A rare complication of cervical spinal epidural abscess while receiving conservative treatment
We present the first case of CSEA in which hydrocephalus developed while the patient was receiving medical treatment. A 55-year-old female with diabetes mellitus presented to our emergency department with progressive weakness and eventual paralysis. Spinal magnetic resonance imaging revealed CSEA with spinal cord compression. After 1 week of antibiotic treatment, hydrocephalus developed. The patient regained consciousness after emergent external ventricular drain. For sepsis source control, she received corpectomy with abscess drainage; however, there was no obvious neurological improvement. Emergency department crowding h...
Source: Journal of Acute Medicine - June 6, 2015 Category: Emergency Medicine Source Type: research
A booster shot to promote doffing safety
Publication date: Available online 1 June 2015 Source:Journal of Acute Medicine Author(s): Jen-Feng Lin , Ying C. Huang (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - June 2, 2015 Category: Emergency Medicine Source Type: research
Basilar artery occlusion presenting as refractory status epilepticus
We report in best of our knowledge the first case of refractory status epilepticus in the brainstem stroke and review the relevant literature. We present a case of 45-year-old hypothyroid female presented with loss of consciousness followed by generalized tonic-clonic seizures which turned out into refractory status epilepticus as benzodiazepines and antiepileptic drugs were ineffective. Magnetic resonance imaging and angiography of brain revealed basilar artery occlusion with infarcts of midbrain, bilateral thalami and cerebellum without cortical involvement. Emergency physician should be aware of this unusual presentatio...
Source: Journal of Acute Medicine - June 2, 2015 Category: Emergency Medicine Source Type: research
A hemorrhagic hepatic cyst presenting with clinical signs and symptoms of right-sided heart failure: A case report
Publication date: Available online 23 May 2015 Source:Journal of Acute Medicine Author(s): Nicholas Cole , Lila Mayahi A 96-year-old Afro-Caribbean woman was referred with a two-week history of exertional dyspnea, reduced exercise tolerance and bilateral leg swelling. She had been started on warfarin for atrial fibrillation a month prior to presentation. The previous year she had undergone an abdominal ultrasound to investigate right upper quadrant abdominal pain and hepatomegaly. This had revealed multiple simple liver cysts but she had been asymptomatic since. She now had clinical signs of right-sided heart failure...
Source: Journal of Acute Medicine - May 23, 2015 Category: Emergency Medicine Source Type: research
Secondary metabolite credentials and in vitro free radical scavenging activity of Alpinia calcarata
Conclusion Hence the present study reveals that the rhizome of A. calcarata might be used as herbal drug. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - May 11, 2015 Category: Emergency Medicine Source Type: research
A huge traumatic pulmonary pseudocyst
We report a 26-year-old male patient who presented to the emergency room with internal bleeding and shock. Huge TPP (14 cm in diameter) was seen on whole-body computed tomography scan and complicated with bronchial bleeding. He deteriorated to respiratory failure soon after arriving at the emergency room. TPPs imply high-energy impact on the chest region and frequently complicated with pulmonary contusions, hemo- and pneumo-thorax, multiple rib fractures, flail chest, and concurrent with abdominal injuries. Emergency physicians should be aware of such rare entity and manage correctly. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - May 5, 2015 Category: Emergency Medicine Source Type: research
Cardioprotective effect of ellagic acid on doxorubicin induced cardiotoxicity in wistar rats
Conclusion It has been concluded that ellagic acid (200 mg/kg) treatment for 6 weeks protects the heart of rats in doxorubicin induced cardiotoxicity. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - April 3, 2015 Category: Emergency Medicine Source Type: research
Pharmaceutical applications of cyanobacteria—A review
Publication date: Available online 30 March 2015 Source:Journal of Acute Medicine Author(s): Subramaniyan Vijayakumar , Muniraj Menakha Cyanobacteria are emerging as an important source of novel bioactive secondary metabolites. Recently, it has also been reported as a rich source of bioactive molecules such as apratoxins, lynbyabellin, and curacin A. Some compounds have exhibited very interesting results and successfully reached Phase II and Phase III clinical trials. Furthermore, cyanobacterial compounds hold a bright and promising future in scientific research and provide a great opportunity for new drug discovery....
