RESUMO
⺠We present a rare case of consumptive coagulopathy secondary to a large degenerated uterine angioleiomyoma. ⺠Pathological examination showed features of angioleiomyoma, which are rarely found in the uterus. ⺠After removal of the neoplasm, the patient's consumptive coagulopathy, along with her vaginal bleeding, subsequently resolved.
RESUMO
Intravenous Rho (D) immune globulin (IV RhIG, WinRho SDF) has been shown to be a safe treatment for idiopathic thrombocytopenic purpura (ITP). Common side effects of IV RhIG include mild hemolysis, febrile reaction, and headache. Significant hemolysis with renal impairment following IV RhIG has been reported. We report a case of irreversible encephalopathy 48 hr following an infusion of IV RhIG for treatment of ITP.
Assuntos
Encefalopatias/induzido quimicamente , Púrpura Trombocitopênica Idiopática/tratamento farmacológico , Imunoglobulina rho(D)/efeitos adversos , Encefalopatias/diagnóstico , Hemoglobinas , Humanos , Imunoglobulinas Intravenosas/administração & dosagem , Imunoglobulinas Intravenosas/efeitos adversos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Púrpura Trombocitopênica Idiopática/sangue , Imunoglobulina rho(D)/administração & dosagemRESUMO
Bilateral vocal cord paralysis is an extremely rare complication of short-term endotracheal intubation. Its etiology following intubation is likely due to recurrent laryngeal nerve injury on intubation. The anterior ramus of the recurrent laryngeal nerve is especially susceptible to pressure injury in intubated patients. Heliox is reported as a successful means of decreasing the work of breathing in upper airway obstruction via decreases in airway resistance. Two cases of bilateral vocal cord dysfunction following short-term intubation are reported. The first case of bilateral vocal cord paresis treated with Heliox is described.
