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Similar Publications

Citrobacter infection is an uncommon but serious, difficult to treat infection associated with high mortality. Accumulation of pus or fluid in a pericardial space causes restriction of cardiac filling and consequent decrease in cardiac output. We herein report , a rare infectious cause of this uncommon disorder.

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Background: Lemierre's syndrome is a rare condition characterized by thrombophlebitis of internal jugular vein, septicemia and septic metastatic infection of different organs. It is preceded by an oropharyngeal infection by anaerobic organisms. Community-acquired methicillin-resistant Staphylococcus aureus is now emerging as a causative organism in Lemierre's syndrome.

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Murmur and Doppler alternans in critical pulmonary stenosis.

Pediatr Cardiol

October 2011

Department of Pediatrics and Child Health, Aga Khan University Hospital, PO Box 3500, Stadium Road, Karachi 74800, Pakistan.

Article Synopsis
  • Pulsus alternans involves detecting alternating strong and weak pulses, often linked to heart failure issues.
  • Murmur alternans, which is the variation in the intensity of heart murmurs, can occur in conditions like aortic stenosis and certain right-sided heart problems.
  • The case report details a patient with critical pulmonary stenosis, exhibiting murmur alternans and Doppler alternans on echocardiography due to right ventricular systolic dysfunction.
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A 63-year-old female presented with dyspnea, leg edema, and abdominal distention. Exam revealed blood pressure of 104/58, pulse 108/min, jugular venous pressure of 8 cm, no pulsus paradoxus, a pericardial rub, muffled heart sounds, decreased basilar breath sounds, ascites, and ankle edema. Electrocardiogram showed low voltage.

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