BACKGROUND This report delves into the diagnostic and therapeutic journey undertaken by a patient with high-dose cantharidin poisoning and multiorgan dysfunction syndrome(MODS).Particular emphasis is placed on the com...BACKGROUND This report delves into the diagnostic and therapeutic journey undertaken by a patient with high-dose cantharidin poisoning and multiorgan dysfunction syndrome(MODS).Particular emphasis is placed on the comprehensive elucidation of the clinical manifestations of high-dose cantharidin poisoning,the intricate path to diagnosis,and the exploration of potential underlying mechanisms.CASE SUMMARY A patient taking 10 g of cantharidin powder orally subsequently developed MODS.The patient was treated with supportive care,fluid hydration and antibiotics,and hemoperfusion and hemofiltration therapy for 24 h and successfully recovered 8 d after hospital admission.Cantharidin poisoning can cause lifethreatening MODS and is rare clinically.This case underscores the challenge in diagnosis and highlights the need for early clinical differentiation to facilitate accurate assessment and prompt intervention.CONCLUSION This article has reported and analyzed the clinical data,diagnosis,treatment,and prognosis of a case of high-dose cantharidin poisoning resulting in MODS and reviewed the relevant literature to improve the clinical understanding of this rare condition.展开更多
Dear editor,Spontaneous pneumomediastinum(SPM,also known as Hamman’s syndrome)is an uncommon finding.SPM is induced without any comorbidities and is secondary to underlying factors,such as smoke,asthma,esophageal rup...Dear editor,Spontaneous pneumomediastinum(SPM,also known as Hamman’s syndrome)is an uncommon finding.SPM is induced without any comorbidities and is secondary to underlying factors,such as smoke,asthma,esophageal rupture,or labor and delivery.[1,2]The frequency of idiopathic pneumomediastinum is 1 of 32,000 hospitalized persons.[3]Awareness of SPM and appropriate examination play a key role in the early diagnosis and intervention for SPM to avoid potentially serious complications.SPM in diabetic ketoacidosis(DKA)has been described in several case reports.[4-6]However,most data are described from isolated cases,and these cases have varying clinical symptoms.This study presents a case series of ten patients diagnosed with SPM complicating DKA to assess their characteristics,treatment,and prognosis.展开更多
Dear editor,Eggerthelle lenta(E.lenta)is a gram-positive non-spore-bearing anaerobic bacilli that was first isolated from human feces by Arnold Eggerth in 1935.[1]It is classified as an anaerobic eubacterium that cann...Dear editor,Eggerthelle lenta(E.lenta)is a gram-positive non-spore-bearing anaerobic bacilli that was first isolated from human feces by Arnold Eggerth in 1935.[1]It is classified as an anaerobic eubacterium that cannot decompose glucose and tryptophan[2]but can synthesize diff erent kinds of steroid metabolism enzymes.[3]On the basis of the high content of guanine+cytosine detected by 16S ribosomal RNA gene sequencing,its original name Eubacterium lentum was changed to E.lenta and concurrently transferred to its own distinct genus Eggerthella.[4]E.lenta often exists in the gastrointestinal tract.[5]Previous reports on E.lenta-induced sepsis were rare.Herein,we present a case of E.lenta-induced sepsis with abdominal pain as the main symptom.展开更多
基金Supported by Jilin Province Science and Technology Agency Project,No.20210101350JCProject of Jilin Provincial Finance Department,No.JLSWSRCZX2023-60Beijing iGandan Foundation Fund for Artificial Liver,No.iGandanF-1082023-RGG025.
文摘BACKGROUND This report delves into the diagnostic and therapeutic journey undertaken by a patient with high-dose cantharidin poisoning and multiorgan dysfunction syndrome(MODS).Particular emphasis is placed on the comprehensive elucidation of the clinical manifestations of high-dose cantharidin poisoning,the intricate path to diagnosis,and the exploration of potential underlying mechanisms.CASE SUMMARY A patient taking 10 g of cantharidin powder orally subsequently developed MODS.The patient was treated with supportive care,fluid hydration and antibiotics,and hemoperfusion and hemofiltration therapy for 24 h and successfully recovered 8 d after hospital admission.Cantharidin poisoning can cause lifethreatening MODS and is rare clinically.This case underscores the challenge in diagnosis and highlights the need for early clinical differentiation to facilitate accurate assessment and prompt intervention.CONCLUSION This article has reported and analyzed the clinical data,diagnosis,treatment,and prognosis of a case of high-dose cantharidin poisoning resulting in MODS and reviewed the relevant literature to improve the clinical understanding of this rare condition.
文摘Dear editor,Spontaneous pneumomediastinum(SPM,also known as Hamman’s syndrome)is an uncommon finding.SPM is induced without any comorbidities and is secondary to underlying factors,such as smoke,asthma,esophageal rupture,or labor and delivery.[1,2]The frequency of idiopathic pneumomediastinum is 1 of 32,000 hospitalized persons.[3]Awareness of SPM and appropriate examination play a key role in the early diagnosis and intervention for SPM to avoid potentially serious complications.SPM in diabetic ketoacidosis(DKA)has been described in several case reports.[4-6]However,most data are described from isolated cases,and these cases have varying clinical symptoms.This study presents a case series of ten patients diagnosed with SPM complicating DKA to assess their characteristics,treatment,and prognosis.
文摘Dear editor,Eggerthelle lenta(E.lenta)is a gram-positive non-spore-bearing anaerobic bacilli that was first isolated from human feces by Arnold Eggerth in 1935.[1]It is classified as an anaerobic eubacterium that cannot decompose glucose and tryptophan[2]but can synthesize diff erent kinds of steroid metabolism enzymes.[3]On the basis of the high content of guanine+cytosine detected by 16S ribosomal RNA gene sequencing,its original name Eubacterium lentum was changed to E.lenta and concurrently transferred to its own distinct genus Eggerthella.[4]E.lenta often exists in the gastrointestinal tract.[5]Previous reports on E.lenta-induced sepsis were rare.Herein,we present a case of E.lenta-induced sepsis with abdominal pain as the main symptom.
