388 results match your criteria Case reports in emergency medicine[Journal]


A Case of Exertional Heat Stroke Complicated by Hypoxic Hepatitis.

Case Rep Emerg Med 2020 30;2020:8724285. Epub 2020 Mar 30.

Department of General Internal and Emergency Medicine, Buergerspital Solothurn, Solothurn, Switzerland.

Background: Exertional heat stroke is a life-threatening condition often complicated by multiorgan failure. We hereby present a case of a 25-year-old male presenting with syncope after a 10  km run in 28°C outside temperature who developed acute liver failure. . Read More

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http://dx.doi.org/10.1155/2020/8724285DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7149357PMC

Hypercalcemia-Induced ST-Segment Elevation Mimicking Acute Myocardial Injury: A Case Report and Review of the Literature.

Case Rep Emerg Med 2020 16;2020:4159526. Epub 2020 Mar 16.

Advocate Illinois Masonic Medical Center, Chicago, IL, USA.

ST-segment elevation in absence of acute coronary syndrome can be seen in multiple conditions, including acute pericarditis and coronary vasospasm, but it is rarely seen with severe hypercalcemia. The authors present a case of an 81-year-old female with a history of stage 4 squamous cell cancer of the lung, who presented to the emergency room with profound fatigue, weakness, anorexia, and drowsiness two weeks after her first chemotherapy cycle. Additionally, she had complaints of right-sided chest pain associated with worsening shortness of breath, as well as right arm numbness. Read More

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http://dx.doi.org/10.1155/2020/4159526DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102466PMC

Behcet's Disease with Upper GI Bleeding.

Case Rep Emerg Med 2020 17;2020:2983209. Epub 2020 Mar 17.

Department of Emergency Medicine, Addis Ababa University, Addis Ababa, Ethiopia.

. Behcet's disease is a multisystem disease. In sub-Saharan Africa, the prevalence of this disease is not known, with only one case report from Ethiopia. Read More

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http://dx.doi.org/10.1155/2020/2983209DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103031PMC

Carbamazepine Toxicity Masquerading as Complex Febrile Seizures in a Pediatric Patient.

Case Rep Emerg Med 2020 16;2020:1790310. Epub 2020 Mar 16.

Drexel University College of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Philadelphia, PA, USA.

Carbamazepine is an antiepileptic drug that can cause seizures in overdose. In certain patient populations, this may be misdiagnosed as a seizure disorder. We describe a case of a 20-month-old female who presented with fever and seizure-like activity who was initially thought to have complex febrile seizures. Read More

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http://dx.doi.org/10.1155/2020/1790310DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102487PMC

Two Cardiac Arrests that Occurred after the Administration of Sugammadex: A Case of Kounis Syndrome.

Case Rep Emerg Med 2020 17;2020:6590101. Epub 2020 Feb 17.

Department of Emergency Medicine, Kobe City Hospital Organization, Kobe City Medical Center General Hospital, Kobe, Japan.

Kounis syndrome is a form of acute coronary syndrome caused by allergic reactions. No cases of cardiac arrest caused by Kounis syndrome that arose after the administration of sugammadex have been reported. A 71-year-old female suffered two cardiac arrests. Read More

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http://dx.doi.org/10.1155/2020/6590101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048914PMC
February 2020

Descending Necrotizing Mediastinitis Resulting from Pharyngitis with Perforation of the Aryepiglottic Fold.

Case Rep Emerg Med 2020 13;2020:4963493. Epub 2020 Feb 13.

Department of Emergency Medicine, University of Washington, Seattle, WA, USA.

Descending necrotizing mediastinitis and pharyngeal perforation are uncommon complications of pharyngitis that are associated with high morbidity and mortality. This case report describes a previously healthy 18-year-old male who presented to the emergency room with 5 days of severe sore throat, intermittent fevers, and vomiting and was found to have extensive posterior pharyngeal and mediastinal air along with extravasation of contrast on computed tomography, consistent with perforation of the left aryepiglottic fold as well as descending necrotizing mediastinitis. The patient had a complicated hospital course including multiple operative interventions, abscess formation, and development of pericardial and pleural effusions. Read More

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http://dx.doi.org/10.1155/2020/4963493DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040390PMC
February 2020

Lateral Malleolar Fracture with Concurrent Achilles Tendon Rupture: A Case Report and Literature Review.

Case Rep Emerg Med 2020 11;2020:6479140. Epub 2020 Feb 11.

