The West Virginia medical journal
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Venomous snakebites are a rare but dangerous and potentially deadly condition in the U. S.. Most bites in the U. ⋯ When allergic reactions do occur, they are usually of mild to moderate severity. With the improved risk-benefit ratio of CroFab, antivenom is indicated with any grade of envenomation. In this a retrospective study, we will review our experience with 25 snakebite victims admitted to the West Virginia University over a five years period.
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Case Reports
A case for combined spinal-epidural anesthesia for Cesarean section in a patient with aortic stenosis.
This is a report of a patient with moderate aortic stenosis and twin gestation who presented for elective Cesarean section. These patients are at high risk of anesthesia related mortality from the pathophysiology of the cardiac lesion, exacerbated by the cardiovascular changes of pregnancy and complicated by the hemodynamic aberrations caused by anesthesia. This case shows that a slowly induced spinal-epidural anesthetic, with invasive blood pressure monitoring, is a safe and effective anesthetic.
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Case Reports
Steptococcus bovis meningitis and sepsis associated with Strongyloidiasis in an immunocompetent patient.
We report the case of a 69-year-old female who presented with headache, stiff neck, and decreased level of consciousness. Lumbar puncture results were typical of bacterial meningitis. ⋯ The patient responded to treatment of both infections. She refused to undergo colonoscopy despite a known association between Streptococcus bovis and colonic carcinoma.