Life‐threatening ventricular arrhythmia as first presentation of Tuberculosis—Early diagnosis and successful treatment: A case series

2020 ◽  
Vol 43 (4) ◽  
pp. 418-422
Author(s):  
Mohan Nair ◽  
Pranav Bhagirath ◽  
Rajesh Gothi ◽  
Gautum Singal ◽  
Pritam Kitey ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Ventricular Arrhythmia ◽  
Successful Treatment ◽  
Case Series ◽  
Life Threatening

Left Stellate Ganglion Block for Refractory Ventricular Tachycardia: A Case Series

2021 ◽  
Vol 104 (3) ◽  
pp. 506-511
Keyword(s):  
Ventricular Tachycardia ◽  
Ventricular Arrhythmia ◽  
Stellate Ganglion ◽  
Case Series ◽  
Stellate Ganglion Block ◽  
Definitive Treatment ◽  
Ganglion Block ◽  
Cardiac Implantable Electronic Devices ◽  
Left Stellate Ganglion ◽  
Life Threatening

Ventricular arrhythmias are usually well controlled with medical management, cardiac implantable electronic devices, or catheter ablation. However, the refractory ventricular tachycardia or fibrillation (VT/VF) is life threatening and challenging. The authors reported a case series of left stellate ganglion blocks (LSGB) in patients with refractory VT/VF, who failed pharmacological treatment and multiple traditional cardiac interventions. Five patients underwent six LSGB. Four patients had significant decreased in ventricular arrhythmia burden. Among the responders, the LSGB suppressed significant VT/VF for three to seven days. Blocks did not only temporary suppress ventricular arrhythmia, but also stabilized the condition and served as a bridge to definitive treatment such as EP ablation or heart transplantation. There was no significant hemodynamic change or devastating side effects. The outcome from the present case series suggested that LSGB could be an effective treatment and a lifesaving intervention frintractable VT/VF. Keywords: Stellate ganglion block, Refractory ventricular tachycardia, Sympathectomy

scholarly journals Congenital Dermal Sinus: case series and the consequences of late diagnosis and treatment

2020 ◽  
Vol 2 (3(September-December)) ◽  
pp. e622020
Author(s):  
Alick Durão Moreira ◽  
Antonio Bellas ◽  
Marcelo Sampaio Poousa ◽  
Rafaeldos Santos Mitraud Mitraud ◽  
Tatiana Protzenko
Keyword(s):  
Early Diagnosis ◽  
Clinical Presentation ◽  
Focal Point ◽  
Case Series ◽  
Diagnosis And Treatment ◽  
Definitive Treatment ◽  
Dermal Sinus ◽  
Lumbar Region ◽  
Image Study ◽  
Life Threatening

Introduction:Congenital Dermal Sinuses (CDS) are rare closed dysraphisms that can present throughout the extent of the neuroaxis. They occur due to a failure of the disjunction of the neuroectoderm and cutaneous ectoderm in a focal point during 3-4 week of embryogenic development. The prevalence of CDS of all types has been estimated to be 1 in 2,500 live births, most commonly localized in the lumbar region. More than half of the cases are associated with dermoid or epidermoid tumors. Clinical presentation of CDS usually consists in cutaneous stigmas like dimples, which has the potential to be diagnosed at birth. However, the majority of patients are diagnosed older and after complications such as meningitis, abscess, osteomyelitis, rupture of an associated epi/dermoid cyst. Once suspected the patient should be submitted to an image study with CT scan and/or MRI, and surgical consultation. Complete exeresis is the definitive treatment. Case report: we present 3 cases of CDS, including an extremely rare case of frontonasal location, to illustrate the extent of the disease and the importance of early diagnosis and treatment. All of the 3 cases presented with complications, requiring surgical treatment and long term antibiotic therapy. Conclusion: Although well reported in the literature, CDS are usually diagnosed after complications. The knowledge of clinical presentation, early diagnosis and treatment are essential to prevent its life threatening complications. 

MR IMAGING OF RHINO-ORBITAL-CEREBRAL MUCORMYCOSIS IN POST COVID PATIENT: CASE SERIES

2021 ◽  
pp. 38-40
Author(s):  
Anupriya Mishra ◽  
Ravi Shankar Choubey
Keyword(s):  
Early Diagnosis ◽  
Mr Imaging ◽  
Fungal Infection ◽  
Nasal Cavity ◽  
Paranasal Sinuses ◽  
Rhizopus Oryzae ◽  
Case Series ◽  
Patient Case ◽  
Orbital Cavity ◽  
Life Threatening

