OpenMed/multicare-articles huggingface dataset:
Shortness of breath after AV ablation: case of left phrenic nerve palsy
Authors: Irene Lambiris, Jinesh Mehta, Marcelo Helguera
Journal: J Community Hosp Intern Med Perspect (2013)
Keywords: atrial fibrillation, cardiac ablation, chronic obstructive pulmonary disease, phrenic nerve palsy
MeSH terms: Case Reports

Phrenic nerve palsy has been recognized as a complication of catheter ablation with a prevalence of 0.11-0.48% after atrial fibrillation ablation, independent of the type of ablation catheter or energy source, likely due to the anatomical relationship of the nerves. This report describes a case of new onset of shortness of breath (SOB) due to left diaphragm paralysis following transcatheter radiofrequency ablation in a patient with underlying chronic obstructive pulmonary disease.
An association of vertebral breast cancer metastasis and multiple myeloma, revealed by a spinal cord compression
Authors: Abdelhakim Kherfani, Khalil Amri, Mahjoub Hachem, Leila Abid, Mouna Bouaziz, Mondher Mestiri
Journal: Pan Afr Med J (2014)
Keywords: myeloma, breast cancer, spinal cord compression
MeSH terms: Breast Neoplasms / pathology, Multiple Myeloma / pathology, Spinal Cord Compression / etiology, Spinal Neoplasms / pathology, Case Reports, Breast Neoplasms / diagnosis, Female, Humans, Middle Aged, Multiple Myeloma / diagnosis, Neoplasms, Second Primary / diagnosis, Neoplasms, Second Primary / pathology, Spinal Cord Compression / diagnosis, Spinal Cord Compression / pathology, Spinal Neoplasms / diagnosis, Spinal Neoplasms / secondary

Authors describe the case of a patient with breast cancer and multiple myeloma as the second metachronous disease responsible for spinal cord compression. Synchronous occurrence of bone marrow breast cancer disease and multiple myeloma has not been described in the literature, as in this case. By presenting this case, we point to possible association between both diseases and the possible factors involved in the development of second malignant disease.
Near-fatal anaphylaxis with Kounis syndrome caused by Argas reflexus bite: a case report
Authors: Elisa Boni, Cristoforo Incorvaia
Journal: Clin Mol Allergy (2020)
Keywords: anaphylaxis, argas reflexus, kounis syndrome, tick bites
MeSH terms: Case Reports

Background:
The pigeon tick Argas reflexus is a temporary parasite of pigeons. It bites during night hours and lies briefly on its prey, as long as it takes the blood meal. When pigeons are not accessible, ticks look for other hosts, invading nearby flats and biting humans.
Case presentation:
We present the case of a woman aged 46 years who experienced severe anaphylaxis during the night which required emergency medical treatment, tracheal intubation and hospitalization in intensive care unit. Kounis syndrome was documented by transient ST depression and elevation of troponin. The allergological work up ruled out hypersensitivity to drugs, latex and foods containing alpha-gal, which is a cause of anaphylaxis. Basal serum tryptase was in normal range (8.63 ng/ml). When questioned about the presence of ticks, the patient brought into view various specimens of ticks that were recognized by an entomologist as Argas reflexus.
Conclusions:
An in vitro diagnosis of allergy to Argas reflexus is currently not feasible because, though the major allergen Arg r 1 has been isolated, allergen extracts are not commercially available. Therefore, the diagnosis of anaphylaxis from Argas reflexus, when other causes of anaphylaxis are excluded, must rely only on history and clinical findings, as well as on the presence of pigeons and/or pigeon ticks in the immediate domestic environment.
Management of Acquired Hemophilia A in Elderly Patients
Authors: Tomoya Yamaguchi, Naoko Kudo, Susumu Endo, Takeo Usui, Shinsaku Imashuku
Journal: Case Rep Hematol (2018)
MeSH terms: Case Reports

This report describes six elderly patients with acquired hemophilia A (AHA), including four individuals aged ≥90 years. Bleeding symptoms were subcutaneous or intramuscular hemorrhage (n=4), hematuria (n=1), and hemorrhagic shock after tooth extraction (n=1). Factor VIII (FVIII) activity ranged from <1.0% to 3.0%, and anti-FVIII inhibitor titers ranged from 8.8 to 240 BU/mL. Treatment was administered at the discretion of the responsible physician. Hemostatic agents applied in the six patients comprised rFVIIa (NovoSeven®) (n=4), APCC (Feiba®) (n=2), and fresh frozen plasma/plasma exchange (n=1). Agents employed for inhibitor eradication comprised prednisolone only (n=3), prednisolone with cyclophosphamide (n=1), prednisolone with cyclosporine (n=1), and prednisolone with rituximab (n=1). In five patients, management was successful, with complete response. Treatment failed in the patient with the highest inhibitor level (240 BU/mL) in whom treatment with APCC (Feiba®; 100 U/kg/dose, three doses) and prednisolone (0.5 mg/kg/day) was followed by several episodes of relapse. The present data demonstrate that AHA severity shows wide variation in elderly subjects, indicating the necessity of individualized management.
Progress towards unique patient identification and case-based surveillance within the Southern African development community
Authors: Kerensa Govender, Lawrence Long, Jacqui Miot
Journal: Health Informatics J (2023)
Keywords: case-based surveillance, health-systems strengthening, linkage, patient tracking, unique patient identifier

Population mobility makes patient-tracking and care linkage in the South African Development Community (SADC) challenging. Case-based surveillance (CBS) through individual-level clinical data linked with a unique patient-identifier (UPI) is recommended. We conducted a mixed-methods landscape analysis of UPI and CBS implementation within selected SADC countries, this included: (1) SADC UPI implementation literature review; (2) assessment of UPI and CBS implementation for high HIV-prevalence SADC countries; (3) UPI implementation case-study in selected South African primary healthcare (PHC) facilities. Research into CBS and UPI implementation for the SADC region is lacking. Existing patient-identification methods often fail and limit patient-tracking. Paper-based records and poor integration between health-information systems further restrict patient-tracking. Most countries were in the early-middle stages of CBS and faced UPI challenges. Our South African case-study found that the UPI often goes uncaptured. Difficulties tracking patients across prevention and care cascades will continue until a functional and reliable UPI is available.
Portal vein thrombosis as a thrombotic complication of COVID-19 mRNA vaccine: A case report and literature review
Authors: Prakriti Singh Shrestha, Angela Ishak, Arun R Napit, Sarosh Sarwar, Niraj Rai, Zoha Nizami, Niharika Bheemisetty, Prashanth Jayaraj, Amardeep Shrestha, Ivan D Rodriguez
Journal: IDCases (2022)
Keywords: covid-19 vaccine, portal vein thrombosis, vitt
MeSH terms: Case Reports

Thrombosis following COVID-19 vaccination commonly occurs with vector-based vaccines. The proposed mechanism is vaccine-induced thrombotic thrombocytopenia (VITT), with thrombocytopenia as principal manifestation. We present a 51-year-old male who came with isolated portal vein thrombosis (PVT) one day after Moderna vaccination, without associated thrombocytopenia, challenging VITT as being the only patho-mechanism. Further exploration of these possible alternative mechanisms is needed for COVID-19 vaccine-related thrombotic complications.