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En-Pei Lee, Meng-Kung Yu, Shu-Chun Lee, Feng-Xia Gao, Han-Ping Wu
The aim of this study was to identify the clinical parameters indicative of serious etiology of neonatal hyperthermia and to determine the appropriate cutoff value of body temperature (BT) for predicting the need to transfer the newborn to the special care (SC) nursery.The nursery records of newborns diagnosed with hyperthermia between 2007 and 2013 were retrospectively reviewed. The clinical characteristics of newborns with hyperthermia remained in the nursery were compared with those transferred to the SC nursery...
October 2018: Medicine (Baltimore)
Ai Sawaoka, Toshiki Ito, Takayuki Yoshida, Koichiro Muromachi, Tomoko Sakai, Kunio Hamada, Nobuyuki Tani-Ishii, Akihide Ito
Altered mental status is a common, yet challenging, clinical presentation encountered by physicians. Here, we report a case of a 68-year-old Japanese female who was transferred to the emergency department due to faint. The laboratory results showed hyponatremia, ketonuria, hyperglycemia and acute kidney injury without fever or inflammatory findings. Although these abnormalities were corrected, her mental status was exacerbated, and apnea/tachypnea appeared. She was eventually diagnosed with acute apical abscess and recovered immediately after dental extractions...
November 2018: Oxford Medical Case Reports
Ali Duman, Kenan Ahmet Turkdogan, Mucahit Avcil, Cigdem Yenisey, Mevlut Ture, Ayhan Akoz, Bekir Dagli, Mucahit Kapci, Serhat Orun
OBJECTIVE: Sepsis is the leading disease that is diagnosed late and still has a mortal course in emergency departments. The primary factors that will reduce both morbidity and mortality are early diagnosis and an early treatment approach. Therefore, in this study, P-selectin and MCP1 levels, which are known to be markers of inflammation, were examined in patients being followed up in intensive care. METHODS: Patients evaluated with a preliminary diagnosis of sepsis in the emergency intensive care unit between September 2015 and August 2016 were classified as having sepsis or infection according to the Q- SOFA criteria, and the P- selectin values were compared...
September 2018: JPMA. the Journal of the Pakistan Medical Association
Adam T Hill, Philip M Gold, Ali El Solh, Joshua P Metlay, Belinda Ireland, Richard S Irwin
BACKGROUND: Patients commonly present to primary care services with upper and lower respiratory tract infections and guidelines to help clinicians investigate and treat acute cough due to suspected pneumonia and influenza are needed. METHODS: A systematic search was carried out with eight PICO questions related to acute cough with suspected pneumonia or influenza. RESULTS: There was a lack of randomized controlled trials in the setting of outpatients presenting with acute cough due to suspected pneumonia or influenza that were not hospitalized...
October 5, 2018: Chest
Fabrice Petitjeans, Cyrille Pichot, Marco Ghignone, Luc Quintin
Acute respiratory distress syndrome (ARDS) is not a failure of the neurological command of the ventilatory muscles or of the ventilatory muscles; it is an oxygenation defect. As positive pressure ventilation impedes the cardiac function, paralysis under general anaesthesia and controlled mandatory ventilation should be restricted to the interval needed to control the acute cardio-ventilatory distress observed upon admission into the critical care unit (CCU; "salvage therapy" during "shock state")...
September 2018: Turkish Journal of Anaesthesiology and Reanimation
Verena Rass, Max Gaasch, Mario Kofler, Alois Josef Schiefecker, Bogdan-Andrei Ianosi, Paul Rhomberg, Ronny Beer, Bettina Pfausler, Elke R Gizewski, Claudius Thomé, Erich Schmutzhard, Raimund Helbok
OBJECTIVES: Subarachnoid hemorrhage is a life-threatening disease associated with high mortality and morbidity. A substantial number of patients develop systemic inflammatory response syndrome. We aimed to identify risk factors for systemic inflammatory response syndrome development and to evaluate the role of systemic inflammatory response syndrome on patients'outcome. DESIGN: Retrospective observational cohort study of prospectively collected data. SETTING: Neurocritical care unit at a tertiary academic medical center...
