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Toxic shock syndrome secondary to Group A infection: A case report.

Case Rep Womens Health

March 2025

Department of Obstetrics and Gynaecology, Campbelltown Hospital, NSW, Sydney, Australia.

Toxic shock syndrome secondary to Group A infection is a rare but serious cause of women's morbidity and mortality which can easily be misdiagnosed. A 37-year-old woman presented to the emergency department in a state of shock after a two-day history of abdominal pain, fever, diarrhoea and green vaginal discharge. Following extensive investigations, she was proved to have septic shock secondary to Group A Despite receiving intravenous antibiotics, she required explorative laparotomy, which proceeded to subtotal hysterectomy and bilateral salpingectomy.

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Background: We sought to evaluate the use of intravascular ultrasound (IVUS) and mechanical thrombectomy (MT) for the treatment of deep vein thrombosis (DVT) in a community hospital setting.

Methods: Data were analyzed among patients with lower extremity DVT who underwent MT from December 1, 2021 to December 1, 2022.

Results: A total of 1263 patients were evaluated and only 8.

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Side branch preservation using tip detection-antegrade dissection re-entry after failed subintimal tracking and re-entry in chronic total occlusion: a case report.

Eur Heart J Case Rep

November 2024

Department of Cardiovascular Medicine, Sapporo Cardiovascular Clinic, Sapporo Heart Center, North 49, East 16, 8-1, Higashi Ward, 007-0849 Sapporo, Japan.

Article Synopsis
  • The text discusses a case involving a 78-year-old man with stable angina due to a chronic total occlusion (CTO) in the left circumflex coronary artery, treated using advanced techniques.
  • It highlights the successful use of tip detection-antegrade dissection re-entry (TDADR) guided by intravascular ultrasound (IVUS) as an alternative when the subintimal tracking and re-entry (STAR) technique failed to recanalize the main vessel.
  • At the 12-month follow-up, the patient reported no angina, and imaging showed that the treated areas remained open with no significant restenosis, though challenges like limited access to IVUS may hinder broader use of TDADR.
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Purpura fulminans (PF) is a rare and life-threatening syndrome characterized by cutaneous purpura resulting from disseminated intravascular coagulation (DIC) and intravascular thrombosis. PF typically develops as a severe complication of infections and is associated with high mortality rates. Effective treatment involves early recognition, aggressive resuscitation, appropriate antibiotic therapy, and the correction of coagulation abnormalities.

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Acquired hemophilia A (AHA) is a clotting disorder characterized by the presence of neutralizing antibodies that inhibit factor VIII, resulting in increased bleeding risk. Known etiologies include malignancy, autoimmune conditions, graft-vs-host disease, and more recently coronavirus disease 2019 (COVID-19) infection. In this case report, we describe an 86-year-old female who was found to have AHA incidentally during preoperative workup for meningioma resection.

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