scholarly journals An Unusual Case of Mixed Respiratory Capillariosis in a Dog

Pathogens ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 117
Author(s):  
Simone Morelli ◽  
Giuseppe Marruchella ◽  
Alessandra Passarelli ◽  
Anastasia Diakou ◽  
Angela Di Cesare ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Mixed Infection ◽  
Unusual Case ◽  
Present Report ◽  
Wild Animals ◽  
Neurological Signs ◽  
Wild Carnivores ◽  
Life Threatening ◽  
Capillaria Aerophila ◽  
Capillaria Boehmi

Nematodes belonging to the genus Capillaria infect a range of domestic and wild animals. Capillaria aerophila and Capillaria boehmi cause respiratory parasitoses in dogs and wild carnivores, e.g., foxes and mustelids, although they are often overlooked in canine clinical practice. The present report describes an unusual case of a severe and mixed infection by C. aerophila and C. boehmi in a privately housed dog that showed acute and life-threatening respiratory and neurological signs. Clinic-pathologic and epizootiological implications are described and discussed.

scholarly journals Prevention and management of major complications in percutaneous endoscopic gastrostomy

2021 ◽  
Vol 8 (1) ◽  
pp. e000628
Author(s):  
Kurt Boeykens ◽  
Ivo Duysburgh
Keyword(s):  
Clinical Practice ◽  
Abdominal Wall ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Early Recognition ◽  
Endoscopic Technique ◽  
Abdominal Wound ◽  
Review Of The Literature ◽  
Endoscopic Gastrostomy ◽  
Major Complications ◽  
Life Threatening

BackgroundPercutaneousendoscopic gastrostomy is a commonly used endoscopic technique where a tube isplaced through the abdominal wall mainly to administer fluids, drugs and/orenteral nutrition. Several placement techniques are described in the literaturewith the ‘pull’ technique (Ponsky-Gardener) as the most popular one.Independent of the method used, placement includes a ‘blind’ perforation of thestomach through a small acute surgical abdominal wound. It is a generally safetechnique with only few major complications. Nevertheless these complicationscan be sometimes life-threatening or generate serious morbidity.MethodAnarrative review of the literature of major complications in percutaneousendoscopic gastrostomy.ResultsThis review was written from a clinical viewpoint focussing on prevention andmanagement of major complications and documentedscientific evidence with real cases from more than 20 years of clinical practice.ConclusionsMajorcomplications are rare but prevention, early recognition and popper management areimportant.

Updates and Advances: Pediatric Musculoskeletal Infection Imaging Made Easier for Radiologists and Clinicians

2021 ◽  
Vol 25 (01) ◽  
pp. 167-175
Author(s):  
Michael S. Furman ◽  
Ricardo Restrepo ◽  
Supika Kritsaneepaiboon ◽  
Bernard F. Laya ◽  
Domen Plut ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Imaging Techniques ◽  
Daily Clinical Practice ◽  
Infants And Children ◽  
Imaging Evaluation ◽  
Musculoskeletal Infection ◽  
Wide Range ◽  
Life Threatening ◽  
Optimal Patient Management

AbstractInfants and children often present with a wide range of musculoskeletal (MSK) infections in daily clinical practice. This can vary from relatively benign superficial infections such as cellulitis to destructive osseous and articular infections and life-threatening deep soft tissue processes such as necrotizing fasciitis. Imaging evaluation plays an essential role for initial detection and follow-up evaluation of pediatric MSK infections. Therefore, a clear and up-to-date knowledge of imaging manifestations in MSK infections in infants and children is imperative for timely and accurate diagnosis that, in turn, can result in optimal patient management. This article reviews an up-to-date practical imaging techniques, the differences between pediatric and adult MSK infections, the spectrum of pediatric MSK infections, and mimics of pediatric MSK infections encountered in daily clinical practice by radiologists and clinicians.

scholarly journals Vibrio vulnificus necrotizing fasciitis associated with acupuncture

2015 ◽  
Vol 7 (3) ◽  
Author(s):  
Yael Kotton ◽  
Soboh Soboh ◽  
Naiel Bisharat
Keyword(s):  
Necrotizing Fasciitis ◽  
Unusual Case ◽  
Vibrio Vulnificus ◽  
Needle Insertion ◽  
Infectious Complications ◽  
Alcoholic Fatty Liver ◽  
Acupuncture Needle ◽  
Life Threatening ◽  
Subcutaneous Tissues ◽  
Alcoholic Fatty Liver Disease

