Publications by authors named "R J Begue"

Background: The tissue-based definition of transient ischemic attack, which requires the use of diffusion-weighted imaging (DWI), has limitations in its applicability to clinical practice. This contributes to the limited evidence regarding the risk of subsequent stroke and the associated predictors in the group of patients who are tissue-negative on DWI. Our aim was to assess the early and long-term prognoses of consecutive patients with tissue-negative transient ischemic attacks attended at an emergency department.

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  • A patient with moderately severe acute pancreatitis and several serious complications was found to have multisystem inflammatory syndrome in children (MIS-C).
  • The treatment included intravenous immune globulin, corticosteroids, antibiotics, systemic anticoagulation, and drainage of fluid, which resulted in a good response.
  • This case underscores the diverse symptoms of MIS-C and the need for healthcare providers to be vigilant about rare and severe cases that don't improve with standard treatments.
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  • * A lung biopsy revealed organizing pneumonia, and despite aggressive treatment with various therapies, his condition did not improve.
  • * After 85 days in the hospital, he passed away, emphasizing that severe cases of pediatric COVID-19, while rare in Hawai'i, can still occur and be fatal.
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