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Electrocardiographic abnormalities in prevalent infections in tropical regions:A scoping review

Journal of Acute Disease 2022年第2期11卷 45-51页

作者： gautam jesrani Samiksha Gupta Saurabh Gaba Monica Gupta Department of General Medicine Government Medical College and HospitalChandigarhIndia

Cardiovascular manifestations and electrocardiographic abnormalities have been reported among some prevalent infections in tropical regions,which lead to a great amount of morbidity and *** major infectious diseases include chikungunya,dengue fever,H1N1 influenza,and coronavirus disease-19(COVID-19)in the viral category,leptospirosis,salmonellosis,scrub typhus and tuberculosis in the bacterial category,and malaria in the protozoan parasite *** these infirmities constitute a foremost infection burden worldwide and have been linked to the various cardiac rhythm *** we aimed to identify and compile different studies on these infections and associated acute electrocardiographic(ECG)*** search was made in online international libraries like PubMed,Google Scholar,and EMBASE,and 38 most relevant articles,including original research,systematic reviews,and unique case reports were *** of them were evaluated thoroughly and information regarding ECG was *** is the predominant underlying pathology for rhythm disturbance and can be affected either due to the direct pathogenic effect or the abnormal immune system *** variabilities in some infections like chikungunya,scrub typhus,and leptospirosis are associated with longer hospital stay and poor *** infective diseases are associated with prominent acute cardiac rhythm abnormalities due to myocarditis,which can be identified preliminarily by ECG changes.

关键词： ECG Chikungunya COVID-19 Dengue H1N1 Leptospirosis Malaria Salmonella Scrub typhus Tuberculosis

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Delayed post-hypoxic leukoencephalopathy following barbiturate overdose: A case report

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Journal of Acute Disease 2022年第4期11卷 165-167页

作者： Arshi Syal Samiksha Gupta Monica Gupta gautam jesrani Yajur Arya Department of General Medicine Government Medical College and HospitalChandigarhIndia

Rationale:Delayed post-hypoxic leukoencephalopathy(DPHL)is usually an overlooked condition,which arises as a result of a multitude of reversible and irreversible ***’s Concern:A 50-year-old female with a history of epilepsy,who developed DPHL 12 days after respiratory failure secondary to barbiturate ***:DPHL on magnetic resonance imaging of the ***:Mechanical ventilation was initiated for respiratory failure and hemodialysis for barbiturate ***:The patient developed akinetic mutism due to infirmity and had a residual disability,which led to permanent ***:The diagnosis of DPHL is often delayed or missed,given the rarity of this condition and its inconsistent clinical *** delay can be avoided by early recognition of the classical“delayed onset”symptoms.

关键词： Delayed post-hypoxic leukoencephalopathy Barbiturate overdose Epilepsy Respiratory failure Akinetic mutism

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Imipenem/cilastatin-induced acute eosinophilic pneumonia:A case report

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Journal of Acute Disease 2023年第6期12卷 250-253页

作者： gautam jesrani Samiksha Gupta Amtoj Singh Lamba Shreya Arora Monica Gupta Department of General Medicine Government Medical College and HospitalChandigarhIndia

Rationale:Acute eosinophilic pneumonia(AEP)is an acute pulmonary illness caused by eosinophilic infiltration of the lung *** can happen after using drugs such as daptomycin and *** induced by imipenem/cilastatin is a rare ***’s Concern:A 45-year-old male patient,who previously suffered from a urinary tract infection and treated with imipenem/cilastatin antibiotic,was presented to us with acute respiratory distress,soon after the initiation of the *** tomography identified pulmonary infiltrates in the upper and middle lung fields and eosinophils were found to account for 36%of differential count of the broncho-alveolar lavage *** also developed peripheral eosinophilia as the disease ***:AEP,secondary to imipenem/cilastatin ***:Steroid therapy was administered and imipenem/cilastatin antibiotic was ***:The patient improved completely following the therapy and had clear lung fields on ***:Imipenem/cilastatin is an uncommon cause of AEP and requires close monitoring during therapy.

关键词： Acute eosinophilic pneumonia Broncho-alveolar lavage Imipenem/cilastatin,Pulmonary infiltrate Peripheral eosinophilia

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