Necrotizing fasciitis is a severe life-threatening infection of the deep subcutaneous tissues and fascia. Infection with <em>Vibrio vulnificus</em>, a halophilic Gram-negative bacillus found worldwide in warm coastal waters, can lead to severe complications, particularly among patients with chronic liver diseases. We herein present an unusual case of necrotizing fasciitis caused by <em>V</em>. <em>vulnificus</em> triggered by acupuncture needle insertion. The patient, who suffered from diabetes mellitus and non-alcoholic fatty liver disease and worked at a fish hatchery, denied any injury prior to acupuncture. This is the first ever reported case of <em>V. vulnificus</em> infection triggered by acupuncture needle insertion, clearly emphasizing the potential hazards of the prolonged survival of <em>V. vulnificus</em> on the skin. The potential infectious complications of acupuncture needle insertion are discussed.

scholarly journals First occurrence of Amblyomma ovale in the State of Rio Grande do Norte, Brazil

2013 ◽  
Vol 22 (1) ◽  
pp. 167-170 ◽  
Author(s):  
Caroline Gracielle Torres Ferreira ◽  
Ana Carla Diógenes Suassuna Bezerra ◽  
Otávio Valério de Carvalho ◽  
Márcia Rogéria de Almeida ◽  
Claudio Mafra
Keyword(s):  
Tick Species ◽  
Rio Grande ◽  
The State ◽  
Boophilus Microplus ◽  
Domestic Dogs ◽  
Wild Animals ◽  
Emerging Pathogens ◽  
Wild Carnivores ◽  
Amblyomma Ovale ◽  
First Occurrence

This study aims to report the occurrence of parasitism byAmblyomma ovale (Koch, 1844) in dogs in the municipality of Apodi, Rio Grande do Norte, Brazil. Specimens were identified as being one female and two males of A. ovale, besides; the animal was infested by five females of Rhipicephalus(Boophilus) microplus and seven females and three males of R. sanguineus. The finding ofA. ovale confirms results in the literature that these ticks, reported in several species of wild carnivores, can also infect dogs in Brazil. The distribution of this tick species in several Brazilian states has already been confirmed, but this is the first report in the State of Rio Grande do Norte. This finding highlights the risk of the carrying of emerging and re-emerging pathogens to peridomestic hosts are as, either because of the frequency of these ticks in wild environments or the presence of infected wild animals near peridomestic environments, exposing domestic dogs to parasitism byA. ovale ticks and, therefore, to agents potentially carried by this ectoparasite.

Modified Schema for Classifying Positive-Pressure Tympanograms

PEDIATRICS ◽  
1982 ◽  
Vol 69 (3) ◽  
pp. 351-354
Author(s):  
Clyde G. Smith ◽  
Jack L. Paradise ◽  
Tina I. Young
Keyword(s):  
Clinical Practice ◽  
Pressure Range ◽  
Present Report ◽  
Acute Infection ◽  
Air Pressure ◽  
Positive Pressure ◽  
High Compliance

Tympanograms with peaks located in the high-positive air pressure range (≥ 50 mm H2O) are infrequently recorded in clinical practice and have been little discussed in the literature. Such tympanograms accounted for 1.2% of a series of 8,011 tympanograms recorded at various times from 1,556 subjects ranging in age from 7 months through 12 years. Correlations between otoscopic diagnoses and tympanometric findings in the case of 65 of the high-positive air pressure tympanograms form the basis of the present report. Of the 65 high-positive air pressure tympanograms, 51 showed relatively high compliance (≤5.5 Madsen units), and of these 46 (90%) were associated with ears considered normal otoscopically. Fourteen of the high-positive air pressure tympanograms showed low compliance (&gt;5.5 Madsen units), and of these, six (43%) were associated with ears considered normal, six (43%) with ears showing signs of acute infection, and two (14%) with ears in which the presence of effusion seemed probable. A previously presented zonal schema for classifying tympanograms has been modified on the basis of these findings.

An unusual case of concurrent Kounis syndrome and prolonged QT in a young patient

2021 ◽  
pp. 1-3
Author(s):  
Emrah Erdogan ◽  
Murat Cap ◽  
Gorkem Kus ◽  
Cem Gokhan ◽  
Yakup Kilic
Keyword(s):  
Acute Coronary Syndrome ◽  
Young Patient ◽  
Unusual Case ◽  
Allergic Reactions ◽  
Kounis Syndrome ◽  
Unique Case ◽  
Coronary Syndrome ◽  
Life Threatening ◽  
Anaphylactoid Reactions ◽  
Prolonged Qt

Abstract Allergic reactions related to drug use is a common entity presenting often from minor urticaria to life-threatening anaphylactoid reactions. A common but easily overlooked diagnosis, Kounis syndrome, is an established hypersensitivity coronary disorder induced by drugs, foods, environmental factors, and coronary stents that can present in the same way as non-allergy-induced acute coronary syndrome. Here within, we present a unique case of dual presentation of Kounis syndrome and prolonged QTc in a young patient after a single dose of Domperidone and Lansoprazole.

