Severe water intoxication secondary to the concomitant intake of non-steroidal anti-inflammatory drugs and desmopressin: a case report and review of the literature

HORMONES ◽  
2013 ◽  
Vol 12 (1) ◽  
pp. 135-141 ◽  
Author(s):  
Elisa Verrua ◽  
Giovanna Mantovani ◽  
Emanuele Ferrante ◽  
Andrea Noto ◽  
Elisa Sala ◽  
...  
Keyword(s):  
Case Report ◽  
Water Intoxication ◽  
Review Of The Literature ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

Desmopressin and non-steroidal anti-inflammatory drugs: A case report of severe water intoxication during replacement therapy

2012 ◽  
Vol 73 (2) ◽  
pp. 152
Author(s):  
Elisa Verrua ◽  
Giovanna Mantovani ◽  
Andrea Noto ◽  
Emanuele Ferrante ◽  
Elisa Sala ◽  
...  
Keyword(s):  
Case Report ◽  
Replacement Therapy ◽  
Water Intoxication ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

scholarly journals Beyond the guidelines management of juvenile idiopathic arthritis: a case report of a girl with polyarticular disease refractory to multiple treatment options and Leri Weill syndrome

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Vana Vukić ◽  
Ana Smajo ◽  
Mandica Vidović ◽  
Rudolf Vukojević ◽  
Miroslav Harjaček ◽  
...  
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Case Report ◽  
Treatment Options ◽  
Janus Kinase ◽  
Musculoskeletal Symptoms ◽  
Multiple Treatment ◽  
Number Of Patients ◽  
Systemic Glucocorticoids ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

Abstract Background The last two decades brought new treatment options and high quality guidelines into the paediatric rheumatologic practice. Nevertheless, a number of patients still present a diagnostic and therapeutic challenge due to combination of vague symptoms and unresponsiveness to available treatment modalities. Case presentation We report a case of sixteen years old girl suffering from polyarticular type of juvenile idiopathic arthritis refractory to multiple treatment options. She first presented at the age of 4 with swelling and contractures of both knees. Her symptoms were initially unresponsive to nonsteroidal anti-inflammatory drugs and progressed despite treatment with intraarticular and systemic glucocorticoids and methotrexate. Throughout the years, she received several biologics together with continuous administration of nonsteroidal anti-inflammatory drugs and disease modifying anti-rheumatic drugs as well as intraarticular and systemic glucocorticoids in disease flares. However, none of this options  provided a permanent remission, so various other modalities, as well as other possible diagnoses were constantly being considered. Eventually she became dependent on a daily dose of systemic glucocorticoids. In 2018, the treatment with Janus kinase inhibitor tofacitinib was initiated, which led to gradual amelioration of musculoskeletal symptoms, improvement of inflammatory markers and overall well-being, as well as to the weaning of systemic glucocorticoids. As the swelling of the wrists subsided for the first time in many years, Madelung’s deformity was noticed, first clinically, and later radiographically as well. Genetic analysis revealed short-stature homeobox gene deficiency and confirmed the diagnosis of Leri Weill syndrome. Conclusions This case report emphasizes the need for reporting refractory, complicated cases from everyday clinical practice in order to build-up the overall knowledge and share experience which is complementary to available guidelines. Individual reports of difficult to treat cases, especially when additional diagnoses are involved, can be helpful for physicians treating patients with common rheumatological diseases such as juvenile idiopathic arthritis.

scholarly journals Acute Myopericarditis in a Pediatric Patient after First Dose of Pfizer BioNTech COVID - 19 Vaccination: First Case Report in the Kingdom of Bahrain

2021 ◽  
Vol 33 (4) ◽  
pp. 29-32
Author(s):  
Ghada Al Qassim ◽  
Vimalarani Arulselvam ◽  
Suad R Al Amer ◽  
Salah Al Ghanem ◽  
Neale Nicola Kalis
Keyword(s):  
Case Report ◽  
Adverse Events ◽  
Pediatric Patient ◽  
Task Force ◽  
Limited Data ◽  
First Case ◽  
National Task ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

Coronavirus disease 201 9 (COVID - 1 9 ) vaccination for children over 12 years of age began on May 2021 in the kingdom of Bahrain. Very limited data is available regarding the adverse events related to COVID -19 vaccination in children. This is a case report of a 12-year-old previously healthy boy with acute myopericarditis who presented on day 5 after the first dose of Pfizer COVID - 19 vaccination. Other causes of acute myopericarditis were ruled out. He was treated with non - steroidal anti-inflammatory drugs and recovered fully. This case of vaccine-induced myocarditis was reported to the national task force of Bahrain for combating COVID - 19.

scholarly journals Actinic cheilitis: a case report and a review of the literature

2016 ◽  
Vol 31 (1) ◽  
pp. 45
Author(s):  
Dasaiev M. Dutra ◽  
Maria Auxiliadora G do Nascimento ◽  
Maria Sueli Marques Soares
Keyword(s):  
Case Report ◽  
Triamcinolone Acetonide ◽  
Acute Phase ◽  
Inflammatory Process ◽  
Premalignant Lesions ◽  
Review Of The Literature ◽  
Actinic Cheilitis ◽  
Anti Inflammatory ◽  
Term Maintenance

