scholarly journals Unprovoked hemothorax : an unusual presentation in Dengue Haemorrhagic Fever

2016 ◽  
Vol 7 (3) ◽  
pp. 121-122
Author(s):  
Robin George Manappallil
Keyword(s):  
Viral Disease ◽  
Acute Onset ◽  
Dengue Haemorrhagic Fever ◽  
Haemorrhagic Fever ◽  
Medical Sciences ◽  
X Ray ◽  
The World ◽  
History Of ◽  
Chest X Ray ◽  
Plasma Leakage

According to WHO, Dengue fever (DF) is the most rapidly spreading mosquito-borne viral disease in the world. Dengue Haemorrhagic fever (DHF) is a severe and more serious form of DF, characterised by fever, bleeding manifestations, plasma leakage and thrombocytopenia. This is a case of a 28 year old male, who presented with history of fever and myalgia and was diagnosed to have DF. He had developed acute onset dyspnoea and his chest X-Ray showed right sided pleural effusion. Pleurocentesis revealed haemorrhagic fluid in the absence of trauma.Unprovoked hemothorax as an initial presentation of DHF has rarely been reported.Asian Journal of Medical Sciences Vol.7(3) 2016 121-122

A Patient with COVID-19 Disease in a Referral Hospital in Iran: A Typical Case

2020 ◽  
Vol 20 (4) ◽  
pp. 559-562 ◽  
Author(s):  
Fereshteh Ghiasvand ◽  
Sepideh Zahak Miandoab ◽  
Hamid Harandi ◽  
Fereshteh Shahmari Golestan ◽  
Seyed Ahmad Seyed Alinaghi
Keyword(s):  
Ground Glass Opacity ◽  
Typical Case ◽  
Referral Hospital ◽  
Ministry Of Health ◽  
X Ray ◽  
Erythrocyte Sedimentation ◽  
The World ◽  
History Of ◽  
Chest X Ray ◽  
Pcr Test

After the initial outbreak of the new Coronavirus in Wuhan at the end of December 2019, many new cases were reported in other provinces of China and also many other countries over the world, including South Korea, Italy, Iran, Japan, and 68 other countries. We present a case report of a 61-year-old woman with a history of diabetes mellitus who was referred to the emergency department of a referral hospital in Tehran, Iran. The patient presented with fever, chills, and myalgia within three days. Laboratory analysis showed increased levels of erythrocyte sedimentation rate (ESR), and mild leukopenia. SARS-CoV-2 PCR test –under the Iran Ministry of Health and Medical Education (MoH&ME) guidelines– was conducted and the result was positive. The chest X-ray showed bilateral ground-glass opacity. O2 saturation was 87% (without O2 therapy). The patient was hospitalized and treated with Oseltamivir 75 mg every 12 hours, Lopinavir/Ritonavir (Kaletra) 400/100 mg every 12 hours and hydroxychloroquine 400 mg stat. The patient's last O2 saturation measured was 93% and she had no fever on the 10th day of hospitalization. Therefore, she was discharged from hospital and quarantined at home according to the Iran Ministry of Health protocol.

scholarly journals A CASE REPORT OF MODERATE COVID-19 AND MALARIA FALCIPARUM CO-INFECTION WITH THROMBOCYTOPENIA

2021 ◽  
Vol 8 (3) ◽  
pp. 173-178
Author(s):  
Nelda Aprilia Salim ◽  
Harun Hudari ◽  
Mega Permata ◽  
Yenny Dian Andayani ◽  
Zen Ahmad ◽  
...  
Keyword(s):  
Medical Personnel ◽  
Symptomatic Therapy ◽  
Travel History ◽  
X Ray ◽  
Normal Limits ◽  
Appropriate Treatment ◽  
The World ◽  
History Of ◽  
Chest X Ray ◽  
D Dimer

The COVID-19 pandemic that attacks the world has made the attention of all medical personnel focused on this disease. The clinical picture is similar to other infectious diseases such as malaria, dengue, influenza, etc., which often leads to misdiagnosis. We report the case of a man, 31 years old, with a history of travel and complaints of high fever persisting for more than 7 days. On physical examination, the temperature was 39-40 C, others were within normal limits. Initial platelet count was 69 x 103/µL, leukocytes was 15.52 x 109/L, CRP was 96 mg/L. The blood smear found Plasmodium falciparum, and PCR SARS-CoV-2 was positive. Chest X-ray showed pneumonia. Dihydroartemisinin-piperaquine and primaquine therapies were administered for malaria, as well as favipiravir, azithromycin, and other symptomatic therapy for COVID-19. Platelets decreased to 38 x 103/µL while D-dimer level increased (> 20 mg/L). Anticoagulant was delayed. On monitoring after therapy, the platelets returned to normal, the D-dimer level decreased, and there was no bleeding. The co-infectious conditions of malaria and COVID-19 should be suspected in patients with suggestive symptoms and travel history from endemic areas, therefore both examinations should be performed. This co-infection has the potential to cause hyper inflammation and hypercoagulation and this is associated with a poor prognosis. Appropriate treatment is needed.

