scholarly journals A Case of Pulmonary Tuberculosis Detected While Being Investigated with a Preliminary Diagnosis of Covid-19 Infection

2021 ◽  
pp. 80-81
Author(s):  
Taylan Çelik ◽  
Tayyar Ayberk Borak ◽  
Ender Ekin
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Chest Pain ◽  
Pulmonary Tuberculosis ◽  
Respiratory Distress ◽  
Female Patient ◽  
Chest Radiography ◽  
Previous History ◽  
Left Lung ◽  
History Of

15-year-old female patient, who had no previous history of illness, had the complaint of intermittent cough and chest pain for 2 months. Two days ago, she applied to the hospital with difficulty in breathing added to her complaints. Tomography was planned due to the presence of pneumonic infiltration in the left lung in the chest radiography of the patient who was hospitalized in the intensive care unit due to respiratory distress.

scholarly journals An unusual cause of ‘tree-in-bud’ appearance in CT-chest during COVID-19 pandemic

2020 ◽  
Vol 90 (3) ◽  
Author(s):  
Ankur Sharma ◽  
Balakrishnan Narayanan ◽  
Nilay Pal ◽  
Sunny Taye
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Respiratory Distress ◽  
Distress Syndrome ◽  
Young Male ◽  
Detailed History ◽  
Source Of Infection ◽  
History Of ◽  
Coronavirus Infection ◽  
Intravenous Steroids

‘Tree-in-bud’ (TIB) appearance in computed tomography (CT) chest is most commonly a manifestation of infection. We here describe an unusual cause of TIB during the COVID-19 pandemic. A young male patient who had a history of fever, cough, and respiratory distress presented in the emergency department. As these symptoms matched with coronavirus infection, the COVID-19 test was done, which was found negative. He was then moved to the intensive care unit where he developed severe acute respiratory distress syndrome and was put on mechanical ventilation. Further workup did not reveal any source of infection, as all his cultures were negative, but his CT chest showed a tree-in-bud appearance. After obtaining a detailed history from his friends, the patient was found a chronic abuser of inhaled cocaine and treated with intravenous steroids. Subsequently, he was weaned from the ventilator and discharged from the intensive care unit after becoming asymptomatic.

scholarly journals Helicobacter Pylori Infection is Associated with an Increased Stress Ulcer Risk in Brainstem Hemorrhage Patients with Robot-Aided Stereotactic Hematoma Aspiration

2021 ◽  
Author(s):  
Xiang Mao ◽  
Guanggui Chen ◽  
Lei Ye ◽  
Hongwei Cheng ◽  
Baiyun Liu
Keyword(s):  
Intensive Care Unit ◽  
Duodenal Ulcer ◽  
Intensive Care ◽  
Gastrointestinal Bleeding ◽  
Previous History ◽  
Icu Stay ◽  
Increased Risk ◽  
History Of ◽  
H Pylori ◽  
The Relationship

Abstract Background: Whether H. pylori infection in brainstem hemorrhage patients is related to the occurrence of SU has not been reported. The purpose of this study is to explore the relationship between H. pylori infection and the occurrence of SU, and whether it is necessary to eradicate H. pylori infection during treatment. Methods: This retrospective study was conducted in our patients in Neurocritical Care Unit (NICU), Intensive Care Unit (ICU), and Emergency Intensive Care Unit (EICU) between May, 2017-July, 2020. Patients were eligible for the study if they were admitted to a participating ICU for brainstem hemorrhage with gastrointestinal bleeding and with an ICU stay of at least 3 days. Patients were ineligible if their ICU stay was less than 72 hours, and patients with a previous history of gastric or duodenal ulcer were excluded from the study. All patients were performed with robot-aided stereotactic hematoma aspiration and gastric tube indwelling. Results: In the study, 65 patients were enrolled. Of these, 7 patients were excluded because their ICU stay lasted less than 72 hours or because they had previous history of gastric or duodenal ulcer. A further 5 patients were excluded because they required blood transfusion for bleeding on admission. Thus, 53 patients constituted the study group. Conclusions: This study showed brainstem hemorrhage patients infected by H. pylori were at increased risk of gastrointestinal bleeding, suggesting that H. pylori has a major role in the pathogenesis of acute SU in brainstem hemorrhage patients.