Objective: This article presents a case report of actinic cheilitis with an acute inflammatory process and need for anti- inflammatory treatment.Case Report: Triamcinolone acetonide in Orabase was prescribed 3 times a day for 15 days, and the patient was advised to use sunscreen and hats. After 7 days, there was a significant improvement in the acute phase and the patient was kept under observation.Conclusion: It is emphasized that it is important to intervene in the evolution of the inflammatory process in premalignant lesions in order to prevent its long-term maintenance.

scholarly journals Gynecomastia in a Patient Taking Meloxicam—A Case Report

2020 ◽  
Vol 11 ◽  
pp. 215013272095262
Author(s):  
Steven L. Rosas ◽  
Mark E. Deyo-Svendsen ◽  
Rachel Z. Oldfather ◽  
Michael R. Phillips ◽  
T. Andrew Israel ◽  
...  
Keyword(s):  
Case Report ◽  
Male Breast ◽  
Medical Illness ◽  
Glandular Tissue ◽  
Adult Men ◽  
Antiretroviral Medications ◽  
Causative Agents ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

Gynecomastia is benign enlargement of glandular tissue in the male breast. It occurs due to an imbalance of estrogen and testosterone. It may be unilateral or bilateral. Physiologic gynecomastia commonly occurs in infants and during puberty and is self-limited. Gynecomastia may affect up to 50% of adult men over age 50 years old and can be related to underlying medical illness or caused by certain medications. Known causative agents include anti-androgenic and estrogenic drugs. Probable agents include alcohol and anti-ulcer, psychoactive, and antiretroviral medications. Non-steroidal anti-inflammatory drugs (NSAIDs) are not commonly associated with the development of gynecomastia. This case presents an instance in which the NSAID, meloxicam, was the only identified variable in a patient who developed unilateral gynecomastia. His breast tenderness and abnormal exam resolved spontaneously within 4 weeks of cessation of meloxicam therapy.

scholarly journals Nonsteroidal anti‐inflammatory drugs are effective against postorgasmic illness syndrome: A case report

2020 ◽  
Vol 3 (4) ◽  
pp. 96-97
Author(s):  
Kenta Arata ◽  
Risa Tamagawa‐Mineoka ◽  
Akifumi Ohshita ◽  
Koji Masuda ◽  
Norito Katoh
Keyword(s):  
Case Report ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

scholarly journals Meningitis due to non-steroidal anti-inflammatory drugs: an often-overlooked complication of a widely used medication

2019 ◽  
Vol 12 (11) ◽  
pp. e231619 ◽  
Author(s):  
Florian Desgranges ◽  
Nathalie Tebib ◽  
Olivier Lamy ◽  
Antonios Kritikos
Keyword(s):  
Complete Resolution ◽  
Viral Infections ◽  
Empirical Therapy ◽  
Neurological Sequela ◽  
Review Of The Literature ◽  
Acute Meningitis ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
Tension Type Headaches

A 40-year-old man developed aseptic meningitis after ibuprofen consumption for tension-type headaches. After a thorough diagnostic workup and lack of improvement on empirical therapy for common aetiologies of meningitis (bacterial and viral infections), we suspected non-steroidal anti-inflammatory drug (NSAID) induced meningitis due to the temporal relationship between drug administration and symptom onset. Two days after NSAID suppression, the evolution was progressively favourable with complete resolution of fever and symptoms. On follow-up, symptoms did not recur and there was no neurological sequela. This article summarises the clinical picture and the complementary exams that led to the difficult-to-make diagnosis of NSAID-induced acute meningitis, in parallel with a brief review of the literature.

scholarly journals Primary Chronic Osteomyelitis of the Jaws in Children: An Update on Pathophysiology, Radiological Findings, Treatment Strategies, and Prospective Analysis of Two Cases

2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
Caroline Berglund ◽  
Karin Ekströmer ◽  
Jahan Abtahi
Keyword(s):  
Chronic Osteomyelitis ◽  
Treatment Strategies ◽  
Joint Involvement ◽  
Surgical Removal ◽  
Review Of The Literature ◽  
Clinical Recurrence ◽  
Female Ratio ◽  
First Choice ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

Objective.Primary chronic osteomyelitis (PCO) of the jaws in children is associated with pain, trismus, and swelling. In children, temporomandibular joint involvement is rare and few studies have been published due to the relatively low incidence. This paper presents two cases of mandibular PCO in children with the involvement of the collum mandibulae. In addition, a review of the literature regarding demographic data, histological, radiological, and laboratory findings, and treatment strategies of PCO was also performed.Material and Methods.Prospective analyses of two PCO cases. A PubMed search was used and the articles were sorted according to their corresponding key area of focus.Results.Review of the literature revealed twenty-four cases of PCO with two cases of mandibular condyle involvement. The mean age was 18 years; the male to female ratio was 1 : 3. Most of the patients were treated with anti-inflammatory drugs in combination with decortication. Clinical recurrence was seen in 7 cases.Conclusion.A combination of anti-inflammatory drugs and surgical intervention appears to be the first choice of treatment. However, surgical removal of necrotic tissue adjacent to collum mandibulae has its limitations in children. Further investigations are of utmost importance in order to increase our knowledge and understanding of this disease.

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