scholarly journals Case Report: 44-Year-Old Male with Shortness of Breath, Cough, and Weight Loss

2021 ◽  
Vol 1 (1) ◽  
pp. 73-77
Author(s):  
Kelsey Keverline
Keyword(s):  
Weight Loss ◽  
Differential Diagnosis ◽  
Case Report ◽  
Respiratory Symptoms ◽  
Severe Disease ◽  
Unknown Etiology ◽  
Shortness Of Breath ◽  
Respiratory Pathology ◽  
Proper Diagnosis ◽  
Clinical Considerations

Statement of Significance Lower respiratory pathologies exhibit a broad spectrum of clinical courses ranging from self-limited to chronic and from benign to fatal. During the present COVID-19 pandemic, the prompt and proper diagnosis of respiratory disease carries even greater importance. Apart from this patient’s presentation with respiratory symptoms during a respiratory pandemic, he demonstrated several concerning features for severe disease including 20 lbs of weight loss and hemoptysis. This teaching case examine the differential diagnosis, workup, clinical considerations, and management of patients presenting with severe respiratory pathology of unknown etiology.

Subglottic tracheal stenosis complicating pregnancy: A case report

2021 ◽  
pp. 1753495X2199022
Author(s):  
Edward J Miller ◽  
Emily YS Huning
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Tracheal Stenosis ◽  
Multidisciplinary Management ◽  
Shortness Of Breath ◽  
Uncommon Case ◽  
In Pregnancy

The case presented details an uncommon case of subglottic tracheal stenosis exacerbated by pregnancy. We outine the multidisciplinary management involved and the outcomes for the pregnancy. The case serves as a reminder that shortness of breath in pregnancy has a broad differential diagnosis, and stridor is always abnormal.

scholarly journals Delayed Recovery from General Anaesthesia: A Post-operative Diagnostic Dilemma and Implications of ICU Management of Serotonin Toxicity. Case report

2015 ◽  
Vol 1 (4) ◽  
pp. 174-178
Author(s):  
Asha Naik ◽  
Cristobal Rincon-Aznar
Keyword(s):  
Methylene Blue ◽  
Differential Diagnosis ◽  
Case Report ◽  
Serotonin Syndrome ◽  
Unknown Etiology ◽  
Diagnostic Dilemma ◽  
Neurological Signs ◽  
Delayed Recovery ◽  
Icu Management ◽  
Serotonin Toxicity

Abstract We report a case of delayed recovery from general anesthesia following a routine parathyroidectomy. Our objectives are to describe the process of establishing a differential diagnosis and subsequent management of a patient presenting with atypical neurological signs from an unknown etiology and to increase awareness about the potential for serotonin syndrome and neurotoxicity due to known interactions between methylene blue and selective serotoninnoradrenaline re-uptake inhibitors. ICU management of Serotonin Toxicity is briefly described.

scholarly journals Invasive Basidiobolomycosis Presenting as Retroperitoneal Fibrosis: A Case Report

2020 ◽  
Vol 17 (2) ◽  
pp. 535
Author(s):  
Abdulmalek Alsharidah ◽  
Yahya Mahli ◽  
Nayef Alshabyli ◽  
Mohammed Alsuhaibani
Keyword(s):  
Weight Loss ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Fungal Infection ◽  
Surgical Intervention ◽  
Retroperitoneal Fibrosis ◽  
Healthy Woman ◽  
Retroperitoneal Mass ◽  
Cutaneous Infection

Basidiobolomycosis is an uncommon emerging fungal infection caused by Basidiobolus ranarum. It frequently causes cutaneous infection, but it rarely infects visceral tissues in humans. Here, a 39-year-old previously healthy woman presented with severe left-sided abdominal pain and weight loss. She had visited several hospitals and had provisionally been diagnosed as having either a retroperitoneal malignancy or retroperitoneal fibrosis before being referred to our hospital. Abdominal computerized tomography and biopsy of the retroperitoneal mass revealed retroperitoneal basidiobolomycosis infection. She was started on antifungal treatment. This led to significant improvement, without surgical intervention. Gastrointestinal basidiobolomycosis can present in many forms, commonly involving the colon and liver with multifocal inflammatory masses. Nonetheless, retroperitoneal basidiobolomycosis presentation is extremely rare and should be considered in the differential diagnosis of a retroperitoneal mass with eosinophilia.

scholarly journals Recurrent Oral Eosinophilic Ulcers of the Oral Mucosa. A Case Report

2018 ◽  
Vol 12 (1) ◽  
pp. 19-23
Author(s):  
Norberto Sugaya ◽  
Fernanda Martignago ◽  
Decio Pinto ◽  
Dante Migliari
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Autoimmune Disease ◽  
Oral Mucosa ◽  
White Woman ◽  
Recurrent Aphthous Stomatitis ◽  
Incisional Biopsy ◽  
Oral Herpes ◽  
Main Culprit ◽  
Proper Diagnosis

Objective: This article describes a case of an Oral Eosinophilic Ulcer (OEU) in an otherwise healthy 31-year-old white woman. Introduction: The importance of reporting this case was the presence of recurrent episodes with lesions appearing in different areas of the oral mucosa, a type of manifestation not commonly associated with this disease. A typical manifestation of OEU occurs as a single ulceration that goes into healing after an incisional biopsy, a procedure usually required for a proper diagnosis of the disease. In spite of trauma being suggested as the main culprit of OEU, the exact pathogenesis mechanism of this disease remains controversial. Case report: The pattern of the present case contradicts the usually common course of the disease, as the patient had experienced many recurrent episodes for almost 2.5 years, with the recurrences occurring even after biopsies performed during some of the relapses. Differential diagnosis included recurrent aphthous stomatitis, recurrent intra-oral herpes, autoimmune disease, Crohn’s disease and malignancy. Conclusion: Fortunately, the patient has been free of any recurrences for 1.5 years since the last biopsy was taken at the time she came to our clinic seeking treatment.

