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Multi-Particulate High Intensity of Brain MRI in 30’s Male Heavy Smoker Suicidal Attempt Case following Mild COVID-19 Pneumonia 30岁男性重度吸烟者新冠肺炎轻度肺炎后自杀未遂病例的多颗粒高强度脑MRI分析
Pub Date : 2021-09-15 DOI: 10.31031/aics.2021.03.000558
K. Ikemoto
The case report showed multi-particulate high intensity of T2-weighted image of brain MRI in 30’s male heavy smoker suicidal attempt case, taken on psychiatric examination, 5 months later of his mild COVID-19 pneumonia. The MRI finding, indicating multiple micro-thrombosis is thought to be a cause of his depressed state and anosognosia.
病例报告显示,30岁男性重度吸烟者自杀未遂病例,5个月后接受精神病学检查,出现轻度COVID-19肺炎,脑MRI多颗粒高强度t2加权图像。核磁共振检查显示多发性微血栓形成被认为是他抑郁状态和病感失认症的原因。
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引用次数: 1
Case Report: Hyperglycemia-an Ominous Symptom of Disease Course of Covid-19 in Full-term Newborn 病例报告:高血糖——足月新生儿Covid-19病程的一个不祥症状
Pub Date : 2021-07-26 DOI: 10.31031/aics.2021.03.000556
R. Lauterbach
The first four weeks after birth seem to be a relatively safe period in relation to the first pandemic of the century. Although SARS-CoV-2 can be transmitted from the mother to the newborn through droplets, the clinical symptoms are usually nonsignificant and uncomplicated. It is especially truth when SARS-CoV-2 infection concerns the full-term newborn. We present the fatal disease course of COVID-19 in full term newborn delivered vaginally with appropriate weight and with Apgar score 10. On the fourteenth day of life, neonate rapidly deteriorated and within the next three days died of hyperglycemia that stimulated an inflammatory reaction.
与本世纪第一次大流行相比,出生后的头四周似乎是一个相对安全的时期。虽然SARS-CoV-2可以通过飞沫从母亲传播给新生儿,但临床症状通常不明显,也不复杂。当SARS-CoV-2感染涉及足月新生儿时,这一点尤其正确。本文报道了体重适宜、Apgar评分为10分的顺产足月新生儿COVID-19的致命病程。在出生的第14天,新生儿迅速恶化,并在接下来的三天内死于刺激炎症反应的高血糖症。
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引用次数: 0
Mucormycosis and Aspergillosis have been Linked to Covid-19-Related Fungal Infections in India 在印度,毛霉病和曲霉病与covid -19相关的真菌感染有关
Pub Date : 2021-06-04 DOI: 10.31031/aics.2021.03.000555
C. Baruah
Mucormycosis and aspergillosis have been recorded in alarmingly high numbers in India in recent decades. Even though fungal infections contribute significantly to human morbidity and mortality, the effect of these diseases on COVID-19 patients is unknown. Mucormycosis and aspergillosis were identified as two post-acute symptoms in COVID-19 patients in this study. Coronavirus 2 of the severe acute respiratory syndrome causes direct damage to the airway epithelium, allowing Mucormycosis and aspergillosis to invade. There were 8,848 infected and 219 dead cases of COVID-19-associated mucormycosis in India as of May 22, 2021. In addition, four Aspergillosis patients have been registered in Bihar, India. In India, a COVID-19-related yellow fungus case was also recorded for the first time. Both mild and moderate-to-severe illness tend to be affected by the syndrome. Despite the urgent need for efficient diagnostic tests, as well as safe and effective new drugs and vaccines, research into the pathophysiology of human fungal infections lags behind that of other
近几十年来,毛霉病和曲霉病在印度的发病率惊人地高。尽管真菌感染对人类发病率和死亡率有重大影响,但这些疾病对COVID-19患者的影响尚不清楚。本研究将毛霉病和曲霉病确定为COVID-19患者的两种急性后症状。严重急性呼吸综合征的冠状病毒2对气道上皮造成直接损伤,使毛霉病和曲霉病侵入。截至2021年5月22日,印度共有8848例新冠肺炎相关毛霉病感染病例和219例死亡病例。此外,在印度比哈尔邦登记了4名曲霉病患者。在印度,也首次记录了与covid -19相关的黄色真菌病例。轻度和中度至重度疾病都容易受到该综合征的影响。尽管迫切需要有效的诊断测试,以及安全有效的新药和疫苗,但对人类真菌感染的病理生理学研究滞后于其他方面
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引用次数: 4
Toxic Epidermal Necrolysis Following Dabrafenib and Trametinib for Stage 3c Locally Advanced Inoperable Melanoma: A Case Report 达非尼和曲美替尼治疗局部晚期不能手术的3c期黑色素瘤后毒性表皮坏死松解一例报告
Pub Date : 2021-05-17 DOI: 10.31031/aics.2021.03.000554
C. Yeoh
