Obstructive shock secondary to fungal prosthetic aortic valve endocarditis
Journal Title: World Journal of Emergency Medicine - Year 2018, Vol 9, Issue 3
Abstract
Fungal endocarditis is a rare disease with a poor prognosis, suboptimal diagnostic tools responsible for long diagnostic delays in most cases, and poorly defined activity of most antifungal agents in endocarditis.[1] The burden of diagnosis still lies with clinicians: they need a high index of suspicion the entity by understanding the organisms and the patients who are likely to be infected.[2,3] We present an exceptional case with obstruction of the left ventricle outflow tract (LVOT) causing sudden cardiac arrest.
An unusual case of renal calculi leading to myocardial infarction and cardiogenic shock
The presentation of cardiogenic shock (CS) is usually straightforward, and includes hypotension, absence of hypovolemia, and clinical signs of poor tissue perfusion such as oliguria, cyanosis, cool extremities and altere...
Heat-related illness in Jinshan District of Shanghai: A retrospective analysis of 70 patients
BACKGROUND: This study aimed to investigate the epidemiological and clinical characteristics of patients with heat-related illness, and guide the prevention, diagnosis and treatment of heat-related illness. METHODS: From...
Could the number of CT angiograms be reduced in emergency department patients suspected of pulmonary embolism?
BACKGROUND: This study was undertaken to identify the prevalence of pulmonary embolism (PE) in the emergency department (ED) of an urban teaching hospital and also to test a Bayesian model in estimating the number of CT...
Effects of hyperbaric oxygen on intestinal mucosa apoptosis caused by ischemia-reperfusion injury in rats
BACKGROUND: Hyperbaric oxygen (HBO) is an effective adjuvant therapy for ischemiareperfusion (I/R) injury of the brain, small intestine and testis in addition to crushing injury. Studies have shown that HBO increases the...
Treatment of postoperative infectious complications in patients with human immunodeficiency virus infection
BACKGROUND: Antibiotics are widely given for surgical patients to prevent infection. Because of the lack of study on the rational use of antibiotics in patients with human immunodeficiency virus (HIV) -infected during su...