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Case reports in medicine 307건

  1. [해외논문]   A Case of Neonatal Neutropenia Due to Anti-Fc Gamma Receptor IIIb Isoantibodies Treated with Recombinant Human Granulocyte Colony Stimulating Factor  

    Tomicic, Maja (Department of Platelet and Leukocyte Immunology, Croatian Institute of Transfusion Medicine, HR-10000 Zagreb, Croatia ) , Starcevic, Mirta (Department of Neonatology, University Department of Pediatrics, Sestre Milosrdnice University Hospital, HR-10000 Zagreb, Croatia ) , Zach, Vanja (Department of Neonatology, University Department of Pediatrics, Sestre Milosrdnice University Hospital, HR-10000 Zagreb, Croatia ) , Bingulac-Popovic, Jasna (Department of Molecular Immunogenetics, Croatian Institute of Transfusion Medicine, HR 10000, Zagreb, Croatia ) , Hundric-Haspl, Zeljka (Department of Immunohematology, Croatian Institute of Transfusion Medicine, HR 10000, Zagreb, Croatia)
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    Alloimmunization to granulocyte-specific antigens can occur during pregnancy. Maternal antibodies of IgG class can cross the placenta to result in alloimmune neonatal neutropenia. Antibodies to human neutrophil antigens anti-HNA-1a, HNA-1b, and HNA-2a have been most commonly reported to cause alloimmune neonatal neutropenia. Isoantibodies to Fc gamma RIIIb (CD16) if mother is a HNA-null phenotype are rarely involved in neonatal neutropenia. We report on a case of severe neutropenia (440 neutrophils/μL) due to anti-Fc gamma RIIIb (CD16) isoimmunization. On day 14 severe omphalitis developed, which was treated for 7 days by an antibiotic (ceftriaxone in a dose of 80 mg/kg/d) according to umbilical swab finding. Omphalitis persisted for 10 days in spite of antibiotic therapy and only resolved upon the introduction of rhG-CSF therapy. Therapy with rh-GCSF proved efficient and led to neutrophil count increase to 1970/μL and cure of omphalitis. However, therapeutic effect on granulocyte count was of transient nature, as granulocyte count fell to 760 n/μL on day 4 of therapy discontinuation. Neutropenia persisted for 2 months. The newborn was discharged from the hospital on day 26 with normal clinical status with clinical and laboratory control examinations at 2-week intervals. No additional infections were observed during the course of neutropenia.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   Perforation of the Right Ventricle Induced by Pulmonary Artery Catheter at Induction of Anesthesia for the Surgery for Liver Transplantation: A Case Report and Reviewed of Literature  

    Auxiliadora-Martins, Maria (Divisão de Terapia Intensiva, Departamento de Cirurgia e Anatomia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, 2o andar. Av. Bandeirantes, 3900 Bairro Monte Alegre, Ribeirão Preto, SP, Brazil ) , Apinagé (Divisão de Terapia Intensiva, Departamento de Cirurgia e Anatomia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, 2o andar. Av. Bandeirantes, 3900 Bairro Monte Alegre, Ribeirão Preto, SP, Brazil ) , s dos Santos, Erick (Unidade de Transplante Hepático da Divisão de Cirurgia Digestiva, Departamento de Cirurgia e Anatomia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil ) , Adans Wenzinger, Daniel (Divisão de Terapia Intensiva, Departamento de Cirurgia e Anatomia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de S&atild) , Alkmim-Teixeira, Gil Cezar , Neto, Gerardo Cristino de M. , Sankarankutty, Ajith Kumar , de Castro e Silva, Orlando , Martins-Filho, Olindo Assis , Basile-Filho, Anibal
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    We report a case of a 45-year-old male patient diagnosed with liver cirrhosis by hepatitis C and alcohol, with a Child-Pugh score C and a model for end-stage liver disease (MELD) score of 27, and submitted to liver transplantation. The subject underwent insertion of the pulmonary artery catheter (PAC) in the right internal jugular vein, with technical difficulty concerning catheter advance. There was sudden hypotension, increase in central venous pressure (CVP), and decrease in SvO2 15 minutes after the PAC had been inserted, followed by cardiorespiratory arrest in pulseless electrical activity (PEA), which was promptly assisted with resuscitation. Pericardiocentesis was performed without success, so the individual was subjected to a subxiphoid pericardial window, which led to output of large amounts of blood as well as PEA reversal to sinus rhythm. Sternotomy was performed; rupture of the apex of the right ventricle (RV) was detected, and suture of the site was accomplished. After hemodynamic stabilization, the patient was transferred to the ICU, where he developed septic shock and, despite adequate therapy, died on the eighteenth day after ICU admission.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   Cognitive Behavioral Treatment to Improve Adherence to Hemodialysis Fluid Restrictions: A Case Report  

