The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society
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Review Case Reports
Graft-versus-host disease: case report and review of literature.
We describe a young patient with acute myeloid leukemia who, having been treated with allogenic hematopoietic stem cell transplantation, presented with acute graft-versus-host disease. One year later, leukemia relapse was treated with donor lymphocyte infusion and was followed by a new episode of acute graft-versus-host disease. The patient died 18 months after the transplantation, with evidence of chronic graft-versus-host disease in multiple organs.
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Primary omental torsion is an uncommon cause of an acute abdomen that can mimic acute appendicitis. Herein we report a case of suspected acute appendicitis that proved to be a distal segment of infarcted omentum secondary to primary torsion.
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A 61-year-old man presented to the emergency department of a community hospital with a 2-week history of fever, chills, and sudden extreme weakness of his right arm and lower extremities. He also had a cough, shortness of breath, nausea, abdominal pain, diarrhea, and myalgia. Though initially alert and cooperative, he quickly became unresponsive. ⋯ Despite intensive resuscitation, the patient died 36 hours after admission. At autopsy multiple nodular lesions were observed on gross examination of the lungs, perihilar and paratracheal lymph nodes, and liver. Microscopic sections of the lung (Figure 1) and brain (Figures 2 and 3) are shown.
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A 50-year-old woman came to the emergency department because of chest discomfort and dyspnea. She was found to have hypotension, oliguria, and pulmonary edema, i.e., full-blown cardiogenic shock, an irregular rhythm, and no cardiac murmur. The electrocardiogram (ECG) was recorded one lead at a time, and a lead II rhythm strip was mounted above the standard 12 leads (Figure 1).