Rhino-orbital-cerebral Mucormycosis also known as orbital zygomycosis. It is a life-threatening deadly complication in post covid patient presenting as pathological involvement of nasal cavity and paranasal sinuses with extension into orbital cavity and intracranial compartment as a result of fungal infection caused by fungi in the order Mucorales, mainly Rhizopus oryzae. MATERIAL AND METHOD We present a case series of 5 patient who were biopsy/culture proven invasive rhino cerebral Mucormycosis in post covid-19 patient who were reviewed on MR imaging. MR imaging were recovered from PACS in PMCH Patna and the data was analyzed. RESULT Involvement of para nasal sinuses with adjacent fat standing was present in 100%, orbital involvement was seen in 80%, intracerebral involvement was seen in 60%, mastoiditis was present in 40% of the patient selected in our case series. CONCLUSION MR imaging is helpful in early diagnosis when there is involvement of nasal, paranasal sinus and varying degree of orbital and cranial extension and associated with varying complication

Cranial Ultrasound Is an Important Tool in the Recognition of Life-Threatening Infratentorial Hemorrhage in Newborns

2020 ◽  
Author(s):  
A. van Steenis ◽  
M. Fumagalli ◽  
M. C. Kruit ◽  
C. M. P. C. D. Peeters-Scholte ◽  
L. S. de Vries ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Brain Stem ◽  
Obstructive Hydrocephalus ◽  
Case Series ◽  
Diagnosis And Treatment ◽  
Cranial Ultrasound ◽  
Ultrasound Scanning ◽  
Life Threatening ◽  
Neurosurgical Intervention ◽  
Ultrasound Features

AbstractTimely detection of severe infratentorial hemorrhage in neonates is crucial, especially in case of life-threatening brain stem compression and/or acute obstructive hydrocephalus, which need lifesaving neurosurgical intervention. Although the detection of infratentorial hemorrhage by ultrasound scanning is often considered as difficult, the use of additional acoustic windows and recognition of characteristic ultrasound features facilitate early diagnosis. In this case series, we report on newborns with severe, symptomatic infratentorial hemorrhage detected primarily by cranial ultrasound. We demonstrate the characteristic ultrasound features present in all cases and discuss how ultrasound diagnosis contributed to early diagnosis and treatment.

Successful Treatment of Congenital Shoulder Luxation in a Dog by Closed Pinning

1994 ◽  
Vol 07 (04) ◽  
pp. 170-172 ◽  
Author(s):  
R. A. Read
Keyword(s):  
Early Diagnosis ◽  
Successful Treatment ◽  
Humeral Head ◽  
One Year

Congenital shoulder luxation in the dog is commonly associated with deformity of the humeral head and glenoid, making reduction and stabilization difficult. Early diagnosis of congenital luxation of the shoulder in a Papillon made it possible to successfully reduce and stabilize the luxation using a closed pinning technique. One year later the joint was functionally and radiographically normal.

scholarly journals Case Series of Three Patients with Rifampicin-Induced Thrombocytopenia

2020 ◽  
Author(s):  
Chandramouli M.T
Keyword(s):  
Pulmonary Tuberculosis ◽  
Adverse Reactions ◽  
Rare Complication ◽  
Case Series ◽  
Tuberculosis Treatment ◽  
Effective Drug ◽  
Antitubercular Drugs ◽  
Short Course ◽  
Life Threatening

AbstractLife-threatening adverse reactions of antitubercular drugs are uncommon; however, thrombocytopenia is one such rare complication encountered with rifampicin, isoniazid, ethambutol, and pyrazinamide. Rifampicin is the most effective drug and its use in the tuberculosis treatment led to the emergence of modern and effective short-course regimens. I am reporting case series of three patients with pulmonary tuberculosis presented with rifampicin-induced thrombocytopenia.

scholarly journals Treatment and therapeutic strategies for pituitary apoplexy in pregnancy: a case series

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Yuya Kato ◽  
Yoshikazu Ogawa ◽  
Teiji Tominaga
Keyword(s):  
Pituitary Apoplexy ◽  
Clinical Symptoms ◽  
Case Series ◽  
Optimal Timing ◽  
Presenting Symptoms ◽  
Pathological Evaluation ◽  
Mother And Child ◽  
Life Threatening ◽  
In Pregnancy

Abstract Background Pregnancy is a known risk factor for pituitary apoplexy, which is life threatening for both mother and child. However, very few clinical interventions have been proposed for managing pituitary apoplexy in pregnancy. Case presentation We describe the management of three cases of pituitary apoplexy during pregnancy and review available literature. Presenting symptoms in our case series were headache and/or visual disturbances, and the etiology in all cases was hemorrhage. Conservative therapy was followed until 34 weeks of gestation, after which babies were delivered by cesarean section with prophylactic bolus hydrocortisone supplementation. Tumor removal was only electively performed after delivery using the transsphenoidal approach. All three patients and their babies had a good clinical course, and postoperative pathological evaluation revealed that all tumors were functional and that they secreted prolactin. Conclusions Although the mechanism of pituitary apoplexy occurrence remains unknown, the most important treatment strategy for pituitary apoplexy in pregnancy remains adequate hydrocortisone supplementation and frequent hormonal investigation. Radiological follow-up should be performed only if clinical symptoms deteriorate, and optimal timing for surgical resection should be discussed by a multidisciplinary team that includes obstetricians and neonatologists.

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