{"title":"Hepatotoxicity Caused By Phenyramidol Hydrochloride: A Case Report","authors":"H. Kara, A. Bayir, Gökhan Güngör, A. Ak","doi":"10.33706/jemcr.944510","DOIUrl":"https://doi.org/10.33706/jemcr.944510","url":null,"abstract":"","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47983217","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":"Medically treated emphysematous gastritis in a patient with rheumatoid arthritis: report of case","authors":"Cemal Ulusoy, A. Nikolovski, Tuba Saydam","doi":"10.33706/jemcr.949264","DOIUrl":"https://doi.org/10.33706/jemcr.949264","url":null,"abstract":"","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45816297","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}
Ş. Aslan, Issa Omar, V. Durak, H. I. Çikriklar, Fatma Özdemir
{"title":"RHINOCEREBRAL MUCORMYCOSIS CASE IN THE EMERGENCY ROOM","authors":"Ş. Aslan, Issa Omar, V. Durak, H. I. Çikriklar, Fatma Özdemir","doi":"10.33706/jemcr.932160","DOIUrl":"https://doi.org/10.33706/jemcr.932160","url":null,"abstract":"","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46604213","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}
“Posterior Reversible Encephalopathy Syndrome” is a reversible rare disease manifesting with a variety of neurological findings often accompanied by high blood pressures. Here we present a case of forty-nine years old male patient who was admitted to our emergency department with the complaint of having difficulty speaking his native language (Turkish) and later diagnosed with PRES Syndrome. Based on the interesting nature and rare occurrence of the case, the etiology, physical exam findings, and differential diagnosis of the disease are presented and discussed in light of the literature.
{"title":"A Rare Case of Patient Forgetting His Native Language with the Diagnosis of “Posterior Reversible Encephalopathy Syndrome”","authors":"Mustafa Can Güzelce, Tuğçe Açikgöz, G. Ersoy","doi":"10.33706/jemcr.903882","DOIUrl":"https://doi.org/10.33706/jemcr.903882","url":null,"abstract":"“Posterior Reversible Encephalopathy Syndrome” is a reversible rare disease manifesting with a variety of neurological findings often accompanied by high blood pressures. Here we present a case of forty-nine years old male patient who was admitted to our emergency department with the complaint of having difficulty speaking his native language (Turkish) and later diagnosed with PRES Syndrome. Based on the interesting nature and rare occurrence of the case, the etiology, physical exam findings, and differential diagnosis of the disease are presented and discussed in light of the literature.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47772542","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":"ORBITAL EMPHYSEMA FOLLOWING A FORCEFUL BLOWING: A CASE REPORT","authors":"Y. Cetinkaya, Servet Cetinkaya","doi":"10.33706/jemcr.930431","DOIUrl":"https://doi.org/10.33706/jemcr.930431","url":null,"abstract":"","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46408432","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}
Gulser Gunaydin, S. Demircan, Tolga Öz, S. Coşkun, Yavuz Otal
{"title":"Simultaneous Bilateral Quadriceps Femoris Tendon Rupture: Case report","authors":"Gulser Gunaydin, S. Demircan, Tolga Öz, S. Coşkun, Yavuz Otal","doi":"10.33706/jemcr.918404","DOIUrl":"https://doi.org/10.33706/jemcr.918404","url":null,"abstract":"","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":"1 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41578927","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}
A 43-year-old male patient without any additional disease, surgery or anticoagulant use admitted to the emergency department. After evaluation with computed tomography (CT), pulmonary findings were consistent with COVID-19 pneumonia. The patient was hospitalized and enoxaparin sodium 60 mg / 0.6 ml (two subcutaneous injections per day) was initiated for prophylactic purpose. In the 16th day after admission, his hemoglobin level decreased to 7.4 g/dL. On CT scan, a right flank hematoma reaching approximately 10 cm in width, starting from the subcostal level and continuing to the inguinal canal level, was seen. Anticoagulant therapy was stopped. Erythrocyte suspension (ES), totally 10 units, were given to keep the hemoglobin level above 7 g/dL. On the 32th day after admission, the patient was discharged because his hemoglobin value, which was 10.2 g/dL at that point, had not decreased, his vital signs were stable, and his treatment for COVID-19 was completed.
