scholarly journals Purulent Pericarditis and Pneumopericardium by Streptococcus Anginosus

2018 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Septic Shock ◽  
Rare Case ◽  
Clinical Course ◽  
Cerebrovascular Event ◽  
Purulent Pericarditis ◽  
Streptococcus Anginosus ◽  
First Case ◽  
Serious Infection ◽  
Traumatic History ◽  
History Of

We report a case of Purulent pericarditis and pneumopericardium by Streptococcus angiosus in 35-year-old man detained in prison, history of ischemic cerebrovascular event due to cocaine, with no recent surgical or traumatic history who had subacute clinical course of chest pain and signs of systemic inflammatory response. He was empirically treated with vancomycin and cefepime with subsequent pericardiotomy and drainage. The patient has a poor clinical evolution after the procedure, presents septic shock and dies. This is a rare case, a serious infection, the second reported in world, however in comparison to the first case the clinical course was different.

scholarly journals Iatrogenic Teratoma Rupture during TVOR Complicated with Peritonitis, Pleuritis, and Septic Shock

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Pei-Yi Wang ◽  
Yi-En Chang ◽  
Yu-Chieh Lee ◽  
Chii Ruey Tzeng
Keyword(s):  
Septic Shock ◽  
Surgical Treatment ◽  
Rare Case ◽  
Clinical Course ◽  
Oocyte Retrieval ◽  
Chemical Irritation ◽  
Chemical Peritonitis ◽  
Purulent Fluid ◽  
Exploratory Laparoscopy ◽  
Transvaginal Oocyte Retrieval

Objective. To obtain a better understanding of the clinical course and the subsequent complications of teratoma rupture. Case. We report a rare case of chemical peritonitis and pleuritis caused by teratoma rupture during ultrasonographically guided transvaginal oocyte retrieval (TVOR). The patient initially presented with nonspecific and digestive symptoms after TVOR, but the condition deteriorated rapidly after three weeks with peritonitis and septic shock. Thus, exploratory laparoscopy was performed with the findings of a ruptured teratoma at left adnexa, severe adhesions, and purulent fluid in her peritoneal cavity. Bilateral pleuritis was also noted after the operation, which was suspected to be caused by chemical irritation of the spilled contents of the teratoma. The patient’s condition improved after surgical treatment and was discharged 28 days after admission. Conclusion. Our case showed that the timing of peritoneal irritation caused by teratoma rupture converting to severe chemical peritonitis was approximately 3 weeks. Physicians should avoid cyst puncture during TVOR and closely observe or even perform surgical treatment when iatrogenic teratoma ruptures are suspected.

scholarly journals Self-Induced Traumatic Macroglossia: Case Report and Literature Review

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Abdullah A. Alarfaj ◽  
Ali R. AlHayek ◽  
Rashid Alghanim ◽  
Nasser A. Al-Jazan
Keyword(s):  
Endotracheal Intubation ◽  
Trisomy 21 ◽  
Rare Case ◽  
Rare Condition ◽  
Laryngeal Edema ◽  
Bite Block ◽  
Distress Symptoms ◽  
First Case ◽  
Tongue Swelling ◽  
History Of

Traumatic macroglossia is an extremely rare condition characterized by a sudden edematous swelling of the tongue due to trauma. We report a rare case of traumatic macroglossia in a 37-year-old male with known trisomy 21 and epilepsy who presented to the emergency room with a huge protruded tongue due to aggressive behavior and a history of multiple tongue tractions, leading to sudden severe tongue swelling without any respiratory distress symptoms. The examination was unremarkable; fixable nasolaryngoscopy relieved bilateral vocal cord movement, and there was no laryngeal edema. The patient was managed immediately by endotracheal intubation to secure the airway, and corticosteroids were used to diminish and stop the tongue swelling. We describe the clinical management for such patients, highlighting the different causes of traumatic macroglossia. A few cases have been reported in the literature, but this is the first case to report self-induced traumatic macroglossia in a seizure-free patient managed successfully by endotracheal intubation, corticosteroids, a bite block, and warm wet dressing.

scholarly journals Primary Adenosquamous Cell Carcinoma of the Ileum in a Dog

2020 ◽  
Vol 7 (4) ◽  
pp. 155
Author(s):  
Masashi Yuki ◽  
Roka Shimada ◽  
Tetsuo Omachi
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Cell Carcinoma ◽  
Surgical Resection ◽  
Clinical Course ◽  
Mass Lesion ◽  
Abdominal Radiography ◽  
First Case ◽  
History Of

A 9-year-old male, castrated Chihuahua was examined because of a 7-day history of intermittent vomiting. A mass in the small intestine was identified on abdominal radiography and ultrasonography. Laparotomy revealed a mass lesion originating in the ileum, and surgical resection was performed. The mass was histologically diagnosed as adenosquamous cell carcinoma. Chemotherapy with carboplatin was initiated, but the dog was suspected to have experienced recurrence 13 months after surgery and died 3 months later. To our knowledge, this is the first case report to describe the clinical course of adenosquamous cell carcinoma in the small intestine of a dog.

