Ugeskrift for laeger最新文献

This is a case report of a 71-year-old woman with periodic depression manifested by atypical symptoms, i.e. extreme fatigue, who was successfully treated with ECT. At the onset of symptoms, about 30 years earlier, the patient had been diagnosed with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) and had been unable to walk for six years until she was successfully treated with ECT. The misdiagnosis of CFS/ME as depression is well described in the literature. The opposite - depression being diagnosed as CFS/ME - does not seem to have been previously reported.

Spontaneous coronary artery dissection (SCAD) presents a life-threatening condition, prevalent among young women, comprising up to 35% of acute coronary syndrome cases. It involves sudden, trauma-free splitting of coronary artery walls, reducing blood flow and mimicking symptoms of acute myocardial infarction. Despite recent attention, treatment remains debated. Hormonal changes, stress, migraines, physical and psychological aspects impact the prognosis. Ongoing research aims to refine diagnostic and therapeutic approaches, addressing long-term outcomes. In this review, we have summarised current aspects of SCAD to increase awareness of the condition.

Child mental health and well-being have decreased globally, and a causal correlation with screens including smartphones and social media apps has been suggested. In this review, we provide an overview of the literature concerning the use of new screen devices, with an emphasis on smartphones and social media apps, and mental health outcomes. Most epidemiological studies, cross-sectional and longitudinal, show a correlation between high use and poor mental health, some bidirectional, particularly among teenage girls. Experimental design studies find improved well-being after interventions with screen time reduction.

Stress urinary incontinence can be treated surgically with bulking agents. This is a report of two cases: I. A 42-year-old woman had successful bulking in 2007, in 2023 there was a urological assessment due to an incidental cystic process near the urethra, and bulking agents were resected leading to severe incontinence due to sphincter insufficiency. II. A 46-year-old woman had successful bulking in 2019, a urological assessment was done due to recurrent urinary tract infections, and bulking agents were resected leading to chronic pain and incontinence. The cases underscores that unexpected findings should prompt careful reconsideration before intervention.

Simultaneous bilateral rupture of the patella tendon is a very rare condition, especially in young and healthy individuals. In this case report, a 44-year-old male sustained bilateral rupture while jumping during an amateur handball game. He was examined with X-ray and MRI and received surgery in both knees with suture of the tendon and reinforcement with metal cerclages. MRI of suspected injuries to the knee extensor mechanism is suggested to be of diagnostic value.

This is a case report of a 57-year-old man with deep vein thrombosis of the left upper extremity 41 years after a clavicle fracture. A CT-scan illustrated compression of the left jugular vein caused by pseudoarthrosis of the clavicle, and the patient underwent thrombolysis and operative decompression with osteosynthesis. This report highlights the importance of considering different underlying pathologies when presented with a patient with deep vein thrombosis of the upper extremity.

In this case report, a 37-year-old female was admitted to hospital with fever and muscle pain two days after returning from Mauritius. Approximately two hours after first administration of intravenous ceftriaxone she suddenly developed respiratory and circulatory failure. Anaphylaxis and pulmonary embolism were considered and excluded. Initially she was treated as having sepsis and required respiratory and vasopressor support. She ended up testing positive for leptospirosis and it was concluded that the respiratory and circulatory failure was a Jarisch-Herxheimer reaction.