Emrah Yürek, I. Altundag, Bedran Aslan, S. Doğruyol
{"title":"Do not try at home alone; spontaneous pneumomediastinum due to handstand","authors":"Emrah Yürek, I. Altundag, Bedran Aslan, S. Doğruyol","doi":"10.33706/jemcr.1059181","DOIUrl":"https://doi.org/10.33706/jemcr.1059181","url":null,"abstract":"","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44290655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erdal Yavuz, Kasım Turgut, Umut Gülaçti, İ. Aydın, Ebru Arslan, O. Özcan
{"title":"A Report of Three Cases Presenting to the Emergency Department due to Near-Drowning","authors":"Erdal Yavuz, Kasım Turgut, Umut Gülaçti, İ. Aydın, Ebru Arslan, O. Özcan","doi":"10.33706/jemcr.1062457","DOIUrl":"https://doi.org/10.33706/jemcr.1062457","url":null,"abstract":"","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42081465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute Kidney Injury in a Patient with Darifenacine Overdose","authors":"Dilber Üçöz Kocaşaban, S. Güler, Serdal Ateş","doi":"10.33706/jemcr.1034094","DOIUrl":"https://doi.org/10.33706/jemcr.1034094","url":null,"abstract":"","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42603935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spontaneous Spinal Epidural Haematoma Mimicking a Heart Attack: A Case Report","authors":"İ. İştemen, Akkan Avcı","doi":"10.33706/jemcr.1051335","DOIUrl":"https://doi.org/10.33706/jemcr.1051335","url":null,"abstract":"","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43110713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Glycogen storage disease type 1a is a rare autosomal recessive syndrome characterized by hypoglycemia, hyperuricemia, hyperlipidemia, hepatomegaly, among other features. Case report: A 31-year-old woman genetically diagnosed with this disease in childhood was admitted to the Emergency Department with tachypnea. Her arterial lactate was 179 mg/dL, bicarbonate of 2 mmol/L, pH of 7.0 and pCO2 2.2 mmHg. She received IV glucose, isotonic bicarbonate, and antibiotics. Her urine culture was positive for Escherichia coli. She had a complete recovery from acidosis in 12 hours and was discharged three days later. Conclusion: This case highlights a rare differential of lactic acidosis that can, sometimes, be present in the Emergency Department.
{"title":"A RARE CASE OF HYPERLACTATEMIA IN THE EMERGENCY DEPARTMENT","authors":"M. Stumpf, A. Simões, J. Alencar","doi":"10.33706/jemcr.1003145","DOIUrl":"https://doi.org/10.33706/jemcr.1003145","url":null,"abstract":"Glycogen storage disease type 1a is a rare autosomal recessive syndrome characterized by hypoglycemia, hyperuricemia, hyperlipidemia, hepatomegaly, among other features. Case report: A 31-year-old woman genetically diagnosed with this disease in childhood was admitted to the Emergency Department with tachypnea. Her arterial lactate was 179 mg/dL, bicarbonate of 2 mmol/L, pH of 7.0 and pCO2 2.2 mmHg. She received IV glucose, isotonic bicarbonate, and antibiotics. Her urine culture was positive for Escherichia coli. She had a complete recovery from acidosis in 12 hours and was discharged three days later. Conclusion: This case highlights a rare differential of lactic acidosis that can, sometimes, be present in the Emergency Department.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48274624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"De Winter Wave with ST Segment Elevation Equivalent with Speech Disorder; A Case Report","authors":"A. Erdem, M. Tümer","doi":"10.33706/jemcr.991552","DOIUrl":"https://doi.org/10.33706/jemcr.991552","url":null,"abstract":"","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43823241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Kara, A. Bayir, S. Değirmenci, H. Yıldıran, A. Ak
Spontaneous pneumomediastinum (PM) is a rare presentation associated with Coronavirus disease 2019 (COVID-19). Here, we report two cases presented with spontaneous PM associated with COVID-19 pneumonia.A 58-year-old female patient was admitted to the Emergency Department (ED) with dyspnea, hoarseness, myalgia, and cough. A chest CT scan revealed subcutaneous emphysema, diffuse PM, bilateral diffuse areas of ground-glass opacity, and consolidations. The patient was transferred to the critical care unit. In critical intensive care, the patient developed multi-organ failure and expired on the 10th day. A 34-year-old male patient admitted to the ED with dyspnea and cough. A chest CT scan revealed diffuse PM, bilateral diffuse areas of ground-glass opacity, and consolidations. The patient was transferred to the critical care unit. His progress was uneventful and he was discharged after 12 days. Patients suspected of PM should be examined closely during the differential diagnosis of chest pain, dyspnea, subcutaneous emphysema, and various lung- and heart-induced states. Patients diagnosed with spontaneous PM should be hospitalized for observation because the condition can be associated with complications, including death. [ FROM AUTHOR] Copyright of Journal of Academic Emergency Medicine Case Reports / Akademik Acil Tip Olgu Sunumlari Dergisi is the property of Acil Tip Uzmanlari Dernegi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
