Diffuse alveolar hemorrhage due to valproic acid: Case report and review of the literature

Valproic acid (VPA) is one of the most frequently used antiepileptic drugs for the treatment of focal and generalized epilepsies, absence seizures, and Lennox-Gastaut syndrome (LGS). VPA has been demonstrated to have a negative effect on both the intrinsic and extrinsic coagulation systems and controversy exists about the clinical relevance of such hematological abnormalities. We describe a case of reversible lung hemorrage due to VPA. In English-language literature only two other similar cases (one of which fatal) have been described so far

RIGHT PNEUMOTHORAX SECONDARY TO REMOVAL OF NASOGASTRIC TUBE

Malpositioning of the nasogastric tube into the airway is one of the most frequent complications and the consequences of improper positioning of the tube in the airways depend on several factors: creation or not of a pleuro-pulmonary fistula, introduction or not of drugs into the tube, the overall clinical condition of the patient. A pneumonia caused by instillation of drugs or a pneumothorax or a mediastinitis may precipitate a clinical situation already basically compromised

UNUSUAL FOREIGN BODY IN THE LEFT MAIN BRONCHUS

The paper present the images about a case of inusual foreign body in the left main bronchus that was removed with a very risky maneuver

FATAL HEMORRHAGE DUE TO TRACHEAL-ESOPHAGEAL-AORTIC FISTULA IN A PATIENT WITH DOUBLE AORTIC ARCH

We report a case of a18-year-old male with double aortic arch who underwent surgery for bleeding from a left bulbar cavernous angioma of the medulla oblongata. A tracheostomy tube was positioned but after several days the patient died because of a tracheo-esophageal fistula with left aortic arch erosion due to the decubitus of the tube cuf