Severe cutaneous manifestations are commonly seen in drug hypersensitivity reactions which can present as pustular and bullous skin eruption. This can further progress and deteriorate into Steven-Johnsons syndrome or Toxic Epidermal Necrolysis syndrome (TENs) which require hospitalization. We report the case of a woman in her early fifties with metastatic melanoma who developed SJS and TENs 11 days following administration of Dabrafenib and Trametinib. Interestingly our patient had previously undergone 4 cycles of dual immunotherapy followed by single infusion of Nivolumab prior to this. Nivolumab had to be stopped due to grade 3 toxicity (hepatitis and hypoadrenalism). We believe this primed her immune system for potentially any hypersensitive reaction, in addition to attacking cancerous cells. Dabrafenib and Trametinib was commenced 18 days after discontinuation of immunotherapy. Our patient developed symptoms consistent with SJS and TEN, which was later confirmed on skin biopsy. She recovered well and following ITU admission and step down to oncology inpatient ward was discharged home. To our knowledge there are no links between Dabrafenib and SJS and TEN, although this has been reported in other BRAF inhibitors such as Vemurafenib. We changed her treatment to a third type of BRAF inhibitor, Encorafenib and Binimetinib (MEKtovi) which resulted in good Complete response control of her Melanoma for 6 months, to date. Epidermal Syndrome; (BRAF/MEKi): BRAF and inhibitor biologic
严重的皮肤表现常见于药物过敏反应,可表现为脓疱和大疱性皮肤疹。这可能进一步发展和恶化为史蒂文-约翰逊综合征或中毒性表皮坏死松解综合征(TENs),需要住院治疗。我们报告一例50岁出头的女性转移性黑色素瘤患者,在服用达非尼和曲美替尼11天后发生SJS和TENs。有趣的是,在此之前,我们的患者已经经历了4个周期的双重免疫治疗,随后是单次输注尼武单抗。由于3级毒性(肝炎和肾上腺素减退),Nivolumab必须停药。我们认为这为她的免疫系统准备了潜在的过敏反应,除了攻击癌细胞。Dabrafenib和Trametinib在停止免疫治疗后18天开始使用。我们的患者出现了符合SJS和TEN的症状,后来在皮肤活检中得到证实。她恢复得很好,在国际电联入院并退到肿瘤科住院病房后出院回家。据我们所知,Dabrafenib与SJS和TEN之间没有联系,尽管在其他BRAF抑制剂(如Vemurafenib)中有报道。我们将她的治疗改为第三种BRAF抑制剂,恩科非尼和比尼米替尼(MEKtovi),迄今为止,她的黑色素瘤得到了6个月的良好完全缓解控制。表皮综合症;(BRAF/MEKi): BRAF和生物抑制剂
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引用次数: 0
Cardiac Inducing RNAs (CIRs) from Human Fetal Heart Promote the Differentiation of Non-Muscle Cells to Form into Cardiomyocytes in vitro 心脏诱导rna (CIRs)在体外促进非肌肉细胞向心肌细胞的分化
Pub Date : 2021-04-01 DOI: 10.31031/aics.2021.03.000553
L. Lemanski
We have discovered a cardiac-inducing RNA (CIR) in the axolotl, Ambystoma mexicanum , (a salamander) and two cardiac inducing RNAs (CIR-6 and CIR-30) in human heart that have the ability to induce the differentiation of non-muscle cells, including induced pluripotent stem cells from human skin, mouse embryonic stem cells, and mouse fibroblasts into cardiomyocytes in vitro . Although the primary sequences of salamander and human RNAs are not homologous, their secondary structures are very similar and we believe account for their shared unique abilities to promote differentiation of non-muscle cells into definitive cardiomyocytes. We are beginning to explore the potential for repair/regeneration of cardiac muscle in vivo using mouse and rat models with induced acute myocardial infarctions (AMI) to determine if pluripotent stem cells or fibroblasts transfected with the human CIRs or CIRs alone injected into the damaged areas of the hearts can affect repair of the damaged cardiac muscle tissue and return the infarcted hearts and the AMI animal models to pre-heart-attack function again. If cardiac cells damaged in heart attacks can be replaced with living, functioning cardiomyocytes, patients with heart disease would be able to have normal heart function restored and could return to normal pre-heart-attack activity levels. Understanding how CIR transforms non-muscle cells into vigorously contracting, functional cardiac muscle and effectively replacing damaged heart cells with newly-formed cardiac muscle tissue would represent a major breakthrough in modern biology and medicine with the potential to have a significant impact on the survival rate and quality of life of millions of individuals worldwide who suffer heart attacks each year.
