scholarly journals Post-Traumatic Meningitis: Case-Based Review of Literature from Internists’ Perspective

2021 ◽  
pp. 41-49
Author(s):  
Shubhabrata Das ◽  
Tanmoy Pal
Keyword(s):  
Head Trauma ◽  
Antimicrobial Treatment ◽  
Neurosurgical Procedures ◽  
Cerebrospinal Fluid Rhinorrhea ◽  
Holistic Management ◽  
History Of ◽  
Post Traumatic ◽  
Closed Head Trauma ◽  
Timely Referral

Most cases of post-traumatic meningitis (PTM) occur following immediate head trauma or neurosurgical procedures. Hence, internists do not often come across these patients. However, closed-head trauma can be associated with community-acquired meningitis (CAM), and this history can often be missed especially if it is remote or trivial in nature. Therefore, meticulous clinical assessment is necessary to identify cases of community-acquired PTM. Knowledge about pathophysiological, anatomical, and microbiological context of community-acquired PTM is required in order to manage these patients. The role of internist is to provide holistic management in these patients which includes not only antimicrobial treatment but also timely referral to surgical specialties if required as well as vaccination to prevent further episodes. Here, we present a case of CAM with remote history of close head trauma and cerebrospinal fluid rhinorrhea for years who was found to have base of skull (BOS) defect on imaging of skull. He was treated with antibiotics and referred to surgical specialties for repair of BOS defect as well as given pneumococcal vaccine to prevent further episodes of meningitis.

scholarly journals The psychedelic renaissance and the limitations of a White-dominant medical framework: A call for indigenous and ethnic minority inclusion

2019 ◽  
Vol 4 (1) ◽  
pp. 4-15 ◽  
Author(s):  
Jamilah R. George ◽  
Timothy I. Michaels ◽  
Jae Sevelius ◽  
Monnica T. Williams
Keyword(s):  
Scientific Progress ◽  
Research Participation ◽  
Sociocultural Factors ◽  
Post Traumatic Stress ◽  
Traditional Role ◽  
Treatment Development ◽  
Inclusive Approach ◽  
History Of ◽  
Post Traumatic

In recent years, the study of psychedelic science has resurfaced as scientists and therapists are again exploring its potential to treat an array of psychiatric conditions, such as depression, post-traumatic stress disorder, and addiction. The scientific progress and clinical promise of this movement owes much of its success to the history of indigenous healing practices; yet the work of indigenous people, ethnic and racial minorities, women, and other disenfranchised groups is often not supported or highlighted in the mainstream narrative of psychedelic medicine. This review addresses this issue directly: first, by highlighting the traditional role of psychedelic plants and briefly summarizing the history of psychedelic medicine; second, through exploring the historical and sociocultural factors that have contributed to unequal research participation and treatment, thereby limiting the opportunities for minorities who ought to be acknowledged for their contributions. Finally, this review provides recommendations for broadening the Western medical framework of healing to include a cultural focus and additional considerations for an inclusive approach to treatment development and dissemination for future studies.

scholarly journals Post-traumatic tension pneumocephalus and cystic angiomatosis of the skull: case report

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Haythem H. Osman ◽  
Nazik E. Abdullah ◽  
Ghada S. Alhassan ◽  
Tarig A. Nafie ◽  
Murtada I. Abdellatief ◽  
...  
Keyword(s):  
Head Trauma ◽  
Soft Tissues ◽  
English Literature ◽  
Tension Pneumocephalus ◽  
Bony Lesions ◽  
History Of ◽  
Post Traumatic ◽  
Temporal Bones ◽  
Defective Bone ◽  
Cystic Angiomatosis