Section of Podiatric Surgery, Detroit Medical Center, 6071 W. Outer Drive, Detroit, MI 48235, USA.

Achilles tendon and malleolar fractures are commonly seen in isolation, but only a few cases of combined injuries have been reported. In this case, we present a 53-year-old male who sustained an isolated lateral malleolus fracture with an Achilles tendon rupture. Emergency Medicine physicians should consider the possibility of these injuries in combination. Read More

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http://dx.doi.org/10.1155/2020/6479140DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7036116PMC
February 2020

Hypercalcemic Encephalopathy as an Initial Presentation of Multiple Myeloma.

Case Rep Emerg Med 2020 8;2020:4746865. Epub 2020 Feb 8.

Department of Medicine, All India Institute of Medical Sciences, Jodhpur, India.

We report the case of an 84-year-old female presented to us with acute onset altered sensorium. On investigation, neurological and infectious causes were ruled out. On further evaluation, her serum calcium was found elevated (15. Read More

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http://dx.doi.org/10.1155/2020/4746865DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7031711PMC
February 2020

Brain Abscess Secondary to a Dental Infection.

Case Rep Emerg Med 2020 6;2020:3248174. Epub 2020 Feb 6.

Centre Hospitalier Universitaire, Laboratoire Anthropologie Moléculaire et Imagerie de Synthèse, UFR Odontologie, Université Paul Sabatier, Toulouse, France.

The risk of a brain abscess is a complication of odontogenic infection that is rarely considered by physicians and little spoken of, yet treating dental infections may avoid a potentially life-threatening condition. We report a case of 7-year-old boy with a brain abscess secondary to a dental infection. He was immediately taken to the operating theatre for drainage and cleaning of the abscess. Read More

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http://dx.doi.org/10.1155/2020/3248174DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026700PMC
February 2020

Aspergilloma Superimposed Infection on Lymphoid Interstitial Pneumonia.

Case Rep Emerg Med 2020 18;2020:3151036. Epub 2020 Jan 18.

Department of Emergency Medicine, Rowan University SOM/Jefferson-Stratford, Stratford, NJ, USA.

We describe a case of a 27-year-old female without any prior underlying immunodeficiency syndromes who presented with hemoptysis secondary to subacute invasive pulmonary aspergillosis and subsequently diagnosed with lymphoid interstitial pneumonia (LIP). CT chest demonstrated bilateral interstitial disease with patchy opacities and multiple large cysts and bullae. Diagnosis was confirmed histologically after surgical lung resection of the mycetoma containing cavitation. Read More

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http://dx.doi.org/10.1155/2020/3151036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995327PMC
January 2020

The Untimely Popping Phial: Poppers as an Unusual Cause of Skin Corrosion of the Thigh.

Case Rep Emerg Med 2020 30;2020:2058624. Epub 2020 Jan 30.

Department of General Internal and Emergency Medicine, Buergerspital Solothurn, Solothurn, Switzerland.

Background: Alkyl nitrites or "poppers" are widely used as sex-drugs due to their aphrodisiac and muscle relaxant effects. We describe the rare case of a large-sized dermatitis after direct skin contact with the poppers-fluid in a poppers user. . Read More

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http://dx.doi.org/10.1155/2020/2058624DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011308PMC
January 2020

Epileptic Seizure from Ginkgo Nut Intoxication in an Adult.

Case Rep Emerg Med 2020 28;2020:5072954. Epub 2020 Jan 28.

Department of Emergency, Critical Care and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

The ginkgo tree is a well-known, highly adaptable urban plant. Ginkgo nuts are the product of the ginkgo tree. Interior ginkgo nuts are cooked and served in Asian countries; however, the potential toxicity of the gingko nuts is not commonly known. Read More

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http://dx.doi.org/10.1155/2020/5072954DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007935PMC
January 2020

Cardiac Syncope with Anoxic Seizure Activity.

Case Rep Emerg Med 2020 8;2020:6749382. Epub 2020 Jan 8.

Department of Emergency Medicine, Queens Medical Centre Nottingham, Nottingham, UK.

This is a case report, which explores the presentation to the emergency department of a fit and well female with a known ventricular bigeminy. She presented with convulsive episodes. The working differential diagnosis was of possible cardiac syncope with anoxic seizure activity or neurogenically mediated arrhythmia secondary to subarachnoid haemorrhage. Read More

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http://dx.doi.org/10.1155/2020/6749382DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970508PMC
January 2020

Successful Management of Airway and Esophageal Foreign Body Obstruction in a Child.

