scholarly journals Coronavirus infection recovery in 101-years-old female patient

Author(s):  
A. A. Demidov ◽  
L. A. Demidova ◽  
O. N. D'jakova ◽  
O. V. Vjazovaja

The article presents a clinical case of recovery from COVID-19 of a 101-year-old patient who has been living in a nursing home and disabled for four years. Medical history of the patient includes more than 5 chronic diseases. Senile asthenia, fall syndrome and cognitive impairment are predominant among the main geriatric syndromes. Coronavirus infection caused by the COVID-19 virus was complicated by polysegmental pneumonia. The presented clinical case confirms the possibility of recovering not only older and senile patients, but also centenarians. For a good outcome of the disease, timely diagnosis and correct therapy are required.

Author(s):  
Jessica Alysia ◽  
Yvonne Suzy Handajani ◽  
Nelly Tina Widjaja ◽  
Yuda Turana

CHRONIC DISEASES AND LIFESTYLE IMPACT TO CATEGORY VERBAL FLUENCY PERFORMANCE IN ELDERLYABSTRACTIntroduction: In recent studies, chronic illness and sedentary lifestyle were found to bea risk factors for cognitive impairment. Verbal fluency (VF) is one of the most used instruments.Aim: To determine cognitive impairment using VF and its correlation with risk factors (chronic illness and lifestyle) in elderly.Method: This cross-sectional study was conducted toward 121 elderly respondents in August–September 2017 at Pusaka, West Jakarta. Cognitive impariment was assessesed using VF. VF otherwise disturbed if the value <16.03. Heart disease and stroke were determined by anamnesis. Blood pressure was determined using Riester tensimeter. that has been calibrated. Cholesterol and blood sugar were determined using laboratory result by CHOD-PAP method. Smoking was determined by asking the history of smoking. Physical activity was determined by 24-hour activity recall. Nutrition Intake was determined by food record.Results: There were 63.6% subjects wno had VF impairment. Most respondent were over 65 years old (71.9%), female (66.1%) and education level more than 6 years (72.7%). VF had a significant assosiation with education level (p=0.020; OR=3.792), and without cardiovascular disease (p=0.023; OR=0.111).Discussion: The mayority of respondents had VF impairment, lower education was consistenly as a risk factors while no history of cardiovascular disease as a protective factors of language impairment.Keywords: Chronic diseases, cognitive impairment, lifestyle, verbal fluencyABSTRAKPendahuluan: Pada beberapa penelitian terbaru ditemukan bahwa faktor risiko seperti penyakit kronis dan gaya hidup buruk meningkatkan risiko terkena gangguan fungsi kognitif. Salah satu instrumen yang sering digunakan adalah verbal fluency (VF).Tujuan: Mengetahui gambaran fungsi kognitif dengan instrumen VF dan hubungannya dengan faktor risiko (penyakit kronis dan gaya hidup) pada lansia.Metode: Penelitian potong lintang ini dilaksanakan pada 121 responden lansia pada bulan Agustus-September 2017 di Pusaka Jakarta Barat. Gangguan fungsi kognitif dinilai menggunakan instrumen VF. Verbal fluency dikatakan terganggu dengan nilai <16,03. Penyakit jantung dan stroke didapatkan dari anamnesis. Tekanan darah dari hasil pengukuran menggunakan tensimeter yang telah dikalibrasi sebelumnya. Pengukuran kolesterol dan gula darah didapatkan dari hasil laboratorium dengan metode CHOD-PAP. Merokok didapat dari anamnesis. Aktivitas fisik dinilai dari 24-hour activity recall. Asupan nutrisi dinilai dari kuisioner food record.Hasil: Hasil penelitian ini menunjukkan subjek dengan gangguan VF sebanyak 63,6%. Mayoritas responden berusia diatas 65 tahun (71,9%), dengan jenis kelamin wanita (66,1%) dan tingkat pendidikan diatas 6 tahun (72,7%). Hasil analisis menunjukan bahwa instrumen VF memiliki hubungan bermakna dengan tingkat pendidikan rendah (p=0,020; RO=3,792), dan tidak berpenyakit jantung (p=0,023; RO=0,111).Diskusi: Mayoritas responden memiliki gangguan bahasa, pendidikan rendah diketahui secara konsisten sebagai faktor risiko sementara tidak ada riwayat penyakit jantung sebagai faktor protektif untuk gangguan fungsi bahasa.Kata kunci: Gangguan fungsi kognitif, gaya hidup, penyakit kronis, verbal fluency


