scholarly journals Invasive Non-typhoidal Salmonella Sepsis in Top-up Fed Five-Month-Old Infant: Case Report

2021 ◽  
Author(s):  
Shazia Naaz ◽  
Vivek Hada ◽  
Swathi Suravaram ◽  
Lakshmi Jyothi Tadi ◽  
Mohammad Wajid
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Case Report ◽  
Gastrointestinal Disease ◽  
Invasive Disease ◽  
The Other ◽  
Contaminated Food ◽  
The Common ◽  
Infant Case

Non-typhoidal Salmonella (NTS) are generally associated with self-limiting gastrointestinal disease, often acquired through the ingestion of contaminated food and it seldom requires antimicrobial therapy for treatment. Extra-intestinal manifestations could be localised infection leading to septic arthritis, osteomyelitis. In complicated invasive disease, there could be bronchopneumonia with or without bacteraemia leading to mortality. Invasive NTS infections are infrequently reported in India. The S. Typhimurium is one of the common serovars associated with invasive disease and its virulence factors are responsible for causing the disease. S. enteridies, S. Dublin are the other serovars which are commonly responsible for invasive NTS infection. It is difficult to diagnose invasive disease without appropriate bacteriological culture based method. With emergence to resistance to antimicrobials the treatment of this condition is also becoming challenging. In this case report, a five-month-old infant presented with cough fever, stuffed nose dyspnoea and was diagnosed as bronchopneumonia. Mechanical ventilation was required for five days along with admission to intensive care unit. Invasive NTS infection was diagnosed using automated blood culture and the child responded to intravenous antimicrobial chemotherapy.

Euglycemic Diabetic Ketoacidosis in COVID-19 Patient Caused by Empagliflozin: A Case Report from Intensive Care Unit

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Al-Taie N ◽  
◽  
Stingl H ◽  
Fuchs W ◽  
Waechter H ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Case Report ◽  
Blood Glucose ◽  
Diabetic Ketoacidosis ◽  
The Other ◽  
The Novel ◽  
High Blood Glucose ◽  
Novel Coronavirus ◽  
Euglycemic Diabetic Ketoacidosis

The novel coronavirus - Severe Acute Respiratory Syndrome coronavirus 2 - is responsible for mainly respiratory disease (COVID-19). On the other hand, Diabetic Ketoacidosis (DKA) is a life-threating complication. The usual form of DKA is caused by insulin deficiency and is characterized by high blood glucose (usually more than 250mg/dl or 14mmol/L), ketonemia, low pH, and low serum bicarbonate. The other form of DKA is the euglycemic DKA, which occurs in patients with blood glucose lower than 250mg/dl (14mmol/L). This case report describes a patient that presented to the intensive care unit with Covid-19 pneumonia and euglycemic DKA.

scholarly journals PENATALAKSANAAN SEPSIS AKI PADA PASIEN MULTIPLE MYELOMA DENGAN HIPERKALSEMIA BERAT

2018 ◽  
Vol 1 (1) ◽  
pp. 54-65
Author(s):  
Agus Sumedi
Keyword(s):  
Intensive Care Unit ◽  
Multiple Myeloma ◽  
Mechanical Ventilation ◽  
Acute Kidney Injury ◽  
Intensive Care ◽  
Case Report ◽  
Light Chain ◽  
Bone Lesion ◽  
Kidney Injury ◽  
Vasoactive Agents

This case report talking about a female 56 yo with Multiple Myeloma (MM) suffer from Pneumonia and Acute Kidney Injury (AKI). MM is haematology cancer produce free light chain that impair renal tubulus, cause anemia, bone lesion and hypercalcemia. This patient came to hospital withsevere pneumonia, acute kidney injury andsevere hypercalcemia. In intensive care unit supported by mechanical ventilation, diuretic, antibiotics administration,haemodialysis,vasoactive agents, bisphosphonat and others.The acitenobacter baumanni was identified from sputum culture and then developed become multidrugs resistant leading to septic syock and multi organs dysfunction and death in two weeks.

scholarly journals PLASMAPHERESIS IN PATIENT WITH GUILLAIN-BARRE SYNDROME OF THE INTENSIVE CARE UNIT

2020 ◽  
Vol 5 (5) ◽  
pp. 13
Author(s):  
Vicky Muhammad Ramdhani ◽  
K Suwarman ◽  
Reza Widianto Sudjud ◽  
Erwin Pradian
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Case Report ◽  
Ivig Therapy ◽  
Chief Complaint ◽  
Patient Treatment ◽  
Unique Contribution ◽  
Upper And Lower Extremities ◽  
Experienced Difficulty

Purpose: The purpose of writing this case report is to determine the importance of patient treatment using appropriate and specific therapies and the use of mechanical ventilation in the threat of respiratory failure of patients with GBS. Methodology: We presented a case of 47 years old man with chief complaint of weakness in both upper and lower extremities. The patient was diagnosed with GBS and plasmapheresis was performed. Findings: Holistic intensive care together with plasmapheresis has been shown to improve the survival of patients with GBS. In the current study, the patient was admitted for 1 day in HCU before he experienced difficulty in breathing, was intubated, and transferred to ICU. Plasmapheresis was performed six times in the ICU. The patient progressively improved until he was discharged to the HCU on 10th day of ICU admission. Unique contribution to theory, practice, and policy: Holistic intensive care together with plasmapheresis has been shown to improve the survival of patients with GBS. From the current study, we recommend healthcare practitioners to perform either IVIG therapy or plasmapheresis for GBS patient

