keyword
https://read.qxmd.com/read/38333478/a-rare-lesion-in-the-anterior-region-of-the-third-ventricle-rosette-forming-glioneuronal-tumor
#1
Leopoldina Pereira, Djamel Kitumba, Mário Gil Fontoura, David A João, Lino Mascarenhas, Mário Resende
Rosette-forming glioneuronal tumor (RGNT) is a rare and indolent mixed glioneuronal tumor involving primarily the fourth ventricular region and occurring predominantly in young adults. We present a case of a 44-year-old woman presented with progressive headaches, vomiting, and a sudden decreasing level of consciousness. The magnetic resonance imaging showed a regular lesion within the anterior portion of the third ventricle and the patient underwent an endoscopic approach to remove the tumor that was exclusively within the anterior portion of the third ventricle...
January 2024: Curēus
https://read.qxmd.com/read/38243973/transient-central-diabetes-insipidus-arginine-vasopressin-deficiency-following-sars-cov-2-vaccination-a-case-report-and-literature-review
#2
Pierluigi Mazzeo, Filippo Ceccato, Renzo Manara, Cinzia Mazzon, Mattia Barbot
INTRODUCTION: Since December 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has affected millions of people, causing the COVID-19 global pandemic. The use of novel technologies led to the development of different types of SARS-CoV-2 vaccines that have reduced severe disease courses and related deaths. Besides the positive impact of vaccination on the pandemic, local and systemic side effects have been reported; they are usually mild to moderate, although also serious adverse events have been described...
January 12, 2024: Endocrine, Metabolic & Immune Disorders Drug Targets
https://read.qxmd.com/read/37949692/-amatoxin-containing-mushroom-poisoning-an-update
#3
REVIEW
W Caré, C Bruneau, S Rapior, J Langrand, G Le Roux, D Vodovar
Amatoxin-containing mushroom poisoning occurs after consumption of certain mushroom species, of the genera Amanita, Lepiota and Galerina. Amanita phalloides is the most implicated species, responsible for over more than 90% of mushroom-related deaths. The α-amanitin is responsible for most of the observed effects. Symptoms are characterized by severe delayed gastrointestinal disorders (more than six hours after ingestion). The liver being the main target organ, outcome is marked by an often severe hepatitis which can evolve towards terminal liver failure, justifying orthotopic liver transplantation...
November 8, 2023: La Revue de Médecine Interne
https://read.qxmd.com/read/37663626/-lithium-induced-nephrogenic-diabetes-insipidus-during-acute-intoxication-a-case-report
#4
Sara Echater, Mohammed Hasnaoui, Evelyne Lechner
In case of dehydration, lithium can cause acute intoxication. This picture is mainly manifested by neurological disorders that can go as far as coma, digestive disorders, hydroelectrolytic disorders, and cardiovascular disorders. We report the case of a patient followed for bipolar disorder for 20 years and treated with lithium for 14 years and who presented an acute lithium intoxication resulting from a diabetes insipidus. Our objective is to underline the importance of good hydration and strict monitoring of lithium levels especially in situations favouring dehydration, notably the polyuria of diabetes insipidus...
2023: Pan African Medical Journal
https://read.qxmd.com/read/37166707/car-t-cells-and-the-kidney-insights-from-the-who-safety-database
#5
JOURNAL ARTICLE
Alexandre O Gérard, Diane Merino, Alexis Charbinat, Joseph Fournier, Alexandre Destere, Michael Loschi, Thomas Cluzeau, Antoine Sicard, Milou-Daniel Drici
BACKGROUND: Chimeric antigen receptor T (CAR-T) cells have proven to be a game changer for treating several hematologic malignancies. Randomized controlled trials have highlighted potential life-threatening adverse drug reactions (ADRs), including cytokine release syndrome (CRS). Acute renal failure (ARF) has also been reported in 20% of the patients treated. However, an analysis of renal safety supported by large-scale real-life data seems warranted. PATIENTS AND METHODS: We queried VigiBase® for all reports of the Standardised MedDRA Query "acute renal failure" (ARF) involving a CAR-T cell, registered until 24 July 2022...
