Publications by authors named "N S Balaji"
Giant cell arteritis (GCA) is a medium-to-large vessel vasculitis most commonly affecting the aortic arch and carotid branches. Lingual necrosis is a rare complication of GCA caused by lingual artery vasculitis due to ischemia. A delay in diagnosis can result in irreversible complications such as tongue amputation.
View Article and Find Full Text PDFBackground: Optical coherence tomography (OCT) and intravascular ultrasound (IVUS) are adjunctive intracoronary imaging modalities used to optimize coronary stent implantation. However, the impact of OCT versus IVUS on clinical outcomes and periprocedural complications is unclear.
Aims: To perform a meta-analysis of all vetted randomized controlled trials comparing OCT-guided versus IVUS-guided percutaneous coronary intervention.
Article Synopsis
- Hyperammonemia, often caused by liver cirrhosis, is a key factor in encephalopathy cases, affecting patients' mental status.
- Treatment typically involves lactulose and rifaximin to manage ammonia levels.
- In a specific case, a patient with slightly elevated ammonia levels of 39 μmol/L recovered after 30 hours of fluid therapy, without the need for lactulose or rifaximin.
Article Synopsis
- Atrial flutter is a heart condition that can lead to serious health issues, typically treated with medications, while more persistent cases may require ablation, a procedure that can have risks including complete heart block.* -
- A case involving a 73-year-old woman highlighted complications during ablation for atrial flutter when a heart block occurred due to catheter positioning too close to the His bundle—a critical area for heart electrical signals.* -
- The patient recovered quickly after the block but later needed a pacemaker due to severe bradycardia, emphasizing the need for careful catheter placement during ablation to avoid such complications.*
Article Synopsis
- Streptococcal toxic shock syndrome (TSS) can lead to severe multiorgan failure and is rarely associated with uterine necrosis (UN).
- A case study details a woman in her 30s who experienced symptoms like abdominal pain and fever, quickly progressing to shock and organ damage.
- The medical intervention revealed unexpected UN, resulting in a hysterectomy and various complications, underscoring the aggressive nature of this disease.