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Late-Onset Diffuse Lung Disease in an 8-Year-Old Girl.
Chest
March 2024
Respiratory Department II, National Clinical Research Center for Respiratory Diseases, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China. Electronic address:
An 8-year-old girl presented with a 34-day history of cough, fatigue, and impaired exercise tolerance. She experienced cyanosis on exertion but denied fever, hemoptysis, hematuria, or seizures. Her perinatal and family histories were unremarkable, and she had no history of exposure to TB.
View Article and Find Full Text PDFA Rare Case of Hydralazine-Induced Diffuse Alveolar Hemorrhage.
Cureus
October 2023
Medicine, University of North Carolina School of Medicine, Chapel Hill, USA.
Hydralazine-induced anti-neutrophil cytoplasmic antibody (ANCA) vasculitis may occur any time after hydralazine initiation. General internists should recognize diffuse alveolar hemorrhage (DAH) as a rare complication of this condition, as early treatment reduces the associated high risk of mortality. We describe the case of an 82-year-old female with diastolic heart failure who presented with a one-month history of worsening dyspnea on exertion and a one-week history of scant hemoptysis and fatigue.
View Article and Find Full Text PDFA Systematic Review on Outcomes of Patients with Heatstroke and Heat Exhaustion.
Open Access Emerg Med
September 2023
Department of Surgery, Umm AL-Qura University, Makkah, Saudi Arabia.
Introduction: Heatstroke (HS) is a severe form of heat-related illness (HRI) associated with high morbidity and mortality, representing a condition that includes long-term multiorgan dysfunction and susceptibility to further heat illness.
Methods: In a systematic review searching Medline PubMed from the studies conducted between 2009 and 2020, 16 papers were identified.
Results: A hallmark symptom of heat stroke is CNS dysfunction (a hallmark sign of HS) which manifests as mental status changes, including agitation, delirium, epilepsy, or coma at the time of the collapse.
A 79-year-old man presented with dyspnea upon exertion, marked renal dysfunction, proteinuria, and hematuria. He was diagnosed with rapidly progressive glomerulonephritis. Serological tests were positive for MPO-ANCA, PR3-ANCA, and anti-GBM antibodies.
View Article and Find Full Text PDFMarch hemoglobinuria progressed to acute kidney injury after kendo practice: a case report.
BMC Nephrol
November 2022
Department of Nephrology, Juntendo University Faculty of Medicine, Tokyo, Japan.
Background: March hemoglobinuria is caused by a hemolytic mechanism due to transient hematuria after physical exercise which, although rare, may lead to acute kidney injury. We report a case of a patient with march hemoglobinuria induced by kendo, which was diagnosed by the presence of Berlin blue iron staining in the proximal tubules through renal biopsy.
Case Presentation: A 15-year-old male complained of fever (37 °C), general malaise, and nausea after hard kendo sessions.
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