Abstract Background Tension pneumocephalus is an increasing air trapped intracranially. Either spontaneous, post-traumatic or iatrogenic in origin. Cystic angiomatosis is a benign vascular hamartoma of the skeleton, when acquired it is either due to trauma or infection. This is the second report in English literature of post-traumatic delayed tension pneumocephalus with the development of cystic angiomatosis of the skull bone. Case presentation A 55-year-old gentlemen, presented with scalp swelling of 6-month duration with history of head trauma 2 years back. The swelling was increasing and associated with progressive walking difficulties and left hearing loss. CT scan and MRI revealed extradural pneumocephalus, parietal and occipital pneumatocele, and multiple lytic bony lesions, left mastoid hyperpneumatization with inner table defect communicating with the extradural space. Diagnosis of delayed extradural tension pneumocephalus was made. Surgical exploration revealed multiple bony defects of parietal, temporal and squamous part of left temporal bones, confirmed extradural pneumocephalus with intact dura. Repair of mastoid defect of (0.5 × 0.5 cm), excision of pneumatocele and removal of lytic bones were performed. Defective bone “cribriform-like” was identified at occipital and parietal regions centrally with a defect of nearly 7 × 7 cm. Future cranioplasty was considered after 6 months. Histology of bony chips and surrounding soft tissues is recognized as cystic angiomatosis. Conclusions The present case developed two very rare complications, following trivial head trauma; the first complication was delayed extradural tension pneumocephalus with pneumatocele which presented 2 years after trauma, the origin of air was from a defect of the inner table of the mastoid, the second complication was cystic angiomatosis of the skull bones. Both complications were managed surgically in one operative session as a combined neurosurgery and otolaryngology teams approach.

Role of High Resolution Ultrasound and Magnetic Resonance Imaging in Traumatic Soft Tissue Injuries of the Wrist and Hand

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mounir Sobhy Guirguis ◽  
Hossam Moussa Sakr ◽  
Ahmed Naeem Atiyya ◽  
Shaimaa Abdelsattar Mohammad ◽  
Ghada Yahia Hassanien Mostafa
Keyword(s):  
Soft Tissue ◽  
Clinical Diagnosis ◽  
Soft Tissue Injuries ◽  
Final Diagnosis ◽  
History Of ◽  
Post Traumatic ◽  
Tissue Injuries ◽  
Operative Findings ◽  
Higher Sensitivity

Abstract Aim of the Work To assess the role of ultrasound in the diagnosis of traumatic soft tissue injuries of hand and wrist. Patients and Method This study includes 30 patients with a mean age of 42.17 years ±9, all with history of traumatic soft tissue injuries in hand and wrist, all patients underwent ultrasound and MRI. The U/S&MRI diagnostic criteria of each patient were analyzed, compared and correlated with clinical diagnosis/ or operative findings . Results A comparison of the sensitivity of US versus MRI was done by correlating the final diagnosis of each modality with clinical diagnosis and/or operative findings. In general as regard all types of soft tissue injuries we found that, in correlation with clinical diagnosis US gives (93.3% sensitivity), while MRI gives (73.3% sensitivity). US & MRI result shows agreement in detection of all types of post traumatic soft tissue injuries except in chronic tendinopathy, tendon fibrosis ,and chronic tendon tear heals by fibrosis we found no agreement between them (in which ultrasound can diagnose them, while MRI couldn’t detect them). Conclusion Ultrasound shows higher sensitivity in diagnosis of soft tissue injuries of hand and wrist than MRI, as compared to operative findings and /or clinical data.

Writing the biofictive: Caryl Phillips and The Lost Child

2018 ◽  
Vol 55 (3) ◽  
pp. 347-360 ◽  
Author(s):  
Stephen Clingman
Keyword(s):  
Dominant Focus ◽  
Time And Space ◽  
Wuthering Heights ◽  
Caryl Phillips ◽  
History Of ◽  
Bona Fide ◽  
Post Traumatic ◽  
Lost Child

This article is an exploration of the biofictive in Caryl Phillips’s writing, in particular in his novel The Lost Child (2015). The term “biofiction” has been in critical use for some 20 years, but is in general under-theorized. The article intends to help fill that gap by considering the biofictive in Phillips’s work as a form of postcolonial epistemology. It also introduces a new but logical dimension by setting the biofictive in conversation with biopolitics. However, whereas the dominant focus in discussions of the biopolitical (formulations from Foucault to Agamben and beyond) concerns the structures and dispositions of power, the role of the biofictive is inflected differently insofar as it both acknowledges a history of power but also creates a space of narrative alterity and resistance. In Phillips’s work this is revealed both in his nonfiction and fiction, not least where the two are combined; and it is especially evident in the multimodal operations of his fiction, dispersed across time and space in the aftermath of slavery, migration, and empire. We see all this in The Lost Child, which also introduces a complex rereading of Emily Brontë’s Wuthering Heights. Overall, Phillips’s version of the postcolonial is capacious, intersecting with other forms of post-traumatic and fugitive experience. The biofictive becomes a bona fide form of knowledge in our postcolonial, post-imperial moment.