Case Rep Emerg Med 2019 24;2019:6858171. Epub 2019 Dec 24.

Department of Emergency Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan.

Foreign body asphyxia is a serious clinical problem with high morbidity and mortality rates. It is relatively common among children, especially those younger than 3 years, because they have a high risk of aspirating foreign bodies owing to their tendency to place objects in their mouth and lack of a well-developed swallowing reflex. Moreover, the neurologic outcome after out-of-hospital cardiac arrests (OHCA) in pediatric patients remains generally poor. Read More

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http://dx.doi.org/10.1155/2019/6858171DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6943971PMC
December 2019

Testicular Rupture Following Blunt Scrotal Trauma.

Case Rep Emerg Med 2019 18;2019:7058728. Epub 2019 Dec 18.

Spectrum Health-Michigan State University Emergency Medicine Residency Program, Grand Rapids, MI, USA.

Testicular rupture after blunt scrotal trauma is characterized by rupture of the tunica albuginea and extrusion of seminiferous tubules. This is a serious injury and appropriate evaluation and management are necessary both for symptom control, but also for preservation of the testicle. Clinical examination of the scrotum following trauma is difficult and may result in incorrect triage of patients for surgical exploration. Read More

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http://dx.doi.org/10.1155/2019/7058728DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942712PMC
December 2019

Retained Foreign Body Causing a Liver Abscess.

Case Rep Emerg Med 2019 14;2019:4259646. Epub 2019 Dec 14.

Changi General Hospital, Singapore.

Introduction: A liver abscess caused by fishbone ingestion is extremely rare in the Emergency Department.

Case Report: We report a case of a middle-aged female who presented to the Emergency Department with nonspecific symptoms. Computed tomography showed a liver abscess that had formed secondary to a fishbone. Read More

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http://dx.doi.org/10.1155/2019/4259646DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942747PMC
December 2019

Severe Anaphylactic Reaction to Diclofenac during Intravenous Anesthesia for In Vitro Fertilization.

Case Rep Emerg Med 2019 3;2019:8583753. Epub 2019 Dec 3.

Department of Anesthesiology, Clinic for Cardiovascular Surgery, Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia.

We present a case of a severe anaphylactic reaction to diclofenac, administered as an intravenous infusion in a 45-year-old patient, during intravenous anesthesia for in vitro fertilization. During the preoperative clinical examination and obtaining of anamnestic data, the patient denied symptoms of allergies to medicines and other substances. The dominant clinical manifestations of anaphylactic reaction were: hypotension, tachycardia, angioedema, bronchospasm, and delayed awakening following anesthesia. Read More

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http://dx.doi.org/10.1155/2019/8583753DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6914944PMC
December 2019

Adult Ileocolic Intussusception from the Appendix.

Case Rep Emerg Med 2019 9;2019:3272618. Epub 2019 Dec 9.

Department of Emergency Medicine, West Virginia University School of Medicine, 1 Medical Center Dr., 26506 Morgantown, WV, USA.

Intussusception is more commonly considered in the pediatric patient with abdominal pain, but can occur in adults as well. Adult patients are more likely to have an underlying intra-abdominal pathology leading to the condition. We present an adult patient presenting with abdominal pain with ileocecal intussusception diagnosed on imaging and confirmed surgically. Read More

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http://dx.doi.org/10.1155/2019/3272618DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925803PMC
December 2019

Severe Enoral Bleeding with a Direct Oral Anticoagulant after Tooth Extraction and Heparin Bridging Treatment.

Case Rep Emerg Med 2019 29;2019:6208604. Epub 2019 Oct 29.

Department of Emergency Medicine, Inselspital University Hospital, Bern, Switzerland.

Background: The number of patients receiving direct oral anticoagulants (DOACs) is increasing, however, this treatment is associated with the risk of bleeding. More than 10 percent of patients on DOACs have to interrupt their anticoagulation for an invasive procedure every year. For this reason, the correct management of DOACs in the perioperative setting is mandatory. Read More

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http://dx.doi.org/10.1155/2019/6208604DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875271PMC
October 2019

Cannabis-Induced Third-Degree AV Block.

Authors:
Jan M Van Keer

Case Rep Emerg Med 2019 16;2019:5037356. Epub 2019 Sep 16.

Department of Cardiology, University Hospitals Leuven, Belgium.

