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1.
S D Med ; 77(2): 68-71, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38986160

RESUMO

Bullet embolization is a rare and potentially life-threatening complication of gunshot wounds, particularly in lowpowered and small-caliber bullets. When these small bullets enter a large elastic vessel, they have the potential to leave a small entrance hole that can form a traumatic pseudoaneurysm. These pseudoaneurysms, which may be life-protecting at first, may rupture and lead to exsanguination if not found. We report an interesting case of an 18-year-old male gunshot victim where a bullet formed an aortic pseudoaneurysm and subsequently embolized and present a review of the literature regarding bullet embolization and traumatic pseudoaneurysms.


Assuntos
Falso Aneurisma , Artéria Femoral , Ferimentos por Arma de Fogo , Humanos , Falso Aneurisma/etiologia , Falso Aneurisma/terapia , Falso Aneurisma/diagnóstico por imagem , Masculino , Ferimentos por Arma de Fogo/complicações , Adolescente , Artéria Femoral/lesões , Artéria Femoral/diagnóstico por imagem , Embolia/etiologia
2.
S D Med ; 77(3): 120-126, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38990796

RESUMO

Multisystem inflammatory syndrome in children (MIS-C) is a rare but severe post-infectious complication of SARSCoV- 2 that seems to occur most frequently two to six weeks after infection. MIS-C can present very similarly to Kawasaki's disease (KD) with symptoms such as a skin rash in addition to a prolonged fever. Here we present a case of a 12-year-old African American/Black female with incomplete KD presenting similarly to MIS-C. The patient presented with prolonged fever, eventually worsening to shock and cardiac dysfunction. We further review the similarities and differences between incomplete KD and MIS-C. Due to their similarities, it is important to keep these diagnoses on the differential when a child presents with a prolonged fever.


Assuntos
COVID-19 , Síndrome de Linfonodos Mucocutâneos , Síndrome de Resposta Inflamatória Sistêmica , Humanos , Feminino , Síndrome de Linfonodos Mucocutâneos/diagnóstico , Síndrome de Linfonodos Mucocutâneos/complicações , Criança , Síndrome de Resposta Inflamatória Sistêmica/diagnóstico , Síndrome de Resposta Inflamatória Sistêmica/etiologia , COVID-19/complicações , COVID-19/diagnóstico , Diagnóstico Diferencial
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