scholarly journals Treatment-Resistant Bronchopneumonia as a Form of Presentation of Lung Cancer: A Case Report

2020 ◽  
Vol 5 (4) ◽  
Author(s):  
Pazos CP ◽  
de Alejo Alema AP ◽  
Hernandez IDG ◽  
Penton CRC ◽  
de Alejo Plain AP
Keyword(s):  
Lung Cancer ◽  
Small Cell ◽  
Clinical State ◽  
Treatment Resistant ◽  
Small Cell Lung ◽  
X Ray ◽  
The World ◽  
History Of ◽  
Chest X Ray ◽  
The Right

Lung cancer is the most common neoplasm and one of the deadliest in the world. A clinical case of a 74-year-old patient with a history of being a former smoker is presented. He comes in with a dry cough, fever of 38.5°C and tiredness. The physical examination revealed the respiratory system: slightly decreased vesicular murmur towards the right parailiary region with the presence of crackles at that level. A Chest X-ray is performed, observing an image of inflammatory condensation towards the right iliary region; it is treated as bronchopneumonia worsening the clinical state. A thoracentesis is performed with extraction of pleural fluid for cytohistological study. The cytohistological study diagnosed adenocarcinoma-type non-small cell lung cancer. The patient died before starting cancer treatment. The bronchopneumonic form of lung cancer is not the most frequent, but it is one of the forms that most masks the picture.

Lingual Dystonia Treated with Botulinum Toxin - A Case Report

1970 ◽  
Vol 24 (2) ◽  
pp. 75-78
Author(s):  
MA Hayee ◽  
QD Mohammad ◽  
H Rahman ◽  
M Hakim ◽  
SM Kibria
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin A ◽  
Botulinum Toxin Type A ◽  
Botulinum Toxin Type ◽  
X Ray ◽  
Medical College ◽  
Lingual Dystonia ◽  
History Of ◽  
Chest X Ray

A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally. (J Bangladesh Coll Phys Surg 2006; 24: 75-78)

scholarly journals Urinothorax Caused by Xanthogranulomatous Pyelonephritis

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Waiel Abusnina ◽  
Hazim Bukamur ◽  
Zeynep Koc ◽  
Fauzi Najar ◽  
Nancy Munn ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Obstructive Uropathy ◽  
Xanthogranulomatous Pyelonephritis ◽  
Robot Assisted ◽  
Rare Form ◽  
X Ray ◽  
History Of ◽  
Chest X Ray ◽  
Tract Infections

Xanthogranulomatous pyelonephritis is a rare form of chronic pyelonephritis that generally afflicts middle-aged women with a history of recurrent urinary tract infections. Its pathogenesis generally involves calculus obstructive uropathy and its histopathology is characterized by replacement of the renal parenchyma with lipid filled macrophages. This often manifests as an enlarged, nonfunctioning kidney that may be complicated by abscess or fistula. This case details the first reported case of xanthogranulomatous pyelonephritis complicated by urinothorax, which resolved on follow-up chest X-ray after robot-assisted nephrectomy.

scholarly journals Hoarseness of Voice as a Rare Presentation of Tuberculosis: A Case Report Study

2019 ◽  
Vol 7 (19) ◽  
pp. 3262-3264
Author(s):  
Taher Felemban ◽  
Abdullah Ashi ◽  
Abdullah Sindi ◽  
Mohannad Rajab ◽  
Zuhair Al Jehani
Keyword(s):  
Laryngeal Carcinoma ◽  
Incidental Finding ◽  
Chain Reaction ◽  
Rare Presentation ◽  
Case Presentation ◽  
X Ray ◽  
History Of ◽  
Chest X Ray ◽  
Polymerase Chain ◽  
Laryngeal Tuberculosis

BACKGROUND: Having hoarseness of voice as the first clinical manifestation of tuberculosis is rare. This atypical presentation causes some confusion since other more common conditions, such as laryngeal carcinoma, present similarly and might require more invasive tests to confirm the diagnosis. CASE PRESENTATION: A 38-year-old male presented to the otorhinolaryngology clinic with a four-month history of change in voice. Laryngoscopy demonstrated a right glottic mass, raising suspicion of laryngeal cancer. The computed tomography showed a mass and incidental finding of opacities in lung apices. Chest x-ray demonstrated findings suggestive of tuberculosis. Polymerase chain reaction and culture of sputum samples confirmed the diagnosis and the patient was started on anti-tuberculosis treatment. CONCLUSION: Despite accounting for only 1% of pulmonary tuberculosis cases and having a similar presentation to laryngeal carcinoma, we recommend considering laryngeal tuberculosis when evaluating hoarseness of voice in endemic areas.

