scholarly journals Simvastatin-induced myositis occurring in a patient with viral hepatitis A

2004 ◽  
Vol 3 (3) ◽  
pp. 117-118
Author(s):  
Satyen Shukla ◽  
◽  
V Anand
Keyword(s):  
Abdominal Pain ◽  
Heart Disease ◽  
Blood Transfusion ◽  
Hepatitis A ◽  
Previous History ◽  
Foreign Travel ◽  
History Of ◽  
Normal Colour ◽  
Loss Of Appetite ◽  
Viral Hepatitis A

A 60 year old female was admitted with jaundice, malaise & loss of appetite. Two weeks before admission she had complained of diarrhoea with abdominal pain. There was no previous history of jaundice, blood transfusion or foreign travel. She denied pruritus, and stools were of normal colour, although her urine was dark. She was non-smoker & did not drink alcohol regularly. She was known to have ischaemic heart disease & hypercholestolaemia and had been taking ramipril 5mg , clopidogrel 75mg, simvastatin 20mg & omeprazole 20mg daily for the previous two years.

scholarly journals Post-COVID-19 Kawasaki-Like Syndrome

2021 ◽  
pp. 014556132110060
Author(s):  
Jérôme R. Lechien ◽  
Rémi Hervochon ◽  
Stéphane Hans
Keyword(s):  
Abdominal Pain ◽  
Multiple Organ Failure ◽  
Organ Failure ◽  
Hepatitis A ◽  
Clinical Presentation ◽  
Multiple Organ ◽  
Mild Form ◽  
Severe Dysphagia ◽  
History Of ◽  
Inflammatory Syndrome

A 42-year-old man was referred for a week history of severe dysphagia, odynophagia, fever (39 °C), fatigue, abdominal pain, pharyngeal swelling, and multiple neck lymphadenopathies. The medical history reported a mild form of COVID-19 one month ago. The biology reported an unspecified inflammatory syndrome. The patient developed peritonitis, myocarditis, and hepatitis. A myocardium biopsy was performed. A diagnosis of Kawasaki-like disease (KLD) was performed. The occurrence of KLD in adults is rare but has to be known by otolaryngologists regarding the otolaryngological clinical presentation that may precede the multiple organ failure.

scholarly journals Analysis of Sociodemographic and Clinical Factors Associated with Hospitalized Stroke Patients of Bangladesh

1970 ◽  
Vol 6 (1) ◽  
pp. 19-23 ◽  
Author(s):  
AM Hossain ◽  
NU Ahmed ◽  
M Rahman ◽  
MR Islam ◽  
G Sadhya ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Ischaemic Heart Disease ◽  
Low Income ◽  
Heart Diseases ◽  
Previous History ◽  
Stroke Patients ◽  
College Hospital ◽  
Cross Sectional ◽  
History Of

A hospital based cross sectional study was carried out to analyze prevalence of risk factors for stroke in hospitalized patient in a medical college hospital. 100 patients were chosen using purposive sampling technique. Highest incidence of stroke was between the 6th and 7th decade. Patients came from both urban (54%) and rural (46%) areas and most of them belong to the low-income group (47%). In occupational category; service holder (28%) and retired person (21%) were the highest groups. Most of the study subjects were literate (63%). CT scan study revealed that the incidence of ischaemic stroke was 61% and haemorrhagic stroke 39%. Analysis indicated hypertension as major risk factor for stroke (63%) and major portion of the patients (42.85%) were on irregular or no treatment. Twenty four percent of the patients had heart diseases and out of 24 patients 45.83% were suffering from ischaemic heart disease. The present study detected diabetes in 21% patients. Fifty three percent of the study subjects were smoker, 39% patients had habit of betelnut chewing. Out of 26 female patients, only 23% had history of using oral contraceptives. Majority of the patients were sedentary workers (46%). Thirty seven percent of the stroke patients were obese. Among the stroke patients 9% had previous history of stroke and 3% had TIA respectively. Most of the patients (21%) were awake while they suffered from stroke and the time of occurrence was mostly in the afternoon (46%). This study found that hypertension, cigarette smoking, ischaemic heart disease and diabetes mellitus are the major risk factors prevalent in our community while other risk factors demand further study. Key words: stroke; risk factors; hospitalized patients; Bangladesh. DOI: 10.3329/fmcj.v6i1.7405 Faridpur Med. Coll. J. 2011;6(1): 19-23