    Anson, Heather M. (Psychology Department, Eastern Michigan University, Ypsilanti, MI 48197, USA ) , Byrd, Michelle R. (Psychology Department, Eastern Michigan University, Ypsilanti, MI 48197, USA ) , Koch, Ellen I. (Psychology Department, Eastern Michigan University, Ypsilanti, MI 48197, USA)
    Case reports in medicine v.2009 ,pp. 1 - 5 , 2009 , 1687-9627 ,

    초록

    This case report describes outpatient psychological treatment targeting adherence to fluid restrictions in a hemodialysis patient. The consequences of nonadherence to fluid restrictions in hemodialysis patients range from minor discomfort to increased hospitalizations and mortality rates. In addition, when patients chronically fail to adhere, they may no longer be candidates for kidney transplant. The interventions focused on polydipsia, characterized by excessive fluid intake. The methods involved 11-sessions of individual psychotherapy incorporating strategies including increasing awareness, decreasing motivation, increasing effort, engaging in competing events, conducting thought stopping, breaking repetitive routines, eliciting social support, and receiving reinforcement. Results demonstrated that the patient successfully restricted his fluid intake at or below recommended levels 83% of days after fading of treatment began. This case report demonstrates the success of cognitive behavioral treatment strategies with a nonpsychiatric hemodialysis patient.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   Development of Severe Hyponatremia due to Salt-Losing Nephropathy after Esophagectomy for Esophageal Cancer  

    Yoshioka, Katsunobu (Department of Internal Medicine, Osaka City General Hospital, Osaka 534-0021, Japan ) , Nishio, Minako (Department of Internal Medicine, Osaka City General Hospital, Osaka 534-0021, Japan ) , Sano, Soichi (Department of Internal Medicine, Osaka City General Hospital, Osaka 534-0021, Japan ) , Sakurai, Katsunobu (The Department of Gastroenterological Surgery, Osaka City General Hospital, Osaka 534-0021, Japan ) , Yamagami, Keiko (Department of Internal Medicine, Osaka City General Hospital, Osaka 534-0021, Japan ) , Yamashita, Yoshito (The Department of Gastroenterological Surgery, Osaka City General Hospital, Osaka 534-0021, Japan)
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    A 72-year-old woman was admitted to our hospital for esophagectomy for esophageal cancer. On the third postoperative day, she developed polyuria (3.8 L/day), massive natriuresis, hyponatremia (112 mEq/L), hyperkalemia (5.6 mEq/L), and decreased central venous pressure, which was refractory to isotonic saline infusion. Laboratory findings indicated proximal tubular injury (high urinaryβ2-microglobulin, coexistence of hypouricemia) together with reduced aldosterone action at the cortical collecting duct. A diagnosis of salt-losing nephropathy was made and sodium correction was done with 3% saline and fludrocortisone. She responded well to therapy. The cause of hyponatremia was considered renal tubular dysfunction together with elevated antidiuretic hormone level. Postoperatively, it is important to look for the development of salt-losing nephropathy.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Abnormal 18F-FDG Uptake Detected with Positron Emission Tomography in a Patient with Breast Cancer: A Case of Sarcoidosis and Review of the Literature  

