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Case Report  |   Volume 3, Issue 7

Bilateral Clavicle Fracture: A Rare Presentation of a Common Form of Orthopedic Birth Injury

Joana Oliveira, Andreia Abrantes, Raque Gouveia and Graca Oliveira
Abstract

A female newborn presented at day-1 with isolated right clavicle crepitus after vaginal delivery by certified nurse midwives. Shoulder dystocia was suspected at birth but delivery was successful with the sole aid of suprapubic pressure. The adequate weight-for-gestational-age female newborn (3605 gr. at 39 Wk.) was vigorous at birth and no resuscitation was needed. Bilateral clavicle fracture was later confirmed by radiographic studies and associated birth injuries like brachial plexus paralysis were excluded during newborn physical exam screening.

PDF   |    Full Text | DOI: 10.23937/2378-3656/1410119

Case Report  |   Volume 3, Issue 7

Pulmonary Alveolar Hemorrhage While on Dual Antiplatelet Therapy

Brian Grondahl
Abstract

Prasugrel is an anti-platelet agent in the thienopyridine class of adenosine diphosphate receptor inhibitors. It is commonly used in combination with low-dose aspirin as dual antiplatelet therapy (DAPT) in patients who have undergone percutaneous coronary intervention with stent placement. Prasugrel's use is associated with an overall low risk of bleeding (2.4% risk of major hemorrhage), but is avoided in the elderly and those with a low body mass index.

PDF   |    Full Text | DOI: 10.23937/2378-3656/1410118

Case Report  |   Volume 3, Issue 7

Sequential, Multimodal Treatment of a Refractory Adult-Onset Still's Disease Complicated by Reactive Hemophagocytic Lymphohistiocytosis

Sarah Rosset-Zufferey, Karim Gariani and Carlo Chizzolini
Abstract

We report the case of a patient with severe adult-onset Still's disease not responding to treatment with high-dose corticosteroids and intravenous immunoglobulins. Partial remission was obtained under therapy associating anakinra and leflunomide but subsequently she developed acute hepatitis and disseminated intravascular coagulation consistent with a reactive hemophagocytic lymphohistiocytosis. The patient was successfully treated with a combination of tocilizumab, cyclosporine and corticosteroids leading to a prolonged remission.

PDF   |    Full Text | DOI: 10.23937/2378-3656/1410117

Case Report  |   Volume 3, Issue 7

Abrupt Increase in Glucose Intolerance after Smoking Cessation Therapy: A Case Report

Maki Komiyama, Sayaka Shimada, Yuko Takahashi and Koji Hasegawa
Abstract

Komiyama M, Shimada S, Takahashi Y, Hasegawa K (2016) Abrupt Increase in Glucose Intolerance after Smoking Cessation Therapy: A Case Report. Clin Med Rev Case Rep 3:116.

PDF   |    Full Text | DOI: 10.23937/2378-3656/1410116

Case Report  |   Volume 3, Issue 7

A Preterm Neonate with Coxsackievirus Infection, Supraventricular Arrhythmia and Cerebral Sinus Venous Thrombosis

Friederike Sophie Weber, Antje Heilmann, Gabriele Hahn, Mario Rudiger and Jurgen Dinger
Abstract

We report a preterm infant with coxsackievirus B3 (CVB 3) infection accompanied by supraventricular arrhythmia and cerebral sinus venous thrombosis. CVB 3 belongs to the Picornaviridae family and usually causes mild respiratory and gastrointestinal symptoms. Newborns, especially preterm infants, are at higher risk of severe infection involving the cerebral and cardiovascular system.

PDF   |    Full Text | DOI: 10.23937/2378-3656/1410115


Volume 3
Issue 7