Kounis syndrome associated with benzathine penicillin G use: A case report

AbstractKounis syndrome is a life-threatening medical condition that causes severe allergic reaction and acute coronary syndrome. Benzathine penicillin G is one of the most widely used antibiotics in clinical practice, but it can enhance both allergic and hypersensitivity complications. In this report, we describe the case of a 42-year-old man admitted to our hospital who presented with cryptic tonsillitis accompanied by angioneurotic edema, chest pain, and electrocardiographic variations. The patient was diagnosed with Kounis syndrome and treated with oral antihistamines and prednisolone. He was discharged following a complete recovery and regression of electrocardiographic abnormalities within 72 hours

The importance of the mean platelet volume in the diagnosis of supraventricular tachycardia

This retrospective study aimed to investigate the diagnostic relation between the mean platelet volume (MPV) and supraventricular tachyarrhythmia (SVT) in patient with documented atrial tachyarrhythmia in the emergency department (ED). Two study groups were compared; a SVT group with arrive at the ED with documented SVT (n=122) and 100 healthy adult without any palpitation symptom, arrhythmic disease, and with normal physical examination results that were brought for checkups to the cardiology polyclinic were classified as control group. Blood samples were obtained from all patients for determining the hematologic counts and MPV during first hour in ED period. In terms of the focus of the study, hemoglobin, neutrophil count, mean cell volume (MCV), red cell distribution width (RDW), platelet, white blood cell (WBC), and lymphocyte counts were similar in both group (p > 0.05). MPV in the SVT group was signifi cantly higher than in the control group (9.12±1.22 fl vs 8.64±0.89 fl , p < 0.001). Multivariate logistic regression analysis showed that just MPV was independent predictor of SVT in patients with palpitation in ED (odds ratio [OR] 8.497, 95% confidence interval (6.181 to 12.325), p=0.012). The present study described that MPV is helpful parameter for the diagnosis of SVT in emergency department, for the first time in the literature.Keywords: mean platelet volume, inflammation, palpitation, supraventricular tachycardia, diagnosticAfrican Health sciences Vol 14 No. 1 March 201

FLUOKSETİN VE TRAZODON KULLANIRKEN TEK BİR DOZ KETİYAPİN EKLENMESİYLE GELİŞEN BİR AKUT DİSTONİ OLGUSU

A patient admitted with complaints of muscle contractions in neck, shoulder and arm which started recently after quetiapine administration. As a result the patient developed dystonia after adding a single dose of 12.5 mg/day quetiapine while taking trazodone and fluoxetine treatment. In this paper we take a look at the literature concerning quetiapine and dystonia. In this context it is warranted to be aware of combination therapy’s side effects, including ones that are considered having a lower risk of extrapyramidal symptoms such as quetiapine

Atrial fibrillation caused by lightning strike: A case report

Önemli bir doğa olayı olan yıldırım, direk akım özelliğindedir. Sahip olduğu yüksek enerji ve oluşan ısı artışı ciddi tehlikelere yol açabilir. Yıldırım çarpması ciltte yanıklar, çoklu organ hasarları, kardiyak ileti bozuklukları ve hatta ölüm gibi pek çok önemli klinik olaya yol açabilir. Sunumumuzda, yıldırım çarpması sonucu akut atriyal fibrilasyon tespit edilen bir olgu sunuldu.The lightning is an important natural event, characterized with direct current. With its high energy and the resulting increase in the temperature can lead to serious hazards. Lightning can lead to many important clinical events as skin burns, multiple organ damage, cardiac conduction disorders and also death. In this presentation, a case of acute atrial fibrillation due to lightning strike was reported

Atrial fibrillation caused by lightning strike: A case report

Önemli bir doğa olayı olan yıldırım, direk akım özelliğindedir. Sahip olduğu yüksek enerji ve oluşan ısı artışı ciddi tehlikelere yol açabilir. Yıldırım çarpması ciltte yanıklar, çoklu organ hasarları, kardiyak ileti bozuklukları ve hatta ölüm gibi pek çok önemli klinik olaya yol açabilir. Sunumumuzda, yıldırım çarpması sonucu akut atriyal fibrilasyon tespit edilen bir olgu sunuldu.The lightning is an important natural event, characterized with direct current. With its high energy and the resulting increase in the temperature can lead to serious hazards. Lightning can lead to many important clinical events as skin burns, multiple organ damage, cardiac conduction disorders and also death. In this presentation, a case of acute atrial fibrillation due to lightning strike was reported

Lower Extremity Tissue Defect Caused by Mobile Phone Charger Explosion: A Case Report

SUMMARY: As the usage of cell phones is markedly increasing worldwide, accidental injuries and even lethal damages caused by cellular phone explosions have been reported lately. Although, cell phone charger explosion related scalding and tissue loss is extremely rare, they generally cause severe damage to tissues and cause severe complications, ending up in hospitalization. We are presenting a case of 9-year old female patient who was admitted to our emergency service due to a phone charger explosion that resulted in a lower extremity tissue defect. ÖZET: Cep telefonu kullanımı dünya çapında belirgin bir şekilde arttıkça, yaralanmaların, hatta ölümcül hasarların olduğu kazalar son zamanlarda bildirilmiştir. Her ne kadar cep telefonu şarj aleti patlaması ile ilgili yanık ve doku kaybı oldukça nadir olsa da, komşu dokularda ciddi hasar yapıp problem oluşturabilirler. Bu yazıda, cep telefonu şarj aleti patlamasına bağlı alt ekstremitede doku defekti ile acil servise başvuran dokuz yaşında bir kız çocuğu olgusu sunuldu. Key words: Charger, explosion, tissue defect, Anahtar sözcükler: Şarj aleti, patlama, doku defekt

A New Diagnostic Marker For Acute Pulmonary Embolism In Emergency Department: Mean Platelet Volume

Objective: To investigate the diagnostic importance of mean platelet volume (MPV) on acute pulmonary embolism (APE) in the emergency Department (ED). Methods: Subjects were selected from patients admitted to ED with clinically suspected APE. Demographic, anthropometric and serologic data were collected for each patient. Results: A total of 315 consecutive patients were analyzed, including 150 patients (53.44 ± 15.14 y ; 92 men/58 women) in APE group and 165 patients (49.80 ±13.76y; 94 men/71 women) in the control group. MPV in the APE group was signifi cantly higher than in the control group (9.42±1.22 fl vs. 8.04±0.89 fl , p<0.0001). The best cut-off values for MPV when predicting APE in patients with clinically suspected APE presenting at the ED were 8.55 fl (sensitivity 82.2%; specificity 52.3%). Conclusions: MPV is a helpful parameter for the diagnosis of APE in ED, for the first time in the literature