scholarly journals Severe Esophagitis and Chemical Pneumonitis as a Consequence of Dilute Benzalkonium Chloride Ingestion: A Case Report

2021 ◽  
Author(s):  
Amit Kumar ◽  
Rajesh Chetiwal ◽  
Priyank Rastogi ◽  
Shweta Tanwar ◽  
Saurabh Gupta ◽  
...  
Keyword(s):  
Case Report ◽  
Patient Outcomes ◽  
Benzalkonium Chloride ◽  
Ventilatory Support ◽  
Pharmaceutical Products ◽  
Complication Rates ◽  
Mechanical Ventilatory Support ◽  
Present Case Report ◽  
Serious Injury ◽  
Upper Gastrointestinal

Background: Benzalkonium chloride (BAC) has been used as an active ingredient in a wide variety of compounds such as surface disinfectants, floor cleaners, pharmaceutical products and sanitizers. Solutions containing <10% concentration of BACs typically do not cause serious injury. As the available data regarding acute BAC toxicity is limited, we report a case of dilute benzalkonium chloride ingestion resulting in bilateral chemical pneumonitis and significant gastrointestinal injury requiring mechanical ventilatory support. The Case: A 42-year-old male presented with complaints of nausea, vomiting and excessive amount of blood mixed oral secretions after accidental ingestion of approximately 100ml of BAC solution (<10%). Later he developed respiratory distress with falling oxygen saturation for which he was intubated and mechanical ventilatory support was administered. Computed tomography (CT) chest was suggestive of bilateral chemical pneumonitis and upper gastrointestinal (GI) endoscopy revealed diffuse esophageal ulcerations. The patient was managed with intravenous fluids, corticosteroids, proton pump inhibitor, empiric antibiotics, and total parenteral nutrition. Conclusion: The present case report emphasizes that dilute BAC compounds can cause severe respiratory and gastrointestinal injuries. Immediate and aggressive medical treatment is crucial for improving patient outcomes and reducing complication rates.

scholarly journals Hyperacute Gullain Barre Syndrome (GBS); The Catastrophic Variant- A Rare Case Report

2021 ◽  
pp. 45-52
Author(s):  
Sourya Acharya ◽  
Amol Andhale ◽  
Samarth Shukla ◽  
V. V. S. S. Sagar ◽  
Sunil Kumar
Keyword(s):  
Case Report ◽  
Clinical Laboratory ◽  
Molecular Mimicry ◽  
Ventilatory Support ◽  
Mechanical Ventilatory Support ◽  
Muscle Involvement ◽  
Neurologic Impairment ◽  
Rare Case Report ◽  
History Of ◽  
Upper Respiratory

Guillain-Barré syndrome (GBS) also known as acute demyelinating polyradiculoneuropathy (AIDP) is an immunologically mediated  rare neurological disorder.  The  basic pathogenic mechanism is regulated by molecular mimicry. Usually there is a history of preceding infection which occurs some weeks before the attack. The infections are gastroenteritis or upper respiratory. The clinical spectrum of ranges from  mild weakness to devastating paralysis including respiratory failure. Majority of the cases recover but a few continue to have residual neurodeficit. The usual clinical course of GBS from the starting of weakness to development of maximum neurologic progression usually progresses over 4 weeks. Hyperacute GBS is a term used when the progression of weakness occurs within hours to days to maximum neurologic impairment. In this case report we present a 28 year old female who developed rapidly progressive, areflexic quadriparesis with respiratory muscle involvement requiring mechanical ventilatory support within nine hours. Clinical , laboratory and nerve conduction studies suggested a diagnosis of GBS.

H1N1 Influenza/A Associated ARDS Recovered without Mechanical Ventilatory Support - A Case Report -

2011 ◽  
Vol 26 (2) ◽  
pp. 114
Author(s):  
Byung Ook Lee ◽  
Jae Hee Lee ◽  
Sung Woon Park ◽  
Bo Min Kim ◽  
Jae Chol Choi ◽  
...  
Keyword(s):  
Case Report ◽  
Influenza A ◽  
Ventilatory Support ◽  
H1n1 Influenza ◽  
Mechanical Ventilatory Support

scholarly journals Duplication in the formation of median nerve - a case report

2015 ◽  
Vol 04 (01) ◽  
pp. 043-045
Author(s):  
Gyata Mehta ◽  
Varsha Mokhasi
Keyword(s):  
Case Report ◽  
Median Nerve ◽  
Lateral Root ◽  
Axillary Artery ◽  
Anatomical Variations ◽  
Upper Arm ◽  
Present Case Report ◽  
Lateral Cord ◽  
Two Stages ◽  
Different Levels