    Ataergin, Selmin (Department of Medical Oncology, GATA (Gulhane) Faculty of Medicine, Etlik, 06018 Ankara, Turkey ) , Arslan, Nuri (Department of Nuclear Medicine, GATA (Gulhane) Faculty of Medicine, Etlik, 06018 Ankara, Turkey ) , Ozet, Ahmet (Department of Medical Oncology, GATA (Gulhane) Faculty of Medicine, Etlik, 06018 Ankara, Turkey ) , Ozguven, Mehmet Ali (Department of Nuclear Medicine, GATA (Gulhane) Faculty of Medicine, Etlik, 06018 Ankara, Turkey)
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    18F-FDG PET is a useful and sensitive imaging method for a variety of malignancies, however, the specificity is low in active infections and inflammatory diseases. We describe a female patient with stage IIIA breast cancer in first complete remission with combination chemotherapy who developed nodular formations in the lung and axilla 12 years later. Imaging studies as well as FDG PET showed nodular lesions and increased metabolic activity which was interpreted as the progression of the primary disease. She was first given combination chemotherapy and hormonal therapy but was proven thereafter to have sarcoidosis by pathologic examination and was successfully treated with corticosteroid treatment.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  6. [해외논문]   Nodular Regenerative Hyperplasia Secondary to Neoadjuvant Chemotherapy for Colorectal Liver Metastases  

    van den Broek, Maartje A. J. (Department of Surgery, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands ) , Olde Damink, Steven W. M. (Department of Surgery, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands ) , Driessen, Ann (Department of Pathology, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands ) , Dejong, Cornelis H. C. (Department of Surgery, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands ) , Bemelmans, Marc H. A. (Department of Surgery, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands)
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    Liver resection is the only curative treatment for patients with colorectal liver metastases (CLMs). Neoadjuvant chemotherapy can improve resectability but has a potential harmful effect on the nontumorous liver. Patients with chemotherapy-induced hepatic injury undergoing liver surgery have higher risks of post-resectional morbidity. We present two cases of patients without pre-existent liver disease treated with oxaliplatin-based chemotherapy followed by surgical resection of their CLMs. Their intra-operative liver specimen showed morphologic abnormalities characteristic of nodular regenerative hyperplasia (NRH). NRH led to portal hypertension in both patients that resulted in deleterious post-resectional complications and death of one patient. Interestingly, the other patient underwent two repeat nonanatomic liver resections because of recurrent CLMs. The intra-operative liver specimen still showed signs of NRH and sinusoidal congestion, but the post-resectional courses were uneventful. Nevertheless, caution is recommended in patients with suspected NRH. Careful volumetric analysis should guide the operative strategy. When future remnant liver volume is regarded insufficient, portal vein embolization or restrictive surgery should be considered.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  7. [해외논문]   Pleural FDG Uptake More Than a Decade after Talc Pleurodesis  

    Peek, Hilke (Department of Pulmonary Diseases, Canisius-Wilhelmina Hospital, 6525 SZ Nijmegen, The Netherlands ) , van der Bruggen, Wouter (Department of Nuclear Medicine, Radboud University Nijmegen Medical Centre, 6525 GA Nijmegen, The Netherlands ) , Limonard, Gijs (Department of Pulmonary Diseases, Canisius-Wilhelmina Hospital, 6525 SZ Nijmegen, The Netherlands)
    Case reports in medicine v.2009 ,pp. 1 - 3 , 2009 , 1687-9627 ,

    초록

    Talc pleurodesis induces a strong local inflammatory reaction which can be detected by PET scan for years after the procedure. When patients undergo PET scanning in the workup of a suspected malignancy later in life, pleural FDG uptake may unnecessarily lead to an additional invasive diagnostic workup. We present two cases of positive pleural PET findings more than 10 years after talc pleurodesis, where we adopted a watchful waiting approach. Positive pleural PET findings as a result of prior talc pleurodesis should always be included in the differential diagnosis of pleural abnormalities.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  8. [해외논문]   Side-Alternating Vibration Training Improves Muscle Performance in a Patient with Late-Onset Pompe Disease  

