acute complication
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Author(s):  
Jose Sanchez-Perez ◽  
Gabriel Rivera-Rivera ◽  
Mario Gonzalez ◽  
Shayanne Lajud ◽  
Mario Corona-Ruiz ◽  
...  

Tracheobronchial injuries following blunt trauma have a low incidence due to the high mortality rate before reaching hospitals. This case report advocates for conservative management in a hemodynamic patient with a large longitudinal tracheal laceration with no signs of acute complication.


2021 ◽  
pp. 24-25
Author(s):  
Tilottama parate ◽  
Tony K S ◽  
Sonali chavan ◽  
Shital Gadge ◽  
Kavyasree S

We present an interesting case of epilepsia partialis continua (EPC) responsive to levetiracetam treatment as an acute manifestation of cortical ischemia. A 54 -year-old, right-handed man presented with Epilepsia partialis continua (EPC) ensued as an acute complication of an acute infarct in high parietal region, with clonic jerks of left upper limb, was admitted to our department of general medicine. When the standard treatment with benzodiazepines and phenytoin failed, levetiracetam was started. This completely abolished seizure activity, bringing an improvement of the patient's neurological condition EPC may be an acute complication of cortical ischemic damage and levetiracetam, is an interesting alternative for the treatment of this poorly studied condition.


Cells ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 811
Author(s):  
Camille Boisson ◽  
Minke A. E. Rab ◽  
Elie Nader ◽  
Céline Renoux ◽  
Celeste Kanne ◽  
...  

(1) Background: The aim of the present study was to compare oxygen gradient ektacytometry parameters between sickle cell patients of different genotypes (SS, SC, and S/β+) or under different treatments (hydroxyurea or chronic red blood cell exchange). (2) Methods: Oxygen gradient ektacytometry was performed in 167 adults and children at steady state. In addition, five SS patients had oxygenscan measurements at steady state and during an acute complication requiring hospitalization. (3) Results: Red blood cell (RBC) deformability upon deoxygenation (EImin) and in normoxia (EImax) was increased, and the susceptibility of RBC to sickle upon deoxygenation was decreased in SC patients when compared to untreated SS patients older than 5 years old. SS patients under chronic red blood cell exchange had higher EImin and EImax and lower susceptibility of RBC to sickle upon deoxygenation compared to untreated SS patients, SS patients younger than 5 years old, and hydroxyurea-treated SS and SC patients. The susceptibility of RBC to sickle upon deoxygenation was increased in the five SS patients during acute complication compared to steady state, although the difference between steady state and acute complication was variable from one patient to another. (4) Conclusions: The present study demonstrates that oxygen gradient ektacytometry parameters are affected by sickle cell disease (SCD) genotype and treatment.


Author(s):  
Jean-Benoit le Polain de Waroux ◽  
Jean-Yves Wielandts ◽  
Kris Gillis ◽  
Gabriela Hilfiker ◽  
Antonio Sorgente ◽  
...  

Abstract: Conventional stylet-driven leads with extendable helix can be implanted successfully for Left Bundle Branch Area Pacing (LBBAP) with a low acute complication rate. However, removal and repositioning techniques of these leads haven’t been yet described. We report 2 cases in which lead repositioning after a first unsuccessful attempt to LBBAP was associated with fracture of the helix rotating mechanism and failure to fully extract the pacing lead.


Author(s):  
Grzegorz Kade ◽  
Sebastian Spaleniak ◽  
Artur Maliborski ◽  
Jacek Siewiera ◽  
Stefan Antosiewicz ◽  
...  

Introduction: Air embolism is a rare and potentially fatal acute complication. Its causes are mainly iatrogenic. It requires rapid diagnostics and treatment, including hyperbaric oxygen therapy (HBOT). Aim: The main aim was to present the potential causes of air embolism during hemodialysis (HD) and show the importance of quick clinical diagnosis and therapy – on the base of clinical case. Case study: 65-years old male patient with diabetic nephropathy was treated with HD. The permanent dialysis catheters were used as vascular access due to the difficulties with formation of arteriovenous fistula. The massive air embolism occurred during one of the dialysis sessions. The clinical suspicion was confirmed by CT scan which showed the presence of gas bubbles in abdominal arteries. The cause of air embolism was sensor failure. The presence of patent foramen ovale (PFO) with reversed leakage caused the air ingress into arterial system. Patient was qualified for the immediate hyperbaric therapy. The quick improvement in the condition of the patient took place. Results and discussion: The massive air embolism may occur in HD patients, particularly in those who are dialyzed with use of catheters as vascular access. This rare complication should be considered in the case of sudden worsening of patient condition during HD procedure. The use of CT scan to confirm the air embolism suspicion and availability of HBOT are necessary for successful management of this complication. Conclusions: HBOT is a safe and effective method of air embolism treatment in HD patients.


Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 720-P
Author(s):  
NERIYA LEVRAN ◽  
KINERET MAZOR-ARONOVITCH ◽  
SHOSHANA GRENBERGER ◽  
NOA LEVEK ◽  
BRURIA SHER ◽  
...  

2019 ◽  
pp. 60-62
Author(s):  
Diallo AC ◽  
Tendeng JN ◽  
Ndong A ◽  
Diao ML ◽  
Thiam O ◽  
...  

Background: Ovarian dermoid cyst is a benign congenital tumor. It is often incidentally diagnosed and can be revealed in very rare cases by spontaneous rupture. We report the case of a ruptured ovarian dermal cyst complicated by generalized peritonitis. Case report: This was a 20-year-old female patient, who consulted for abdominal pain associated with fever and vomiting. Physical examination found generalized abdominal contracture. Plain abdominal radiography found pneumoperitoneum. Biology showed leukocytosis at 18000 / mm3. Median laparotomy revealed a collection 2000 cc of pus with a ruptured right ovarian mass. An adnexectomy with lavage of abdominal cavity were performed. Anatomopathological examination concluded to an ovarian dermoid cyst with no sign of malignancy. The postoperative course was uneventful. Conclusion: Rupture of a dermoid cyst of the ovary is a rare acute complication. Examination of the operative specimen is mandatory to eliminate malignancy. Keywords: Ovary; Dermoid cyst; Rupture; Acute complication; Peritonitis; Ovary


2019 ◽  
Vol 12 (5) ◽  
pp. 128-134
Author(s):  
RUSTEM F. KHAMITOV ◽  
◽  
LILIA M. SALIMOVA ◽  
GULNAZ F. MINGALEEVA ◽  
AIGUL R. ZINNATULLINA ◽  
...  

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