May 11, 2023: BioDrugs: Clinical Immunotherapeutics, Biopharmaceuticals and Gene Therapy
https://read.qxmd.com/read/36830792/clinical-and-pharmacotherapeutic-profile-of-patients-with-type-2-diabetes-mellitus-admitted-to-a-hospital-emergency-department
#6
JOURNAL ARTICLE
António Cabral Lopes, Olga Lourenço, Fátima Roque, Manuel Morgado
Type 2 diabetes mellitus (T2DM) is closely associated with other pathologies, which may require complex therapeutic approaches. We aim to characterize the clinical and pharmacological profile of T2DM patients admitted to an emergency department. Patients aged ≥65 years and who were already using at least one antidiabetic drug were included in this analysis. Blood glycemia, creatinine, aspartate aminotransferase (AST), alanine aminotransferase (ALT), and hemoglobin were analyzed for each patient, as well as personal pathological history, diagnosis(s) at admission, and antidiabetic drugs used before...
January 18, 2023: Biomedicines
https://read.qxmd.com/read/36639120/pathophysiologic-approach-in-genetic-hypokalemia-an-update
#7
REVIEW
Anne Blanchard
The pathophysiology of genetic hypokalemia is close to that of non-genetic hypokalemia. New molecular pathways physiologically involved in renal and extrarenal potassium homeostasis have been highlighted. A physiological approach to diagnosis is illustrated here, with 6 cases. Mechanisms generating and sustaining of hypokalemia are discussed. After excluding acute shift of extracellular potassium to the intracellular compartment, related to hypokalemic periodic paralysis, inappropriate kaliuresis (>40mmol/24h) concomitant to hypokalemia indicates renal potassium wasting...
April 2023: Annales D'endocrinologie
https://read.qxmd.com/read/36342654/pseudo-bartter-syndrome-in-anorexia-nervosa
#8
JOURNAL ARTICLE
Rodrigo de Alves Pereira Carvalho Saraiva, Tânia Cavaco, Jennifer Santos, Filomena Sequeira, Sílvia Neves, António Neves
INTRODUCTION: Anorexia nervosa is a psychiatric disorder with various non-psychiatric manifestations that arise from the self-imposed malnourishment and possible purging behaviors. These medical manifestations or complications may mimic non psychiatric disorders and difficult the diagnosis of an eating disorder. CASE REPORT: We report the case of a patient with a binge-eating/purging subtype of anorexia nervosa, whose purges consisted in diuretic abuse. She kept her purges secret and during more than 1 year she was admitted several times in the emergency room for, sometimes life-threatening, hypokalemia...
November 7, 2022: Eating and Weight Disorders: EWD
https://read.qxmd.com/read/35642649/laparoscopic-total-mesorectal-excision-l-tme-for-rectal-cancer-surgery-does-elective-diverting-ileostomy-really-protect-an-observational-retrospective-cohort-study
#9
JOURNAL ARTICLE
Alessandro Coppola, Vincenzo La Vaccara, Chiara Cascone, Tommaso Farolfi, Ludovico Carbone, Carlo Greco, Sara Ramella, Massimo Ciccozzi, Silvia Angeletti, Roberto Coppola, Damiano Caputo
AIMS: Elective diverting ileostomy may reduce consequences of anastomotic leakage after laparoscopic total mesorectal excision (L-TME); however, its safety is debated because of morbidity related to stoma creation and closure. We aimed to investigate the impact of diverting ileostomy on clinical behavior of anastomotic leakage and complications related to stoma itself. MATERIAL OF THE STUDY: We retrospectively evaluated 150 L-TMEs with (Group 1, 100 patients) or without (Group 2, 50 patients) elective ileostomy for rectal cancer...
December 3, 2021: Annali Italiani di Chirurgia
https://read.qxmd.com/read/35593330/bartter-like-syndrome-induced-by-tacrolimus-in-a-renal-transplanted-boy-a-case-report
#10
Raphael Figuiredo Dias, Mateus da Costa Monteiro, Renata Aguiar Menezes Silva, Mirella Monique Lana Diniz, Ana Cristina Simões E Silva
INTRODUCTION/BACKGROUND: Losing-salt tubulopathies, such as Bartter syndrome, are rare and usually inherited due to mutations of tubular reabsorption channels of the nephrons. Despite its scarcity, some cases of acquired losing-salt tubulopathies have been described. In this case report, we discuss the main aspects of Bartter syndrome and present a rare pediatric case of probable tacrolimus-induced Bartter-like syndrome in a renal transplanted boy. CASE PRESENTATION: A ten-year-old male patient with end-stage renal disease due to endo and extracapillary glomerulonephritis was submitted to renal transplantation from a deceased donor...
