Coronavirus or Cholangitis? An Acute Necrotizing Encephalopathy Caused by COVID-19.

A 63-year-old Japanese woman presented to the emergency room with a fever and altered mental status. She was diagnosed as acute cholangitis and coronavirus disease 2019 (COVID-19). On the second day, her consciousness level deteriorated. The patient was finally diagnosed with acute necrotizing encephalopathy (ANE). This case illustrated ANE caused by COVID-19 that co-occurred with acute cholangitis. ANE is a subtype of acute encephalitis/encephalopathy, sometimes related to COVID-19. ANE shares some clinical features with acute cholangitis. COVID-19 and bacterial infections may coexist, thus complicating an accurate diagnosis. Physicians should avoid overlooking life-threatening febrile conditions even if the diagnosis of COVID-19 is confirmed.

A System for Wound Evaluation Support Using Depth and Image Sensors.

This paper proposes an evaluation/treatment sup-port system enabling automatic determination of wound evaluation indices from RGB-depth images and fully convolutional networks (FCNs). Segmentation experiments based on wound images and surface area determination experiments based on artificial images showed reduced errors and smaller parameters/higher levels of tissue classification than with previous approaches (proposed: 65.8 %; conventional: 60.2 %), thereby demonstrating the effectiveness of the technique.