AbstractThe median nerve is formed in the axilla by fusion of the two roots from the lateral and medial cords. The present case report describes an anomalous presentation of double formation of median nerve and its relation with axillary and brachial arteries. The median nerve was formed in two stages at different levels, first in the axilla and then in the upper arm by receiving double contribution from the lateral root of the lateral cord, which fuse with the medial root of the medial cord to form the median nerve. The formation took place medial to the axillary artery in the axilla and antero-medial to the brachial artery in the arm. Such anatomical variations and their relation with the arteries are important for the surgeons and anesthesiologists and of great academic interest to the anatomists.

scholarly journals Full Thickness Tear of Quadriceps Tendon Associated with Closed Intra-Articular Distal Femur Fracture: A Case Report

2021 ◽  
pp. 131-137
Author(s):  
Santanu Kar ◽  
Hemant Bansal ◽  
Vijay Sharma ◽  
Kamran Farooque
Keyword(s):  
Case Report ◽  
Distal Femur ◽  
Femur Fracture ◽  
Femoral Fractures ◽  
Quadriceps Tendon ◽  
Successful Outcome ◽  
Postoperative Rehabilitation ◽  
Present Case Report ◽  
Distal Femur Fracture ◽  
Rare Association

Fractures of the supracondylar and intercondylar region of the distal femur usually result from high velocity injury that is uncommonly associated with violation of the integrity of the extensor mechanism. The consequences of missed quadriceps injury associated with a distal femur fracture are devastating. The present case report illustrates the importance of recognizing the rare association of quadriceps tear with distal femoral fractures, an appropriate surgical approach to repair the tear as well as fixation of fracture, and a protocol of postoperative rehabilitation to achieve a successful outcome.

scholarly journals Home mechanical ventilatory support in patients with restrictive ventilatory disorders: A 48-year experience

2006 ◽  
Vol 100 (1) ◽  
pp. 56-65 ◽  
Author(s):  
Marieke L. Duiverman ◽  
Gerrie Bladder ◽  
Aafke F. Meinesz ◽  
Peter J. Wijkstra
Keyword(s):  
Ventilatory Support ◽  
Mechanical Ventilatory Support

Some Recent Controversies in Intensive Care

1995 ◽  
Vol 3 (1) ◽  
pp. 4-7
Author(s):  
Colin J McArthur
Keyword(s):  
Intensive Care ◽  
Ventilatory Support ◽  
Selective Decontamination ◽  
Experimental Therapy ◽  
Sodium Reabsorption ◽  
Double Blind ◽  
Patients At Risk ◽  
Bacteria And Fungi ◽  
Tract Infections ◽  
Upper Gastrointestinal

The ability of dopamine to reverse oliguria has led to its ubiquitous renal protective use in patients at risk of acute renal failure. However, this diuresis is due primarily to inhibition of distal tubular sodium reabsorption and not renal vasodilation. Recent controlled clinical studies have been unable to demonstrate a renal protective effect independent of changes in cardiac output. Selective decontamination of the digestive tract (SDD) has the appealing theoretical ability to minimize upper gastrointestinal colonization with gram-negative bacteria and fungi, and subsequently reduce nosocomial infection and mortality. Such modification of flora does occur, but the initial studies showing a reduction in lower respiratory tract infections have not been supported by recent large double-blind randomized controlled trials. A reduction in mortality or length of stay of general intensive care patients given SDD has never been demonstrated, and it remains an experimental therapy with possible application for some patient subgroups. Upper gastrointestinal hemorrhage (UGH) in the critically ill is associated with prolonged ventilatory support and coagulopathy, but clinically important bleeding is now uncommon. Prophylaxis with agents that increase gastric pH is effective in reducing UGH, but may be associated with a higher incidence of nosocomial pneumonia than occurs with alternatives such as sucralfate. Prophylaxis does not alter mortality, and it is now controversial which patients, if any, should routinely receive such treatment.

A RARE CASE OF MUCINOUS CYSTADENOCARCINOMA OF LIVER PRESENTING AS HYDATID CYST

2021 ◽  
pp. 12-13
Author(s):  
Moka .Rajesh ◽  
Shaik Nazia ◽  
Angani. Sri Radha Krishna Varma
Keyword(s):  
Case Report ◽  
Preoperative Imaging ◽  
Cystic Tumor ◽  
Main Concern ◽  
Biliary Cystadenoma ◽  
Present Case Report ◽  
Pain Abdomen ◽  
Polycystic Disease ◽  
Hepatobiliary Cystadenocarcinoma ◽  
Upper Abdomen

Hepatobiliary cystadenocarcinoma is a very rare cystic tumor that arises in the liver or, less frequently, in the extrahepatic biliary system mostly seen in elderly patients. It has been shown to arise in congenital liver cysts, bile ducts, biliary cystadenoma, in the context of bro- polycystic disease and in the hepatoduodenal ligament. In the present case report, we describe a case of rare entity of hepatobiliary cystadenocarcinoma presented in a 36 year old male patient presented to opd with complaints of pain abdomen in right side of upper abdomen since 2 months. Main concern of this case report is preoperative imaging is imprecise and frequently misdiagnosed as benign cystic lesions and delays in treatment.

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