Background: Cannabis (marijuana) is the most widely consumed illicit drug in Europe. However, many are unaware of its potential cardiovascular side effects.

Case Report: A 19-year-old man presented to the emergency department with palpitations and presyncope after smoking cannabis. Read More

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http://dx.doi.org/10.1155/2019/5037356DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766110PMC
September 2019

A Curious Case of the Persistent Body Stuffer.

Case Rep Emerg Med 2019 16;2019:3948054. Epub 2019 Sep 16.

Inspira Medical Center, Department of Emergency Medicine, Vineland, NJ, USA.

A 29-year-old male presented to our emergency department with complaint of abdominal pain after allegedly ingesting a 4-gram packet of heroin in an attempt to evade detection. Initial evaluation including computed tomography (CT) of the abdomen/pelvis with intravenous and oral contrast, as well as laboratory workup was negative and the patient was discharged. The patient returned 3 days later with complaint of "I feel high" and severe constipation, and demonstrated an opiate toxidrome requiring naloxone with improvement of symptoms. Read More

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http://dx.doi.org/10.1155/2019/3948054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766140PMC
September 2019
1 Read

A Rare Presentation of a Rare Entity: Wellens Syndrome with Subtle Terminal Wave Changes.

Case Rep Emerg Med 2019 16;2019:1582030. Epub 2019 Sep 16.

Department of Internal Medicine, West Virginia University Charleston Division, Charleston Area Medical Center, Charleston, WV, USA.

Wellens syndrome is an electrocardiographic (ECG) pattern involving waves in precordial leads that was first described in 1982 among a group of patients presenting with unstable angina suggestive of critical stenosis of the proximal left anterior descending (LAD) coronary. It is crucial for emergency physicians and internists to be able to recognize these patterns, as they occur in the symptom-free periods and represent a pre-infarction state that needs early intervention. Type A, which is characterized by biphasic waves, mainly in V2 and V3, poses a significant challenge to recognize the pattern, and failure to do so can lead to devastating outcome. Read More

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http://dx.doi.org/10.1155/2019/1582030DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766088PMC
September 2019
1 Read

Emphysematous Pyelonephritis Presenting as Pneumaturia and the Use of Point-of-Care Ultrasound in the Emergency Department.

Case Rep Emerg Med 2019 2;2019:6903193. Epub 2019 Sep 2.

Mount Sinai Medical Center, 4300 Alton Rd., Miami Beach, FL 33140, USA.

Emphysematous pyelonephritis (EPN) is a rare form of pyelonephritis causing a severe infection of the renal system that includes gas in the renal parenchyma, collecting system and surrounding tissue often presenting with sepsis. We report the case of a 60-year-old male with poorly controlled insulin dependent diabetes mellitus who presented with abdominal pain, nausea, vomiting, and "peeing air." CT scan revealed air extending from the left renal parenchyma, perinephric fat and into the bladder, consistent with emphysematous pyelonephritis. Read More

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http://dx.doi.org/10.1155/2019/6903193DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6745128PMC
September 2019
2 Reads

Cardiac Arrest due to Butane Gas Inhalation in an 18 Years Old Boy.

Case Rep Emerg Med 2019 22;2019:2461346. Epub 2019 Aug 22.

Emergency Medicine Consaltant, King Saud University Medical City, Riyadh, Saudi Arabia.

An 18-year-old male smoker inhaled butane gas out of a pocket lighter with his friend for the purpose of changing his voice. He suddenly collapsed and lost his consciousness. Upon arrival to the Emergency Department, he was found pulseless with a rhythm of ventricular fibrillation. Read More

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http://dx.doi.org/10.1155/2019/2461346DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6724427PMC
August 2019
1 Read

Management of Trazodone Overdose with Severe Hypotension.

Case Rep Emerg Med 2019 4;2019:2470592. Epub 2019 Aug 4.

Department of Emergency Medicine, University of Arizona, Tucson, AZ, USA.

Trazodone is a medication that possesses antidepressant, anxiolytic, and hypnotic properties. Its mechanism of action includes blockade of serotonin type 2 receptors, weak inhibition of serotonin reuptake, blockade of histamine 1 receptors, and blockade of alpha-1-adrenergic receptors. We present a case of intentional ingestion of an estimated 2500 mg of trazodone leading to persistent hypotension, requiring aggressive fluid resuscitation, pressor support, and intensive care unit admission. Read More

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http://dx.doi.org/10.1155/2019/2470592DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699354PMC

Acute Epiploic Appendagitis: A Nonsurgical Abdominal Pain.

