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Septic Superficial Femoral Vein Thrombophlebitis Causing Pulmonary Emboli and Respiratory Failure: Case Report and Review of the Literature

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International Journal of Clinical Medicine 2019年第8期10卷 413-420页

作者： Ziad Fayad paul guentert Erin Rissler Nuha Zackariya Shivani Patel Ali Sualeh Mahmoud Al-Fadhl Sufyan Zackariya Grant Wiarda Mallory Martin Joseph Lake Sarah Philbrick Mark Walsh General and Vascular Surgery X-Ray Consultants South Bend IN USA Saint Joseph Regional Medical Center Mishawaka IN USA St. Luc Family Hospital Tabarre Haiti Indiana University School of Medicine South Bend Campus South Bend IN USA

Septic pulmonary emboli rarely cause respiratory failure that requires mechanical ventilation. The most common causes of septic pulmonary emboli are related to intravenous drug abuse, indwelling intravenous catheters, endocarditis and septic pelvic thrombophlebitis. In addition, soft tissue injury-related thrombophlebitis rarely causes septic pulmonary emboli. We describe a unique case of a 43-year-old man who developed septic thrombophlebitis of the femoral vein following soft tissue injury from trauma to the shin with ensuing septic pulmonary emboli which necessitated endotracheal intubation and mechanical ventilation. The patient required mechanical ventilation for eleven days, developed empyema and grew out methicillin-resistant Staphylococcus aureus on blood cultures. A transesophageal echocardiogram was normal, and there was no indication of bacterial endocarditis. In addition to eleven days of mechanical ventilation, the patient was treated with intravenous heparin, cefepime and clindamycin. These medications were then discontinued and the patient was treated with weight-adjusted vancomycin. Following the return of cultures, the patient was treated for six weeks with ceftaroline 600 mg IV twice a day. In addition, the patient received bilateral thoracentesis followed by chest tube drainage until resolution of the pleural effusions. The patient made a complete recovery. We describe this case and the implications for differential diagnosis and treatment of these two uncommon conditions.

关键词： Septic Thrombophlebitis Pulmonary Emboli Respiratory Failure Critical Care

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Forecasting the Probability of Heat Related Failures in Powered Ground at an Equipment Major Airline

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International Journal of Plant Engineering and Management 1998年第2期3卷 5-12页

作者： Tonette F. Alexander, Department of Mechanical Engineering University of Illinois at Chicago, Chicago, Illinois paul C. guentert, Ground Equipment Maintenance American Airlines, Chicago, Illinois Floyd G. Miiler, Department of Mechanic

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关键词： maintenance ground equipment airline

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Forecasting the Probability of Heat Related Failures in Powered Ground Equipment at a Major Airline

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International Journal of Plant Engineering and Management 1999年第1期4卷 375-382页

作者： Tonette F. Alexander,(Department of Mechanical EngineeringUniversity of illinois at Chicago,Chicago, Illinois)paul C. guentert,(Ground Equipment MaintenanceAmerican Airlines, Chicago, Illinois)Floyd G. Miller,(Department of Mechanical Engineering Universi

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Utilization of Extracorporeal Membrane Oxygenation for Pulmonary Toxicity Caused by Inhaled Synthetic Cannabinoid. A Harbinger of Future Complications Associated with Inhaled Cannabinoid Products

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International Journal of Clinical Medicine 2020年第2期11卷 53-61页

作者： Robert March paul guentert Elizabeth Kloska-Kearney David Kwak Cody Yerger Michael McBride J. R. Majewski Ross McCauley Jordan Hatch Jacob Speybroeck Allen Betts Mat Marsee Sufyan Zackariya Faisal Shariff Shivani Patel Ali Sualeh Anthony Thomas Edward Evans Donald Westerhausen Mark Walsh Saint Joseph Regional Medical Center Mishawaka IN USA Indiana University School of Medicine—South Bend South Bend IN USA Department of Pulmonary and Critical Care Medicine Methodist Hospital Indianapolis IN USA

There has been a dramatic increase in medical complications related to synthetic cannabinoid (SC) use either by water pipe or vaping. The legalization of marijuana in an increasing number of states has also resulted in an increase in a number of complications related not just to marijuana, but in particular, to SC. As a result, there have been recent increased reports of acute pulmonary injury related to inhaled SC products. We describe that rarely endotracheal intubation with mechanical ventilation has been required to treat the acute respiratory distress syndrome (ARDS) and the diffuse alveolar hemorrhage (DAH) associated with the acute toxicity of SC inhalation. We describe the second reported case of successful utilization of mechanical ventilation and extracorporeal membrane oxygenation (ECMO) in order to treat acute pulmonary toxicity caused by SC inhalation by a water pipe. While the exact pathophysiology of these interesting and recent pulmonary complications is unknown, the recent increase in exposure to SC via water pipe systems and vaping suggests that there will be many more cases of patients that will require ECMO as a form of life-saving therapy.

关键词： Synthetic Cannabinoid Extracorporeal Membrane Oxygenation Mechanical Ventilation Water Pipe Vaping Pulmonary Toxicity

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