Case report of COVID-19 in a Hypertensive patient: Ayurvedic add on therapy

COVID-19 has affected negatively day to day life and global economy. Considering need for search of immunity modulator drugs for fighting this virus, Ayurvedic treatment was planned. 30 year old female patient, having history of the hypertension was diagnosed as a case of COVID-19 through RT-PCR. AYUSH Kwath (20 ml OD for 7 days), Sanshamani vati(2BD for 7 days), Sudarshan churn (3gm for14 days), Vit –C and Azithromycin given orally for 5 days. RT-PCR sample result was found COVID negative on 7th day of treatment. Antipyretic, anti-inflammatory, immune-modulatory activities were documented earlier of used medications which have shown beneficial result in present case also. Orally administered, add on Ayurvedic formulation exerted symptomatic relief in symptomatic COVID-19 case with pitta-kapha prakriti having co-morbidity of Hypertension. RCT needs to be conducted to validate result in larger sample which will generate evidence for support.

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Chronic Recurrent Multifocal Osteomyelitis of the First Metatarsal Bone: A Case Report

Journal of Orthopaedic Surgery ◽

10.1177/230949900901700127 ◽

2009 ◽

Vol 17 (1) ◽

pp. 119-122 ◽

Cited By ~ 7

Author(s):

CK Chiu ◽

VA Singh

Keyword(s):

Case Report ◽

Symptomatic Relief ◽

Chronic Recurrent Multifocal Osteomyelitis ◽

Metatarsal Bone ◽

First Metatarsal ◽

History Of ◽

Multifocal Osteomyelitis ◽

Inflammatory Drugs ◽

Anti Inflammatory

We report a case of chronic recurrent multifocal osteomyelitis in a 9-year-old girl. She presented with a 9-month history of gradually worsening pain and swelling in her left foot. Non-steroidal anti-inflammatory drugs were prescribed but the symptoms persisted. She underwent curettage through a small oval corticotomy window on the first metatarsal bone. The pain and swelling improved promptly and she was able to walk without pain 2 weeks later. Curettage enabled rapid symptomatic relief and induced remission, with little risk of complications.

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

Green Medical Journal ◽

10.33096/gmj.v2i3.63 ◽

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.

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Management of Kamala (Jaundice) through Ayurved – A Case Report

International Journal of Ayurvedic Medicine ◽

10.47552/ijam.v11i1.1346 ◽

2020 ◽

Vol 11 (1) ◽

pp. 128-130

Author(s):

Nayan Anil Deshmukh ◽

Vinod Ade ◽

Satyam S Supare

Keyword(s):

Case Report ◽

Clinical Sign ◽

Mucous Membrane ◽

Male Patient ◽

Symptomatic Relief ◽

Hepatic Damage ◽

Dietary Habit ◽

Yellow Pigmentation ◽

Ayurvedic Treatment

Jaundice is a yellow pigmentation of the skin, the conjunctival membrane over the sclera and other mucous membrane caused by hyperbilirubinemia (increase level of bilirubin in blood). Today’s lifestyle with unhygienic and poor dietary habit and alcoholic habits, etc. which are responsible factor to promote hepatic damage which clinically reflect as kamala In this case study 25 years male patient having kamala who was suffering from pain in abdomen, weakness, anorexia, burning maturation and fever on and off, the patient was treated with shodhan chikitsa (Virechan with panchatikta ghrita) followed by shaman chikitsa. Patient got significant result as per the values of bilirubin with symptomatic relief in complaints within 30 days, Kamala can be successfully managed by shodhan and shaman chikitsa , the effect of ayurvedic treatment was assessed in relation to improvement in overall clinical sign and symptoms and biochemical investigations. Further study will be needed as per different assessment criteria.

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GENERALIZED URTICARIA AS A VASCULITIC MANIFESTATION IN A PATIENT WITH SARS-CoV-2 INFECTION: A CASE REPORT IN COLOMBIA

Journal of Experimental Biology and Agricultural Sciences ◽

10.18006/2021.9(2).131.137 ◽

2021 ◽

Vol 9 (2) ◽

pp. 131-137

Author(s):

Daniela Sepúlveda-Beltran ◽

◽

Alvaro Mondragón-Cardona ◽

Carlos Enrique Conde-Martin ◽

Oscar Alberto Lopez-Guevara ◽

...

Keyword(s):

Case Report ◽

Previous History ◽

Immune Dysregulation ◽

Nasopharyngeal Swab ◽

Rt Pcr ◽

Vascular Thrombosis ◽

Vascular Congestion ◽

History Of ◽

Morbilliform Rash

Skin manifestations have been reported in up to 20% of cases of SARS-CoV-2 infection, including morbilliform rash (22%), pernio-like acral lesions (18%), urticaria (16%), and macular erythema (13%). It is believed that in the case of SARS-CoV-2 infection, the mechanism involved is an inflammatory response that generates immune dysregulation, vascular congestion, vasculitis, vascular thrombosis, or neoangiogenesis. This case study, present the case of a patient with no previous history of urticarial reactions, autoimmune diseases, or exposure to medications who develops generalized urticaria lasting more than 24 hours and who was diagnosed with SARS-CoV-2 infection by RT-PCR with a nasopharyngeal swab. We suggest in this patient vasculitic urticaria as a manifestation of SARS-CoV-2 infection.

