Articles Related to Hemorrhagic
Multiple intracerebral hemorrhagic lesions complicating minimal cranioencephalic trauma in a child with severe hemophilia A, trisomy 21 and sickle cell trait carrier: a case report
Intracranial hemorrhage (ICH) is a life-threatening complication in hemophilia. It often occurs during childhood after minimal head trauma. It poses a problem of diagnostic and therapeutic management, especially in Africa where CFCs are not always available.
Dengue Hemorrhagic Fever and Rapidly Progressive Glomerulonephritis (RPGN): A New Persuasion
Dengue is a prevalent arthropod-borne viral disease in tropical and subtropical areas of the globe. Dengue clinical manifestations include asymptomatic infections; undifferentiated fever; dengue fever, which is characterized by fever, headache,
retro orbital pain, myalgia, and arthralgia; and a severe form of the disease denominated dengue hemorrhagic fever/dengue shock syndrome, characterized by hemoconcentration, thrombocytopenia, and bleeding tendency. However, atypical
manifestations, such as liver, central nervous system, and cardiac involvement, have been increasingly reported called
expanded dengue syndrome. The renal complications of dengue virus infection cover a wide spectrum of manifestations
from acute kidney injury to glomerular injury with nephritic/nephrotic syndrome. Majority of cases remain symptom
free and show full recovery. We report a 55 years old lady with atypical and rare presentation of dengue disease marked by
rapidly progressive glomerulonephritis. Condition improved after initial 5 days pulse methylprednisolone followed by oral
prednisolone therapy and mycophenolate mofetil. The main mechanism of dengue glomerulonephritis is still unknown
though both direct viral infection and immune mediated damage have been suggested to be the cause. To avoid otherwise
preventable morbidity and mortality, physicians should have a high index of suspicion for renal complications in patients
with dengue illness and should manage this accordingly
Oxygen Balance Homeostasis and Tissue Metabolic Score (TMS) of Patients in Emergency and Critical Care Medicine
Patients admitted to the emergency room or intensive care units (ICUs) need real-time monitoring of body oxygen balance. As of today, the availability of monitoring devices that provide real-time data on tissue level of oxygen homeostasis is very limited. The involvement of mitochondrial dysfunction in many pathological states such as stroke, sepsis or heart failure is calling for a real-time evaluation of this intracellular organelle. In order to avoid the deterioration of the most vital organs in the body (brain and heart), we are proposing to monitor a less vital organ, such as the urethral wall, that serves as an early warning signal for the deterioration of body oxygen balance.
Septic Shock Secondary to Salmonella Enterica Ssp. Arizonae in an Immunocompetent Albanian Male
Salmonella-associated diarrhea is a common cause of community-acquired gastroenteritis. Some species of salmonella are associated with invasive diseases like meningitis, endocarditis and septicemia.
Warfarin-Induced Tissue Necrosis (WITN): Case Report and Literature Review, A Proposed Name Change
Warfarin is the most frequently prescribed oral anticoagulant in the United States. Its indications range from treatment of deep venous thrombosis and pulmonary emboli to the prophylaxis and treatment of thromboembolic conditions associated with atrial fibrillation and cardiac valve replacement. While bleeding is the most commonly encountered complication warfarin induced skin necrosis (WISN) can be a rare complication. Extensive skin and deeper tissue necrosis may be encountered requiring multiple surgical debridement and reconstructive procedures along with the medical management.
The Emergence of Multiple Myeloma in a Patient with Essential Thrombocythemia: A Case Report
Multiple myeloma is a neoplastic disease characterized by neoplastic proliferation of plasma cells and monoclonal protein expression and related tissue damage.In the presence of overt clinical signs, the disease can easily be diagnosed, however in order to diagnose atypical cases, further investigation is needed with high clinical suspicion.
Refractory Hypotension Caused By Prone Position in a Child Undergoing Scoliosis Corrective Surgery
We report a case of a teenager with scoliosis and pectus excavatum who developed intraoperative refractory hypotension associated with
prone position during posterior surgical correction of scoliosis. In this case, it was more difficult for the anesthetists to figure out the
reason leading to severe hypotension when a surgery was partially completed, because there might be many confounding factors during
surgery. Furthermore, TEE was difficult to be considered to be first diagnosis choice when patient have already underwent posterior
spinal fusion surgery, compared to the cases previous reported that the surgery still did not begin.
Editorial Board Members Related to Hemorrhagic
Shahzad Shaukat
Virology Department
National Institute of Health
Pakistan
National Institute of Health
Pakistan