scholarly journals Pneumocephalus Following Self-Inflicted Penetrating Brain Injury

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Che-Fang Ho ◽  
Yuan-Yun Tam ◽  
Chia-Chen Wu
Keyword(s):  
Rare Complication ◽  
Bed Rest ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Adequate Treatment ◽  
Cerebrospinal Fluid Rhinorrhea ◽  
Intravenous Antibiotics ◽  
Computed Tomography Scans ◽  
Intravenous Hydration ◽  
Prompt Diagnosis

Objective. Pneumocephalus is a rare complication that often occurs after traumatic skull base injury, leading to morbidity and mortality. Material and Method. We present the case of a 42-year-old healthy man who injured himself when he stuck a metal stick into his left nasal cavity to relieve prolonged nasal obstruction. Immediate cerebrospinal fluid rhinorrhea and subsequent meningitis and pneumocephalus occurred later. He was presented at our hospital with fever and meningeal signs. Result. Computed tomography scans revealed left rhinosinusitis and air collection in the subarachnoid space. The patient received the conservative treatment of bed rest, intravenous hydration, head elevation, and broad-spectrum intravenous antibiotics. Pneumocephalus and meningitis resolved without any surgery, and he experienced no other sequela or complication. Conclusion. Pneumocephalus is a rare incidence and can lead to high morbidity and mortality. Prompt diagnosis and adequate treatment of pneumocephalus and meningitis proved beneficial for our patient who recovered without any complication or surgery.

Subcapsular hepatic haematoma after endoscopic retrograde cholangiopancreatography. A rare complication with high morbidity and mortality

2019 ◽  
Vol 42 (1) ◽  
pp. 23-27
Author(s):  
Jon de la Maza Ortiz ◽  
Seila García Mulas ◽  
Juan Carlos Ávila Alegría ◽  
Javier García Lledó ◽  
Leticia Pérez Carazo ◽  
...  
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Rare Complication ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Endoscopic Retrograde ◽  
Hepatic Haematoma

scholarly journals Tetanus: A Rare Complication of Black Tar Heroin Use

2021 ◽  
Author(s):  
Elisa Pichlinski ◽  
Emily Hoff ◽  
Lindsey Claire Epperson ◽  
Elizabeth Morley ◽  
James Dazhe Cao ◽  
...  
Keyword(s):  
Harm Reduction ◽  
Rare Complication ◽  
High Income ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Heroin Use ◽  
Tetanus Vaccination ◽  
Vaccination Campaigns

Abstract Tetanus is associated with high morbidity and mortality, though rarely encountered in high-income countries. We present a case of tetanus in an unvaccinated patient secondary to black tar heroin use that highlights the importance of consideration of tetanus in appropriate clinical contexts, harm reduction interventions and universal tetanus vaccination campaigns.

scholarly journals Major Vascular Injury during Lumbar Laminectomy

1996 ◽  
Vol 89 (2) ◽  
pp. 108P-109P ◽  
Author(s):  
E Ezra ◽  
J L Richenberg ◽  
W A B Smellie
Keyword(s):  
Early Diagnosis ◽  
Vascular Injury ◽  
Surgical Procedures ◽  
Rare Complication ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Early Stages ◽  
Major Vascular Injury

Major vascular injury during lumbar laminectomy is an extremely rare complication of one of the commonest surgical procedures performed in orthopaedic and neurosurgical units. Its occurrence may be associated with high morbidity and mortality, particularly if it is not diagnosed in the early stages. Early diagnosis and repair is associated with an improved prognosis in the long term. We illustrate these points with a description of two cases, and discuss the anatomical factors predisposing to these injuries and the importance of angiography in the management and early diagnosis of suspected cases.

scholarly journals Coloarticular Fistula: A Rare but Potentially Fatal Complication

2020 ◽  
pp. 1-3
Author(s):  
Valentine Nfonsam ◽  
Agnes Ewongwo ◽  
Nabajit Choudhury ◽  
Pamela Omesiete ◽  
Prakash Matthews ◽  
...  
Keyword(s):  
Hip Joint ◽  
Hip Arthroplasty ◽  
Case Reports ◽  
Rare Complication ◽  
High Morbidity ◽  
Radiologic Evaluation ◽  
Joint Infections ◽  
Negative Findings ◽  
History Of ◽  
Prompt Diagnosis

Introduction: Coloarticular fistula is a very rare entity and is a potential complication after total hip arthroplasty. Discussions surrounding coloarticular fistulas is presented mainly as case reports in the literature. Case: A 66-year-old Caucasian female evaluated at our institution for left hip pain and weakness. Radiologic evaluation showed periprosthetic infection with further discovery of air in the hip joint. Abdominal exploration by general surgery did not show any intraoperative findings concerning for coloarticular fistula. Diagnosis of coloarticular fistula was later made with a gastrograffin enema study following negative findings from MRI of pelvis with contrast. She was treated with distal transverse colostomy. The patient had a difficult post-operative course with sepsis and multi-organ failure that resulted in death. Conclusion: Coloarticular fistula is a rare complication of hip arthroplasty and is associated with high morbidity and mortality rates. This complication should be taken into consideration during evaluation of hip joint infections in patients with history of hip arthroplasty. Despite prompt diagnosis and treatment final outcome may be fatal.

scholarly journals Panton-valentine leukocidin Staphylococcus aureus severe infection in an infant: a case report and a review of the literature