2019 ◽  
Vol 11 (3) ◽  
pp. 83-88
Author(s):  
V. V. Balabanova ◽  
N. A. Tyuvina ◽  
E. O. Voronina ◽  
E. M. Goncharova ◽  
A. A. Dmitrieva

Nonsuicidal self-injuries (autotomy, self-inflicted destruction, self-mutilation) is a variant of autoaggression in a patient without the intent to take his/her own life. Patients with the consequences of self-injuries receive help from physicians of various specialties, who often cannot determine their motivation for autoaggressive actions, since it is associated with mental disorders. The paper presents data on phenomenology, some classifications and motivation of nonsuicidal self-injuries. Various mental disorders are noted to be the most common cause of autoaggressive behavior. The paper describes a clinical case of a female patient who has mutilated her face for a long time, hiding the cause of her autoaggressive action. A detailed clinical and psychopathological analysis of her medical history and mental status allowed for classifying hypochondriacal delirium within schizophrenia as a cause of self-mutilating actions. The motivation for this behavior was to fight against a pseudotumor, for which the patient suffered pain and prolonged suppurative processes on the skin of the face, without visiting physicians.


2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 166-166
Author(s):  
Jun Nakamura ◽  
Noriaki Manabe ◽  
Ken Haruma ◽  
Rui Nakato ◽  
Takahisa Murao ◽  
...  

Abstract Background Cancer and other chronic diseases such as cardiovascular disease, diabetes, chronic kidney disease, and respiratory disease share common risk factors, including aging and unhealthy lifestyles (eg, smoking and alcohol misuse). Although the recent prospective cohort large-scale study showed chronic diseases contributed to more than one fifth of the risk for incident cancer and more than one third of the risk for cancer death, the relation between esophageal squamous cell carcinoma (ESCC) and non-cancer chronic diseases (NCCD) still remain unknown. The aim of this study is to assess the independent and joint associations of major NCCD and ESCC. Methods From April 2011 to March 2017, 406 consecutive patients with ESCC diagnosed pathologically were enrolled. Their medical records as to patients’ background, the reason for their consultation, lifestyles, and medical history were investigated retrospectively in detail. Results As to the reason for their consultation, 45 patients (25.3%) were diagnosed at annual medical checkup (no symptoms), 125 (70.2%) consulted a doctor for any symptoms such as dysphagia, and 8 (4.5%) had other reasons. As to lifestyles, 304 (78.1%) were drinkers of alcohol (daily amount of alcohol consumption > 20g) and 302 (77.4%) were smokers (Brinkman index > 200), respectively. As to the medical history related to cancer or gastrointestinal diseases, 25 (6.8%) had a history of laryngopharyngeal cancer, 20 (5.1%) had a history of gastric cancer, 2 (0.5%) had a history of breast cancer, one (0.3%) had a history of sclerodema, and one (0.3%) had a history of esophageal achalasia. Of the 406 ESCC patients, 305 were early ESCC and the remaining 101 were advanced ESCC. As to the medical history in patients with advanced ESCC, 22 (21.8%) had a history of cancer of other organs, and 48 (47.5%) had NCCD including hypertension (35 patients), diabetes (18 patients), and hyperlipidemia (12 patients). Conclusion NCCD is an overlooked risk factor for ESCC, as important as two major lifestyle factors combined (drinkers of alcohol and smokers). General physicians who follow up NCCD patients should pay attention to the coexistence of ESCC. Disclosure All authors have declared no conflicts of interest.


2019 ◽  
Vol 7 (2) ◽  
pp. e000721
Author(s):  
Johan Caraty ◽  
Elena Belluzzi ◽  
Roy Hassoun ◽  
Maya Esmans ◽  
Alexandre Bongartz

This report describes an infiltrative laryngeal lipoma in a nine-year-old female neutered Rottweiler, that was diagnosed with CT and surgically removed. The dog presented with a 3-month progressive history of severe stridor, exercise intolerance and dysphagia. CT cranial to the thoracic vertebrae showed a 33 cm3 hypoattenuating mass between the thyroid and cricoid cartilages. Surgical resection was performed and the dog recovered uneventfully postoperatively and did not show any signs of recurrence over a 2-year period. Histopathological findings revealed an infiltrative lipoma. This clinical case demonstrated a good outcome after resection of a laryngeal infiltrative lipoma and the benefits of performing advanced imaging.


