It is reported on 37 diabetic patients with coma or stupor. The discussion of the case histories leads to the conclusion that moderate hyperosmolality greatly affects the condition and prognosis of the patients. In those instances, where diabetic coma or stupor was complicated by pneumonia, myocardial infarction or shock, life could be saved only, when on admission osmolality or osmolarity was found to be lower than 334 mosm/kg and 328 mosm/1, respectively.
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Viruses
December 2024
Department of Medical Oncology, Medical University of Sofia, University Hospital "Tsaritsa Yoanna", 1527 Sofia, Bulgaria.
Central nervous system (CNS) infections caused by SARS-CoV-2 are uncommon. This case report describes the clinical progression of a 92-year-old female who developed a persistent neuroinfection associated with SARS-CoV-2. The patient initially presented with progressive fatigue, catarrhal symptoms, and a fever (38.
View Article and Find Full Text PDFACG Case Rep J
December 2024
Yale-Waterbury Internal Medicine Residency Program, Waterbury, CT.
We present the case of a woman with nonhepatic hyperammonemic encephalopathy, a rare complication of bariatric surgery. Proposed mechanism include underlying urea cycle disorders and increased ammonia production. Clinically, states of hyperammonemia present with predominantly neurological symptoms of behavioral disturbances, lethargy, seizures, and coma.
View Article and Find Full Text PDFEpilepsia
January 2025
Department of Neurology, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Écublens, Switzerland.
General anesthesia (GA) earlier than recommended (as first- or second-line treatment) was recently described to improve status epilepticus (SE) outcome. We aimed to assess the impact of early GA on outcome in matched groups. Data from a multicenter, prospective cohort of 1179 SE episodes in 1049 adults were retrospectively analyzed.
View Article and Find Full Text PDFTurk Arch Pediatr
November 2024
T. C. University of Health Sciences, Van Training and Research Hospital, Pediatrics Clinic, Van, Türkiye.
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