scholarly journals SEPTIC SHOCK IN PATIENT WITH DISSEMINATED HISTOPLASMOSIS ASSOCIATED WITH AIDS: A CASE REPORT

2013 ◽  
Vol 55 (4) ◽  
pp. 283-286
Author(s):  
Fabiano de Oliveira Poswar ◽  
Jair Almeida Carneiro ◽  
Janice Mendes Stuart ◽  
Jorge Patrick Oliveira Feliciano ◽  
Daniella Cristina Nassau
Keyword(s):  
Septic Shock ◽  
Histoplasma Capsulatum ◽  
Peripheral Blood Smear ◽  
The Body ◽  
Rapid Progression ◽  
Newly Diagnosed ◽  
Systemic Mycosis ◽  
Disseminated Histoplasmosis ◽  
Serious Infection ◽  
History Of

SUMMARY Histoplasmosis is a systemic mycosis caused by Histoplasma capsulatum, which may present itself as a serious infection in immunocompromised individuals. We present a case of 31-year-old female with newly diagnosed HIV infection and history of fever, general and respiratory symptoms and diffuse hyperchromic papules through the body. She was admitted, with rapid progression to septic shock, and the presence of neutrophils filled with yeast-like organisms was detected on peripheral blood smear hematoscopia on the third day of hospitalization. The following is a brief review on the clinical picture and management of histoplasmosis.

Thoracic ranula: an extremely rare case

2005 ◽  
Vol 119 (3) ◽  
pp. 233-234 ◽  
Author(s):  
Claudine Elizabeth Pang ◽  
Tee Sin Lee ◽  
Kenny Peter Pang ◽  
Yoke Teen Pang
Keyword(s):  
Chest Wall ◽  
Rare Case ◽  
Subcutaneous Tissue ◽  
Anterior Chest Wall ◽  
Thoracic Wall ◽  
History Of Surgery ◽  
Transcervical Approach ◽  
First Case ◽  
History Of

We present the first case of a thoracic ranula which originated from the left submandibular area extending into the subcutaneous tissue planes of the anterior chest wall. The patient had a history of surgery for a previous benign left salivary gland cyst, and presented with an enlarging mass in the anterior chest wall. This was a recurrence of a ranula, with an extension into the anterior thoracic wall. The thoracic ranula was excised, together with ipsilateral sublingual and submandibular glands, via a transcervical approach. No recurrence was detected over a 3-year post-operative follow up.

scholarly journals VHL-Associated Optic Nerve Hemangioblastoma Treated with Stereotactic Radiosurgery

2018 ◽  
Vol 5 (2) ◽  
pp. 1-6 ◽  
Author(s):  
Hiroshi Kanno ◽  
Seiki Osano ◽  
Masamichi Shinonaga
Keyword(s):  
Optic Nerve ◽  
Stereotactic Radiosurgery ◽  
Rare Case ◽  
Tumor Volume ◽  
Pancreatic Cysts ◽  
Von Hippel Lindau ◽  
First Case ◽  
History Of ◽  
Fractionated Stereotactic Radiosurgery ◽  
Vhl Disease

Central nervous system hemangioblastomas are generally restricted to the cerebellum, spinal cord, and brainstem. Supratentorial hemangioblastomas are uncommon, and optic nerve hemangioblastomas are extremely rare, with fewer than 25 reports including this case. In this report, we present the case of a 36-year-old woman with von Hippel-Lindau (VHL) disease who presented with progressive diminution of vison in the left eye due to a retrobulbar optic nerve hemangioblastoma. The patient had a history of cerebellar /spinal hemangioblastomas and pancreatic cysts, and her father and brother were patients with VHL disease. Gadolinium enhanced MRI showed intraorbital retrobulbar enhanced mass on the left optic nerve. The optic nerve hemangioblastoma was treated with fractionated stereotactic radiosurgery using Novalis. Eighteen months after the stereotactic radiosurgery, the tumor volume decreased although the patient lost vision. This report presents an extremely rare case of optic nerve hemangioblastoma, which is the first case treated with stereotactic radiosurgery.

scholarly journals Acute Respiratory Distress Syndrome and septic shock in pregnant woman with COVID-19

2021 ◽  
Vol 29 (1) ◽  
pp. 41
Author(s):  
Jesselyn Kristanti ◽  
Fransiscus OH Prasetyadi
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Septic Shock ◽  
Pregnant Woman ◽  
Distress Syndrome ◽  
Clinical Course ◽  
Vital Signs ◽  
Close Monitoring ◽  
Rt Pcr ◽  
First Case