scholarly journals The Vascular Endothelium in Patients with Dengue Haemorrhagic Fever

2019 ◽  
Vol 7 (14) ◽  
pp. 2221-2225 ◽  
Author(s):  
Mutiara ◽  
Stephen C. L. Koh ◽  
Adang Bachtiar ◽  
Herman Hariman
Keyword(s):  
Vascular Endothelium ◽  
Cell Activation ◽  
Normal Subjects ◽  
Endothelial Activation ◽  
Dengue Haemorrhagic Fever ◽  
Haemorrhagic Fever ◽  
Endothelial Cell Activation ◽  
Study Results ◽  
Plasma Leakage ◽  
D Dimer

BACKGROUND: Dengue fever is the most serious consequence of mosquito-borne infection worldwide. The pathophysiology of DHF in human is complex, which involve endothelial cell activation and impaired endothelial barrier leading to plasma leakage triggering the activation of the haemostatic system. The increased vascular permeability may lead to hypovolemia, hypotension and shock, which is life-threatening. AIM: The objective of the study was to determine the effects of dengue haemorrhagic fever on the vascular endothelium. METHODS: Fifty patients (males 34, females 16), were recruited, Grade 1 (n = 41), Grade 2 (n = 6), Grade 3 (n = 2) and Grade 4 (n = 1) DHF. Blood sampling was performed at the febrile, defervescence and convalescent phases for the determination of haemoglobin, haematocrit, platelets, prothrombin fragment F1 + 2, Von Willebrand Factor (VWF), vascular endothelial growth factor (VEGF) and D-dimer levels. Fifteen normal subjects were recruited to serve as normal controls. RESULTS: The patients aged between 4 and 54 years old. Grades 1 & 2 DHF showed no significant differences in the parameters studied. However, thrombocytopenia, elevated F1 + 2, VWF, VEGF and D-dimer levels were evident in febrile, defervescence and convalescent phases suggesting endothelial activation and plasma leakage. Pleural effusion was observed only in severe DHF. The three patients with Grades 3 and 4 DHF had similar study results. No mortality was recorded in the study. CONCLUSION: In dengue haemorrhagic fever, the vascular endothelium is activated, causing plasma leakage triggering the activation of the haemostatic system creating a hypercoagulable and enhanced fibrinolytic state evident by marked fibrinolysis.

scholarly journals The way we were (and how we got here): fifty years of technology changes in dental and maxillofacial radiology

2020 ◽  
pp. 20200133 ◽  
Author(s):  
Roberto Molteni
Keyword(s):  
Cone Beam Ct ◽  
Cone Beam ◽  
Maxillofacial Radiology ◽  
Technological Changes ◽  
X Ray ◽  
Technology Changes ◽  
The World ◽  
History Of ◽  
Phosphor Plates ◽  
Different Parts

The history of the last 50 years (1970–2020) of technological changes and progresses for equipment and procedures in dental and maxillofacial radiology is related from the insider perspective of an industrial physicist and technologist who has been instrumental at innovating and developing medical equipment in different parts of the world. The onset and improvement of all major categories of dental and maxillofacial radiographic equipment is presented, from the standpoint of their practical acceptance and impact among common dentists and maxillofacial radiologists: X-ray sources and detectors for intraoral radiography, and panoramic systems, both film-based and digital (including photo-stimulated phosphor plates); and cone beam CT.

scholarly journals Roflumilast succeeds where traditional therapy fails: a case report

2015 ◽  
Vol 79 (3-4) ◽  
Author(s):  
Gabriella Guarnieri
Keyword(s):  
Inhaled Corticosteroids ◽  
Chronic Obstructive ◽  
High Dose ◽  
Welding Fumes ◽  
Obstructive Pulmonary Disease ◽  
Once Daily ◽  
X Ray ◽  
Clinical Control ◽  
History Of ◽  
Chest X Ray

The case of a 72-year-old man with a long history of chronic obstructive pulmonary disease (COPD, patient D according to Guidelines GOLD 2013) in a subject professionally exposed to welding fumes is presented. Diagnosis was based on symptoms and spirometry and confirmed by chest X-ray examination. Since 1997 the patient has been under different therapies, including high-dose inhaled corticosteroids and bronchodilators, with poor clinical control and frequent exacerbations. Roflumilast 500 μg once daily was started in January 2012 and patient’s respiratory symptoms, number of exacerbations and spirometry values have gradually improved since then. Roflumilast was an effective treatment in this case of difficult to treat severe COPD.

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