Evaluation of Morbidities and Complications of Neonatal İntensive Care Unit Patients with Respiratory Disorders at Different Gestational Ages

2021 ◽  
Author(s):  
Erbu Yarci ◽  
Fuat E. Canpolat
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Birth Weight ◽  
Neonatal Intensive Care Unit ◽  
Respiratory Distress ◽  
Gestational Age ◽  
Neonatal Intensive Care ◽  
Respiratory Diseases ◽  
Respiratory Disorders ◽  
Live Births

Objective Respiratory distress presented within the first few days of life is life-threatening and common problem in the neonatal period. The aim of this study is to estimate (1) the incidence of respiratory diseases in newborns and related mortality; (2) the relationship between acute neonatal respiratory disorders rates and gestational age, birth weight, and gender; and (3) the incidence of complications associated with respiratory disturbances. Study Design Only inborn patients with gestational age between 230/7 and 416/7 weeks having respiratory distress were included in the study. The data were collected from the medical records and gestational age was based on the menstrual dating. Results There were 8,474 live births between January 1, 2013 and June 30, 2013 in our hospital. A total of 1,367 newborns were hospitalized and oxygen therapy was applied in 903 of them because of respiratory distress. An acute respiratory disorder was found to be in 10.6% (903/8,474) among all live births. Mortality was 0.76% (66/8,474). The incidence of respiratory distress syndrome was 2.8% (n = 242). The occurrence of transient tachypnea of newborn was 3.1% (n = 270). Meconium aspiration syndrome, pneumonia, congenital diaphragmatic hernia, and pulmonary maladaptation and primary persistent pulmonary hypertension rates were 0.1, 0.7, 2.2, and 0%, respectively. Overall, 553 (61%) of the 903 newborns having respiratory diseases had complications. The occurrence of necrotizing enterocolitis, patent ductus arteriosus, bronchopulmonary dysplasia, intraventricular hemorrhage and air leak was 6.8, 19.8, 4.7, 24.9, and 5%, respectively. Conclusion This study offers an epidemiological perspective for respiratory disorders from a single-center level-III neonatal intensive care unit. Although number of births, premature newborns, extremely low birth weight/very low birth weight infants, and complicated pregnancies increase in years, decreasing rates of mortality and complications are very promising. As perinatal and neonatal cares are getting better in every day, we think that more promising results can be achieved over the coming years. Key Points

Respiratory distress syndrome in neonates with extremely low body weight: non-invasive respiratory therapy in the early neonatal period

2020 ◽  
Vol 15 (6) ◽  
pp. 94-102
Author(s):  
O.V. Zavyalov ◽  
◽  
V.V. Marenkov ◽  
A.A. Dementyev ◽  
I.N. Pasechnik ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Body Weight ◽  
Intensive Care ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Distress Syndrome ◽  
Neonatal Period ◽  
Respiratory Therapy ◽  
Non Invasive ◽  
Early Neonatal Period

The aim of this study was to evaluate the efficacy of non-invasive respiratory therapy using the method of dual positive airway pressure (DuoPAP) via nasal prongs performed in the intensive care unit and neonatal intensive care unit in premature newborns with extremely low body weight and respiratory distress syndrome in the early neonatal period. We conducted a retrospective analysis of 55 medical records of premature newborns treated in the intensive care unit of the Perinatal Center at S.S. Yudin City Clinical Hospital during the first 7 days of their life. We included patients treated between January 2018 and December 2019. All newborns had extremely low body weight (850 ± 149 g); mean gestational age was 28 ± 4 weeks; Apgar score at the first minute of life varied between 3 and 6; Silverman Anderson score (severity of respiratory disorders) was between 3 and 5 s. Standard examination was performed in accordance with current protocols developed by Russian and foreign specialists in neonatal medicine. A specially developed clinical protocol of the study was approved by the local ethics committee. Study participants were divided into 3 groups according to their type of spontaneous respiratory efforts, target level of preductal saturation, and Silverman Anderson score. Patients in Group I received synchronized intermittent mandatory ventilation (SIMV); patients in Group II received ventilation using DuoPAP via nasal prongs (if it was ineffective, we considered SIMV via tube); patients in group III received ventilation using DuoPAP only. In this study, we have identified indications and contraindications for initial and prolonged respiratory therapy with DuoPAP and developed main practical recommendations for effective and safe application of DuoPAP. The efficacy and safety of non-invasive respiratory therapy with DuoPAP via nasal prongs in extremely premature infants with respiratory distress syndrome in the early neonatal period is primarily determined by the newborn’s readiness for active spontaneous and productive respiratory movements, but not only by the compensated parameters of the acid-base state and gas composition of the capillary blood. The assessment of feasibility and limitations of non-invasive respiratory therapy with DuoPAP is an important step towards developing a clinical protocol for respiratory therapy in the early neonatal period in a neonatal intensive care unit; it will help to reduce the use of invasive lung ventilation. Key words: premature newborns, non-invasive respiratory therapy, respiratory distress syndrome, extremely low body weight

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