Matches in SemOpenAlex for { <https://semopenalex.org/work/W4251532789> ?p ?o ?g. }
Showing items 1 to 69 of
69
with 100 items per page.
- W4251532789 endingPage "S970" @default.
- W4251532789 startingPage "S970" @default.
- W4251532789 abstract "Aim: To describe an infrequent cause of respiratory distress following appendicitis. Methods: A 13-year old male patient presented to the emergency department with abdominal pain, vomiting and fever for the last 4 days. He reported the intake of oral analgesics previous to his attention in our institution. Upon examination, vitals were: T= 38.5°C, BP: 90/60, HR: 128 bpm, RR: 28/min and SO2: 98% on room air. Physical evaluation of the abdomen revealed tenderness in the right lower quadrant as well as a non-indurated well defined mass. No rebound was present. The rest of the physical examination was unremarkable. Results: Blood tests showed a WBC: 29.7 x103 cells/mm3 (N: 81.4% B: 0.1% L: 2.5% E: 0%), Platelets: 370 000, Hb/Hto: 13.6/36%. Among biochemical studies, he presented: Glu: 77 mg/dL, Urea: 202 mg/dL, Cr: 0.6 mg/dL, Na: 135mmol/L, K: 3.9mmol/L and Cl: 107mmol/L. On further evaluation, the abdominal U/S showed an appendicular mass (6 cm x 5cm) with minimal free fluid and thus, the patient was admitted for medical management with Ceftriaxone and Metronidazole. Nonetheless, on day 2 of hospitalization, despite the use of broad-spectrum antibiotics, the patient continued febrile and developed severe respiratory distress and diffuse abdominal rebound. A secondary peritonitis was suspected and he underwent emergent surgery. During this procedure, a large appendicular abscess was noted (300cc of pus) and evacuated. Bacterial cultures were positive for E. coli; and antibiotics were tailored. After surgery, the patient persisted with respiratory distress (SO2: 84%), for which a thoracic CT scan was ordered, revealing a large pleural effusion without underlying pneumonic focus. After a placing a chest tube, pleural fluid samples were analyzed for potential bacteria, fungus and TB; resulting positive for E. coli. The patient had a progressive improvement of his clinical status and after completing his antibiotic course (21 days), the chest tube was removed and he was discharged home.Figure 1Figure 2Discussion: Thoracic empyema following acute appendicitis is a rare complication. Despite early antibiotic treatment, prompt evaluation of appendicitis and recognition of its potential complications are pivotal, in order to prevent adverse outcomes." @default.
- W4251532789 created "2022-05-12" @default.
- W4251532789 creator A5023324132 @default.
- W4251532789 creator A5027928026 @default.
- W4251532789 creator A5077103571 @default.
- W4251532789 creator A5083769734 @default.
- W4251532789 date "2016-10-01" @default.
- W4251532789 modified "2023-10-02" @default.
- W4251532789 title "An Unusual Cause of Severe Respiratory Distress in a Young Patient with Appendicitis: A Case Study" @default.
- W4251532789 doi "https://doi.org/10.14309/00000434-201610001-02034" @default.
- W4251532789 hasPublicationYear "2016" @default.
- W4251532789 type Work @default.
- W4251532789 citedByCount "0" @default.
- W4251532789 crossrefType "journal-article" @default.
- W4251532789 hasAuthorship W4251532789A5023324132 @default.
- W4251532789 hasAuthorship W4251532789A5027928026 @default.
- W4251532789 hasAuthorship W4251532789A5077103571 @default.
- W4251532789 hasAuthorship W4251532789A5083769734 @default.
- W4251532789 hasConcept C118552586 @default.
- W4251532789 hasConcept C141071460 @default.
- W4251532789 hasConcept C141983124 @default.
- W4251532789 hasConcept C2776520383 @default.
- W4251532789 hasConcept C2777396551 @default.
- W4251532789 hasConcept C2779983558 @default.
- W4251532789 hasConcept C2780016130 @default.
- W4251532789 hasConcept C2780724011 @default.
- W4251532789 hasConcept C2780852908 @default.
- W4251532789 hasConcept C2780955771 @default.
- W4251532789 hasConcept C42219234 @default.
- W4251532789 hasConcept C501593827 @default.
- W4251532789 hasConcept C527108885 @default.
- W4251532789 hasConcept C71924100 @default.
- W4251532789 hasConcept C86803240 @default.
- W4251532789 hasConcept C89423630 @default.
- W4251532789 hasConceptScore W4251532789C118552586 @default.
- W4251532789 hasConceptScore W4251532789C141071460 @default.
- W4251532789 hasConceptScore W4251532789C141983124 @default.
- W4251532789 hasConceptScore W4251532789C2776520383 @default.
- W4251532789 hasConceptScore W4251532789C2777396551 @default.
- W4251532789 hasConceptScore W4251532789C2779983558 @default.
- W4251532789 hasConceptScore W4251532789C2780016130 @default.
- W4251532789 hasConceptScore W4251532789C2780724011 @default.
- W4251532789 hasConceptScore W4251532789C2780852908 @default.
- W4251532789 hasConceptScore W4251532789C2780955771 @default.
- W4251532789 hasConceptScore W4251532789C42219234 @default.
- W4251532789 hasConceptScore W4251532789C501593827 @default.
- W4251532789 hasConceptScore W4251532789C527108885 @default.
- W4251532789 hasConceptScore W4251532789C71924100 @default.
- W4251532789 hasConceptScore W4251532789C86803240 @default.
- W4251532789 hasConceptScore W4251532789C89423630 @default.
- W4251532789 hasLocation W42515327891 @default.
- W4251532789 hasOpenAccess W4251532789 @default.
- W4251532789 hasPrimaryLocation W42515327891 @default.
- W4251532789 hasRelatedWork W1859271994 @default.
- W4251532789 hasRelatedWork W1966525643 @default.
- W4251532789 hasRelatedWork W1982494226 @default.
- W4251532789 hasRelatedWork W2051316877 @default.
- W4251532789 hasRelatedWork W2332127472 @default.
- W4251532789 hasRelatedWork W2947106410 @default.
- W4251532789 hasRelatedWork W4251532789 @default.
- W4251532789 hasRelatedWork W4362570138 @default.
- W4251532789 hasRelatedWork W648601548 @default.
- W4251532789 hasRelatedWork W73216138 @default.
- W4251532789 hasVolume "111" @default.
- W4251532789 isParatext "false" @default.
- W4251532789 isRetracted "false" @default.
- W4251532789 workType "article" @default.