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An Atypical Presentation of Viral Myocarditis Masquerading as Non-ST-Elevation Myocardial Infarction (NSTEMI).
Cureus
July 2024
Internal Medicine, Creighton University School of Medicine, Phoenix, USA.
Article Synopsis
- A 47-year-old man with hypertension and obesity developed severe symptoms including back pain, migratory joint pain, dyspnea, and arm weakness, linked to Coxsackie B virus-induced myositis and myocarditis, which are uncommon for this virus.
- Initial tests showed elevated enzyme levels (CK and troponin I) raising concerns for a non-ST-elevation myocardial infarction (NSTEMI), leading to immediate heart attack treatment protocols.
- After discovering the patient's recent sore throat and potential contact with an ill family member, a viral test confirmed Coxsackie B virus infection, and the patient recovered fully with supportive care, underscoring the need for thorough viral testing in similar cases.
Profound Hyperkalemia and Anemia in a Dialysis Patient With a Gastrointestinal Bleed.
Cureus
January 2023
Anesthesiology and Perioperative Medicine, University of Louisville School of Medicine, Louisville, USA.
An 80-year-old male receiving dialysis three times per week presented to the emergency room with general malaise after missing four consecutive dialysis appointments. During his workup, he was noted to have a potassium of 9.1 mmol/L, hemoglobin of 4.
View Article and Find Full Text PDFSafety and Efficacy of s-MOX Regimen in Patients with Colorectal Cancer Who Developed Cardiotoxicity Following Fluoropyrimidine Administration: A Case Series.
Arch Med Case Rep
January 2020
Northwell Health Cancer Institute, Feinstein Institutes of Research and Zucker School of Medicine, Lake Success, New York, USA.
Background: Fluoropyrimidines compose the backbone of regimens to treat many common solid tumors, including gastrointestinal (GI), breast and head/neck. As we continue to use these agents routinely, recognition of rare but real toxicities, such as cardiotoxicity, has also improved. The treatment options for patients who have encountered fluoropyrimidine-induced cardiotoxicity are limited as many anti-angiogenic drugs also pose a cardiac risk.
View Article and Find Full Text PDFMexiletine Usage in a Chronic Pain Clinic: Indications, Tolerability, and Side Effects.
Pain Physician
September 2018
Department of Anesthesiology, Pain Management & Perioperative Medicine; Henry Ford Health System; Detroit, MI.
Background: Intravenous lidocaine has multiple applications in the management of acute and chronic pain. Mexiletine, an oral lidocaine analogue, has been used in a number of chronic pain conditions although its use is not well characterized.
Objectives: To report our experience using mexiletine in a chronic pain population, specifically looking at tolerability, side effects, and EKG changes.
Takotsubo cardiomyopathy followed by neurogenic stunned myocardium in the same patient: gradations of the same disease?
Cardiology
December 2011
Danbury Hospital, Conn., USA. amitdande @ gmail.com
Takotsubo cardiomyopathy is a phenomenon of transient acute left ventricular dysfunction without obstructive coronary disease seen predominantly in postmenopausal women in the setting of acute emotional or physical stress. Neurocardiogenic injury from acute neurologic events such as intracranial bleeding can precipitate transient left ventricular dysfunction (termed 'neurogenic stunned myocardium') that may be indistinguishable from takotsubo cardiomyopathy. There is controversy about the diagnosis of takotsubo cardiomyopathy in the setting of acute neurologic disorders.
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