我们在蝾螈,Ambystoma mexicanum(一种蝾螈)和人类心脏中发现了一种心脏诱导RNA (CIR)和两种心脏诱导RNA (CIR-6和CIR-30),它们具有诱导非肌肉细胞分化的能力,包括来自人类皮肤的诱导多能干细胞、小鼠胚胎干细胞和小鼠成纤维细胞在体外分化为心肌细胞。虽然蝾螈和人类rna的一级序列不同源,但它们的二级结构非常相似,我们相信这是它们共同的独特能力,可以促进非肌肉细胞分化为最终的心肌细胞。我们正开始探索体内心肌修复/再生的潜力,使用小鼠和大鼠模型诱导急性心肌梗死(AMI),以确定多能干细胞或成纤维细胞转染人CIRs或单独注射到心脏受损区域,是否可以影响受损心肌组织的修复,并使梗死心脏和AMI动物模型再次恢复到心脏病发作前的功能。如果在心脏病发作中受损的心脏细胞可以被活的、功能正常的心肌细胞所取代,心脏病患者将能够恢复正常的心脏功能,并恢复到心脏病发作前的正常活动水平。了解CIR如何将非肌肉细胞转化为有力收缩的功能性心肌,并有效地将受损的心脏细胞替换为新形成的心肌组织,将是现代生物学和医学的重大突破,有可能对全球每年数百万心脏病患者的存活率和生活质量产生重大影响。
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引用次数: 0
Docetaxel-Induced Supravenous Serpentine Dermatitis: A Case Report 多西他赛致静脉蛇形皮炎1例
Pub Date : 2020-12-10 DOI: 10.31031/aics.2020.02.000550
Nazia Hossain
Background: Supra-venous serpentine dermatitis is a rare and self-limited cutaneous reaction to various chemotherapeutic agents. Case presentation: We describe a case of supra-venous serpentine dermatitis triggered by docetaxel in a middle-aged female patient who received chemotherapy for triple negative breast cancer. Lesions affected the chest, neck, and the arm that was used to infuse docetaxel. The diagnosis was based on skin biopsy results showing pathology consistent with an interface dermatitis. The patient was treated with oral and topical glucocorticoids. Her second cycle of chemotherapy was infused at a slower rate, preceded and followed by boluses of normal saline. Her acute reaction resolved after 2 weeks and she tolerated her second cycle of docetaxel-cyclophosphamide without issues. Conclusion: Oncologists and dermatologists should be aware of this potentially alarming reaction to docetaxel and other chemotherapeutic agents because adjustments to therapy are unnecessary and may result in undue harm as a result of suboptimal cancer treatment.
背景:静脉上蛇形皮炎是一种对各种化疗药物的罕见且自限性的皮肤反应。病例介绍:我们描述了一例静脉上蛇形皮炎由多西紫杉醇引发的中年女性患者谁接受化疗的三阴性乳腺癌。病变影响胸腔、颈部和注射多西他赛的手臂。诊断是基于皮肤活检结果显示病理一致的界面皮炎。患者口服和外用糖皮质激素治疗。她的第二个化疗周期以较慢的速度输注,前后均注射生理盐水。她的急性反应在2周后消退,她耐受了多西他赛-环磷酰胺的第二个周期,没有问题。结论:肿瘤学家和皮肤科医生应该意识到这种对多西紫杉醇和其他化疗药物的潜在警告反应,因为调整治疗是不必要的,并且可能由于次优的癌症治疗而导致不当的伤害。
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引用次数: 0
The Relationship Between Type 2 Diabetes Mellitus and Osteoporosis in Elderly Patients: A Retrospective Study 老年患者2型糖尿病与骨质疏松关系的回顾性研究
Pub Date : 2020-12-03 DOI: 10.31031/aics.2020.02.000549
A. Alshaali
Type 2 diabetes mellitus (T2DM) effect bone metabolism, but the relationship of T2DM with bone mineral density remains inconsistent across studies. The objective of this study was to determine the relationship between osteoporosis and T2DM in elderly patients.A total of 313 elderly was included in the study with a mean age of 68.20±7.07 years. The prevalence of osteoporosis in this study was 39.5%. The results showed that, nondiabetic elderly had higher prevalence of osteoporosis in comparison to diabetic elderly (44.0% and 33.1%, respectively). This difference was statistically significant (P=0.007). It was observed that males had higher femur and lumbar spine BMD in comparison with females. The present study gave better understanding of the effect of diabetes mellitus on bone architecture will help to improve the quality of provided health services at the primary health care level hence, improving the outcomes.
