Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Apr 2022
Case ReportsFrom Gut to Heart: Extensively Drug-resistant Salmonella typhi with Multi System Involvement.
Extensively drug-resistant (XDR) salmonella typhi is a gram-negative bacillus, transmitted by feco-oral route. Its systemic manifestations are protean. Untreated enteric fever carries high morbidity and mortality. ⋯ Multi-drug-resistant (MDR) salmonella typhi was isolated from blood cultures. Her symptoms resolved after intravenous antibiotics and she completely recovered. Key Words: Myocarditis, Salmonella typhi, Coagulopathy.
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J Coll Physicians Surg Pak · Apr 2022
Case ReportsPost-traumatic Renal Arteriovenous Malformation Discovered after 2 Years of Blunt Trauma: Diagnosis and Management.
Blunt trauma to the kidney is usually minor and self-limiting. In some cases, the patient may present with intractable hematuria or persistent flank pain and discomfort, which necessitates aggressive management. It is very rare and unusual to find a renal arterio-venous malformation following blunt trauma. ⋯ After extensive work up, a diagnosis of renal arterio-venous malformation was made. His case was managed promptly with renal angio-embolization. Key Words: Blunt trauma, Arterio-venous malformation (AVM), Angio-embolisation, kidney.
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J Coll Physicians Surg Pak · Apr 2022
Case ReportsPneumomediastinum in an Accidental Chlorine Gas Exposed Victim.
Chlorine is an irritant gas, which is implicated in inhalational exposures and can affect the respiratory system leading to complications. We report a case of a 38-year man who presented in the Emergency Department (ED) after exposure to chlorine gas due to an industrial accident. During the course of ED stay, he developed gradual difficulty in breathing, which on investigation, was found to be related to the complication of pneumomediastinum. ⋯ Bilateral chest tube insertion was performed, which led to the resolution of the pneumothoraces. The emergency physicians should be aware of such a case so that they can intervene. Key Words: Chlorine, Emergency, Pneumomediastinum, Toxicity.
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J Coll Physicians Surg Pak · Apr 2022
Virtual Meetings during COVID-19 Pandemic: Is it time to say Goodbye to Physical Meetings?
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J Coll Physicians Surg Pak · Apr 2022
Case ReportsGuillain-Barre Syndrome: A Rare Complication of Organophosphate Poisoning.
Organophosphate poisoning is common following accidental or suicidal ingestion. Cases have been reported with different neurological consequences including acute cholinergic excess, intermediate syndrome (IMS), organophosphate-induced delayed neuropathy (OPIND), and organophosphate-induced chronic neuropsychiatric disorder (COPIND). ⋯ The patient was treated with plasmapheresis and recovered successfully. Key Words: Guillain-barre syndrome, Organophosphate poisoning, Plasmapheresis.