scholarly journals (P2-81) A Survey of the Health Effects of Bushfire Smoke on Patients Attending Two Sydney Emergency Departments

2011 ◽  
Vol 26 (S1) ◽  
pp. s162-s163
Author(s):  
G.O. Watkins
Keyword(s):  
Emergency Departments ◽  
Respiratory Symptoms ◽  
Medication Use ◽  
Control Group ◽  
Study Group ◽  
Shortness Of Breath ◽  
Chest Tightness ◽  
Respiratory Pathology ◽  
The Subject ◽  
Emergency Department Patients

The objective of this survey was to investigate the incidence of respiratory symptoms reported by emergency department patients during the Christmas 2001–2002 Sydney bushfire disaster. Two hundred and thirty patients attending two Sydney emergency departments for any reason completed questionnaires regarding respiratory symptoms. The symptoms investigated were cough, shortness of breath, chest tightness and wheeze. The same questionnaire was subsequently administered to a similar control group who were not exposed to bushfire smoke. 51% of those surveyed during the bushfires reported one or more of the respiratory symptoms investigated compared to 31% of the control group. This difference was statistically significant (p < 0.01). A significantly higher proportion of respiratory patients in the study group reported an exacerbation of their condition and increased medication use during the bushfires (p < 0.01). The results are consistent with other research on the subject and suggest that exposure to bushfire smoke causes an increased incidence of respiratory pathology.

scholarly journals Case Report: Recurrent Left Posterior Fascicular Ventricular Tachycardia in a Newborn

2021 ◽  
Vol 9 ◽  
Author(s):  
Lu Zhao ◽  
Lin Wu ◽  
Qu-ming Zhao ◽  
Xue-cun Liang
Keyword(s):  
Differential Diagnosis ◽  
Ventricular Tachycardia ◽  
Case Report ◽  
First Year ◽  
Age Group ◽  
Basic Principles ◽  
Left Posterior ◽  
Proper Diagnosis ◽  
First Year Of Life

Left posterior fascicular ventricular tachycardia (LPFVT) is extremely rare in neonates. We described a 17-day-old girl with LPFVT who was initially misdiagnosed as supraventricular tachycardia (SVT). Eventually, she was successfully treated by amiodarone infusion followed by oral amiodarone with propranolol for 9 months, and LPFVT spontaneously resolved after a 1-year follow-up. This case report illustrated the basic principles and caveats in differential diagnosis of LPFVT in the neonatal age group. With proper diagnosis and therapy, neonatal LPFVT might regress in the first year of life.

scholarly journals The COVID-19 with Gastrointestinal Symptoms: A Case Report

2020 ◽  
Vol 21 (2) ◽  
pp. 158-161
Author(s):  
Eka Surya Nugraha ◽  
Davin Takaryanto ◽  
Susantina Prodjosoewojo ◽  
Nenny Agustanti
Keyword(s):  
Case Report ◽  
Serum Level ◽  
Fluid Therapy ◽  
Nasal Swab ◽  
Severe Disease ◽  
Gastrointestinal Symptoms ◽  
Supportive Treatment ◽  
Shortness Of Breath ◽  
Rt Pcr ◽  
Mild Fever

The COVID-19 mostly manifested as fever and pulmonary symptoms, but recent evidence demonstrated the frequent gastrointestinal symptoms in particular moderate to severe disease. Here, we present a case of a 51-years old man with confirmed COVID-19 diagnosis who was admitted with profuse acute diarrhea and nausea. He previously had a mild fever, cough, and shortness of breath. Administration of oseltamivir, levofloxacin, and chloroquine sulfate exaggerated vomiting, nausea, and increased serum level transaminase. After withdrawal, the gastrointestinal symptoms were relieved gradually. Adequate supportive treatment and fluid therapy ceased diarrhea and led to the negative result of the nasal swab RT-PCR COVID-19 after seven days.

scholarly journals Bronchoesophageal Fistula due to Esophageal Tuberculosis

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Pathik Desai ◽  
Prachi Mayenkar ◽  
Thomas F. Northrup ◽  
Vijaya Mallela
Keyword(s):  
Weight Loss ◽  
Differential Diagnosis ◽  
Case Report ◽  
Bronchoesophageal Fistula ◽  
Pulmonary Tb ◽  
Esophageal Tuberculosis ◽  
Important Differential Diagnosis ◽  
Immunocompetent Patients

This is a case report regarding a patient who presented with 6 months of dysphagia and subsequent 40-pound weight loss. The patient underwent imaging, suggestive of pulmonary TB. Further workup of his dysphagia with esophagogastroduodenoscopy and bronchoscopy revealed two bronchoesophageal fistulas. Tuberculosis is an important differential diagnosis of prolonged dysphagia in immunocompetent patients.

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 Adrenal Failure due to Adrenal Metastasis of Lung Cancer: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Gustavo Adolpho Moreira Faulhaber ◽  
Flavia Kessler Borges ◽  
Aline Maria Ascoli ◽  
Renato Seligman ◽  
Tania Weber Furlanetto
Keyword(s):  
Lung Cancer ◽  
Weight Loss ◽  
Differential Diagnosis ◽  
Case Report ◽  
Adrenal Insufficiency ◽  
Adrenal Metastasis ◽  
Adrenal Failure ◽  
Rare Presentation

We report a case of a patient with adrenal failure due to bilateral adrenal metastasis of lung cancer. This is a rare presentation of lung cancer. We review the differential diagnosis of weight loss and how to make diagnosis of adrenal insufficiency.

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