{"title":"Abdominal lateral wall hematoma developed due to enoxaparin in a Covid-19 patient","authors":"T. Kalaycı","doi":"10.33706/jemcr.919319","DOIUrl":"https://doi.org/10.33706/jemcr.919319","url":null,"abstract":"A 43-year-old male patient without any additional disease, surgery or anticoagulant use admitted to the emergency department. After evaluation with computed tomography (CT), pulmonary findings were consistent with COVID-19 pneumonia. The patient was hospitalized and enoxaparin sodium 60 mg / 0.6 ml (two subcutaneous injections per day) was initiated for prophylactic purpose. In the 16th day after admission, his hemoglobin level decreased to 7.4 g/dL. On CT scan, a right flank hematoma reaching approximately 10 cm in width, starting from the subcostal level and continuing to the inguinal canal level, was seen. Anticoagulant therapy was stopped. Erythrocyte suspension (ES), totally 10 units, were given to keep the hemoglobin level above 7 g/dL. On the 32th day after admission, the patient was discharged because his hemoglobin value, which was 10.2 g/dL at that point, had not decreased, his vital signs were stable, and his treatment for COVID-19 was completed.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43445900","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}
A 68 year old female with Stewart Treves Syndrome was evaluated in the Emergency Department. Patient was resuscitated in the Emergency Department and admitted to the Intensive Care Unit. The following day, she suffered a stroke and was placed on comfort care measures after palliative care discussion with family. She died three days after admission. This article discusses Stewart Treves Syndrome, a rare form of angiosarcoma that occurs with chronic lymphedema after radical mastectomy with lymph node dissection. It presents with purplish cutaneous nodules or reddish blue macules that enlarge. The mortality rate is high and survival is low. Emergency physicians should be aware of this rare, but highly lethal, malignant syndrome. A patient with history of breast cancer and radiation therapy who presents with an enlarging red-purple plaque should be admitted or referred to oncology or plastic surgery for immediate biopsy.
{"title":"Stewart-Treves Syndrome: A Case Report","authors":"C. Florescu, Christine Ahn","doi":"10.33706/JEMCR.795113","DOIUrl":"https://doi.org/10.33706/JEMCR.795113","url":null,"abstract":"A 68 year old female with Stewart Treves Syndrome was evaluated in the Emergency Department. Patient was resuscitated in the Emergency Department and admitted to the Intensive Care Unit. The following day, she suffered a stroke and was placed on comfort care measures after palliative care discussion with family. She died three days after admission. This article discusses Stewart Treves Syndrome, a rare form of angiosarcoma that occurs with chronic lymphedema after radical mastectomy with lymph node dissection. It presents with purplish cutaneous nodules or reddish blue macules that enlarge. The mortality rate is high and survival is low. Emergency physicians should be aware of this rare, but highly lethal, malignant syndrome. A patient with history of breast cancer and radiation therapy who presents with an enlarging red-purple plaque should be admitted or referred to oncology or plastic surgery for immediate biopsy.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49244699","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}
Bedriye Feyza Kurt, E. Kurt, O. Güven, Okay Kaşikeman
Introduction: Many studies have shown that coagulation disorders and increased risk of thrombosis may occur during coronavirus disease 2019 (COVID-19) infection. Although cardiac or pulmonary vascular pathologies has been detected in most cases, cerebral sinus thrombosis are rare. During COVID-19 infection patients rarely present with neurological symptoms. Case Report: A 19-year-old man was admitted to our emergency department with neurological symptoms. Cerebral venous sinus thrombosis (CVST) was detected in Brain Computerized Tomography and Magnetic Resonance Imaging examinations. Our patient was hospitalized in the neurology department of our hospital for medical treatment and was discharged after clinical recovery. Discussion: In this case report we wanted to draw attention to cerebral venous sinus thrombosis which is a rare but treatable complication of COVID-19 infection in a young patient. We examined our patient in the light of literature. Conclusion: Clinicians should keep in mind the diagnosis of CVST that may occur due to infection associated thrombosis in COVID-19 patients presenting with neurological symptoms and consider adding anticoagulants to the treatment if necessary.
