Exacerbation of chronic pain after dental extractions in a patient with post-treatment Lyme disease syndrome

We report a case of difficult acute pain management in a patient with PTLDS who underwent dental extractions and required admission to an intensive care unit for pain control.
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research

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We present the case of a 29 year old woman who started with pain, redness and blurred vision after a holiday in Singapore and did not respond to conjunctivitis treatment. PCR sequencing and PAS staining of corneal epithelial biopsy identified Vittaforma corneae as the causative organism. Treatment was initiated with corneal debridement, oral albendazol, and intensive topical voriconazole, levofloxacin and propamidine, but the conjunctival and corneal disease was only resolved 5 months later with the introduction of topical steroids to treat her severe limbitis. Suspicion of Microsporidium keratoconjunctivitis should be rai...
Source: Archivos de la Sociedad Espanola de Oftalmologia - Category: Opthalmology Tags: Arch Soc Esp Oftalmol Source Type: research
This article addresses the long-term consequences for survivors of COVID-19 who developed acute respiratory distress syndrome, which may include PTSD, chronic pain, and a fibromyalgia-like syndrome.Anesthesia &Analgesia
Source: Medscape Critical Care Headlines - Category: Intensive Care Tags: Anesthesiology Journal Article Source Type: news
This commentary explores the threat to the blood supply during the COVID-19 pandemic and the unintended consequences of social distancing on blood drives. How can we balance supply and demand?Anesthesiology
Source: Medscape General Surgery Headlines - Category: Surgery Tags: Anesthesiology Journal Article Source Type: news
The objective was to assess safety aspects of regional analgesia and anesthesia in patients using antithrombotic drugs, such as: possible technique-associated complications; spinal hematoma-associated risk factors, prevention strategies, diagnosis and treatment; safe interval for discontinuing and reinitiating medication after regional blockade. PMID: 32660771 [PubMed - as supplied by publisher]
Source: Revista Brasileira de Anestesiologia - Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research
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Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Positions Source Type: forums
This meta-analysis compared the effect of epidural or spinal versus general anesthesia on perioperative outcomes in patients undergoing hip fracture surgery.BMC Anesthesiology
Source: Medscape Orthopaedics Headlines - Category: Orthopaedics Tags: Anesthesiology Journal Article Source Type: news
Conclusions Most SCA children have an ischaemic ECG with elevated serum cTnT, especially during VOC, which suggests ischaemic-induced cardiac injury. However, elevated serum cTnT can occur without an ischaemic ECG and vice versa. Performing only electrocardiography or cTnT to detect ischaemia-induced cardiac injury may be misleading. Therefore, when there is a high index of suspicion, both tests should be undertaken, especially during VOC, to ensure prompt, effective treatment. Abbreviations AHC, apparently healthy children; AUC, area under the ROC curve; BMI, body mass index; cTnT, cardiac troponin T; ECG, electrocardiogr...
Source: Paediatrics and international child health - Category: Pediatrics Tags: Paediatr Int Child Health Source Type: research
Authors: Terzic M, Rapisarda AMC, Della Corte L, Manchanda R, Aimagambetova G, Norton M, Garzon S, Riemma G, King CR, Chiofalo B, Cianci A Abstract Adnexal masses are rare in the young female population. The differential diagnosis includes ovarian masses, tubal/paratubal masses, masses related to the gastrointestinal tract (colon), infectious lesions, or pregnancy. Acute abdominal pain, and less commonly, precocious puberty or vaginal bleeding, are typical symptoms in these cases. The majority of adnexal masses in the paediatric and adolescent population are benign; however, a thorough preoperative assessment is es...
Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research
AbstractBackgroundRugby union and rugby league are popular team contact sports, but they  bring a high risk of injury. Although previous studies have reported injury occurrence across one or several seasons, none have explored the total number of injuries sustained across an entire career. As the first to do so, the aim of this study was to report on cumulative injuries and their perce ived long-term impact in retired rugby code athletes compared to athletes from non-contact sports.MethodsOne hundred and eighty-nine former rugby code athletes (rugby unionn = 145; rugby leaguen = 44) and 65 ...
Source: Sports Medicine - Category: Sports Medicine Source Type: research
AbstractIn the 50  years since it was first introduced, cognitive therapy has been shown to be as efficacious as antidepressant medications (on average) in the acute treatment of nonpsychotic depression, although some patients will do better on one than on the other. Moreover, patients treated to remission with cogn itive therapy are less than half as likely to relapse following treatment termination as patients treated to remission with medications. However, a recent study suggests that adding medications interferes with any such enduring effect and medications themselves may have an iatrogenic effect that sup presse...
Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research
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