May 18, 2022: Current Drug Safety
https://read.qxmd.com/read/35146976/nephrogenic-diabetes-insipidus-a-comprehensive-overview
#11
REVIEW
Pedro Alves Soares Vaz de Castro, Letícia Bitencourt, Juliana Lacerda de Oliveira Campos, Bruna Luisa Fischer, Stephanie Bruna Camilo Soares de Brito, Beatriz Santana Soares, Juliana Beaudette Drummond, Ana Cristina Simões E Silva
Nephrogenic diabetes insipidus (NDI) is characterized by the inability to concentrate urine that results in polyuria and polydipsia, despite having normal or elevated plasma concentrations of arginine vasopressin (AVP). In this study, we review the clinical aspects and diagnosis of NDI, the various etiologies, current treatment options and potential future developments. NDI has different clinical manifestations and approaches according to the etiology. Hereditary forms of NDI are mainly caused by mutations in the genes that encode key proteins in the AVP signaling pathway, while acquired causes are normally associated with specific drug exposure, especially lithium, and hydroelectrolytic disorders...
April 26, 2022: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://read.qxmd.com/read/34646703/coexistence-of-triphasic-diabetes-insipidus-and-cerebral-salt-wasting-syndrome-following-extraction-of-sellar-suprasellar-grade-i-pilocytic-astrocytoma
#12
Khalid Alghamdi, Lamair A Albakri, Yazeed Alotaibi, Ahmed H Alghamdi, Salwa Alaidarous
Water homeostasis disorders, such as syndrome of inappropriate antidiuretic hormone secretion (SIADH), diabetes insipidus (DI), and cerebral salt-wasting syndrome (CSWS), can develop after neurosurgery. Additionally, DI, SIADH, and CSWS have been reported concurrently in association with some neurosurgical conditions, in particular after pituitary gland surgery or as sequelae of post-traumatic brain injury. Therefore, neurosurgeons should expect water homeostasis disorders after the removal of tumors of the sellar/suprasellar region and be prepared to aggressively manage them...
September 2021: Curēus
https://read.qxmd.com/read/34416929/therapeutic-plasmapheresis-seven-year-experience-of-an-intensive-care-unit-in-portugal
#13
JOURNAL ARTICLE
Rita Faria, Alexei Bucur, André Gordinho, Luis Falcão, André Carrão, Sara Fernandes, João Colaço, Carlos Meneses-Oliveira, António Messias
INTRODUCTION: Therapeutic plasmapheresis is a therapeutic procedure in which the patient's blood is passed through a medical device which separates out plasma from other components of blood. The plasma is removed and replaced with a replacement solution. Studies on the use of plasmapheresis in critically ill patients are scarce. The aim of this study was to review all therapeutic plasmapheresis sessions carried out in the Hospital Beatriz Ângelo intensive care unit. MATERIAL AND METHODS: An observational retrospective study was conducted between April 2012 and March 2019...
March 2, 2022: Acta Médica Portuguesa
https://read.qxmd.com/read/34106192/-hyponatremia-in-children-with-liver-cirrhosis-treatment-strategies
#14
REVIEW
Sharon Imbett-Yepez, Rubén Peña-Vélez, Flora Zárate-Mondragón, Jaime Ramírez-Mayans
Hyponatremia is a common hydroelectrolytic disorder in pediatric patients with advanced cirrhosis. This complication is related to the alteration in the renal capacity to eliminate free water with solutes such as sodium, which leads to disproportionate water retention, a condition known as dilutional hyponatremia. The main pathogenic factors are the non-osmotic secretion of antidiuretic hormone and the activation of the renin-angiotensin-aldosterone axis and the sympathetic nervous system. Given that hyponatremia in cirrhosis is associated with an increase in morbidity and mortality, the objective of this review is to propose a systematic approach, based on the level of serum sodium, assessment of hemodynamic status and diuresis, which allows precise modifications that minimize negative impacts on survival and neurological sequelae...
February 2021: Andes pediatrica: revista Chilena de pediatría
https://read.qxmd.com/read/33856581/outcome-of-acute-kidney-injury-how-to-make-a-difference
#15
REVIEW
Matthieu Jamme, Matthieu Legrand, Guillaume Geri
BACKGROUND: Acute kidney injury (AKI) is one of the most frequent organ failure encountered among intensive care unit patients. In addition to the well-known immediate complications (hydroelectrolytic disorders, hypervolemia, drug overdose), the occurrence of long-term complications and/or chronic comorbidities related to AKI has long been underestimated. The aim of this manuscript is to briefly review the short- and long-term consequences of AKI and discuss strategies likely to improve outcome of AKI...