自发性纵隔肺炎(PM)是一种与2019冠状病毒病(COVID-19)相关的罕见症状。在这里，我们报告了两例与COVID-19肺炎相关的自发性PM。一位58岁的女性患者因呼吸困难、声音嘶哑、肌痛和咳嗽而被送入急诊科。胸部CT扫描显示皮下肺气肿，弥漫性PM，双侧弥漫性磨玻璃影和实变。病人被转到重症监护室。重症监护期间，患者出现多器官功能衰竭，于第10天死亡。一名34岁男性患者因呼吸困难和咳嗽入住急诊科。胸部CT扫描显示弥漫性PM，双侧弥漫性磨玻璃影及实变。病人被转到重症监护室。他的病情进展顺利，12天后出院。疑似PM的患者在鉴别诊断胸痛、呼吸困难、皮下肺气肿和各种心肺状态时应密切检查。诊断为自发性PM的患者应住院观察，因为这种情况可能与并发症相关，包括死亡。《学术急诊医学案例报告》/ Akademik Acil Tip Olgu Sunumlari Dergisi是Acil Tip Uzmanlari Dernegi的财产，未经版权所有者的明确书面许可，其内容不得复制或通过电子邮件发送到多个网站或发布到列表服务器。但是，用户可以打印、下载或通过电子邮件发送文章供个人使用。这可以删节。对副本的准确性不作任何保证。用户应参阅原始出版版本的材料的完整。(版权适用于所有人。)
{"title":"Spontaneous pneumomediastinum in COVID-19 pneumonia: Two Cases and Review of the Literature","authors":"H. Kara, A. Bayir, S. Değirmenci, H. Yıldıran, A. Ak","doi":"10.33706/jemcr.1015741","DOIUrl":"https://doi.org/10.33706/jemcr.1015741","url":null,"abstract":"Spontaneous pneumomediastinum (PM) is a rare presentation associated with Coronavirus disease 2019 (COVID-19). Here, we report two cases presented with spontaneous PM associated with COVID-19 pneumonia.A 58-year-old female patient was admitted to the Emergency Department (ED) with dyspnea, hoarseness, myalgia, and cough. A chest CT scan revealed subcutaneous emphysema, diffuse PM, bilateral diffuse areas of ground-glass opacity, and consolidations. The patient was transferred to the critical care unit. In critical intensive care, the patient developed multi-organ failure and expired on the 10th day. A 34-year-old male patient admitted to the ED with dyspnea and cough. A chest CT scan revealed diffuse PM, bilateral diffuse areas of ground-glass opacity, and consolidations. The patient was transferred to the critical care unit. His progress was uneventful and he was discharged after 12 days. Patients suspected of PM should be examined closely during the differential diagnosis of chest pain, dyspnea, subcutaneous emphysema, and various lung- and heart-induced states. Patients diagnosed with spontaneous PM should be hospitalized for observation because the condition can be associated with complications, including death. [ FROM AUTHOR] Copyright of Journal of Academic Emergency Medicine Case Reports / Akademik Acil Tip Olgu Sunumlari Dergisi is the property of Acil Tip Uzmanlari Dernegi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49016038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ö. Bilir, T. Ayaz, Alpaslan Ünlü, F. Taşçı, G. Ersunan
COVID-19 is a multisystemic condition that presents with different signs and symptoms. Studies conducted have shown that it shows its effect on different tissues through Angiotensin Converting Enzyme 2 receptors. In particular, gastrointestinal system symptoms have started to attract more attention. We present two COVID-19 cases, aged 82 and 70, presenting with acute pancreatitis without any other risk factors. An 82-year-old female patient had a fatal outcome despite the treatment, while a 70-year-old female patient was discharged for outpatient follow-up. While COVID-19 patients are typically admitted with symptoms of respiratory system, some patients may have symptoms such as nausea-vomiting, diarrhoea and abdominal pain. [ FROM AUTHOR] Copyright of Journal of Academic Emergency Medicine Case Reports / Akademik Acil Tip Olgu Sunumlari Dergisi is the property of Acil Tip Uzmanlari Dernegi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
COVID-19是一种多系统疾病，表现出不同的体征和症状。研究表明，它通过血管紧张素转换酶2受体对不同组织产生作用。特别是肠胃系统的症状已经开始受到更多的关注。我们报告了两例COVID-19病例，年龄分别为82岁和70岁，表现为急性胰腺炎，无任何其他危险因素。一名82岁的女性患者在接受治疗后仍死亡，一名70岁的女性患者出院接受门诊随访。虽然COVID-19患者通常伴有呼吸系统症状，但一些患者可能出现恶心呕吐、腹泻和腹痛等症状。《学术急诊医学案例报告》/ Akademik Acil Tip Olgu Sunumlari Dergisi是Acil Tip Uzmanlari Dernegi的财产，未经版权所有者的明确书面许可，其内容不得复制或通过电子邮件发送到多个网站或发布到列表服务器。但是，用户可以打印、下载或通过电子邮件发送文章供个人使用。这可以删节。对副本的准确性不作任何保证。用户应参阅原始出版版本的材料的完整。(版权适用于所有人。)
