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.
Comparison of sedative effectiveness of thiopental versus midazolam in reduction of shoulder dislocation
BACKGROUND: Various sedative drugs have been proposed to control anxiety and agitation in shoulder dislocation, but none of them has been diagnosed as the best sedative and relaxant agent. The study aimed to compare the...
Prevalence and risk factors of organ failure in patients with severe acute pancreatitis
BACKGROUND: This study was undertaken to determine the prevalence of organ failure and its risk factors in patients with severe acute pancreatitis (SAP) . METHODS: A retrospective analysis was made of 186 patients with S...
Expression of triggering receptor-1 in myeloid cells of mice with acute lung injury
BACKGROUND: Myeloid cell (TREM-1) is an important mediator of the signal transduction pathway in inflammatory response. In this study, a mouse model of acute lung injury (ALI) by intraperitoneal injection of lipopolysacc...
Procedural simulation: medical student preference and value of three task trainers for ultrasound guided regional anesthesia
BACKGROUND: Ultrasound guided regional anesthesia is widely taught using task trainer models. Commercially available models are often used; however, they can be cost prohibitive. Therefore, alternative "homemade" models...
Paradoxical brain embolism followed by percutaneous atrial septal closure: Stroke in a patient's thirties highlighting some issues surrounding brain stroke in an emergency setting
Brain stroke in patients younger than 40 deprives society of its work force. Paradoxical brain embolism (PBE) is sometimes responsible. PBE should never be overlooked in emergency settings because its recurrence may be p...