April 15, 2021: Annals of Intensive Care
https://read.qxmd.com/read/33577841/hydroelectrolytic-disorder-in-covid-19-patients-evidence-supporting-the-involvement-of-subfornical-organ-and-paraventricular-nucleus-of-the-hypothalamus
#16
REVIEW
Igor Santana de Melo, Robinson Sabino-Silva, Thúlio Marquez Cunha, Luiz Ricardo Goulart, Wagner Luis Reis, Ana Carolina Gomes Jardim, Ashok K Shetty, Olagide Wagner de Castro
Multiple neurological problems have been reported in coronavirus disease-2019 (COVID-19) patients because severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) likely spreads to the central nervous system (CNS) via olfactory nerves or through the subarachnoid space along olfactory nerves into the brain's cerebrospinal fluid and then into the brain's interstitial space. We hypothesize that SARS-CoV-2 enters the subfornical organ (SFO) through the above routes and the circulating blood since circumventricular organs (CVOs) such as the SFO lack the blood-brain barrier, and infection of the SFO causes dysfunction of the hypothalamic paraventricular nucleus (PVN) and supraoptic nucleus (SON), leading to hydroelectrolytic disorder...
May 2021: Neuroscience and Biobehavioral Reviews
https://read.qxmd.com/read/33549330/-refeeding-syndrome
#17
JOURNAL ARTICLE
T Mouillot, M-C Brindisi, C Chambrier, S Audia, L Brondel
Refeeding syndrome (RS) is a rare but severe condition that is poorly understood, often under-diagnosed and can lead to death. It occurs within 5 days after refeeding in patients after prolonged fasting or in a context of undernutrition. As a consequence of the abrupt transition from catabolism to anabolism, RS is defined as a decrease in plasma levels of phosphorus, potassium and/or magnesium, whether or not associated with organ dysfunction resulting from a decrease in one of the electrolytes or a thiamine deficiency, after refeeding...
May 2021: La Revue de Médecine Interne
https://read.qxmd.com/read/33461787/-anorexia-nervosa-abnormalities-in-hematological-and-biochemical-parameters
#18
JOURNAL ARTICLE
J Lemille, M Le Bras, M Fauconnier, M Grall-Bronnec
Abnormalities of hematological and biochemical parameters are various and frequent during anorexia nervosa, and are mainly related to malnutrition, weight loss, and compensatory purgative behaviors. They are most often moderate and reversible through appropriate nutritional and weight rehabilitation, as well as well-conducted symptomatic treatment. Severe abnormalities are rarer, but are potentially serious or even fatal. Isolated moderate anemia and leukopenia are frequently noted, with thrombocytopenia being less frequent...
January 15, 2021: La Revue de Médecine Interne
https://read.qxmd.com/read/33081979/-prognostic-factors-of-mortality-one-year-after-a-hip-fragility-fracture-anoia-hip-study
#19
JOURNAL ARTICLE
Enric Duaso, Andrés Gamboa-Arango, Francesc Formiga, Patrícia Marimón, Maria Teresa Salgado, Victor Murga, Célia Lumbreras, Anna Tarrida
INTRODUCTION: Most of the patients who had a hip fragility fracture are characterized by advanced age, frailty, multimorbidity and high mortality rate into the first year. Our aim is to describe the prognostic factors of mortality one year after a hip fragility fracture. MATERIAL AND METHODS: Observational prospective study. During the study period we included patients older than 69 years with hip fragility fracture who were admitted to the Acute Geriatric Unit...
January 2021: Revista Española de Geriatría y Gerontología
https://read.qxmd.com/read/32864576/posterior-reversible-encephalopathy-syndrome-in-covid-19-disease-a-case-report
#20
JOURNAL ARTICLE
Laura Llansó, Xabi Urra
Posterior reversible encephalopathy syndrome (PRES) is a clinical syndrome that can include headache, altered consciousness, visual disturbances, and seizures, usually related to autoregulatory cerebral failure and hypertension. The neuroimaging is essential to diagnosis, showing white matter vasogenic edema in posterior areas. We present a case of a 66-year-old woman with severe pneumonia by SARS-CoV-2 who developed a posterior reversible encephalopathy syndrome with a typical clinical and radiological presentation, after being treated with anti-interleukin treatment (anakinra and tocilizumab) following local guidelines...
August 26, 2020: SN comprehensive clinical medicine
keyword
keyword
167674
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.