Fulminant varicella hepatitis: a rare but lethal cause of abdominal pain

2021 ◽  
Vol 14 (9) ◽  
pp. e244081
Author(s):  
Christopher Fang ◽  
Junice Wong ◽  
Wei Wen Ang
Keyword(s):  
Abdominal Pain ◽  
Hepatitis A ◽  
Case Reports ◽  
Antibody Testing ◽  
Salient Points ◽  
Vesicular Rash ◽  
History Of ◽  
Laboratory Investigations ◽  
The Common ◽  
Upper Abdominal

An 81-year-old woman with no history of immunocompromise presented with 2 days of upper abdominal pain associated with nausea. On arrival, her physical examination was unremarkable apart from mild epigastric and right hypochondriac tenderness, and laboratory investigations were unremarkable apart from mild thrombocytopenia and transaminitis. A CT scan performed on the day of admission revealed a tiny 0.3 cm stone in the common bile duct, with no upstream dilatation. On day 2 of admission, she developed a vesicular rash and with acutely worsening transaminitis. She deteriorated rapidly and demised from complications of acute liver failure within the next 24 hours. The diagnosis of varicella was confirmed with antibody testing. Fulminant varicella hepatitis is an extremely rare and lethal condition with only a handful of reported cases in the current literature. We aim to share our clinical experience and summarise the salient points from existing case reports.

Enflurane Hepatitis. A Report of a Case with a Previous History of Halothane Hepatitis

1985 ◽  
Vol 29 (5) ◽  
pp. 495-496 ◽  
Author(s):  
J. SIGURDSSON ◽  
A. B. HREIDARSSON ◽  
B. THJODLEIFSSON
Keyword(s):  
Hepatitis A ◽  
Previous History ◽  
Halothane Hepatitis ◽  
History Of

scholarly journals A 37-year-old man presented with abdominal distention and shortness of breathing

2020 ◽  
Vol 13 (3) ◽  
pp. 90-96
Author(s):  
Samia Rahman ◽  
Shamim Ahmed ◽  
Rajashish Chakrabortty ◽  
Mohammed Atiqur Rahman ◽  
Chowdhury Meshkat Ahmed
Keyword(s):  
Abdominal Pain ◽  
Heart Disease ◽  
Abdominal Distension ◽  
Abdominal Distention ◽  
History Of

This article has no abstract. The first 100 words appear below: A 37-year-old man hailing from Comilla, Bangladesh (about 100 km from the capital, Dhaka, Bangladesh) got admitted himself into out department on 18th  February 2020 with the complaints of abdominal distention for 9 months and shortness of breathing for 7 months. The abdominal distension was sudden in onset, progressive in nature, but there was no history of jaundice, oliguria, any heart disease, or abdominal pain. About 7 months ago, the patient experienced shortness of breathing, which was sudden in onset, gradually progressive, and occurring in mild exertion. It was so severe that the patient was unable to perform his day to day activities.

scholarly journals PRIMARY HYPOADRENOCORTICISM IN A DOG

2016 ◽  
Vol 19 (2) ◽  
Author(s):  
Denner Santos dos Anjos ◽  
Veronica Jorge Babo-Terra ◽  
Mariana Isa Poci Palumbo
Keyword(s):  
Previous History ◽  
Clinical Signs ◽  
Sodium Potassium ◽  
Capillary Refill ◽  
Once Daily ◽  
History Of ◽  
Fludrocortisone Acetate ◽  
Loss Of Appetite ◽  
Veterinary Hospital ◽  
Acute Crisis

