Rabies is a zoonotic disease that affects the central nervous system(CNS)of humans with an extremely high mortality rate.This disease is transmitted to humans through the bite of rabid animals,usually dogs.Post-exposu...Rabies is a zoonotic disease that affects the central nervous system(CNS)of humans with an extremely high mortality rate.This disease is transmitted to humans through the bite of rabid animals,usually dogs.Post-exposure prophylaxis(PEP)is recommended for all rabid animal bites.If delayed or missed there is a very high chance of developing the disease which is almost always fatal.About 55000 human rabies-related deaths are reported due to delayed or deferred rabies PEP in the world annually[1].The public usually ignores earlier indicators of rabies and is unwilling to consult a doctor,to avoid contracting COVID-19 during hospital visit[2].We present a case of human rabies infection due to non-compliant PEP amid the COVID-19 pandemic following a rabid dog bite.展开更多
Rationale:Cardiac pulmonary arrest is the most challenging and dreaded complication of neuraxial blockade.Patient’s concern:A 21-year-old patient at 37 weeks of gestation,with previous lower segment Caesarean section...Rationale:Cardiac pulmonary arrest is the most challenging and dreaded complication of neuraxial blockade.Patient’s concern:A 21-year-old patient at 37 weeks of gestation,with previous lower segment Caesarean section pregnancy presented for elective Caesarean section.Diagnosis:Cardiac arrest after performing a subarachnoid block.Intervention:Maternal resuscitation.Outcome:Return of spontaneous circulation was achieved within 4-5 min of cardiopulmonary resuscitation.A single live healthy male baby was delivered.Lesson:A careful preoperative evaluation,adequate preload,constant vigilant monitoring to recognize vasovagal response at the earliest,and immediate initiation of resuscitative measures play the most important role in saving the precious lives in case of pregnant patients undergoing Caesarean section under subarachnoid block.展开更多
文摘Rabies is a zoonotic disease that affects the central nervous system(CNS)of humans with an extremely high mortality rate.This disease is transmitted to humans through the bite of rabid animals,usually dogs.Post-exposure prophylaxis(PEP)is recommended for all rabid animal bites.If delayed or missed there is a very high chance of developing the disease which is almost always fatal.About 55000 human rabies-related deaths are reported due to delayed or deferred rabies PEP in the world annually[1].The public usually ignores earlier indicators of rabies and is unwilling to consult a doctor,to avoid contracting COVID-19 during hospital visit[2].We present a case of human rabies infection due to non-compliant PEP amid the COVID-19 pandemic following a rabid dog bite.
文摘Rationale:Cardiac pulmonary arrest is the most challenging and dreaded complication of neuraxial blockade.Patient’s concern:A 21-year-old patient at 37 weeks of gestation,with previous lower segment Caesarean section pregnancy presented for elective Caesarean section.Diagnosis:Cardiac arrest after performing a subarachnoid block.Intervention:Maternal resuscitation.Outcome:Return of spontaneous circulation was achieved within 4-5 min of cardiopulmonary resuscitation.A single live healthy male baby was delivered.Lesson:A careful preoperative evaluation,adequate preload,constant vigilant monitoring to recognize vasovagal response at the earliest,and immediate initiation of resuscitative measures play the most important role in saving the precious lives in case of pregnant patients undergoing Caesarean section under subarachnoid block.