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Recurrent Gallstone Ileus in an Elderly Patient With Significant Co-Morbidity

Acta Chirurgica Latviensis ◽

10.2478/v10163-012-0015-7 ◽

2012 ◽

Vol 12 (1) ◽

pp. 78-80

Author(s):

Andrejs Vanags ◽

Mara Sneidere ◽

Ilze Strumfa ◽

Zane Simtniece ◽

Maris Pavars ◽

...

Keyword(s):

Elderly Patient ◽

Case Report ◽

Gallstone Ileus ◽

Differential Diagnostics ◽

Joint Prosthesis ◽

Present Case Report ◽

Co Morbidity ◽

History Of ◽

Mechanical Bowel Obstruction ◽

Previously Treated

SummaryGallstone ileus accounts for 1-4% of mechanical bowel obstruction. As the patients are elderly, significant co-morbidity is frequent, therefore early diagnosis and timely surgical treatment is mandatory to prevent patient’s death. The aim of the present case report is to heighten the awareness of surgeons to the occurrence and differential diagnostics of gallstone ileus. Here we describe recurrent intestinal obstruction in an elderly lady with previously treated peritonitis as well as history of hip joint prosthesis and mitral valve replacement.

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Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽

10.1024/0301-1526/a000101 ◽

2011 ◽

Vol 40 (3) ◽

pp. 251-255 ◽

Cited By ~ 4

Author(s):

Gruber-Szydlo ◽

Poreba ◽

Belowska-Bien ◽

Derkacz ◽

Badowski ◽

...

Keyword(s):

Case Report ◽

Magnetic Resonance Angiography ◽

Popliteal Artery ◽

Doppler Ultrasonography ◽

Histopathological Examination ◽

Previous History ◽

Plain Radiography ◽

Artery Thrombosis ◽

History Of ◽

The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

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Guideline for radioiodine therapy for benign thyroid diseases (version 3)

Nuklearmedizin ◽

10.1055/s-0038-1623919 ◽

2004 ◽

Vol 43 (06) ◽

pp. 217-220 ◽

Cited By ~ 8

Author(s):

J. Dressler ◽

F. Grünwald ◽

B. Leisner ◽

E. Moser ◽

Chr. Reiners ◽

...

Keyword(s):

Radioiodine Therapy ◽

Thyroid Volume ◽

Thyroid Diseases ◽

Antithyroid Drugs ◽

Graves Disease ◽

Co Morbidity ◽

History Of ◽

Individual Decisions ◽

Prophylactic Use ◽

Benign Thyroid

SummaryThe version 3 of the guideline for radioiodine therapy for benign thyroid diseases presents first of all a revision of the version 2. The chapter indication for radioiodine therapy, surgical treatment or antithyroid drugs bases on an interdisciplinary consensus. The manifold criteria for decision making consider the entity of thyroid disease (autonomy, Graves’ disease, goitre, goitre recurrence), the thyroid volume, suspicion of malignancy, cystic nodules, risk of surgery and co-morbidity, history of subtotal thyroidectomy, persistent or recurrent thyrotoxicosis caused by Graves’ disease including known risk factors for relapse, compression of the trachea caused by goitre, requirement of direct therapeutic effect as well as the patient’s preference. Because often some of these criteria are relevant, the guideline offers the necessary flexibility for individual decisions. Further topics are patients’ preparation, counseling, dosage concepts, procedural details, results, side effects and follow-up care. The prophylactic use of glucocorticoids during radioiodine therapy in patients without preexisting ophthalmopathy as well as dosage and duration of glucocorticoid medication in patients with preexisting ophthalmopathy need to be clarified in further studies. The pragmatic recommendations for the combined use of radioiodine and glucocorticoids remained unchanged in the 3rd version.

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An unusual presentation of epigastric pain due to thrombophlebitis of a recanalised umbilical vein – case report

Perspectives in Surgery ◽

10.33699/pis.2019.98.8.326-327 ◽

2019 ◽

Vol 98 (8) ◽

pp. 326-327 ◽

Cited By ~ 1

Keyword(s):

Liver Cirrhosis ◽

Abdominal Pain ◽

Case Report ◽

Portal Hypertension ◽

Liver Disease ◽

Epigastric Pain ◽

Umbilical Vein ◽

History Of ◽

Clinically Significant ◽

Inflammatory Changes

Introduction: The umbilical vein can become recanalised due to portal hypertension in patients with liver cirrhosis but the condition is rarely clinically significant. Although bleeding from this enlarged vein is a known complication, the finding of thrombophlebitis has not been previously described. Case report: We report the case of a 62-year-old male with a history of liver cirrhosis due to alcoholic liver disease presenting to hospital with epigastric pain. A CT scan of the patient’s abdomen revealed a thrombus with surrounding inflammatory changes in a recanalised umbilical vein. The patient was managed conservatively and was discharged home the following day. Conclusion: Thrombophlebitis of a recanalised umbilical vein is a rare cause of abdominal pain in patients with liver cirrhosis.

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