September 24, 2018: Critical Care Medicine
Akinobu Taniguch, Masahiro Hayakawa, Maiko Matsusawa, Seiji Hayashi
BACKGROUND: Transient tachypnea of the newborn (TTN) is a respiratory disorder that results from inadequate or delayed clearance of fetal lung fluid following delivery. At present, supportive care is generally practiced for the treatment of TTN. In this study, we focused on inhaled beta-agonists for the treatment of TTN and our objective was to verify the efficacy and the safety of inhaled procaterol for the treatment of TTN. METHODS: Inhaled procaterol or normal saline solution was administered to infants...
September 23, 2018: Pediatrics International: Official Journal of the Japan Pediatric Society
Yu Suzuki, Kenji Horie, Yukari Yada, Yumi Kono, Chikako Hirashima, Rie Usui, Shigeki Matsubara, Akihide Ohkuchi
Our aim was to investigate the association between vaginal Ureaplasma species (spp.) and the subsequent occurrence of chorioamnionitis (CAM), perinatal death, neonatal morbidity, and long-term neurodevelopmental impairments (NDIs) at 3 years of age. We analyzed 55 pregnant women with singleton pregnancy who had preterm premature rupture of the membranes (pPROM) at < 28+0  weeks of gestation, and delivered between 22+0 and 31+6 weeks at our tertiary hospital in 2007-2016. NDIs were defined as either cerebral palsy or developmental delay evaluated at 1...
September 22, 2018: European Journal of Clinical Microbiology & Infectious Diseases
Adem Dursun, Serkan Ozsoylu, Basak Nur Akyildiz
Objectives: Neutrophil-to-Lymphocyte Ratio (NLR) and Mean Platelet Volume (MPV) have been found to be useful indexes for the diagnosis of sepsis in adults. However, the knowledge of their roles and cut-off values in pediatric patients is limited. The primary objective of this study was to assess the ability of NLR and MPV to predict sepsis in children. A secondary aim was to evaluate the comparison of these parameters with C-reactive Protein (CRP). Methods: The study was conducted on pediatric patients, who had two or more of the following criteria were included in the study: tachycardia, tachypnea, temperature change, leukocytosis, or leukopenia for age...
July 2018: Pakistan Journal of Medical Sciences Quarterly
Rajani Gubbala, Ganshyam Jagathkar, Nagalakshmikanth Reddy Mayaluri, K P Raghavendra
Adult-onset Still's disease (AOSD) is an uncommon entity that can mimic infection. Patients present with fever for more than 1-week, joint pain, and rash. We report a case of 22-year-old male who presented with fever, sore throat, and abdominal pain. During hospitalization, he had multiple episodes of tachycardia and tachypnea requiring mechanical ventilation. The patient had elevated white blood cell count, procalcitonin, and troponin. He was extensively investigated and diagnosed as AOSD. He responded to steroids and was discharged on day 20...
August 2018: Indian Journal of Critical Care Medicine
M Xu, Y L Lei, K Tan, J K Deng
Objective: To investigate the clinical characteristics of pertussis-associated pneumonia and analyze it's risk factors. Methods: Clinical data were taken from Shenzhen Children's Hospital with Bordetella pertussis infection and confirmed by culture or real-time polymerase chain reaction (PCR) of nasopharyngeal secretion from October 2013 to December 2015. Patients were divided into two groups, those with radiologically confirmed pneumonia in the course of their disease and those with not. Clinical data were retrospectively analyzed and compared...
September 2, 2018: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
Austin Ostermeier, Sonya Tang Girdwood, Karen Jerardi, Amy Guiot
No abstract text is available yet for this article.
August 31, 2018: Journal of Pediatrics
Ahmad Tavakoli, Seyed Hamidreza Monavari, Hamidreza Mollaei, Farah Bokharaei-Salim, Maryam Esghaei, Hossein Keyvani, Hadi Ghaffari
Background: Human parvovirus B19 was known as one of the possible cause of mild respiratory tract diseases in previous studies. However, there are some reports of acute obstructive respiratory disease and severe pneumonia. The purpose of current study was to assess the prevalence and clinical features of parvovirus B19 in respiratory infection. Methods: This study was conducted on 156 patients diagnosed with respiratory infection at the Iran University of Medical Sciencesaffiliated hospitals. After extraction of viral DNA from swab samples, detection of parvovirus B19 was performed by real-time PCR assay...
