scholarly journals Acute transverse myelitis following carpet viper snakebite in Northeast Nigeria

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Nura H. Alkali ◽  
Sulaiman T. Sa'ad ◽  
Abubakar Saidu ◽  
Jacob A. Dunga ◽  
Fadimatu K. Sa'ad ◽  
...  

Snakebite is a major cause of death and disability in developing countries. The common clinical features of snake envenomation include bleeding, acute kidney injury, dilated pupils and muscle paralysis resulting from the deleterious effects of venom toxins on human plasma proteins, cell membranes, muscle fibers and vascular endothelium. Snakes also harbour pathogenic organisms that may infect bite victims during envenomation, but few studies have described this phenomenon. We herein report a rare case of acute transverse myelitis occurring after snakebite in Northeast Nigeria, and discuss the possible role of bacteria and viruses after excluding other potential causes of myelopathy. This knowledge may help improve the care of snakebite victims among internists and emergency physicians.

Author(s):  
Alex Harrison

Ultrasound assessment of the urinary tract is frequently undertaken to identify post-renal or obstructive causes of renal failure. This chapter describes the normal renal sonoanatomy and the technique for scanning the renal tract, including the bladder. The sonographic features of the common pathology that may be identified are described, including the classification of hydronephrosis. The advanced section introduces the role of ultrasound in assessing renal perfusion.


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Lihua Duan ◽  
Yan Huang ◽  
Qun Su ◽  
Qingyan Lin ◽  
Wen Liu ◽  
...  

Interleukin-33 (IL-33), the most recently discovered member of the IL-1 superfamily, has been linked to several human pathologies including autoimmune diseases, sepsis, and allergy through its specific IL-1 receptor ST2. However, there is little information regarding the role of IL-33 in gout. In this study, we investigated the potential role of IL-33 in gout patients. The serum level of IL-33 was measured by ELISA, and the clinical and laboratory parameters, serum creatinine, urea, and lipid, were extracted from medical record system. The serum IL-33 expression was predominantly increased in gout patients compared to healthy controls, and the IL-33 levels were higher in patients without kidney injury. Furthermore, IL-33 showed a negative correlation with biomarkers of kidney injury, such as CRE and urea. The lipid metabolism dysfunction, tophi, and hypertension are the common reasons for kidney injury in gout. Interestingly, inverse and positive correlation of IL-33 expression was observed in LDL and HDL, respectively. However, there was no significant alteration in the gout patients with hypertension and tophi. These data suggested that IL-33 might act as a protective role in kidney injury through regulating the lipid metabolism in gout.


Author(s):  
Sara G. Austin ◽  
Chi-Shing Zee ◽  
Cheryl Waters

ABSTRACT:Eighteen adult patients presenting with acute transverse myelitis (ATM) were evaluated using magnetic resonance imaging. Only 7 had abnormal scans showing an area of increased signal intensity within the cord solely on T2 weighted images; Tl weighted images were normal. The MRI abnormality did not correlate with the cause of the transverse myelitis, the extent of maximum neurological deficit, or the prognosis. A scan performed more than 5 days after the onset of disease was most likely to be positive. Even though the prognostic value of MRI in ATM may be limited, it remains a valuable technique for ruling out other causes of noncompressive spinal cord lesions, such as hemmorhage, vascular malformation, or tumor.


Author(s):  
Deirdre O'Sullivan ◽  
Michael Moore ◽  
Susan Byrne ◽  
Andreas O. Reiff ◽  
Susanna Felsenstein

AbstractAcute disseminated encephalomyelitis in association with extensive longitudinal transverse myelitis is reported in a young child with positive anti-myelin oligodendrocyte glycoprotein (MOG) antibody with heterozygous NLRP3 missense mutations; p.(Arg488Lys) and p.(Ser159Ile). This case may well present an exceptional coincidence, but may describe a yet unrecognized feature of the spectrum of childhood onset cryopyrinopathies that contribute to the understanding of the genetic basis for anti-MOG antibody positive encephalomyelitis. Based on this observation, a larger scale study investigating the role of NLRP3 and other inflammasomes in this entity would provide important pathophysiological insights and potentially novel avenues for treatment.


2017 ◽  
pp. 98-134 ◽  
Author(s):  
J. Tirole

In the fourth chapter of the book “The economy of the common good”, the nature of economics as a science and research practices in their theoretical and empirical aspects are discussed. The author considers the processes of modeling, empirical verification of models and evaluation of research quality. In addition, the features of economic cognition and the role of mathematics in economic research are analyzed, including the example of relevant research in game theory and information theory.


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