Post-traumatic pulmonary embolism (PE) poses diagnostic complexities, especially with underlying lung pathologies and delayed symptoms. We report a 43-year-old male who presented with cough, frothy sputum, and dyspnea following blunt chest trauma 2 weeks ago. Due to a history of asthma, an asthma exacerbation was suspected but he failed to respond to bronchodilator therapy. Doppler USG (ultrasonography) was negative for deep venous thrombi, however, elevated D-dimer levels prompted further investigation with computed tomography pulmonary angiography (CTPA), confirming the diagnosis of PE. Prompt initiation of anticoagulation and thrombolysis resulted in clinical improvement. This case underscores the need to rule out posttraumatic PE, irrespective of age, type of, or time since injury, and underlying lung disease, to ensure timely diagnosis and intervention.

2024-11-15·Indian pediatrics

Clinical Profile and Short-Term Outcomes in Neonates with Respiratory Syncytial Virus Infection: A Single-Center Study.

Article

作者: Anugna, B ; Bandiya, Prathik ; Kumar Krishnegowda, Vijay ; Venkat M, Vamshi ; Shivanna, Niranjan

OBJECTIVETo explore the clinical profile and outcomes in neonates hospitalized with respiratory syncytial virus (RSV) infection.METHODSClinical features, respiratory support, pharmacological treatment, complications and outcomes of neonates admitted to the neonatal intensive care unit with RSV infection between January 2018 and March 2023 were recorded. Descriptive statistics were employed for analysis.RESULTSThirty-seven neonates with RSV infection were analyzed. The most common presenting features were cough (n = 29, 74.4%), refusal to feed (n = 29, 74.4%) and apnea (n = 7, 17.9%). 19 (48.7%) neonates were mechanically ventilated, 28 (71.8%) required non-invasive respiratory support and 13 (35.1%) required bronchodilator therapy. All neonates were discharged after a median (IQR) duration of 14 (9, 23.5) days.CONCLUSIONNeonates with RSV infection requiring hospitalization have considerable respiratory morbidity requiring prolonged respiratory support and pharmacological therapy.

2024-11-01·Revista Española de Anestesiología y Reanimación (English Edition)

Why is my anaesthesia machine detecting halothane after bronchodilator administration? A curious fact

Article

作者: López-Hernández, Antonio ; Rivas, Eva ; Perdomo Linares, Juan ; López-Baamonde, Manuel

100 项与 CPETA 相关的药物交易

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