This report describes the clinical and laboratorial findings as well as the therapeutic protocol performed in a three-year-old mongrel female intact dog, referred to the Veterinary Hospital of FAMEZ/UFMS. The animal had a previous history of recurrent gastrointestinal signs (such as lethargy, vomiting, loss of appetite, melena and abdominal pain), acute crisis episodes, bradycardia, hypotension, hypothermia and increase of capillary refill time, recognized as addisonian crisis due to primary hypoadrenocorticism. Laboratorial findings included anemia, eosinophilia, neutrophilia, lymphocytosis, sodium-potassium ratio of 14,02 mEq/L and prerenal azotemia. Based on that, it was confirmed the diagnosis of primary hypoadrenocorcitism. Thus, it was recommended supplementation therapy with mineralocorticoid (aldosterone) and glucocorticoid (cortisol) corresponding respectively, fludrocortisone acetate of 0.2 mg per kg of BW, by mouth, once daily and prednisone 0.2 mg per kg of BW, by mouth, twice daily until further recommendations. The prognostic was excellent, since the animal significantly improved body condition, andclinical signs disappeared after therapy which lead the sodium-potassium ratio to 35.11 mEq/L. Thus, the clinician must always suspect of primary hypoadrenocorticism in dogs with intermittent nonspecific signs that get better with support therapy. Presumably, hypoarenocorticism must be under diagnosed in veterinary medicine, reinforcing the need to require specific exams in patients that show this wax and wane feature of clinical signs.

scholarly journals Prevalence of hepatitis C among haemodialysis patients in a tertiary care hospital in South India

2020 ◽  
Author(s):  
Anitha Madhavan ◽  
Arun Sachu ◽  
Anu Kumar Balakrishnan ◽  
Anu Vasudevan ◽  
Sobha Balakrishnan ◽  
...  
Keyword(s):  
Hepatitis C ◽  
Blood Transfusion ◽  
Statistical Significance ◽  
Tertiary Care ◽  
Previous History ◽  
Antibody Detection ◽  
Hcv Rna ◽  
Care Hospital ◽  
History Of ◽  
Hcv Antibody

Background and Objectives: Hepatitis C is the most common hepatotropic viral infection that affects patients on mainte- nance hemodialysis. Most of the laboratories in India depend on HCV antibody detection by ELISA. PCR based studies on detection of HCV RNA among haemodialysis patients are very scanty in India. The current study was undertaken to find the prevalence of HCV among haemodialysis patients by ELISA and PCR. Materials and Methods: This prospective study was conducted from January to May 2018 in a total of 100 samples. Patients more than 18 years of age, who had undergone at least 15 sessions of dialysis were enrolled in the study. All samples were screened for HCV antibody by ELISA and HCV RNA by PCR. Data regarding age and gender of the patients, history of blood transfusion, duration of hemodialysis, total bilirubin levels were collected from medical records. Results: Among the 100 samples, only one was positive for HCV antibody by ELISA. Eight samples were positive for HCV RNA by PCR. In this study 62.5% of the HCV positives had a previous history of blood transfusion. Duration of dialysis was more among the HCV positive group but there was no statistical significance. Conclusion: This is the first study from the southern state of Kerala in India showing the prevalence of HCV among hemo- dialysis patients by PCR. Our study showed an overall HCV prevalence of 8% by PCR. All the PCR positive samples were negative by 3rd generation ELISA which is an alarming finding and further justifies the need for PCR for detecting HCV.

scholarly journals A case of juvenile polymyositis post viral hepatitis A

2017 ◽  
Vol 4 (3) ◽  
pp. 864
Author(s):  
Hanock Unni Samuel ◽  
N. V. Jayachandran ◽  
N. K. Thulaseedharan
Keyword(s):  
Inclusion Body ◽  
Bacterial Infections ◽  
Inclusion Body Myositis ◽  
Hepatitis A ◽  
Drug Induced ◽  
Autoimmune Myositis ◽  
History Of ◽  
Viral Hepatitis A ◽  
Disease Exposure ◽  
Proximal Myopathy