Case Rep Emerg Med 2019 14;2019:7160247. Epub 2019 Jul 14.

Department of General and Emergency Radiology, "Antonio Cardarelli" Hospital, Naples, Italy.

Epiploic appendagitis is a relatively rare disease characterized by an inflammation of fat-filled serosal outpouchings of the large intestine, called epiploic appendices. Diagnosis of epiploic appendagitis is made challenging by the lack of pathognomonic clinical features and should therefore be considered as a potential diagnosis by exclusion first of all with appendicitis or diverticulitis which are the most important causes of lower abdominal pain. Currently, with the increasing use of ultrasound and computed tomography in the evaluation of acute abdominal pain, epiploic appendagitis can be diagnosed by characteristic diagnostic imaging features. Read More

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http://dx.doi.org/10.1155/2019/7160247DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6662477PMC

Status Epilepticus Caused by an Herbicide Poisoning.

Case Rep Emerg Med 2019 11;2019:3014138. Epub 2019 Jul 11.

Obstetric and Pediatric Intensive Care Unit, Hassan II Academic Hospital, Fez, Morocco.

Triclopyr is a pyridine derivative, widely used as an herbicide. It controls plant growth by interfering with plant growth hormones, auxins. It should have few effects in humans as these are nonexistent in mammals. Read More

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http://dx.doi.org/10.1155/2019/3014138DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6657626PMC
July 2019
1 Read

Successful Bridge-to-Recovery Treatment in a Young Patient with Fulminant Eosinophilic Myocarditis: Roles of a Percutaneous Ventricular Assist Device and Endomyocardial Biopsy.

Case Rep Emerg Med 2019 2;2019:8236735. Epub 2019 Jul 2.

Department of Cardiology, International Medical Center, Saitama Medical University, Saitama, Japan.

Eosinophilic myocarditis (EM) is a rare condition characterized by myocardial eosinophilic infiltration due to various underlying etiologies. The patient with EM may benefit from appropriate use of mechanical circulatory support (MCS) that acts as a bridge to myocardial recovery in response to effective immunosuppressive therapy. A 16-year-old boy presented with cardiogenic shock due to fulminant myocarditis, for which a percutaneous ventricular assist device (PVAD) was immediately inserted. Read More

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http://dx.doi.org/10.1155/2019/8236735DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6633872PMC
July 2019
5 Reads

A Case of an Advanced Chain of Survival in Penetrating Cardiac Injury.

Case Rep Emerg Med 2019 2;2019:2895439. Epub 2019 Jul 2.

Prehospital, Medical Emergency Care Units, Central Denmark Region, Denmark.

The survival rate of penetrating cardiac trauma is dismal, with only a few patients reaching the hospital with any signs of life. Short transport time and close proximity to the trauma center are positive factors for survival. We report the successful case of a 21-year-old male with penetrating cardiac injury and tension-pneumothorax with long distance to a trauma facility. Read More

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http://dx.doi.org/10.1155/2019/2895439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6633699PMC
July 2019
4 Reads

Orbital Emphysema as a Consequence of Forceful Nose-Blowing: Report of a Case.

Case Rep Emerg Med 2019 18;2019:4383086. Epub 2019 Jun 18.

Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan.

Orbital emphysema occurs when air enters the soft tissue surrounding the orbit. Although orbital blowout fractures are often caused by face trauma, nontraumatic orbital fractures can also occur but have been rarely described. Here, a case of orbital and palpebral emphysema caused by forceful nose-blowing is presented. Read More

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http://dx.doi.org/10.1155/2019/4383086DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604475PMC
June 2019
8 Reads

Traumatic Takotsubo Cardiomyopathy in a Patient with Extensive Coronary Artery Disease.

Case Rep Emerg Med 2019 12;2019:7270426. Epub 2019 Jun 12.

Penn State Milton S. Hershey Medical Center, Department of Emergency Medicine, Hershey, PA 17033, USA.

Takotsubo Cardiomyopathy (TCM) should be considered in the differential diagnosis for patients with cardiovascular symptoms not only following emotional trauma but also following motor vehicle accidents. A 45-year-old woman presented with chest pain following a motor vehicle accident. While she had an elevated troponin level and an extensive history of cardiac disease, her electrocardiogram was normal. Read More

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http://dx.doi.org/10.1155/2019/7270426DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6594314PMC

A Case of Acute Myocardial Infarction in a Patient Whose Initial Complaints Were Hematemesis and Epigastric Discomfort.

