uncommon complication
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2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Chantelli Iamblaudiot Razafindrazoto ◽  
Noémie Trystram ◽  
Gustavo Miranda Martins ◽  
Christiane Stern ◽  
Frédéric Charlotte ◽  
...  

Abstract Background Acute cellular rejection beyond the 6th month posttransplant is an uncommon complication after liver transplantation. The inadequate immunosuppression (IS) remains the main risk factor. We report a case of acute cellular rejection after a switch to everolimus monotherapy at 11 months following liver transplantation. Case presentation This was a 69-year-old man who underwent liver transplantation after hepatocellular carcinoma. The initial immunosuppression was a combination of three immunosuppressive drugs (corticosteroids + tacrolimus + mycophenolate mofetil). The corticosteroid therapy was stopped at the 4th month posttransplant. Serious side effects of the immunosuppressive drugs (agranulocytosis and renal dysfunction), which occurred 4 months after transplantation, required a reduction and then a discontinuation of tacrolimus and mycophenolate mofetil. Everolimus was introduced as a replacement. The patient was consulted at 11 months after liver transplantation, 1 month after stopping the two immunosuppressive drugs, for liver function test abnormalities such as cytolysis and anicteric cholestasis. A moderate late acute cellular rejection was confirmed by a liver biopsy. A satisfactory biological evolution was observed following corticosteroid boluses and optimization of basic immunosuppressive drugs. Conclusion Late acute cellular rejection remains an uncommon complication, observed mostly in the first year after liver transplantation. The main risk factor is usually the decrease of immunosuppression.


Author(s):  
Linda Marie Schoen ◽  
Mohammed Al Naem ◽  
Florian Geburek ◽  
Michael Röcken

2022 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
MSuresh Babu ◽  
HG Ashoka ◽  
Anusri Adusumilli

2021 ◽  
Vol 31 (3) ◽  
pp. 24-28
Author(s):  
Elisa Siqueira-Mendes ◽  
◽  
Pamella Santana-Nunes ◽  
F BritodeMelo-Silva ◽  
SC Sartoretto-Lorenzi ◽  
...  

Subcutaneous emphysema is described as an uncommon complication resulting from the passage of compressed air to the fascial planes and is associated, in dentistry, with restorative, endodontic treatments, periodontal surgery and extractions, the latter with a higher incidence. Early diagnosis, appropriate approach and ordering of imaging tests prevent secondary complications, such as local infection and progression to deep cervical and thoracic fascial spaces. Thus, the present clinical case reports the transoperative occurrence of subcutaneous emphysema during extraction of the lower third molar, its indicated treatment and how we can avoid this type of complication


Author(s):  
Shristy Mohanty ◽  
Satyabhama Marandi ◽  
Bhismadev Chhatria

Laparoelytrotomy is the accidental delivery via a vaginal incision during caesarean section in second stage of labour. It refers to the inadvertent delivery of the foetus through a transverse incision given over the vagina during a caesarean section (C-section). It is a rather uncommon complication of C-section encountered at advanced dilation which can lead to maternal complications such as traumatic postpartum hemorrhage, injury to bladder, ureters and difficult reconstruction of vagina. Here, we present a case report of inadvertent laparoelytrotomy during C-section.


2021 ◽  
Vol 8 (12) ◽  
pp. 1990
Author(s):  
Manju Reka S. B. ◽  
Arulkumaran Arunagirinathan ◽  
Anupriya Chandrasekaran ◽  
Yuvarajan S.

Necrotizing pneumonia (NP) is an uncommon complication of bacterial pneumonia in children, which must be looked into if a severe pneumonia has poor response to recommended antibiotics. The present case is a toddler with NP in whom fever and cough persisted despite treatment with first-line antimicrobial therapy, computed tomography (CT) scan revealed consolidation with multiple cavities, pseudomonas aeruginosa was the pathogen isolated from bronchoalveolar lavage, which a very uncommon organism is causing NP. Community acquired necrotizing pneumonia caused by pseudomonas is not reported in paediatric population. Hence, we report this case.


2021 ◽  
Vol 79 ◽  
pp. 133-135
Author(s):  
Joseph Kus ◽  
Saem Haque ◽  
Joao Kazan-Tannus ◽  
Anugayathri Jawahar

2021 ◽  
Vol 14 (11) ◽  
pp. e246272
Author(s):  
Shahid Bobat ◽  
Wei Jun How

Inadvertent lead malpositioning into the left ventricle (LV) is an uncommon complication of pacemaker lead implantation. It can have implications on clinical outcome due to ventricular dyssynchrony, and result in further complications such as thrombus formation with subsequent embolisation. This case study reports the clinical, electrocardiographic, plain film and echocardiographic findings of an 82-year-old male in whom the intravenous lead of a dual chamber pacemaker was unintentionally passed into the LV via an atrial septal defect. Inadvertent placement was discovered incidentally following the onset of atrial fibrillation (AF) 17 years later.


2021 ◽  
Vol 116 (1) ◽  
pp. S1199-S1200
Author(s):  
Mahmoud Abdelrahman ◽  
Haritha Mopuru ◽  
Sergio M. Reyes ◽  
Rishi Chadha ◽  
David Regelmann

2021 ◽  
Vol 5 (3) ◽  
pp. 01-03
Author(s):  
Ikrame Boumendil

The thyroid gland is naturally resistant to infectious processes, which explains the rarity of thyroid abscess. It represent about 0.1% of the surgical thyroid pathology. We report in this article a case of thyroid gland abscess in a 61 year-old man who was followed for diabetes and hypothyroidism with poor adherence, who consulted in emergency department for acute neck swelling. CT scan showed a fluid collection of the left thyroid lobe. The patient was operated, and histopathological examination concluded of laryngeal carcinoma associated to thyroid papillary carcinoma.


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