
Pathological Study ◽  
The Third ◽  
History Of ◽  
Multiple Lung Nodules

Hemangioblastoma primarily occurs in the CNS, most commonly in the posterior fossa. Extracranial locations are less common, and metastatic tumor involving the lung is exceedingly rare with only three cases previously reported. Two were autopsy studies in patients who died of complications of the CNS hemangioblastomas in 1943 and 1981, and the third was mentioned in a case report addendum providing follow-up information on hepatic hemangioblastoma in 1991. We report a case of a 48-year-old man who presented with multiple lung nodules treated by surgical excision. Pathological study revealed features classic for hemangioblastoma. The patient had a remote history of hemangioblastomas having been excised from the posterior fossa 7 and 20 years previously. This report details a fourth case of metastatic pulmonary hemangioblastoma. It is the first report on surgically resected hemangioblastomas from the lung of a living patient with histological and immunohistochemical characterization.

scholarly journals Human bertiellosis in Goiás, Brazil: a case report on human infection by Bertiella sp. (Cestoda: Anoplocephalidae)

2003 ◽  
Vol 45 (3) ◽  
pp. 159-161 ◽  
Author(s):  
Julieta M. Paçô ◽  
Dulcinéia M.B. Campos ◽  
José Luiz de Barros Araújo
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Female Patient ◽  
Human Infection ◽  
Mato Grosso ◽  
The Third ◽  
Loss Of Weight ◽  
History Of

The authors report on a new case of human Bertiellosis in a 2-year old female patient who was born in Goiânia-Goiás (Brazil) and has had history of permanent dwelling in an area frequently visited by simians in Mato Grosso (Brazil). At the time of diagnosis the patient showed inappetence, abdominal pain, and loss of weight. Eggs and proglottids were found in her stool and were identified as Bertiella sp. The objective of this report is to register the third case of human Bertiellosis in Brazil, characterizing one more case of helminthic zoonosis.

scholarly journals Managing a Patient with Post-Heart Transplant Associated with COVID-19: A Case Report from Qatar

2021 ◽  
Author(s):  
Nissar Shaikh ◽  
Mohamad Khatib ◽  
Aya Elghazali ◽  
Mohammad Alwraidat ◽  
Fahmi Othman ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Case Report ◽  
Urinary Tract ◽  
Tract Infection ◽  
Cardiac Injury ◽  
Ventilatory Support ◽  
Cardiac Transplant ◽  
Non Invasive ◽  
Elderly Female ◽  
History Of

This is a case of an elderly female with comorbidities and a history of cardiac transplant 13 years back, presented with diarrhea and diagnosed with COVID-19. She was hospitalized and found to have a cardiac injury and urinary tract infection, treated with antibiotics, antivirals, immunosuppressives, and required non-invasive ventilatory support.

scholarly journals Superficial keratectomy and 360º conjunctival flap for bullous keratopathy in a dog: a case report

2011 ◽  
Vol 63 (3) ◽  
pp. 773-777 ◽  
Author(s):  
J.P.D. Ortiz ◽  
C.B.S. Lisbão ◽  
F.L.C. Brito ◽  
B. Martins ◽  
J.L. Laus
Keyword(s):  
Intraocular Pressure ◽  
Case Report ◽  
Corneal Edema ◽  
Applanation Tonometry ◽  
Bullous Keratopathy ◽  
The Third ◽  
Conjunctival Flap ◽  
Schirmer Tear Test ◽  
History Of ◽  
The Right

A case of a two-year-old male Pinscher with a history of discomfort in the right eye was reported. The left eye had been enucleated by the referring veterinarian due to the same symptom with unsuccessful clinical treatment. The Schirmer tear test value was elevated and a decreased intraocular pressure was observed by applanation tonometry. Biomicroscopy revealed profuse corneal edema and keratoconus and fluorescein staining was negative. Gonioscopy and ophthalmoscopy did not provide any relevant data due to the corneal alterations. Bullous keratopathy was diagnosed. Surgery was performed in two steps: 1) superficial keratectomy and 360º conjunctival flap, and 2) superficial keratectomy to restore corneal transparency. Thirty days after the second superficial keratectomy, the third eyelid flap was removed. Conjunctivalization of the upper nasal quadrant of the cornea was observed. The axial portion of the cornea was transparent and vision was restored.

scholarly journals CHONDROSARCOMA OF HUMERUS - METASTASIS TO LUNGS A RARE CASE REPORT

2021 ◽  
pp. 79-80
Author(s):  
Jishna. G ◽  
Sabarinath Ravichandar
Keyword(s):  
Case Report ◽  
Range Of Motion ◽  
Rare Case ◽  
Proximal Humerus ◽  
Primary Tumour ◽  
Restricted Range ◽  
The Third ◽  
Rare Case Report ◽  
History Of

Chondrosarcoma is the third most common primary tumour of the bone, after myeloma and osteosarcoma. Most of the chondrosarcomas grow slowly and rarely metastasize, and they have an 1 excellent prognosis after adequate surgery.However most of them are chemo or radio-resistant . We report a case of primary chondrosarcoma of proximal humerus in a 52-year-old male who presented with a sixyears history of swelling and restricted range of Motion of right shoulder which later metastasized to the lungs in a span of 4yrs.

scholarly journals Recurrent Dermatofibrosarcoma Protuberans of the Vulva: A Rare Occurrence and Review of Literature

2021 ◽  
Author(s):  
Lajya Devi Goyal ◽  
Priyanka Garg ◽  
Manmeet Kaur ◽  
Diksha Sharma
Keyword(s):  
Case Report ◽  
Frozen Section ◽  
Dermatofibrosarcoma Protuberans ◽  
Margin Assessment ◽  
Local Invasion ◽  
The Third ◽  
First Case ◽  
High Propensity ◽  
Frozen Section Analysis ◽  
History Of

Objective: Dermatofibrosarcoma protuberans (DFSP) of the vulva is an uncommon soft tissue tumor with fewer than 60 cases reported previously. Distant metastasis is rare with a high propensity for local invasion. Surgical management is the gold standard with adequate margin excision to prevent future recurrences. We report a case of vulvar DFSP requiring three resections to achieve primary clearance. To the best of our knowledge, this is the first case report from India. Case report: A 35-years-old female, presented with nodular vulvar mass for the third time arising from the upper part of right labia majora for the last year. She had a history of two similar episodes in the past for which excision was done and histopathology confirmed DFSP. The third wide local resection was performed with 3 cm margins and the margins were sent for intra-operative frozen section analysis, which was confirmed clear by the pathologist. The patient has been free of recurrence for two years. Conclusion: DFSP is a challenging condition presenting as a non-tender nodular mass characterized by local invasion and recurrence. Early diagnosis and appropriate management using wide local excision with accurate margin assessment can achieve optimal results and prevent future recurrences.

Sign in / Sign up

Export Citation Format

Share Document