Case Rep Emerg Med 2019 23;2019:5984251. Epub 2019 May 23.

Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan.

The patient was a 64-year-old woman with systemic lupus erythematosus, thrombophlebitis of the lower legs, cerebral infarction with left hemiparesis, and colostomy after perforation of the sigmoid colon. On the morning of her presentation, the patient felt epigastric abnormality. Thereafter, hematemesis occurred twice, leading her to call an ambulance in the afternoon. Read More

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http://dx.doi.org/10.1155/2019/5984251DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556246PMC
May 2019
10 Reads

Case of Nontraumatic Rectus Sheath Hematoma from Muscle Training Mimicking Acute Abdomen.

Case Rep Emerg Med 2019 23;2019:3158969. Epub 2019 May 23.

Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences, Japan.

Rectus sheath hematoma is an unusual but well-known clinical problem. Our hospital admitted a 54-year-old woman complaining of harsh right-sided hypogastric pain that started while muscle training. Computed tomography of the abdomen and pelvis demonstrated a right rectus sheath hematoma. Read More

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http://dx.doi.org/10.1155/2019/3158969DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556283PMC
May 2019
4 Reads

Two Rare Cases of Appendicitis: Amyand's Hernia and De Garengeot's Hernia.

Case Rep Emerg Med 2019 16;2019:6759206. Epub 2019 Apr 16.

Department of Emergency Medicine, Geisinger Medical Center, 100 North Academy Avenue, Danville, Pennsylvania 17822, USA.

An Amyand's hernia is an inguinal hernia that contains vermiform appendix. De Garengeot's hernias are similar; however, in this case the appendix is within a femoral hernia. Both types of hernia are rare, and those hernias associated with appendicitis, perforation, or abscess are even scarcer presentations. Read More

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http://dx.doi.org/10.1155/2019/6759206DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6500615PMC
April 2019
13 Reads

Novel Method for Removing Embedded Cactus Spines in the Emergency Department.

Case Rep Emerg Med 2019 8;2019:6062531. Epub 2019 Apr 8.

Department of Emergency Medicine, Summa Health - Akron City Hospital, Akron, OH, USA.

Injuries from cactus spines can present challenges to Emergency Medicine providers. When the patient has mental limitations that prevent cooperation with removal, these challenges grow. Traditional removal techniques have several drawbacks including prolonged time for complete removal and incomplete removal. Read More

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http://dx.doi.org/10.1155/2019/6062531DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6476000PMC
April 2019
2 Reads

Acute Onset of Hypersomnolence and Aphasia Secondary to an Artery of Percheron Infarct and a Proposed Emergency Room Evaluation.

Case Rep Emerg Med 2019 8;2019:1260865. Epub 2019 Apr 8.

Neurology Department, West Virginia University, USA.

Artery of Percheron (AOP) is a rare anatomical variant, which supplies bilateral paramedian thalami and the rostral mesencephalon via a single dominant thalamic perforating artery arising from the P1 segment of a posterior cerebral artery. AOP infarcts can present with a plethora of neurological symptoms: altered mental status, memory impairment, hypersomnolence, coma, aphasia, and vertical gaze palsy. Given the lack of classic stroke signs, majority of AOP infarcts are not diagnosed in the emergency setting. Read More

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http://dx.doi.org/10.1155/2019/1260865DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6476073PMC
April 2019
6 Reads

Retracted: Marathon Runner with Acute Hyponatremia: A Neurological Disorder.

Case Rep Emerg Med 2019 26;2019:3954675. Epub 2019 Mar 26.

[This retracts the article DOI: 10.1155/2012/342760.]. Read More

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http://dx.doi.org/10.1155/2019/3954675DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457312PMC
March 2019
2 Reads

Haloperidol-Induced Dystonia due to Sedation for Upper Gastrointestinal Endoscopy: A Pediatric Case Report.

Case Rep Emerg Med 2019 27;2019:3591258. Epub 2019 Mar 27.

Department of Pediatrics, Fukushima Medical University, Fukushima, Japan.

