Capnocytophaga canimorsus Septicaemia Presenting With Multiorgan Dysfunction Syndrome (MODS) and Disseminated Intravascular Coagulation (DIC) in an Immunocompetent Individual [0.03%]
免疫功能正常个体出现患多器官功能障碍综合征（MODS）和弥散性血管内凝血（DIC）的拟沃登菌败血症病例
Kadison Michel,Prashant Pruthi,Charlie Corke
Kadison Michel
We present a rare case of fulminant Capnocytophaga canimorsus septicaemia in a previously well 52-year-old immunocompetent woman, following a minor dog-related forehead abrasion. Despite a recent course of amoxicillin/clavulanate prescribed...
Successful Management of Status Asthmaticus via Veno-Venous ECMO: Extubation Prior to Decannulation-A Case Report [0.03%]
成功应用静脉-静脉ECMO治疗重症哮喘并提前拔管的病例报告
Sheryl S Ang
Sheryl S Ang
Background: The use of veno-venous extracorporeal membrane oxygenation (VV-ECMO) has risen exponentially since the COVID pandemic. VV-ECMO has been utilized successfully to manage patients in status asthmaticus who have f...
Left Ventricular Sarcoma Causing Dynamic Outflow Tract Obstruction and Cardiogenic Shock: A Case Report [0.03%]
左心室肉瘤致动态流出道阻塞和心源性休克1例报告
Tomás de la Barra,Mariana Navarro,Pablo Regueira et al.
Tomás de la Barra et al.
Background: Primary cardiac sarcomas are rare and aggressive tumors that often present with nonspecific symptoms, typically diagnosed at advanced stages. Obstruction of the left ventricular outflow tract (LVOT) due to the...
A Vanishing Clot: The Disappearance of a Free-Floating Right Atrial Thrombus Just Before Urgent Surgical Thrombectomy [0.03%]
变幻莫测的右房游离壁血栓
Emanuel Heil,Jan Matthias Kruse,Daniel Zickler et al.
Emanuel Heil et al.
We present the case of a 68-year-old male who experienced presyncope and was found to have a large, free-floating thrombus in the right atrium, accompanied by a concurrent pulmonary embolism. Given the high risk of a massive pulmonary embol...
Kevin Emmanuel Moriles,Ryu Peter Tofts,Denny Oliveira et al.
Kevin Emmanuel Moriles et al.
The use of left ventricular assist devices (LVADs) is now commonplace in the management of nonischemic cardiomyopathy. LVADs are preload-dependent and afterload-sensitive, meaning rapid changes in a patient's volume status can significantly...
Case Report: Extracorporeal Carbon Dioxide Removal in a Severely Brain-Injured Patient With Acute Respiratory Distress Syndrome [0.03%]
个例报告：体外二氧化碳清除技术在急性呼吸窘迫综合征并发严重颅脑损伤患者中的应用
Sébastien Gibot,Lionel Nace,Aurélie Cravoisy
Sébastien Gibot
The management of acute respiratory distress syndrome (ARDS) in a patient suffering from a severe brain injury may be difficult, especially when hypercapnia occurs. The rise of PaCO2 may compromise cerebral hemodynamics and increase intrace...
Plasma Exchange Transfusion for Refractory High Anion Gap Metabolic Acidosis [0.03%]
难治性高阴离子间隙代谢性酸中毒的血浆交换输注疗法
Nicholas Zamith,Nicola M Zetola
Nicholas Zamith
Background: High anion gap metabolic acidosis (HAGMA) is common in critical illness. The GOLD MARK mnemonic summarizes conventional etiologies, but a subset of cases remain unexplained and refractory to standard therapy. ...
Extracorporeal Cardiopulmonary Resuscitation for 78-min Cardiac Arrest due to Suspected Cerebral Venous Sinus Thrombosis [0.03%]
怀疑为脑静脉窦血栓导致的心肺骤停78分钟后成功实施体外心肺复苏術
Dan Wu,Haidong Qin
Dan Wu
A 37-year-old man had a cardiac arrest. His colleagues started CPR and called an ambulance to our emergency department. The ECMO team assessed him and initiated ECPR. Coronary, left ventricular, and pulmonary angiography showed no abnormali...
Acute Massive Hydroxychloroquine Overdose of 60 g in an Adult, Successfully Resuscitated: A Successful Salvage [0.03%]
一名成人急性大量羟氯喹（60g）中毒成功复苏的个案报告
Archit Vora,Anselm Wong,Alastair Brown
Archit Vora
We present the case of a 29-year-old female who ingested a 60 g dose of hydroxychloroquine in a suicide attempt. This report details the acute clinical presentation, successful management strategies, and prolonged sequelae of severe hydroxy...
Fatal Methaemoglobin Intoxication Following Ketamine Infusion in a Depressed MELAS Patient: A Possible Association? [0.03%]
抑郁的MELAS患者接受氯胺酮输注后发生致命性高血高铁血红蛋白中毒：可能的相关性？
Josef Finsterer
Josef Finsterer
Methemoglobinemia is defined as an increase in methemoglobin of > 2% of hemoglobin. Ketamine is increasingly used for severe depression. To our knowledge, a patient with mitochondrial encephalopathy, lactic acidosis and stroke-like episodes...