Source: Journal of Acute Medicine - March 30, 2015 Category: Emergency Medicine Source Type: research
Protective role of β-caryophyllene, a sesquiterpene lactone on plasma and tissue glycoprotein components in streptozotocin-induced hyperglycemic rats
Conclusion From this study, we conclude that BCP ameliorates deranged glycoprotein metabolism in streptozotocin-induced diabetic rats. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - March 27, 2015 Category: Emergency Medicine Source Type: research
A huge traumatic pulmonary pseudocyst: A case report
We report a 26-year-old male patient who presented to the emergency room with internal bleeding and shock. Huge TPP (14 cm in diameter) was seen on whole-body computed tomography scan and complicated with bronchial bleeding. He deteriorated to respiratory failure soon after arriving at the emergency room. TPPs imply high-energy impact on the chest region and frequently complicated with pulmonary contusions, hemo- and pneumo-thorax, multiple rib fractures, flail chest, and concurrent with abdominal injuries. Emergency physicians should be aware of such rare entity and manage correctly. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - March 27, 2015 Category: Emergency Medicine Source Type: research
Isolated tracheal injury after whiplash
We report the case of a 25-year-old Taiwanese female who presented to the emergency department with severe posterior midline neck pain after a rear-end motorcycle collision. Her C-spine X-ray showed no definite fracture; furthermore, her neck noncontrast-enhanced CT scan revealed paratracheal free air. She was discharged uneventfully after a 12-h observation period. Laryngotracheal injuries after whiplash, a hyperextension–hyperflexion movement, are potentially life-threatening and could lead to airway obstruction. Such injuries should not be overlooked. To the best of our knowledge, this is the first case report of iso...
Source: Journal of Acute Medicine - March 21, 2015 Category: Emergency Medicine Source Type: research
Bilateral hippocampal hyperintensity and elevated cardiac enzyme levels due to exertional heat stroke: A case report
We report a 12 year-old child who suffered from heat stroke with elevated cardiac enzymes with normal cardiac function and special magnetic resonance imaging (MRI) finding. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - March 10, 2015 Category: Emergency Medicine Source Type: research
A rare cause of acute abdomen after a sport-related blunt abdominal trauma – Torsion of a normal ovary in a pre-pubertal girl
We reported the first known case of torsion of a normal adnexa after a sport-related blunt abdominal trauma in a pre-pubertal girl. Adnexal torsion can happen in a pre-pubertal girl with normal adnexa. Common laboratory examinations provide little help and image studies can be suggestive but often not diagnostic. Early gynecological or surgical consultation is recommended in the context of a high level of clinical suspicion. Early surgical treatment is well codified and should be conservative by laparoscopy as possible. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - January 30, 2015 Category: Emergency Medicine Source Type: research
Hip fractures in patients admitted to emergency departments may increase the risk of acute affective disorders: A national population-based study
Conclusion Individuals who experience a hip fracture are at a higher risk of developing affective disorders, and these disorders primarily occur during the first 60 days after the fracture. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - January 15, 2015 Category: Emergency Medicine Source Type: research
Pyogenic iliopsoas abscess: An uncommon presentation of nonspecific leg pain
We describe a patient with psoas abscess who presented to the emergency department at Milton Keynes General Hospital, illustrating how psoas abscesses are still misdiagnosed by junior and senior clinicians, even when patients present with the classical signs of fever, leg pain, and antalgic gait. This highlights the need for an increased emphasis on training at all levels, to increase the index of suspicion for a psoas abscess in those presenting with leg, hip, or back pain with a fever. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - December 7, 2014 Category: Emergency Medicine Source Type: research