Objectives: To prove that pregnancy do not worsen the clinical course of COVID-19 compared with nonpregnant individuals as found in the first case of COVID-19 pregnant woman died in our center.Case Report: A 27-year-old female, G2P0A1 23/24 weeks without comorbidities, complaint of diarrhea and 4 days later got fever, cough, and dyspnea. She was referred to our hospital for further evaluation because of deterioration. SARS CoV-2 RT-PCR tested positive. Blood, sputum, and urine cultures tested negative. She was intubated and given LMWH. She was worsened rapidly despite being on intensive care for 3 days with last vital signs recorded: blood pressure 66/24 mmHg with vasopressors, heart rate 136 beats/minutes, temperature 41°C, oxygen saturation 62%, cardiac arrest and expired.Conclusion:COVID-19 pregnant women need proper care so that they will not fall into conditions such as ARDS and septic shock. Close monitoring on clinical and laboratory course is recommended. We suggest clinicians to be aware so as rapid deterioration and death can be avoided. 

scholarly journals Maternal Death Caused by Severe-Critical COVID-19 in Jakarta: Case Series

2021 ◽  
Vol 9 (C) ◽  
pp. 103-108
Author(s):  
Suskhan Djusad ◽  
Alfa Putri Meutia ◽  
Arresta Suastika ◽  
Gita Nurul Hidayah ◽  
Ilham Utama Surya ◽  
...  
Keyword(s):  
Septic Shock ◽  
Pregnant Women ◽  
Maternal Death ◽  
Maternal Age ◽  
Case Series ◽  
Advanced Maternal Age ◽  
Limited Information ◽  
First Case ◽  
History Of ◽  
Maternal And Neonatal Outcomes

BACKGROUND: As of January 2021, Indonesia had the 21st highest number of total COVID-19 cases and the 17th highest total deaths among all countries. COVID-19 infection in pregnant women seems to negatively affect both maternal and neonatal outcomes. CASE REPORT: We describe four cases of pregnant women confirmed with severe and critical COVID-19 that resulted in maternal death from November until December 2020. The first case was complicated with thrombocytopenia, her condition quickly deteriorated post-delivery. Pulmonary embolism was suspected as the cause of death. Second and third cases were complicated with preeclampsia, obesity, and advanced maternal age. Second case came in sepsis condition. Her SARS CoV-2 RTPCR swab test came out after her death. Third patient did not have COVID-19 symptoms at admission. She starts having symptoms on second day and was confirmed positive a day after. She falls in septic shock. Fourth patient has history of fever, cough, and dyspnea. She was confirmed positive on first day and her condition worsened, diagnosed with bacterial co-infection sepsis on day eight. All patients underwent cesarean section. CONCLUSION: Limited information and studies for COVID-19 management in pregnant women are challenging for obstetricians. Management should be individualized weighing the benefit and risks in presence of comorbidities or accompanying disease.

scholarly journals Enterococcus gallinarum meningitis in an immunocompetent host: a case report

2010 ◽  
Vol 52 (2) ◽  
pp. 111-112 ◽  
Author(s):  
Vicente Sperb Antonello ◽  
Francis de Moura Zenkner ◽  
Josiane França ◽  
Breno Riegel Santos
Keyword(s):  
Case Report ◽  
Gastrointestinal Tract ◽  
Rare Case ◽  
Human Infection ◽  
High Dose ◽  
Immunocompetent Host ◽  
First Case ◽  
History Of ◽  
Enterococcus Gallinarum ◽  
Gentamicin Therapy

We describe a rare case of a 53-year-old man with a long history of alcohol abuse, with Enterococcus gallinarum meningitis, an organism that rarely causes human infection and is primarily found in the gastrointestinal tract of poultry. The patient improved with high-dose ampicillin and gentamicin therapy. To our knowledge, this is the first Brazilian reported case of E. gallinarum meningitis and probably the first case described in an immunocompetent host.

Purulent pericarditis, an unusual cause of cardiac arrest

2021 ◽  
Vol 14 (9) ◽  
pp. e245833
Author(s):  
Kevin Green ◽  
Stephanie Rothweiler ◽  
Barrett Attarha ◽  
Vandana Kavita Seeram
Keyword(s):  
Septic Shock ◽  
Cardiac Arrest ◽  
Constrictive Pericarditis ◽  
Purulent Pericarditis ◽  
Rapid Improvement ◽  
Pericardial Window ◽  
Pericardial Drainage ◽  
Streptococcus Anginosus ◽  
Pericardial Space

Purulent pericarditis is a rare infection of the pericardial space defined by the presence of gross pus or microscopic purulence. Here, we present a case of Streptococcus anginosus purulent pericarditis, leading to obstructive and septic shock. After prompt pericardial drainage, the patient experienced rapid improvement in symptoms. However, due to the presence of a loculated effusion and concern for development of constrictive pericarditis, a pericardial window was performed. Although purulent pericarditis is often fatal, this case illustrates the reduced morbidity following prompt recognition and drainage.

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