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Infective endocarditis causing recurrent cerebral infarction, cerebral hemorrhage and septic meningitis: A case report.
Medicine (Baltimore)
November 2024
Department of Neurology, Weifang People's Hospital, Weifang, Shandong, China.
Rationale: We reported a rare case of recurrent cerebral infarction, intracerebral hemorrhage, and purulent meningitis, culminating in the diagnosis of a young patient with infective endocarditis who had been treated in 3 hospitals for a long course of illness for 8 months prior to diagnosis. It aims to enhance clinicians' understanding of the neurological complications caused by infective endocarditis.
Patient Concerns: A 25-year-old male, student, was hospitalized for an 8-hour history of speech impairment and drooling with dysphagia.
Forensic investigation on a combined death by food aspiration and acute escitalopram intoxication occurred to a psychiatric subject in a nursing home.
Int J Legal Med
July 2024
Department of Medical, Surgical and Advanced Technologies "G.F. Ingrassia, University of Catania, Catania, Italy.
Food aspiration is one of the major health risks for elderly people in nursing homes which could lead to death. Moreover, misconducts in pharmacotherapy may represent a potential risk of adverse drug reactions. It is reported here the toxicological evaluation of a combined death by food aspiration and acute escitalopram intoxication of a psychiatric subject, occurred in a nursing home.
View Article and Find Full Text PDFIntraoperative cardiogenic shock induced by refractory coronary artery spasm in a patient with myasthenia gravis: A case report.
World J Clin Cases
December 2023
Department of Anesthesiology, Taipei Medical University Hospital, Taipei 110, Taiwan.
Background: Coronary artery spasm (CAS) is a rare but critical condition during surgery. Clinical manifestations can vary from only subtle electrocardiography change to sudden death. In this case report, we present the case of a patient with myasthenia gravis (MG) who developed refractory CAS-related cardiogenic shock during thymoma surgery.
View Article and Find Full Text PDFUse of the "ee" Maneuver in a Patient With Dysphagia Due to Severe Pseudobulbar Palsy.
Cureus
October 2022
Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, Hamamatsu, JPN.
Dysphagia in pseudobulbar palsy is characterized by impairment of the oral stage of swallowing. The flow of the bolus from the oral cavity into the pharynx at the fauces may be blocked in some patients, which prevents the bolus flow by contact of the tongue with the palate. Herein, we demonstrated a case with pseudobulbar palsy who could deliver bolus from the oral cavity to the pharynx by vocalizing "ee.
View Article and Find Full Text PDFEsophageal Motility Disorders in Patients With Esophageal Barium Residue After Videofluoroscopic Swallowing Study.
Ann Rehabil Med
October 2022
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea.
Objective: To investigate esophageal motility disorders in patients with esophageal residual barium on chest x-rays after videofluoroscopic swallowing studies (VFSS) through high-resolution esophageal manometry (HREM).
Methods: We reviewed the records of 432 patients who underwent VFSS from September 2019 to May 2021, and 85 patients (19.7%) with large residual barium (diameter ≥1 cm) were included.
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