Ranitidine Induced Thrombocytopenia: A Case report

2016 ◽  
Vol 2 (1) ◽  
pp. 60-61
Author(s):  
Kanad Deepak ◽  
Nishant Verma ◽  
Umesh Kumar ◽  
Megha Garg
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Case Report ◽  
Joint Pain ◽  
The Other ◽  
Critically Ill Patient ◽  
Drug Related Problems ◽  
H2 Receptor Antagonist ◽  
Set Up ◽  
Time Of Admission

Ranitidine is H2 receptor antagonist. In some critically ill patient it induces thrombocytopenia, which is a rare drug related problems arise during treatment in intensive care unit (ICU) set up. We are going to present a case of 18 year old boy, which had fever and joint pain at the time of admission. Intravenous ceftriaxone, Paracetamol and Ranitidine was administered. Repeated lab investigations showed decrease in WBC and Platelet counts. After excluding the other causes, it was concluded that Ranitidine was the cause of thrombocytopenia.

scholarly journals Pneumothorax Related to Mechanical Ventilation: Silent Enemy

2016 ◽  
Vol 17 (3) ◽  
pp. 267-270
Author(s):  
Branislav Mojsic ◽  
Ana Mandras ◽  
Maja Sujica ◽  
Sladjana Vasiljevic
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Case Report ◽  
Clinical Presentation ◽  
Diagnosis And Management ◽  
Underlying Pathology

Abstract Pneumothorax is well known and described complication in intensive care unit patients (ICU). Incidence of this complication is higher in patients with underlying pathology. As it can be occult, it is of the most importance to think of it in patients on mechanical ventilation. In this case report we well present ventilator-related pneumothorax in infant: clinical presentation, diagnosis and management

scholarly journals Respiratory Modalities in Preventing Reintubation in a Pediatric Intensive Care Unit

2021 ◽  
Vol 8 ◽  
pp. 2333794X2199153
Author(s):  
Ameer Al-Hadidi ◽  
Morta Lapkus ◽  
Patrick Karabon ◽  
Begum Akay ◽  
Paras Khandhar
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Noninvasive Positive Pressure Ventilation ◽  
Pediatric Intensive Care ◽  
Nasal Cannula ◽  
Respiratory Support ◽  
Positive Pressure ◽  
P Value

Post-extubation respiratory failure requiring reintubation in a Pediatric Intensive Care Unit (PICU) results in significant morbidity. Data in the pediatric population comparing various therapeutic respiratory modalities for avoiding reintubation is lacking. Our objective was to compare therapeutic respiratory modalities following extubation from mechanical ventilation. About 491 children admitted to a single-center PICU requiring mechanical ventilation from January 2010 through December 2017 were retrospectively reviewed. Therapeutic respiratory support assisted in avoiding reintubation in the majority of patients initially extubated to room air or nasal cannula with high-flow nasal cannula (80%) or noninvasive positive pressure ventilation (100%). Patients requiring therapeutic respiratory support had longer PICU LOS (10.92 vs 6.91 days, P-value = .0357) and hospital LOS (16.43 vs 10.20 days, P-value = .0250). Therapeutic respiratory support following extubation can assist in avoiding reintubation. Those who required therapeutic respiratory support experienced a significantly longer PICU and hospital LOS. Further prospective clinical trials are warranted.

scholarly journals Russell Body Typhlitis: A Case Report and Literature Review

2021 ◽  
pp. 106689692110082
Author(s):  
Sarah Al-Rawaf ◽  
Salem Alowami ◽  
Robert Riddell ◽  
Asghar Naqvi
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Light Chain ◽  
Plasma Cells ◽  
Gastrointestinal Disease ◽  
English Literature ◽  
The Other ◽  
Tubulovillous Adenoma ◽  
Inflammatory Polyp ◽  
Intracytoplasmic Inclusions

Russell bodies are accumulation of immunoglobulin in plasma cells forming intracytoplasmic inclusions. Russell body colitis is rare with only 3 cases described in the English literature up to date. We report a 78-year-old male with cirrhosis showing prominent cecal infiltration of Russell body containing plasma cells. Plasma cells showed no nuclear atypia or mitoses, and no evidence of light chain restriction. In this article, we report a fourth case of Russell body colitis, that is unique in being localized to the cecum in contrast to the other 3, 1 of which was in an inflammatory polyp in the sigmoid colon, 1 in a rectal tubulovillous adenoma and 1 as part of diffuse gastrointestinal disease. This is therefore the first report of localized Russell body typhlitis, occurring in a cirrhotic patient in whom an adjacent erosion was likely nonsteroidal anti-inflammatory drug-associated, a combination that may have facilitated the formation of Russell bodies.

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