Mayo Clinic proceedings
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Mayo Clinic proceedings · Jul 1997
Review Case ReportsEosinophilic myocarditis manifesting as myocardial infarction: early diagnosis and successful treatment.
To report a case of eosinophilic myocarditis with remarkable initial clinical manifestations and outcome. ⋯ This unusual clinical picture and outcome demonstrate that eosinophilic myocarditis may simulate acute myocardial infarction and should be considered in patients with a history of allergies or acute left ventricular dysfunction, even in the absence of pronounced eosinophilia in the peripheral blood. With appropriate medical therapy, recovery for these patients can be complete.
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Mayo Clinic proceedings · Jul 1997
Case ReportsOrganizing diffuse alveolar damage associated with progressive systemic sclerosis.
Diffuse alveolar damage (DAD) is a relatively nonspecific pattern of acute lung injury that can be observed in a wide range of clinical circumstances. DAD has often been recognized in association with various connective tissue diseases; however, to our knowledge, it has not been previously reported in the setting of progressive systemic sclerosis. ⋯ Open-lung biopsy specimens from both patients showed a histologic pattern of DAD with no identifiable cause other than their progressive systemic sclerosis. Our results suggest that DAD should be added to the list of pleuropulmonary complications of progressive systemic sclerosis.
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Mayo Clinic proceedings · May 1997
Effects of a medical intensivist on patient care in a community teaching hospital.
To determine the effect of adding a trained intensivist on patient care and educational outcomes in a community teaching hospital. ⋯ Addition of a medical intensivist was temporally associated with improved clinical and educational outcomes in our community teaching hospital.
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Mayo Clinic proceedings · Apr 1997
Case ReportsMasseter muscle rigidity and nondepolarizing neuromuscular blocking agents.
Masseter muscle rigidity has been identified as a possible risk factor for malignant hyperthermia (MH) and is usually noted in children receiving intravenously administered succinylcholine chloride after mask induction with halothane. Nondepolarizing muscle relaxants are considered safe for persons susceptible to MH. In this article, we present a case of clinically recognized jaw rigidity in the absence of succinylcholine after administration of a non-depolarizing muscle relaxant that was reported to the Malignant Hyperthermia Association of the United States hot line. ⋯ Three cases of masseter muscle rigidity in the presence of nondepolarizing muscle relaxants were discovered. Two of the patients were not found to be susceptible to MH; however, the third patient had positive findings on muscle biopsy. These cases do not provide enough information to confirm the ability of nondepolarizing muscle relaxants to cause jaw rigidity in the absence of MH.
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Mayo Clinic proceedings · Apr 1997
Biography Historical ArticleJames Young Simpson and the introduction of chloroform anesthesia in obstetric practice.