Subject Index
DOI: http://dx.doi.org/10.1016/S0735-6757(11)00516-X
The American Journal of Emergency Medicine , Vol. 29 , Issue 9 ,
Published in issue: November 2011
Takotsubo cardiomyopathy, sepsis and clinical outcome: does gender matter? Fabio Fabbian, Alfredo De Giorgi, Ruana Tiseo, Benedetta Boari, Raffaella Salmi, Fulvia Signani, Beatrice Zucchi, Roberto Manfredini
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.030
The American Journal of Emergency Medicine , Vol. 33 , Issue 10 ,
Published online: June 17 2015
x Infections and sepsis are important causes of cardiomyopathy, since they can affect ventricular function, systolic blood pressure, circulating volume and vessel tone, and so increasing mortality rate [1]. Among cardiomyopathies, Takotsubo cardiomyopathy (TTC) represents an uncommon clinical condition characterized by a clinical picture similar to that of acute myocardial infarction [2] but with precise criteria for diagnosis [3]. It involves 1.7–2.2% of patients with suspected acute coronary syndrome and is considered a typical gender-oriented disease, affecting mostly post-menopausal women following intense emotional or physical stress [4], including infections [5].
ED crowding is associated with inpatient mortality among critically ill patients admitted via the ED: post hoc analysis from a retrospective study Sion Jo, Taeoh Jeong, Young Ho Jin, Jae Baek Lee, Jaechol Yoon, Boyoung Park
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.004
The American Journal of Emergency Medicine , Vol. 33 , Issue 12 ,
Published online: August 6 2015
x Adverse effects of emergency department (ED) crowding among critically ill patients are not well known.
Unusual cause of neck pain: septic arthritis of a cervical facet Jaime L. Jones, Amy A. Ernst
DOI: http://dx.doi.org/10.1016/j.ajem.2011.12.041
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published online: March 2 2012
x Neck pain is a common cause for presentation to an emergency department. Most causes are benign and often secondary to arthritis or injuries. We present a case of septic cervical facet arthritis, a very rare cause of neck pain. The clinical presentation of septic cervical facet arthritis includes fever, neck pain that is often unilateral that is worse with movement, nerve root symptoms, and radiation of pain to the shoulder. Consequences may be severe and include joint destruction and infection progression.
Diabetic ketoacidosis as the initial presentation of hyperthyroidism Chao-Yen Huang, Wei-Lung Chen
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.065
The American Journal of Emergency Medicine , Vol. 33 , Issue 10 ,
Published online: July 29 2015
x Abdominal pain is a common chief complaint that encompasses a broad differential diagnosis at emergency department (ED), ranging from general discomfort to life-threatening disease. Abdominal pain induced by a metabolic disorder should also be considered. Diabetic ketoacidosis (DKA) is a common complication of new-onset type 1 diabetes mellitus in young patients. Although DKA that presented to the ED with complaint of abdominal pain is not uncommon, it is precipitated by hyperthyroidism, which is rare and more complicated.
Predicting tularemia with clinical, laboratory and demographical findings in the ED Derya Yapar, Ali Kemal Erenler, Özlem Terzi, Özlem Akdoğan, Yasemin Ece, Nurcan Baykam
DOI: http://dx.doi.org/10.1016/j.ajem.2015.10.034
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: October 24 2015
x We aimed to determine clinical, laboratory and demographical characteristics of tularemia on admission to Emergency Department (ED).
ED bedside point-of-care lactate in patients with suspected sepsis is associated with reduced time to iv fluids and mortality Adam J. Singer, Maria Taylor, Debra LeBlanc, Justin Williams, Henry C. Thode Jr.
DOI: http://dx.doi.org/10.1016/j.ajem.2014.06.027
The American Journal of Emergency Medicine , Vol. 32 , Issue 9 ,
Published online: July 1 2014
x Early recognition and treatment of sepsis improves outcomes. We determined the effects of bedside point-of-care (POC) lactate measurement on test turnaround time, time to administration of IV fluids and antibiotics, mortality, and ICU admissions in adult ED patients with suspected sepsis. We hypothesized that bedside lactate POC testing would reduce time to IV fluids and antibiotics.