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Massimo Luca Castellazzi ◽  
Samantha Bosis ◽  
Irene Borzani ◽  
Claudia Tagliabue ◽  
Raffaella Pinzani ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Severe Infection ◽  
Bloodstream Infections ◽  
Adequate Treatment ◽  
Case Presentation ◽  
Intravenous Antibiotics ◽  
Clinical Presentations ◽  
Prompt Diagnosis ◽  
Panton Valentine Leukocidin ◽  
Valentine Leukocidin

Abstract Background Panton-Valentine leukocidin (PVL) is one of the major virulence factor of Staphylococcus aureus (SA) that might be associated with invasive life-threating infections. A prompt diagnosis and adequate treatment are essential in achieving the best outcome and avoiding serious sequelae. We describe a case of severe invasive PVL-SA infection in an infant. A literature review starting from 2010 was also performed in order to discuss clinical presentations, radiological findings, treatment and outcome. Case presentation This is a case of a 6-month-old boy who rapidly developed high fever and poor general condition. He was diagnosed as having multiple muscular abscesses, multiple foci of osteomyelitis and bloodstream infections caused by Panton-Valentine leukocidin Methicillin-resistant Staphylococcus aureus. He received intravenous antibiotics and surgical drainage of the abscess with progressive recovery. Conclusion Our report highlights the importance of improving awareness of this severe infection, as a prompt diagnosis and adequate manage is essential in order to save life and to prevent serious complications.

Management of oesophageal anastomosis dehiscence after oesophagectomy for oesophageal cancer

2020 ◽  
Vol 99 (5) ◽  
pp. 200-206
Keyword(s):  
Oesophageal Cancer ◽  
Surgical Procedure ◽  
Anastomotic Dehiscence ◽  
Gastric Conduit ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Therapeutic Algorithm

Oesophagectomy is being used in treatment of several oesophageal diseases, most commonly in treatment of oesophageal cancer. It is a major surgical procedure that may result in various complications. One of the most severe complications is anastomotic dehiscence between the gastric conduit and the oesophageal remnant. Anastomotic dehiscence after esophagectomy is directly linked to high morbidity and mortality. We propose a therapeutic algorithm of this complication based on published literature and our experience by retrospective evaluationof 164 patients who underwent oesophagectomy for oesophageal cancer. Anastomotic dehiscence was present in 29 cases.

Intraorbital Abscess: A Rare Cause of Orbit Compression

FACE ◽  
2021 ◽  
pp. 273250162110050
Author(s):  
Samuel Ruiz ◽  
Rizal Lim
Keyword(s):  
Pediatric Population ◽  
Rare Complication ◽  
Disease Process ◽  
Rare Condition ◽  
External Drainage ◽  
Direct Extension ◽  
Life Threatening ◽  
History Of ◽  
High Index Of Suspicion ◽  
Prompt Diagnosis

Introduction: Intraorbital abscess is a rare complication of rhinosinusitis that affects most commonly the pediatric population. It is thought to be caused by direct extension or venous spread of infections from contiguous sites and can lead to life-threatening complications, like permanent visual loss and cerebral abscesses. Objectives: Intraorbital abscess is a rare condition that requires prompt diagnosis and treatment to avoid serious complications. Our objectives are to provide an overview of this rare disease process and its management including our successful treatment experience. Case Description: We present a 2 case report of a 13-year-old pediatric male and a 66-year-old male with history of chronic sinusitis who presented with a right intraorbital abscess successfully treated with external drainage with decompression of the orbit. Conclusion: When intraorbital abscess is encountered, a high index of suspicion is needed to allow prompt and accurate diagnosis for this infrequent condition. Timely surgical drainage of the abscess is needed to prevent the development of fatal complications.

HYPOTHYROIDISM IN PREGNANCY -SIGNIFICANCE OF ADEQUATE TREATMENT: A STUDY OF 100 CASES IN NORTH BIHAR

2021 ◽  
pp. 40-41
Author(s):  
Vasudha Rani ◽  
Punam Kumari
Keyword(s):  
Post Partum ◽  
Adverse Outcomes ◽  
Endocrine Disorders ◽  
Potential Threat ◽  
Adequate Treatment ◽  
Antibody Positivity ◽  
Prompt Diagnosis ◽  
In Pregnancy

Pregnancy is a nature's gift of humanity for procreation and continuation of its race. This gift is however fraught with several complications and has potential threat to the mother and the foetus. When pregnancy is compounded by endocrine disorders such as hypothyroidism, the potential for maternal and foetal adverse outcomes can be immense. While a lot of attention has been focused on the adverse foetal outcomes consequent to hypothyroidism, attention is also being gradually directed towards the adverse maternal outcomes of this disorder. Role of antibody positivity in inuencing outcomes in a euthyroid woman, also needs further clarication. Prompt diagnosis and treatment of hypothyroidism in pregnancy is very essential. Subclinical hypothyroidism also needs to be detected and treated to prevent adverse outcomes, especially maternal. Since women with hypothyroidism during pregnancy, especially of the autoimmune variety might have a are up of the disorder post-partum, or might continue to require thyroxine replacement post-partum, adequate follow-up is mandatory. While targeted case nding is generally practised, recent evidence seems to indicate that universal screening might be a better option. In conclusion, routine screening, early conrmation of diagnosis and prompt treatment allied with regular post-partum follow up, is required to ensure favourable maternal and foetal outcomes.

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