Dystonia is a movement disorder characterized by sustained muscle tone. Antipsychotic agents sometimes cause acute dystonia that can rapidly worsen within a few hours or days. Because healthy children rarely receive antipsychotic agents, it is unusual to see antipsychotic agent-induced dystonia in pediatric emergency departments. Read More

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http://dx.doi.org/10.1155/2019/3591258DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457320PMC
March 2019
4 Reads

Relapsing Kikuchi-Fujimoto Disease Requiring Prolonged Steroid Therapy.

Case Rep Emerg Med 2019 7;2019:6405687. Epub 2019 Mar 7.

Department of General Internal Medicine & Emergency Medicine, Hirslanden, Klinik Im Park, Seestrasse 220, 8027 Zurich, Switzerland.

We report the case of a 26-year-old woman with an eight-week history of painfully enlarged cervical lymph nodes, recurrent headache, and malaise. Her medical history was unremarkable. The physical examination showed multiple enlarged cervical lymph nodes. Read More

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https://www.hindawi.com/journals/criem/2019/6405687/
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http://dx.doi.org/10.1155/2019/6405687DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431476PMC
March 2019
34 Reads

A Case Report of Massive Acetaminophen Poisoning Treated with a Novel "Triple Therapy": N-Acetylcysteine, 4-Methylpyrazole, and Hemodialysis.

Case Rep Emerg Med 2019 5;2019:9301432. Epub 2019 Mar 5.

Department of Emergency and Hospital Medicine, Lehigh Valley Health Network and University of South Florida Morsani College of Medicine, Lehigh Valley Campus, Cedar Crest Boulevard & I-78, Allentown, PA 18103, USA.

Massive acetaminophen (N-acetyl-p-aminophenol; APAP) ingestion is characterized by a rapid onset of mitochondrial dysfunction, including metabolic acidosis, lactemia, and altered mental status without hepatotoxicity which may not respond to the standard doses of N-acetylcysteine (NAC). A 64-year-old woman without medical history presented comatose after an ingestion of 208 tablets of Tylenol PM™ (APAP 500 mg and diphenhydramine 25 mg). The initial APAP concentration measured 1,017 g/mL (therapeutic range 10-30 g/mL), and elevated anion gap metabolic acidosis, lactemia, and 5-oxoprolinemia were detected. Read More

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http://dx.doi.org/10.1155/2019/9301432DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425342PMC
March 2019
5 Reads

Tension Pneumocephalus Induced by Nasal Cannula.

Case Rep Emerg Med 2019 17;2019:2757561. Epub 2019 Feb 17.

Department of Emergency Medicine, Western Health, Footscray, Victoria, Australia.

Tension pneumocephalus is a rare medical emergency. Spontaneous atraumatic tension pneumocephalus is reported in cases of neoplasm, Valsalva manoeuvres, and air cell hyperpneumatization. For the first time, we describe a case of atraumatic tension pneumocephalus induced by nasal cannula in a patient with ventriculoperitoneal shunt. Read More

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https://www.hindawi.com/journals/criem/2019/2757561/
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http://dx.doi.org/10.1155/2019/2757561DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398079PMC
February 2019
14 Reads

Accidental Strangulation with Cervical Nerve Root Injury Caused by the Entrapment of Clothing in a Soybean Milling Machine.

Case Rep Emerg Med 2019 5;2019:4706278. Epub 2019 Feb 5.

Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan.

The clothing of a forty-five-year-old man became entrapped by the mixing rotator while he was operating a soybean milling machine. His clothing was wound around the rotator, and tightened around his neck and chest, causing strangulation and a loss of consciousness. He was rescued by his coworkers and transported to our hospital by helicopter. Read More

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http://dx.doi.org/10.1155/2019/4706278DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379854PMC
February 2019
1 Read

Atraumatic Gluteal Compartment Syndrome Presenting in a Young Female with Unilateral Lower Extremity Symptoms.

Case Rep Emerg Med 2019 29;2019:7891275. Epub 2019 Jan 29.

Inspira Medical Center, Vineland, NJ 08360, USA.

Gluteal compartment syndrome is a rare condition that often develops following immobilization either secondary to illicit drug and alcohol abuse or improper surgical positioning. A case of a 22-year-old female with left lower extremity pain, weakness, and numbness after prolonged stasis from a night of drug and alcohol use is presented. She also complained of left low back pain. Read More

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http://dx.doi.org/10.1155/2019/7891275DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374802PMC
January 2019
6 Reads

Pulmonary Edema Occurring after Nitric Acid Exposure.

Case Rep Emerg Med 2019 15;2019:9303170. Epub 2019 Jan 15.