Diagnosing poststernotomy mediastinitis in the ED Jan J. van Wingerden, Mario Maas, Richard L. Braam, Bas A. de Mol
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.048
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: December 21 2015
x Poststernotomy mediastinitis (PSM), the severe chest wall and mediastinal infection that may arise at any time after a sternotomy, causes significant morbidity and mortality globally. Late recognition and diagnosis are the major contributors to a poor outcome. This review focuses on recent advances in diagnosing PSM (particularly after cardiovascular surgery) at the earliest opportunity—in the emergency department.
The seasonality of acute coronary syndrome and its relations with climatic parameters Yi Li, Tiekuan Du, Matthew R. Lewin, Houli Wang, Xu Ji, Yanping Zhang, Tengda Xu, Lingjie Xu, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2010.02.027
The American Journal of Emergency Medicine , Vol. 29 , Issue 7 ,
Published online: May 3 2010
x Most research on the seasonality of acute coronary syndrome (ACS) has been were reported from hospital-based data. We aimed to investigate the seasonal distribution of ACS in Beijing and to elucidate the relations between ACS occurrence and climatic parameters in a prehospital setting.
The infected heart: ventriculoseptal abscess and intracardiac fistulization Keith Habeeb, Holly Stankewicz, Jennifer Axelband, Scott Melanson
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.053
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: June 29 2015
x Infective endocarditis is a rare but potentially deadly infection of the endocardial layer, which can involve the valves of the heart among other structures. The extraordinarily rare complication seen in this case involves extensive damage manifesting in an aortic root abscess resulting in an abnormal communication between the aorta and the atrium known as an aortocavitary fistula (Eur Heart J 2005;26:288-297; Pediatr Cardiol 2011;32:1057-1059; J Am Coll Cardiol 1991;18:663-667). As the disease progresses, wading through the complex symptoms, which may seem unrelated, represents a key challenge in diagnosis.
Mucormycosis: what emergency physicians need to know? Brit Long, Alex Koyfman
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.037
The American Journal of Emergency Medicine , Vol. 33 , Issue 12 ,
Published online: August 25 2015
x Mucormycosis is a rare presentation for patients in the emergency department (ED), primarily affecting immunocompromised patients. Multiple forms of infection are present, and with poor prognosis, ED diagnosis and treatment of this deadly condition are necessary.
Complete resolution of a solitary pontine abscess in a patient with dental caries Ming-Hua Chen, Hung-Wen Kao, Chun-An Cheng
DOI: http://dx.doi.org/10.1016/j.ajem.2013.01.005
The American Journal of Emergency Medicine , Vol. 31 , Issue 5 ,
Published online: February 11 2013
x A solitary brainstem abscess is a rare fatal intracranial infection, which can be mistaken for an acute stroke complicated with a systemic infection. Dental caries without abscess formation can be a possible source of infection. Herein, we describe the case of a 59-year-old man with dental caries who presented with a 4-day history of progressive dizziness, double vision, gait ataxia, emesis, and left facial and body numbness. Fever, suboccipital headache, and difficulties in urinating and defecating were noted on admission.
Hyperacute Guillain-Barré syndrome mimicking stroke: report of 3 cases: Guillain-Barré and stroke M. de Montaudouin, O. Fleury, M. Rouanet, P. Renou, F. Rouanet, Igor Sibon
DOI: http://dx.doi.org/10.1016/j.ajem.2014.02.019
The American Journal of Emergency Medicine , Vol. 32 , Issue 9 ,
Published online: February 26 2014
x Stroke is the leading cause of acute neurologic deficit. However, several potentially life-threatening diseases can mimic stroke symptoms. Herein, we report 3 cases of sudden onset neurologic deficits with a final diagnosis of hyperacute Guillain-Barré syndrome. Two cases mimicked brain stem stroke, whereas the last suggested a spinal cord infarct. No specific characteristics in terms of electrophysiological parameter, underlying etiology, response to treatment, or prognosis was found between these hyperacute forms of hyperacute Guillain-Barré syndrome and more common subacute forms.
Hantavirus infection in North America: a clinical review James Hartline, Chris Mierek, Tristan Knutson, Christopher Kang
DOI: http://dx.doi.org/10.1016/j.ajem.2013.02.001
The American Journal of Emergency Medicine , Vol. 31 , Issue 6 ,
Published online: May 15 2013
x The recent outbreak of hantavirus in Yosemite National Park has attracted national attention, with 10 confirmed cases of hantavirus cardiopulmonary syndrome and thousands of more people exposed. This article will review the epidemiology, presentation, workup, and treatment for this rare but potentially lethal illness. The possibility of infection with hantavirus deserves consideration in patients with severe respiratory symptoms with rodent exposure or rural/wilderness travel. Accurate diagnosis requires a high index of suspicion.