Undetected Long-Term Hypothyroidism Caused by Hashimoto’s Thyroiditis with Severe Cardiac Complications – An Unusual Case of Child Neglect

2021 ◽  
Author(s):  
Karl Otto Schneider
Keyword(s):  
Child Neglect ◽  
Trisomy 21 ◽  
Unusual Case ◽  
Complex Congenital Heart Disease ◽  
Cardiac Complications ◽  
Feeding Difficulties ◽  
Abuse And Neglect ◽  
Long Time ◽  
Life Threatening

IntroductionNeglect in childhood may often be undetected for a long time. Parents of patients of handicapped children are often unable to cope with multiple medical and psychological problems that exist with such patients despite support by the health services [Jacobi G, Dettmeyer R, Banaschak S, Brosig B et al. Child abuse and neglect: diagnosis and management. Dtsch Arztebl Int 2010; 107: 231–240]. This is especially true for patients with trisomy 21 because they frequently suffer from complex congenital heart disease, feeding difficulties and behaviour anomalies. Additionally, various degrees of hypothyroidism are very frequent in Down syndrome but rarely lead – as in our case – to a life threatening disease.

National consensus project for quality palliative care

2015 ◽  
pp. 11-19 ◽  
Author(s):  
Constance M. Dahlin
Keyword(s):  
Older Adults ◽  
Palliative Care ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Quality Care ◽  
Life Threatening ◽  
National Consensus

The National Consensus Project for Quality Palliative Care’s Clinical Practice Guidelines for Quality Care is a significant resource that offers the nurse a framework for quality care in all settings. The Clinical Practice Guidelines are appropriate to a range of populations from neonates to children to adults and older adults; a range of chronic progressive and serious life-threatening illnesses, injuries, and trauma; and a range of vulnerable and underresourced populations. The Clinical Practice Guidelines are appropriate for any setting because they facilitate partnerships for caring for patients with debilitating and life-limiting illnesses and offer support for the nurse in delivering the care, particularly for long-term patients.

Delirium on clozapine: A tale of friend turned foe-A case report

2020 ◽  
pp. 009121742097282 ◽  
Author(s):  
Aparna Das ◽  
Rebecca Minner ◽  
Lewis Krain ◽  
John Spollen
Keyword(s):  
Case Report ◽  
Clinical Practice ◽  
Side Effects ◽  
Adverse Effects ◽  
Older Adult ◽  
Psychiatric Illness ◽  
Management Strategies ◽  
Treatment Resistant ◽  
Drug Of Choice ◽  
Life Threatening

Treatment resistant schizophrenia (TRS) is often encountered in clinical practice. Clozapine remains the drug of choice in the management of TRS. Several studies have shown that clozapine is the most effective antipsychotic medication to date for TRS. But it is also well known that it has multiple side effects. Some side effects are transient and relatively benign, while other adverse effects are menacing, serious and life-threatening. Delirium may occur with clozapine and is a therapeutic challenge as there is always a risk of precipitating delirium on clozapine rechallenge. Limited management strategies are available as alternatives for the management of psychiatric illness stabilized on clozapine. In this case report, we describe an older adult patient who developed delirium on clozapine. The aims of this case report are to discuss the mechanism by which clozapine leads to delirium, revisit various factors which could possibly lead to delirium, and discuss the different management strategies available for management of psychiatric illness for a patient previously stabilized on clozapine.

scholarly journals Triglyceride Levels Greater Than 10,000 mg/dL in a 49-Year-Old Female without Evidence of Pancreatitis

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Anika Toor ◽  
Amit Toor ◽  
Koroush Khalighi ◽  
Mahesh Krishnamurthy
Keyword(s):  
Clinical Practice ◽  
Literature Review ◽  
Rare Case ◽  
Common Occurrence ◽  
Severe Pancreatitis ◽  
Severe Hypertriglyceridemia ◽  
Life Threatening ◽  
Underlying Diseases ◽  
Total Triglyceride

We present a rare case of a 49-year-old female with very severe hypertriglyceridemia (HTG) having a total triglyceride (TG) count of > 10,000 mg/dL in the absence of pancreatitis. Based on literature review, this is one of the highest recorded TG counts in an adult without evidence of pancreatitis. HTG is a common occurrence in clinical practice, but rarely do numbers exceed 2000 mg/dl. It is crucial to evaluate and rapidly lower TG levels to prevent potentially life-threatening complications such as severe pancreatitis. Removal of potential predisposing medications, control of underlying diseases known to cause HTG, and maintenance therapies are essential to prevent reoccurrence.

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