2019 ◽  
Vol 13 (2) ◽  
pp. 119-123
Author(s):  
Yu. I. Khvan ◽  
S. G. Palshina ◽  
V. I. Vasiliev

Cystic and bullous lung transformation occurs in diseases of various origins: neoplastic, genetically determined, rheumatic, lymphoproliferative, and infectious diseases. The paper presents a review of the literature and a clinical case of a young female patient with a long history of Sjögren's disease. Fifteen years after the onset of the disease, the patient developed cystic and bullous lung transformation and renal angiomyolipoma, which are regarded as a manifestation of probable lymphangioleiomyomatosis.


2021 ◽  
Vol 11 (3) ◽  
pp. 225-228
Author(s):  
V. V. Didenko ◽  
G. A. Kalashnik ◽  
Ju. Ju. Karpenko ◽  
E. N. Harlamova

This article considers the relevance of treating psoriatic arthritis with genetically engineered drugs such as adalimumab and secukinumab. Also, it conducts retrospective analysis of the medical history of the patient, who had this therapy.


2021 ◽  
Vol 13 (1) ◽  
pp. 81-86
Author(s):  
I. Yu. Dorozhenok

Currently, in various world regions, the prevalence of depressive and anxiety disorders due to the impact of coronavirus infection is repeatedly increased compared to that in previous years. Among the predictors of their development during the pandemic, there are COVID-19 symptoms, a history of mental disorders, as well as restrictive measures, and financial losses.The paper describes three clinical cases of depressive disorders during the COVID-19 pandemic, with the depiction of the anamnesis, somatic and mental status, the patholopsychogical qualification of the condition, and the justification of a therapy regimen. The multifactorial stressor effect of the COVID-19 pandemic has provoked an exacerbation of depression in a male patient with a history of affective disorder; the development of a nosogenic depressive reaction of demoralization in a female patient with coronavirus pneumonia; the worsening of somatization dysthymia in a female patient of involutional age. The timely recognition of depression and its treatment with currently available antidepressants have contributed to the achievement of high-quality remission, the increase of stress resistance, and the improvement of quality of life in the patients.


2021 ◽  
Vol 2 (3) ◽  
pp. 46-50
Author(s):  
Natalya N. Dekhnich ◽  
◽  
Andrei A. Tryapyshko ◽  

The article presents a clinical case of a 44-year-old female patient F. with a diagnosis of Functional dyspepsia. Dyspepsia associated with Helicobacter pylori. Chronic gastritis associated with H. pylori. The patient has been complaining of dyspepsia, shortness of breath, vomiting for 12 years. During this time, the respiratory, cardiovascular and digestive systems were examined, but no organic pathology was revealed. Three lines of H. pylori eradication were performed. Complete clinical remission after each course of H. pylori eradication was not achieved.


2021 ◽  
pp. 7-12
Author(s):  
E. Yu. Eremina ◽  
I. V. Gerasimenko ◽  
E. S. Shinkevich

The article presents data on cases of pseudomembranous colitis registered in the region in patients infected with SARS-CoV‑2. A preliminary analysis of 214 cases of pseudomembranous colitis was carried out, of which 99 people died. As an illustration of the significance of the problem, the medical history of a patient with coronavirus infection and pseudomembranous colitis is presented. The article presents a point of view on the reasons for the increase in the number of cases of pseudomembranous colitis during the COVID‑19 pandemic.


Kardiologiia ◽  
2021 ◽  
Vol 61 (10) ◽  
pp. 108-112
Author(s):  
S. E. Gratsianskaya ◽  
A. Yu. Demchenkova ◽  
T. V. Martynyuk ◽  
T. N. Veselova ◽  
S. K. Ternovoy

The article presents a clinical case of mild novel coronavirus infection COVID-19 complicated with bilateral interstitial pneumonia in a female patient with idiopathic pulmonary hypertension. 


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