Pneumococcal Pneumonia Resembling Acute Myocardial Infarction in an Adolescent Male
Myocarditis is commonly associated with viruses. However, we present a novel case of a teenager with pneumococcal pneumonia and bacteremia complicated by myocarditis and rhabdomyolysis, presenting with features of acute ST-elevation myocardial infarction and cardiogenic shock. Physicians should be aware that Streptococcus pneumoniae infection, like Group A Streptococcus, can mimic acute myocardial infarction in young males without cardiovascular risk factors.
Pneumonia is the most common cause of hospitalization for nursing home residents. When deciding whether to treat a resident in the nursing home or transfer to a hospital, it is important to consider risks of hospitalization, including significant functional decline. Little is known about the functional status outcomes of nursing home residents hospitalized for pneumonia.
Background Streptococcus pneumonia is a significant cause of morbidity and mortality in adults who are immunocompromised and of advanced age. It is the standard of care to vaccinate all high-risk adults (18-64 years) and adults 65 years and older with 2 pneumococcal vaccines. However, pneumococcal immunization rates remain below the HealthyPeople2020 target goal of 90% nationally and locally.
The geriatric population is at high risk of severe low blood glucose (LBG) events due to diminished homeostatic mechanisms, especially on hypoglycemic medications. Moderate to severe LBG events in these patients can contribute to behavior changes such as agitation, change in level of consciousness, disruption of sleep, instability and increased risk of myocardial infarction, stroke and falls. Rapid recognition and appropriate treatment and prevention of LBG and recurrences can reduce risk for hospitalization in the geriatric population.
Pneumonia is one of the most common infections identified in nursing home residents and has the highest mortality rate, yet the diagnosis and appropriate treatment can remain elusive due to its “atypical presentation” and lack of studies of antibiotic treatment.
Authors: Sein Anand Ł, Kosiak W Abstract Rhabdomyolysis is the process of striated muscle cell lysis, during which proteins and microelements such as myoglobin are released into the bloodstream. It is important to diagnose rhabdomyolysis as soon as possible and start the treatment according to severity, as it is a state that significantly increases the mortality of the patients. The current gold standard of rhabdomyolysis diagnosis is the creatine kinase plasma concentration test, but it can be also diagnosed with imaging techniques, such as ultrasound (US). This review aims to gather previously published informat...
We report the case of a 6-year-old child with anomalous origin of right coronary artery from aortic left coronary sinus, who underwent elective surgical replacement of stenotic and calcified conduit between the right ventricle and the main pulmonary artery. The surgery was complicated by acute myocardial infarction secondary to coronary extrinsic compression. The patient was successfully treated with urgent percutaneous coronary intervention (simultaneous V-stenting) and cangrelor infusion, subsequently switched to clopidogrel therapy. PMID: 32090666 [PubMed - as supplied by publisher]
HEART attacks do not happen overnight but are usually the result of poor dietary decisions taken over a prolonged period. While certain decisions are patently unhealthy, others are less obvious, such as consuming a popular beverage just once a day.
Conditions: Coronavirus Disease 2019; Novel Coronavirus Pneumonia Intervention: Drug: T89 Sponsor: Tasly Pharmaceuticals, Inc. Not yet recruiting
Conditions: Coronary Disease; Myocardial Infarction; Heart Diseases; Vascular Diseases; STEMI - ST Elevation Myocardial Infarction Intervention: Drug: RUC-4 Compound Sponsors: CeleCor Therapeutics; ST. Antonius hospital Nieuwegein; Diagram BV; Syneos Health Not yet recruiting
The findings of this study are consistent with person-to-person transmission of this novel coronavirus in hospital and family settings, and the reports of infected travellers in other geographical regions.