1/9. Blackthorn injury: a report of three interesting cases.Blackthorn (prunus spinosus), a member of rosacea family is well known for causing infections and tissue reactions of synovial structures. Three interesting cases of cystic blackthorn granuloma, blackthorn synovitis with digital nerve entrapment, and multiple blackthorn syndrome are presented. Removal of foreign body fragments and surrounding reactive tissues resulted in an uneventful recovery with full return of joint and tendon functions.- - - - - - - - - - ranking = 1keywords = black (Clic here for more details about this article) |
2/9. Acute brain herniation from lead toxicity.A 4-year-old black boy was admitted to the hospital with vomiting, low-grade fever, and dehydration that were thought to be caused by viral gastroenteritis. He proceeded over the next 12 hours to rapidly deteriorate with brain herniation leading to brain death. The ultimate cause of death was found to be acute lead intoxication from a swallowed foreign body.- - - - - - - - - - ranking = 0.33333333333333keywords = black (Clic here for more details about this article) |
3/9. Two cases of plant thorn synovitis. Difficulties in diagnosis and treatment.Two patients with inflammatory monoarthritis of the knee due to joint penetration by plant thorns are reported. Histopathology demonstrated granulomatous synovitis in both and visualized fragments of black thorn. Synovectomy was partly effective. awareness of this cause of chronic monoarthritis will avoid delay in diagnosis and treatment.- - - - - - - - - - ranking = 0.33333333333333keywords = black (Clic here for more details about this article) |
4/9. A case of blackthorn synovitis.A seven-year-old boy fell against a blackthorn bush and found that thorns had penetrated the skin over the left knee. Aseptic synovitis developed with repeated febrile episodes. With the suspicion of septic arthritis, the patient was treated with antibiotics on repeated occasions, two negative joint aspirations and a knee joint exploration were performed. Three months after the injury the correct diagnosis was made at a second arthrotomy when an intra-articular thorn was removed and synovectomy carried out, after which healing was uneventful.- - - - - - - - - - ranking = 1.6666666666667keywords = black (Clic here for more details about this article) |
5/9. Fatal choking in infants and children.food asphyxiation in infants/children follows a different pattern from the adult "cafe coronary." In the absence of ethanol intoxication, infants/children are prone to mishandling nonfriable, firm, slippery foods/objects with a rounded contour. The Dade County Medical Examiner's files were searched from 1956 to mid-1983 for accidental pediatric choking deaths. Seventeen food and six foreign body asphyxiations were found. The male/female ratio was 1.4/1 and 1/1, respectively. The white/black ratio was 0.9/1 for food asphyxiation whereas no black victims were encountered choking upon foreign objects. Seventy-eight percent of all victims were between 2 months and 4 years of age. Infants/children asphyxiated on items such as a hot dog, hard candy, peanut, toy rattle, tissue paper, balloon, marble, etc. The choking event was recognized by nearby adults in most instances. risk factors include the availability of riskful foods/objects, natural diseases with difficulty feeding, poor eating habits, and uneducated or ignorant parents/others at the scene. Although public education, package labeling, and changes in food/object design may be appropriate, the ubiquituous risk foods and small foreign objects will, on occasion, escape the eye of even the most watchful parent.- - - - - - - - - - ranking = 0.66666666666667keywords = black (Clic here for more details about this article) |
6/9. Respiratory arrest following intramuscular ketamine injection in a 4-year-old child.A healthy 4-year-old boy presented to the pediatric emergency department after inserting a black-eyed pea into his right external ear canal. Initial attempts at removal of this foreign body were unsuccessful, resulting in patient agitation. After administration of intramuscular ketamine for sedation, the patient was observed to experience one ineffective respiration followed by a period of apnea. No excessive oropharyngeal secretions or laryngospasm were noted. Spontaneous respirations resumed after 40 seconds, and the child recovered with no apparent ill effects. This case illustrates the need for adequate monitoring and preparation for emergency airway management when using ketamine for sedation in the ED.- - - - - - - - - - ranking = 0.33333333333333keywords = black (Clic here for more details about this article) |
7/9. Investigations of black bronchoalveolar human lavage fluid.The removal by bronchoalveolar lavage (two occasions) of 10(11) black macrophages containing crystals of aluminum silicate, large amounts of amorphous carbon, and oxidized lipids was followed by considerable improvement in gas exchange in a patient. Sixty-eight percent of these pulmonary macrophages were viable and normal, as judged by chemotatctic and phagocytic activity. Except for cigarettes, no source for the previously mentioned ingested foreign substances was found. These observations suggest that removal by lavage of nonviable macrophages laden with foreign bodies from distal portions of the lungs of pulmonary patients may be therapeutically useful.- - - - - - - - - - ranking = 1.6666666666667keywords = black (Clic here for more details about this article) |
8/9. charcoal deposits in the esophageal and gastric mucosa.We report the case of a 75-yr-old woman referred for gastrointestinal endoscopy to investigate severe iron deficiency anemia. Black linear lesions were observed in the distal esophagus and stomach. Biopsies revealed aggregates of coarse black foreign material, which was later identified as charcoal. The patient's previous medical history included an antidepressant overdose 5 yr before the current admission. The patient had a gastric lavage, using a large bore orogastric tube, followed by the administration of activated charcoal. The patient had no other history of charcoal ingestion. We propose that the charcoal became entrapped in mucosal tears caused by the traumatic intubation 5 yr previously, causing the incidental mucosal tattooing seen at endoscopy.- - - - - - - - - - ranking = 0.33333333333333keywords = black (Clic here for more details about this article) |
9/9. leeches in the larynx.This is a report of two patients with leech inhalation. The first patient presented with severe attacks of inspiratory stridor, cyanosis and cough of five days duration. He had no fever. Indirect laryngoscopy revealed a black, smooth foreign body between the vocal folds. Lateral soft tissue X-ray of the neck revealed shadow involving the glottic and the subglottic areas of the larynx. laryngoscopy under general anaesthesia showed a living leech. This was removed and the patient improved. The second patient presented with difficulty of breathing, dysphagia, and spitting of blood of two weeks duration. Indirect laryngoscopy revealed a brown foreign body in the larynx. laryngoscopy under general anaesthesia showed a living leech. This was removed by forceps.- - - - - - - - - - ranking = 0.33333333333333keywords = black (Clic here for more details about this article) |