The role of prepulse inhibition in medication management of PTSD: A case report

2013 ◽  
Vol 2 (7) ◽  
pp. 209-212
Author(s):  
Emily N. Gray ◽  
Michael D. Shuman ◽  
Ian R. McGrane
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Medication Management ◽  
Traumatic Experience ◽  
Post Traumatic Stress ◽  
History Of ◽  
Post Traumatic ◽  
Patient’S History

Post traumatic stress disorder (PTSD) is defined as an anxiety disorder that can appear after exposure to a traumatic experience. This article will review a patient's history of PTSD, and course of treatment. A discussion on the available agents to properly treat this case will also be discussed.

Acquired Bilateral Superior Oblique Palsy: A Localising Sign in the Dorsal Midbrain

1997 ◽  
Vol 7 (3) ◽  
pp. 271-276 ◽  
Author(s):  
D.B. Barr ◽  
R.M. Mcfadzean ◽  
D. Hadley ◽  
A. Ramsay ◽  
C.A. Houston ◽  
...  
Keyword(s):  
Head Trauma ◽  
Ocular Motility ◽  
Superior Oblique Palsy ◽  
Closed Head ◽  
History Of ◽  
Closed Head Trauma ◽  
Single Lesion ◽  
Superior Oblique

Bilateral superior oblique palsy is an uncommon ocular motility problem, the commonest cause being closed head trauma. Two cases, both adults, are presented in whom bilateral superior oblique palsy occurred as a result of neoplastic infiltration of the dorsal midbrain in the region of the anterior medullary velum. In the absence of a history of head trauma, the presence of an acquired bilateral superior oblique palsy is a definite sign of a single lesion in the region of the decussation of the trochlear nerves and appropriate imaging is indicated.

scholarly journals The Role of a Rapid Prevention of Ralstonia pickettii Growth during Dialysis in a Frail Patient

Reports ◽  
2021 ◽  
Vol 4 (4) ◽  
pp. 39
Author(s):  
Manuela Colosimo ◽  
Maria Lucia Citraro ◽  
Cinzia Donato ◽  
Filippo Luciani ◽  
Luca Gallelli ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Renal Failure ◽  
Bacterial Infection ◽  
Clinical History ◽  
Antimicrobial Treatment ◽  
Ralstonia Pickettii ◽  
Pseudomonas Species ◽  
History Of ◽  
Systemic Infections

Ralstonia pickettii is an opportunistic bacillus found in Pseudomonas species, with the ability to induce systemic infections. We report the case of a 69-year-old man, with a clinical history of myeloma, Type IIdiabetes, renal failure (grade IV), and colon cancer, that developed a severe bacterial infection, with acute asthenia and a fever, that appeared at the end of dialysis. Using theMALDI-TOF technology, the bacillus Ralstonia pickettii was identified, and an antimicrobial treatment was quickly started with a rapid microbiological remission.

scholarly journals Horses as a Crucial Part of One Health

2020 ◽  
Vol 7 (1) ◽  
pp. 28 ◽  
Author(s):  
Nelly Sophie Lönker ◽  
Kim Fechner ◽  
Ahmed Abd El Wahed
Keyword(s):  
Low Income ◽  
One Health ◽  
Emerging Diseases ◽  
Hendra Virus ◽  
Low Income Countries ◽  
History Of ◽  
Post Traumatic ◽  
The Relationship ◽  
Crucial Part

One Health (OH) is a crucial concept, where the interference between humans, animals and the environment matters. This review article focusses on the role of horses in maintaining the health of humans and the environment. Horses’ impact on environmental health includes their influence on soil and the biodiversity of animal and plant species. Nevertheless, the effect of horses is not usually linear and several factors like plant–animal coevolutionary history, climate and animal density play significant roles. The long history of the relationship between horses and humans is shaped by the service of horses in wars or even in mines. Moreover, horses were essential in developing the first antidote to cure diphtheria. Nowadays, horses do have an influential role in animal assisted therapy, in supporting livelihoods in low income countries and as a leisure partner. Horses are of relevance in the spillover of zoonotic and emerging diseases from wildlife to human (e.g., Hendra Virus), and in non-communicable diseases (e.g., post-traumatic osteoarthritis in horses and back pain in horse riders). Furthermore, many risk factors—such as climate change and antimicrobial resistance—threaten the health of both horses and humans. Finally, the horse is a valuable factor in sustaining the health of humans and the environment, and must be incorporated in any roadmap to achieve OH.

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