2型糖尿病(T2DM)影响骨代谢,但T2DM与骨密度的关系在各研究中仍不一致。本研究的目的是确定老年患者骨质疏松症和2型糖尿病之间的关系。共纳入老年人313例,平均年龄68.20±7.07岁。本研究骨质疏松症患病率为39.5%。结果显示,非糖尿病老年人骨质疏松症患病率高于糖尿病老年人(分别为44.0%和33.1%)。差异有统计学意义(P=0.007)。研究发现,男性股骨和腰椎骨密度高于女性。本研究对糖尿病对骨结构的影响有了更好的了解,将有助于提高初级卫生保健水平提供的卫生服务质量,从而改善结果。
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引用次数: 0
The Role of Blood Microbiome and Microbial Product Translocation in Disease Pathogenesis 血液微生物组和微生物产物易位在疾病发病中的作用
Pub Date : 2020-11-20 DOI: 10.31031/aics.2020.02.000548
Lei Huang
Circulation has been considered in a sterile condition in individuals without live microbial infections. However, recent publications from our group and others highlight detection of blood microbiome or microbial molecules in healthy individuals and individuals with various diseases, as well as their potential roles in disease pathogenesis. In this review, we introduce the published studies and research advancement in the field of blood microbial and microbial translocation in disease immunopathogenesis.
在没有活微生物感染的个体中,循环被认为是无菌条件下的。然而,最近来自我们小组和其他人的出版物强调了在健康个体和患有各种疾病的个体中检测血液微生物组或微生物分子,以及它们在疾病发病机制中的潜在作用。本文就血液微生物和微生物易位在疾病免疫发病机制中的研究进展作一综述。
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引用次数: 0
The Report of 20 Missed Real COVID-19 Cases 20例新冠肺炎真实漏诊病例报告
Pub Date : 2020-09-28 DOI: 10.31031/aics.2020.02.000546
Iraj Salehi Abari
The COVID-19 is a new contagious viral/immunological systemic disorder with predominantly respiratory features caused by human infection with SARS-CoV-2. From the time the virus enters the body to the time of initial symptoms of the disease, it is called the incubation period which ranges from one day to fourteen days. Initial presentation in the patients with mild COVID-19 is including mild fever, dry cough, fatigue and then body ache, anosmia, and lack of taste. About 40% of patients with COVID-19 are asymptomatic and, 40%; mild, 15%; severe, and 5% are critical COVID-19. A negative SARS-CoV-2 test does not rule out the diagnosis of COVID-19 and that a positive test does not necessarily indicate a COVID-19 diagnosis. The normal lungs in HRCT scan with a negative SARS-CoV-2 test does not preclude that the person has COVID-19. Patients may contract COVID-19 without any risk factors and have no symptoms. The authors conclude that to reject or confirm the diagnosis of COVID-19 by performing a SARS-CoV-2 kit test and the HRCT scanning of lungs may not be the gold standard for diagnosis of COVID-19. In other words, history is the key to COVID-19 diagnosis. Therefore, in this article, twenty cases of COVID-19 are presented, in most of which the diagnostic test of SARS-CoV-2 and HRCT scan of the lungs are negative.
COVID-19是由人感染SARS-CoV-2引起的一种以呼吸系统特征为主的新型传染性病毒/免疫性全身性疾病。从病毒进入人体到疾病出现初步症状,这段时间被称为潜伏期,潜伏期从一天到14天不等。轻度COVID-19患者的最初表现包括轻度发烧、干咳、疲劳,然后是身体疼痛、嗅觉丧失和缺乏味觉。约40%的COVID-19患者无症状,40%;温和,15%;重症,5%为重症。SARS-CoV-2检测阴性并不能排除COVID-19的诊断,检测阳性也不一定意味着COVID-19的诊断。HRCT扫描肺部正常,SARS-CoV-2检测阴性,并不排除患者患有COVID-19。患者可能在没有任何危险因素和症状的情况下感染COVID-19。作者得出结论,通过进行SARS-CoV-2试剂盒检测和肺部HRCT扫描来拒绝或确认COVID-19的诊断可能不是COVID-19诊断的金标准。换句话说,历史是新冠肺炎诊断的关键。因此,本文报告了20例COVID-19病例,其中大多数病例的SARS-CoV-2诊断试验和肺部HRCT扫描均为阴性。
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引用次数: 0
Case Report: Follow Up of a Patient with De Novo Mutation at Kcna2 Gene Leading to Ataxia and Epileptic Encephalopathy 病例报告:1例Kcna2基因从头突变导致共济失调和癫痫性脑病的随访
Pub Date : 2020-06-04 DOI: 10.31031/aics.2020.02.000545
Zanluchi Vbs
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引用次数: 0
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Advancements in Case Studies
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