Polymyositis is rare as a stand-alone entity and is often misdiagnosed; most patients whose condition has been diagnosed as polymyositis have inclusion-body myositis, necrotizing autoimmune myositis, or inflammatory dystrophy. Polymyositis remains a diagnosis of exclusion and is best defined as a subacute proximal myopathy in adults who do not have rash, a family history of neuromuscular disease, exposure to myotoxic drugs (e.g. statins, penicillamine, and zidovudine), involvement of facial and extraocular muscles, endocrinopathy, or the clinical phenotype of inclusion body myositis. The etiology of polymyositis may be due to underlying systemic autoimmune diseases, viral, parasitic, bacterial infections or drug induced. Here we describe a case of juvenile polymyositis post viral infection with hepatitis A.

scholarly journals Echocardiographic and Electrocardiographic Findings in COVID-19 Patients; A Cross-Sectional Study

2022 ◽  
Author(s):  
Faeze Keihanian ◽  
Hoorak Poorzand ◽  
Amin Saeidinia ◽  
Ali Eshraghi
Keyword(s):  
Heart Disease ◽  
Previous History ◽  
Structural Heart Disease ◽  
Cross Sectional Study ◽  
Imaging Data ◽  
Sectional Study ◽  
Cross Sectional ◽  
History Of ◽  
Electrocardiographic Findings ◽  
Polymerase Chain

Abstract Background: There are still many gaps in our knowledge regarding the direct cardiovascular injuries due to COVID-19 infection. In this study, we tried to find out the effect of SARS-CoV-2 infection on cardiac function in patients without any history of structural heart disease by electrocardiographic and echocardiographic evaluations.Methods: This was a cross-sectional study on patients with COVID-19 infection admitted to Imam Reza hospital, Mashhad, Iran between 14 April and 21 September 2020. COVID-19 infection was verified by a positive reverse-transcriptase polymerase chain reaction (PCR) assay for SARS-CoV-2 using nasopharyngeal/oropharyngeal samples. We enrolled all patients over 18 years old with definite diagnosis of COVID-19 infection. All patients underwent a comprehensive transthoracic echocardiography at the first week of admission. Clinical and imaging data were collected prospectively. Results: In total, 142 patients were enrolled in this study. The mean age of participants was 60.69± 15.70 years (range: 30-90 years). Most patients were male (82, 57.7%). Multivariate analysis showed that O2 saturation at admission was independently a predictor of re-hospitalization (P<0.001). RV size (P<0.001), dyslipidemia (P<0.001), ejection fraction (EF) (P<0.001), age (P=0.020), systolic blood pressure (P=0.001), O2 saturation (P=0.018) and diabetes (P=0.025) independently predicted 30-days mortality. Conclusion: Echocardiography can be used for risk assessment in patients with COVID-19, especially in those with previous history of diabetes and dyslipidemia. The infection could result in Ventricular dysfunction, even in those without previous history of structural heart disease.

Discriminant Methods as Aids to the Diagnosis of Acute Coronary Heart Disease in the Emergency Room

1986 ◽  
Vol 25 (01) ◽  
pp. 43-46 ◽  
Author(s):  
M. A. A. Moussa ◽  
S. K. Bhatnagar ◽  
A. R. Al-Yusuf
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Chest Pain ◽  
Emergency Room ◽  
Previous History ◽  
Stepwise Logistic Regression ◽  
St Segment ◽  
Pain Duration ◽  
Important Symptom ◽  
History Of

SummaryMultivariate stepwise logistic regression and discriminant analyses were used to reduce emergency room data to the most relevant subset of variables that could improve the sensitivity and specificity of the diagnosis of acute coronary heart disease. Both procedures selected 5 out of 29 variables collected from 154 patients : abnormality of the ST segment in the electrocardiogram (ECG), shortness of breath, history of sublingual glyceryltrinitrate intake, chest pain duration >15 minutes, and previous history of a heart attack. The stepwise discriminant function selected additional variables: chest pain as the most important symptom, retrosternal site of chest pain and T wave abnormality on the ECG. The performance of the two methods was assessed by finding the classification matrix.

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