Ugeskrift for laeger
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Ugeskrift for laeger · Mar 2018
Case Reports[Haemorrhagic proctocolitis as primary manifestation of lymphogranuloma venereum in an HIV-positive male].
This is a case report of lymphogranuloma venereum (LGV) manifesting as haemorrhagic proctocolitis in a homosexual HIV-positive male. The primary symptom was a rectal abscess, which was initially surgically treated and subsequently insufficiently treated with single-dose tablet azithromycin. ⋯ LGV is a sexually transmitted infection with a rising incidence among persons with risk behaviour. This case report underlines the importance, that all positive rectal screenings for Chlamydia trachomatis should be routinely serotyped.
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Ugeskrift for laeger · Mar 2018
Case Reports[Severe haemolytic anaemia and hepatitis in the course of Epstein-Barr virus infection].
Epstein-Barr virus (EBV) is globally prevalent and in adolescents mostly observed as infectious mononucleosis. Abnormal liver blood tests are common, whereas more serious hepatitis is less prevalent. ⋯ The Donath-Landsteiner test was positive suggesting paroxysmal cold haemoglobinuria. She was treated with supportive care and discharged in recovery after three weeks.
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Pharmacological treatment of neuropathic pain is associated with side effects and limited efficacy. Recently, the interest in cannabis-based medicine has led to legalisation of medical cannabis in some countries. ⋯ Conclusions were limited by design of studies and short duration of treatment. Overall, the reduction in pain was minimal.
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Ugeskrift for laeger · Feb 2018
Case Reports[Acupuncture-induced bilateral pneumothorax in a 16-year-old boy].
Acupuncture is a well-known form of alternative medicine, it is becoming increasingly popular in Denmark for a wide variety of uses, and is also practiced on children. However, there is a risk of serious complications. ⋯ Treatment included a unilateral chest tube in the left lung and conservative treatment in the right lung. Physicians must be aware of pneumothorax as a serious complication of acupuncture in the thoracic region.
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Ugeskrift for laeger · Feb 2018
Case Reports[Surgical stabilization of multiple rib fractures can shorten inpatient stay].
Flail chest is a common complication in patients with blunt chest wall traumas resulting in high mortality rates. In this case report a 43-year-old woman was stepped on by a horse, thereby receiving multiple rib fractures and pneumohaemothorax. ⋯ In opposition to the non-operative management previously preferred, a surgical stabilization was then performed in the patient, who was discharged only five days later. Thus, surgical fixation of multiple rib fractures may reduce inpatient stay.