{"title":"COVID-19 Cases With Acute Necrotizing Pancreatitis","authors":"Ö. Bilir, T. Ayaz, Alpaslan Ünlü, F. Taşçı, G. Ersunan","doi":"10.33706/jemcr.982414","DOIUrl":"https://doi.org/10.33706/jemcr.982414","url":null,"abstract":"COVID-19 is a multisystemic condition that presents with different signs and symptoms. Studies conducted have shown that it shows its effect on different tissues through Angiotensin Converting Enzyme 2 receptors. In particular, gastrointestinal system symptoms have started to attract more attention. We present two COVID-19 cases, aged 82 and 70, presenting with acute pancreatitis without any other risk factors. An 82-year-old female patient had a fatal outcome despite the treatment, while a 70-year-old female patient was discharged for outpatient follow-up. While COVID-19 patients are typically admitted with symptoms of respiratory system, some patients may have symptoms such as nausea-vomiting, diarrhoea and abdominal pain. [ FROM AUTHOR] Copyright of Journal of Academic Emergency Medicine Case Reports / Akademik Acil Tip Olgu Sunumlari Dergisi is the property of Acil Tip Uzmanlari Dernegi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43638608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ö. Taşkın, Ayşe Yılmaz, V. G. Soylu, U. Demir, Gizem Kurada
Covid-19 disease can have many neurological complications, posterior reversible encephalopathy being one of them. A 42-year-old female patient was admitted to the emergency department on the 4th day of PCR test positivity with decreased consciousness. Patient with a Glasgow coma score of 6 (E1M3V2). The patient's vital signs were stable and there was no abnormality in his laboratory. No pathology was found in the brain tomography to explain the loss of consciousness. In MRI evaluation, the patient was diagnosed with Posterior reversible encephalopathy syndrome (PRES) according to radiological and clinical information. The standard Covid-19 treatment added to the antiedema treatment was applied to the patient. Brain MRI was repeated four days later and previous MRI findings showed regression. The patient was discharged to the ward with stable neurological status on the 22nd day of hospitalization. PRES is a rare but serious complication in Covid-19. Especially in the Covid-19 intensive care unit, intubation and sedation suppress the clinical picture, and the difficulty in getting patients on magnetic resonance imaging can complicate the diagnosis. Therefore, PRES should be kept in mind in the presence of neurological symptoms such as encephalitis, meningitis, encephalopathy and cerebrovascular disease.
{"title":"POSTERIOR REVERSIBL ENCEPHALOPATHY SYNDROME IN COVID 19 DISEASE: A RARE CASE","authors":"Ö. Taşkın, Ayşe Yılmaz, V. G. Soylu, U. Demir, Gizem Kurada","doi":"10.33706/jemcr.1022869","DOIUrl":"https://doi.org/10.33706/jemcr.1022869","url":null,"abstract":"Covid-19 disease can have many neurological complications, posterior reversible encephalopathy being one of them. A 42-year-old female patient was admitted to the emergency department on the 4th day of PCR test positivity with decreased consciousness. Patient with a Glasgow coma score of 6 (E1M3V2). The patient's vital signs were stable and there was no abnormality in his laboratory. No pathology was found in the brain tomography to explain the loss of consciousness. In MRI evaluation, the patient was diagnosed with Posterior reversible encephalopathy syndrome (PRES) according to radiological and clinical information. The standard Covid-19 treatment added to the antiedema treatment was applied to the patient. Brain MRI was repeated four days later and previous MRI findings showed regression. The patient was discharged to the ward with stable neurological status on the 22nd day of hospitalization. PRES is a rare but serious complication in Covid-19. Especially in the Covid-19 intensive care unit, intubation and sedation suppress the clinical picture, and the difficulty in getting patients on magnetic resonance imaging can complicate the diagnosis. Therefore, PRES should be kept in mind in the presence of neurological symptoms such as encephalitis, meningitis, encephalopathy and cerebrovascular disease.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45486760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recurrent Temporomandibular Joint Dislocation Due to Antiemetic Induced Acute Dystonia: A Case Report","authors":"Nafis Vural, E. Vural","doi":"10.33706/jemcr.1015430","DOIUrl":"https://doi.org/10.33706/jemcr.1015430","url":null,"abstract":"","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47877624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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