2018: Medical Journal of the Islamic Republic of Iran
Julian M Stewart, Paul Pianosi, Mohamed A Shaban, Courtney Terilli, Maria Svistunova, Paul Visintainer, Marvin S Medow
Upright hyperventilation occurs in approximately 25% of our patients with postural tachycardia syndrome (POTS). Poikilocapnic hyperventilation alone causes tachycardia. Here we examined changes in respiration and hemodynamics comprising cardiac output (CO), systemic vascular resistance (SVR) and blood pressure (BP) measured during head-up tilt (HUT) in 3 groups: patients with POTS and hyperventilation (POTS-HV), patients with Panic Disorder who hyperventilate (Panic), and healthy controls performing voluntary upright hyperpnea (Voluntary-HV)...
August 23, 2018: Journal of Applied Physiology
Arash Malakian, Masoud Dehdashtian, Mohammad Raza Aramesh, Mohammad Hassan Aletayeb, Solmaz Heidari
BACKGROUND: Transient tachypnea of the newborn (TTN) is a self-limiting disease that results from a reduction in the rate of lung fluid clearance in neonates. A delay in lung fluid absorption in neonates disrupts the transition from intrauterine to extrauterine life. Use of beta-adrenergic antagonists, such as salbutamol, accelerates lung fluid clearance. The current study aimed to evaluate the effect of inhaled salbutamol on the clinical progression of TTN treatment. METHODS: In the current triple-blind clinical trial, a total of 148 inpatients diagnosed with TTN were randomly divided into 2 groups...
August 18, 2018: Journal of the Chinese Medical Association: JCMA
Helsa Teh, Lisa Winters, Fleur James, Peter Irwin, Catherine Beck, Caroline Mansfield
OBJECTIVE: To describe 5 cases of conservative management of substantial esophageal perforation in dogs. SERIES SUMMARY: Five dogs presented with an esophageal foreign body (EFB) and resultant esophageal perforation. Clinical signs at presentation included tachycardia, tachypnea, and increased respiratory effort. Thoracic radiography was performed in all cases, and in each case, pleural and mediastinal effusion was present, suggesting esophageal perforation prior to endoscope-guided removal...
September 2018: Journal of Veterinary Emergency and Critical Care
Wei-Shan Chang, Li-Te Lin, Li-Chuan Hsu, Pei-Ling Tang, Kuan-Hao Tsui, Peng-Hui Wang
OBJECTIVE: To determine the association between pregnancy-induced hypertension (PIH) and transient tachypnea of the newborn (TTN) and to identify the predictive risk factors. MATERIALS AND METHODS: Pregnant women with a newly diagnosed PIH (between 2000 and 2013) from the Taiwan National Health Insurance Research Database (NHIRD) were compared with a matched (with respect to age and year of delivery) cohort of pregnant women without PIH. The occurrence of TTN was evaluated in both cohorts...
August 2018: Taiwanese Journal of Obstetrics & Gynecology
Elizabeth Y Killien, Brianna Mills, R Scott Watson, Monica S Vavilala, Frederick P Rivara
OBJECTIVES: To determine risk factors identifiable at hospital arrival associated with acute respiratory distress syndrome development among critically injured children. DESIGN: Retrospective cohort study. SETTING: Level I or II adult or pediatric trauma centers contributing to the National Trauma Data Bank from 2007 to 2016. PATIENTS: Patients less than 18 years admitted to an ICU with traumatic injury. INTERVENTIONS: None...
August 16, 2018: Critical Care Medicine
Xihong Hu, Lin Wu
We present a 7.8-month-old girl with recurrent pneumonia, growth retardation, and tachypnea. Computed tomography revealed a particularly unusual esophageal lung, in association with pulmonary vascular anomalies of right pulmonary veins atresia and right pulmonary artery hypoplasia.
October 2018: Lung
Jessica L Ward, Gregory R Lisciandro, Teresa C DeFrancesco
OBJECTIVE: To assess distribution of alveolar-interstitial syndrome (AIS) detected by lung ultrasound (LUS) compared to thoracic radiographs (TXR). DESIGN: Prospective study. SETTING: University teaching hospital. ANIMALS: Seventy-six dogs and 24 cats with acute respiratory distress or tachypnea. INTERVENTIONS: Patients underwent LUS and TXR within 6 hours. Lung ultrasound images were scored for presence and quantity of B-lines in 4 lung quadrants (right cranial, right caudal, left cranial, left caudal)...
September 2018: Journal of Veterinary Emergency and Critical Care
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