RESUMO
Truncus arteriosus (TA) is a very rare congenital anomaly with complex cardiovascular anatomy and high lethality also due to severe associated anatomical variants and pathologies. As TA has a massive impact on the survival of a newborn and usually has to be surgically treated. Thus, it is of high importance to understand this congenital cardiovascular disease and associated complications, to improve life expectancy and outcome of these patients. We recently came across a newborn female patient with a rare complex case of persistent TA type 2 associated with further complex cardiovascular anomalies, who received a contrast enhanced CT scan on the 3 rd day post-partum, showing complex cardiovascular abnormalities that were ultimately incompatible with life.
RESUMO
Vaccination represents one of the fundamentals in the fight against SARS-CoV-2. Myocarditis has been reported as a rare but possible adverse consequence of different vaccines, and its clinical presentation can range from mild symptoms to acute heart failure. We report a case of a 29-year-old man who presented with fever and retrosternal pain after receiving SARS-CoV-2 vaccine. Cardiac magnetic resonance imaging and laboratory data revealed typical findings of acute myocarditis.
RESUMO
BACKGROUND: Endoscopic resection is the treatment of choice for early esophageal cancers. However, resections comprising more than 70-80â% of the circumference are associated with a high risk of stricture formation. Currently, repetitive local injections and/or systemic steroids are given for prevention. CASE REPORT: We present here the case of a 78-year-old male patient who had a near circumferential endoscopic submucosal dissection for a pT1aâmm, L0, V0, R0, G2 esophageal squamous cell cancer. At the end of endoscopic resection, 80âmg of triamcinolone was injected locally. The patient was then treated with oro-dispersible budesonide tablets (2â×â1âmg/day) and nystatin (4â×â100â000âI.E.) for 8 weeks. This treatment resulted in complete healing without any stricture formation and did not result in any complications. DISCUSSION: Treatment with orodispersible budesonide tablets could help prevent strictures after large endoscopic resections in the esophagus.
Assuntos
Carcinoma de Células Escamosas , Neoplasias Esofágicas , Estenose Esofágica , Idoso , Budesonida/efeitos adversos , Carcinoma de Células Escamosas/cirurgia , Constrição Patológica , Neoplasias Esofágicas/cirurgia , Estenose Esofágica/induzido quimicamente , Estenose Esofágica/prevenção & controle , Esofagoscopia , Humanos , Masculino , Complicações Pós-Operatórias , ComprimidosRESUMO
The SARS-CoV-2 infection can be seen as a single disease, but it also affects patients with relevant comorbidities who may have an increased risk of a severe course of infection. In this report, we present a 77-year-old patient with a heart transplant receiving relevant immunosuppressive therapy who tested positive for SARS-CoV-2 after several days of dyspnea, dry cough, and light general symptoms. Computed tomography confirmed interstitial pneumonia. The patient received antiviral therapy with hydroxychloroquine and showed no further deterioration of the clinical state. After 12 days of hospitalization, the patient was released; he was SARS-CoV-2 negative and completely asymptomatic.