    Khan, Aneal (Medical Genetics and Pediatrics, Alberta Children's Hospital, University of Calgary, 3rd Floor, 2888 Shaganappi Trail NW, Calgary, AB, Canada T3B 6A8 ) , Ramage, Barbara (Department of Pediatrics, Faculty of Medicine, University of Calgary, 2888 Shaganappi Trail NW, Calgary, AB, Canada T3B 6A8 ) , Robu, Ion (Riddell Movement Assessment Centre, Alberta Children's Hospital, University of Calgary, 2888 Shaganappi Trail NW, Calgary, AB, Canada T3B 6A8 ) , Benard, Laura (Riddell Movement Assessment Centre, Alberta Children's Hospital, University of Calgary, 2888 Shaganappi Trail NW, Calgary, AB, Canada T3B 6A8)
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    Side-alternating vibration training (SAVT) was used for 15 weeks in a patient with Late-onset Pompe disease who had never used enzyme replacement or chaperone therapy. Prior to the use of SAVT, the patient had experienced declining muscle performance and her 6-minute walk distance decreased from 210 to 155 metres in 6 months. After SAVT, her 6-minute walk distance increased 70% from 166 to 282 metres, muscle jumping power increased by 64% from 83 to 166 watts, isometric knee extensor strength increased 17% from 38 to 44 Nm, and she achieved a more normal pattern of ankle, knee, and joint kinematics and kinetics. Her functional ability measured through the Rotterdam 9-item score was unchanged at 19/36. There were no elevations in serum creatine kinase or lactate. This is the first report, to our knowledge, of a performance improvement in a patient with Pompe disease using SAVT.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  9. [해외논문]   Mood Disorder Due to a General Medical Condition with Manic Features  

    Oliveira, J. P. (Ribeirao Preto Medical School, University of Sao Paulo, das Clinicas - Terceiro Andar, Avenida Bandeirantes Campus Universitário, 3900 Ribeirao Preto, SP, Brazil ) , Morais, S. L. (Ribeirao Preto Medical School, University of Sao Paulo, das Clinicas - Terceiro Andar, Avenida Bandeirantes Campus Universitário, 3900 Ribeirao Preto, SP, Brazil ) , Araú (Ribeirao Preto Medical School, University of Sao Paulo, das Clinicas - Terceiro Andar, Avenida Bandeirantes Campus Universitário, 3900 Ribeirao Preto, SP, Brazil ) , jo, D. (Ribeirao Preto Medical School, University of Sao Paulo, das Clinicas - Terceiro Andar, Avenida Bandeirantes Campus Universitário, 3900 Ribeirao Preto, SP, Brazil ) , Carlotti, C. G. (Ribeirao Preto Medical School, University of Sao Paulo, das Clinicas - Terceiro Andar, Avenida Bandeirantes Campus Universitário, 3900 Ribeirao Preto, SP, Brazil ) , Colli, B. O. (Ribeirao Preto Medical School, University of Sao Paulo, das Clinicas - Terceiro Andar, Avenida Bandeirantes Campus Universitário, 3900 Rib) , Crippa, J. A. S. , Cecí , lio Hallak, J. E.
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    This case report describes a patient with manic and psychotic symptoms who had a history of neurocysticercosis and presented with an episode of hypertensive hydrocephalus in 2003. Despite her history, she was initially treated for primary psychiatric disease.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  10. [해외논문]   Moyamoya Disease with Peripheral Pulmonary Artery Stenoses and Coronary Artery Fistulae  

    Reardon, Lindsay (University of Colorado School of Medicine, Aurora, CO 80045, USA ) , Maree, Andrew O. (Department of Medicine, Boston Medical Center and Massachusetts General Hospital, Boston, MA 02114, USA ) , de Moor, Michael (Pediatric Cardiology, MassGeneral Hospital for Children and Harvard Medical School, CRP-S 510, Boston, MA 02114, USA)
    Case reports in medicine v.2009 ,pp. 1 - 2 , 2009 , 1687-9627 ,

    초록

    Moyamoya is a progressive disorder of the cerebral vasculature. Our report describes a rare case of Moyamoya disease with distal peripheral pulmonary artery stenoses and coronary fistulae in a 12-year-old Caucasian female patient.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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