ABSTRACT
Cerebral air embolism is potentially a catastrophic event that occurs as a consequence of air entry into the vasculature. We report a mechanically ventilated 72-year-old woman who underwent multiple procedures during intensive care stay with few possible sources of emboli postulated. We also discuss regarding the preventive measures to minimise the risk of air embolism.
Subject(s)
Embolism, Air/diagnostic imaging , Embolism, Air/etiology , Intracranial Embolism/diagnostic imaging , Intracranial Embolism/etiology , Aged , Female , Humans , Tomography, X-Ray ComputedSubject(s)
Physician's Role , Religion and Medicine , Female , Humans , Internal Medicine , Male , Multivariate Analysis , Physician-Patient RelationsSubject(s)
Education, Medical, Graduate , Logic , Morals , Students, Medical/psychology , Ethics, Medical , Humans , Surveys and QuestionnairesSubject(s)
Advance Directives , Control Groups , Personal Autonomy , Risk Assessment , Withholding TreatmentABSTRACT
Wound botulism is an uncommon disorder that continues to be rarely reported in the United States. A 34-year-old intravenous heroin user was admitted to the Loma Linda, Calif., Veterans Administration hospital with multiple abscesses on his forearms. His clinical course was compatible with botulism, and his culture and serum were positive for Clostridium botulinum toxin type A. Early culture and/or serum identification can lead to prompt diagnosis, treatment, and improvement in the morbidity and mortality rates of this disease.
Subject(s)
Abscess/etiology , Botulism/etiology , Clostridium botulinum/pathogenicity , Wound Infection/etiology , Abscess/diagnosis , Adult , Arm , Botulism/diagnosis , Clostridium botulinum/isolation & purification , Humans , Male , Substance Abuse, Intravenous , Wound Infection/diagnosisABSTRACT
The first case report of Yersinia enterocolitica infection in Malaysia is presented. The patient was a 34-year-old Indian woman who had a four day history of fever, abdominal pain and cough and loose stools for 2 days. She was diagnosed and treated as a case, initially of bacillary dysentery, and then of urban typhus. She responded to tetracycline therapy. Bacteriological examination eventually resulted in the isolation and identification of Yersinia enterocolitica, serotype 0:3. This case indicates the presence of the infection in Malaysia although the incidence is probably very low. This appears to be the situation in 'warm' countries.