{"title":"A RARE EFFECT OF COVID-19: CEREBRAL VENOUS SINUS THROMBOSIS CASE PRESENTATION","authors":"Bedriye Feyza Kurt, E. Kurt, O. Güven, Okay Kaşikeman","doi":"10.33706/JEMCR.893939","DOIUrl":"https://doi.org/10.33706/JEMCR.893939","url":null,"abstract":"Introduction: Many studies have shown that coagulation disorders and increased risk of thrombosis may occur during coronavirus disease 2019 (COVID-19) infection. Although cardiac or pulmonary vascular pathologies has been detected in most cases, cerebral sinus thrombosis are rare. During COVID-19 infection patients rarely present with neurological symptoms. Case Report: A 19-year-old man was admitted to our emergency department with neurological symptoms. Cerebral venous sinus thrombosis (CVST) was detected in Brain Computerized Tomography and Magnetic Resonance Imaging examinations. Our patient was hospitalized in the neurology department of our hospital for medical treatment and was discharged after clinical recovery. Discussion: In this case report we wanted to draw attention to cerebral venous sinus thrombosis which is a rare but treatable complication of COVID-19 infection in a young patient. We examined our patient in the light of literature. Conclusion: Clinicians should keep in mind the diagnosis of CVST that may occur due to infection associated thrombosis in COVID-19 patients presenting with neurological symptoms and consider adding anticoagulants to the treatment if necessary.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47876767","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}
Introduction: Spinal epidural abscess is a rare neurosurgical emergency that is usually seen invasive interventions to the spinal region, trauma or infection. In our case, anteriorly located spinal epidural abscess, which is caused by spontaneous esophageal rupture as complication of radiotherapy, is described. Case report: A 60-year-old female patient was admitted to the emergency department with complaints of confusion, high fever and weakness in both legs. The patient had been treated for lung metastasis of breast cancer with radiotherapy. Spinal anterior epidural abscess was observed in the spinal imaging, and it was considered that the abscess developed after esophageal rupture secondary to radiotherapy. After surgery the patient had antibiotic treatment during the postoperative period. Although there are cases of spinal epidural abscess that developed after esophageal rupture in the literature, they were generally observed after interventions to the esophagus or trauma to the chest. In our case, epidural abscess developed after radiotherapy, that caused esophageal rupture, was presented. Conclusion: Clinicians should consider spinal epidural abscess, which is a rare complication in patients with walking difficulties after radiotherapy, in the differential diagnosis.
{"title":"A Rare Cause of Epidural Abscess: Esophageal Perforation After Radiotherapy","authors":"Gizem Meral Atiş, Tamer Altay, Ş. Atiş","doi":"10.33706/JEMCR.875643","DOIUrl":"https://doi.org/10.33706/JEMCR.875643","url":null,"abstract":"Introduction: Spinal epidural abscess is a rare neurosurgical emergency that is usually seen invasive interventions to the spinal region, trauma or infection. In our case, anteriorly located spinal epidural abscess, which is caused by spontaneous esophageal rupture as complication of radiotherapy, is described. Case report: A 60-year-old female patient was admitted to the emergency department with complaints of confusion, high fever and weakness in both legs. The patient had been treated for lung metastasis of breast cancer with radiotherapy. Spinal anterior epidural abscess was observed in the spinal imaging, and it was considered that the abscess developed after esophageal rupture secondary to radiotherapy. After surgery the patient had antibiotic treatment during the postoperative period. Although there are cases of spinal epidural abscess that developed after esophageal rupture in the literature, they were generally observed after interventions to the esophagus or trauma to the chest. In our case, epidural abscess developed after radiotherapy, that caused esophageal rupture, was presented. Conclusion: Clinicians should consider spinal epidural abscess, which is a rare complication in patients with walking difficulties after radiotherapy, in the differential diagnosis.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49541149","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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