The use of prophylactic antibiotics in treatment of fingertip amputation: a randomized prospective trial Guy Rubin, Hagay Orbach, Micha Rinott, Alejandro Wolovelsky, Nimrod Rozen
DOI: http://dx.doi.org/10.1016/j.ajem.2015.02.002
The American Journal of Emergency Medicine , Vol. 33 , Issue 5 ,
Published online: February 5 2015
x Fingertip amputation is a common injury. Considerable controversy exists as to whether prophylactic antibiotics are necessary for this injury. Our goal was to compare the rate of infections among subgroups with and without prophylactic antibiotic treatment. The study hypothesis was that infection rates were similar in the 2 groups.
Tetanus Quick Stick as an applicable and cost-effective test in assessment of immunity status Hamid Reza Hatamabadi, Ali Abdalvand, Saeed Safari, Hamid Kariman, Ali Arhami Dolatabadi, Ali Shahrami, Hossein Alimohammadi, Mostafa Hosseini
DOI: http://dx.doi.org/10.1016/j.ajem.2010.01.046
The American Journal of Emergency Medicine , Vol. 29 , Issue 7 ,
Published online: May 3 2010
x Tetanus vaccine and immunoglobulin administration are challenging decisions mostly because of the fact that the current protocol for immunization against tetanus is based on 2 variables: the vaccination status of the patient and the nature of wound and its exposure. To solve this problem, Tetanus Quick Stick (TQS; Nephrotek Laboratory, Rungis, France), an immunochromatographic dipstick test, was developed to determine the tetanus immunity of the patients. The aim of this present study was to investigate the sensitivity, specificity, and the positive and negative predictive values and cost-effectiveness of TQS in the emergency department (ED) setting.
Red cell distribution width is a prognostic factor in severe sepsis and septic shock You Hwan Jo, Kyuseok Kim, Jae Hyuk Lee, Changwoo Kang, Taegyun Kim, Hyun-Mi Park, Kyeong Won Kang, Joonghee Kim, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2012.10.017
The American Journal of Emergency Medicine , Vol. 31 , Issue 3 ,
Published online: February 4 2013
x This study was performed to investigate the association of red cell distribution width (RDW) with 28-day mortality in patients with severe sepsis and septic shock.
Spontaneous lingual abscess in an immunocompromised patient Nick Kettaneh, Kelly Williamson
DOI: http://dx.doi.org/10.1016/j.ajem.2013.11.027
The American Journal of Emergency Medicine , Vol. 32 , Issue 5 ,
Published online: November 25 2013
x Acute lingual abscess is a rare yet life-threatening clinical entity. Lingual abscess must be appropriately diagnosed and treated in the emergency department to avoid acute airway compromise. A 68-year-old woman on immunomodulatory medication for rheumatoid arthritis presented to the emergency department with left facial pain and swelling. An anterior lingual abscess was diagnosed on computed tomographic scan. The most common cause of lingual abscess is direct trauma, although immunocompromised state is a predisposing risk factor.
Case series of exercise-induced rhabdomyolysis in the New York City jail system Ross MacDonald, Zachary Rosner, Homer Venters
DOI: http://dx.doi.org/10.1016/j.ajem.2013.08.051
The American Journal of Emergency Medicine , Vol. 32 , Issue 5 ,
Published online: March 20 2014
x Rhabdomyolysis is a serious medical condition associated with skeletal muscle damage, potentially leading to renal failure and death. Causes of rhabdomyolysis include drugs, trauma, infection, exercise, heat, and toxins [1–3].
The relationship of intravenous fluid chloride content to kidney function in patients with severe sepsis or septic shock Faheem W. Guirgis, Deborah J. Williams, Matthew Hale, Abubakr A. Bajwa, Adil Shujaat, Nisha Patel, Colleen J. Kalynych, Alan E. Jones, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2014.12.013
The American Journal of Emergency Medicine , Vol. 33 , Issue 3 ,
Published online: December 18 2014
x Previous studies suggest a relationship between chloride-rich intravenous fluids and acute kidney injury in critically ill patients.