Department of Emergency Medicine, Capital Health System, Trenton, New Jersey, USA.

Nitric acid (HNO) is a strong acid and oxidizing agent used for various applications including production of ammonium nitrate in the fertilizer industry. Nitrogen oxides formed when nitric acid interacts with the environment have been implicated in inhalation injuries. This describes a case of a 49-year-old male who presented to the emergency department complaining of an acute onset of shortness of breath approximately 12 hours after being exposed to nitric acid fumes. Read More

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http://dx.doi.org/10.1155/2019/9303170DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350573PMC
January 2019

Lamotrigine ODT-Induced Seizure in a 3-Year-Old Child after Accidental Ingestion.

Case Rep Emerg Med 2019 13;2019:2675931. Epub 2019 Jan 13.

Department of Emergency and Hospital Medicine, Lehigh Valley Health Network/University of South Florida Morsani College of Medicine, Cedar Crest Boulevard & I-78, Allentown, PA 18103, USA.

Lamotrigine is a new generation antiepileptic which blocks sodium channels and can cause significant toxicity in overdose. A case of a three-year-old child who suffered a seizure and required endotracheal intubation after accidental lamotrigine ingestion is presented. The lamotrigine concentration measured 23. Read More

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http://dx.doi.org/10.1155/2019/2675931DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348928PMC
January 2019
3 Reads

Contralateral Traumatic Hemopneumothorax.

Case Rep Emerg Med 2018 19;2018:4328704. Epub 2018 Dec 19.

General Physician, Pontifical Xavierian University, Bogotá, Colombia.

Pneumothorax is the entry of air into the virtual space between the visceral and the parietal pleurae, which can occur spontaneously or to a greater extent in a traumatic way. In daily clinical practice it is frequent to find injuries that generate traumatic pneumothorax that is ipsilateral to the lesion. However, there are case reports of contralateral pneumothorax that occurred in procedures such as insertion of pacemakers, or in cases of pneumonectomy. Read More

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http://dx.doi.org/10.1155/2018/4328704DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313992PMC
December 2018
16 Reads

Drug-Drug Interaction of Ergotamine with a Combination of Darunavir, Abacavir, and Lamivudine Causing a Fatal Vasospastic Ischemia.

Case Rep Emerg Med 2018 19;2018:4107450. Epub 2018 Dec 19.

Université Catholique de Louvain, Place de l'Université 1, 1348 Louvain-la-Neuve, Belgium.

Ergotamine toxicity has become a rare condition which can be caused by, among others, drug-drug interaction. In this work we report a case with vasospastic ischemia induced by the wrongful combination of ergotamine with recently started Antiretroviral Therapy. Clinicians were not aware that patient was self-medicating for years with medication containing ergotamine and caffeine for migraines. Read More

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http://dx.doi.org/10.1155/2018/4107450DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313968PMC
December 2018
11 Reads

Sore Throat, Fever, Septic Emboli, and Acute Respiratory Distress Syndrome: A Case of Lemierre Syndrome.

Case Rep Emerg Med 2018 6;2018:7373914. Epub 2018 Dec 6.

M.D., Department of Radiology, Montefiore Medical Center, Bronx, NY, USA.

Lemierre's syndrome is an acute oropharyngeal infection with a secondary septic thrombophlebitis of the internal jugular vein (IVJ) that was first reported in literature in 1936. It involves the progression of disease from a focal suppurative peritonsillar infection to a local septic thrombophlebitis with hematogenous progression to and distant septic emboli. It is a rare and potentially fatal syndrome requiring prompt diagnosis and management. Read More

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https://www.hindawi.com/journals/criem/2018/7373914/
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http://dx.doi.org/10.1155/2018/7373914DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304635PMC
December 2018
28 Reads

Acute Agitation as an Initial Manifestation of Neuro-Behçet's Disease.

Case Rep Emerg Med 2018 29;2018:5437027. Epub 2018 Nov 29.

Department of Emergency and Critical Care and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.

Managing acutely agitated or violent patients in the emergency department (ED) represents a significant challenge. Acute agitation as an initial manifestation of neuro-Behcet's disease (NBD) is an extremely rare clinical entity. A 44-year-old male, who had been complaining about a severe headache and fever for several days, was admitted to our ED due to acutely presented incontinence and agitation. Read More

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http://dx.doi.org/10.1155/2018/5437027DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304506PMC
November 2018
4 Reads