1/118. Inappropriate implantable defibrillator discharge caused by a retained pacemaker lead fragment.INTRODUCTION: Inappropriate discharge is still a major issue of implantable cardioverter defibrillator therapy. The diagnostic options of modern devices facilitate classification of the underlying abnormality. methods AND RESULTS: A 65-year-old woman with depressed left ventricular performance received spurious shocks from an ICD, implanted for ventricular tachycardia. A lead fragment of an explanted VVI pacemaker system could be identified as cause of erroneous ventricular fibrillation detection by the ICD. The electrical noise caused by interaction between the lead remnant and the ICD lead was detectable even on the surface ECG. CONCLUSION: Based on our findings, removal of fragmented lead material should be considered prior to ICD implantation, to avoid potentially adverse and harmful interactions with ICD systems.- - - - - - - - - - ranking = 1keywords = plant (Clic here for more details about this article) |
2/118. Intraarticular methyl methacrylate: a complication of hip surgery.Methyl methacrylate, used as a grout during hip arthroplasty, can inadvertently become lodged between acetabular and femoral components during surgery. After resumption of ambulation, crescentic fragments may extrude into the pseudocapsule. If mobile methyl methacrylate fragments lodge within the joint, late surgical failure may result because of methyl methacrylate's abrasive character. Two cases of total hip replacement and one case of femoral arthroplasty are reported in which intraarticular methyl methacrylate was identified retrospectively; all three patients remain asymptomatic at the time of the report.- - - - - - - - - - ranking = 0.075862342908293keywords = capsule (Clic here for more details about this article) |
3/118. argyria caused by an earring.The staining of skin by silver is termed argyria and is grey-blue in colour. This may be caused by a number of mechanisms such as ingestion and direct implantation. We report an unusual case, caused by an impacted earring, where the skin discoloration was not entirely typical of argyria. This may have been due to copper impurities present in the earring. The literature on the subject is also reviewed.- - - - - - - - - - ranking = 0.125keywords = plant (Clic here for more details about this article) |
4/118. Pitfalls associated with fixation of osteochondritis dissecans fragments using bioabsorbable screws.The purpose of this study was to evaluate 2 cases in which bioabsorbable screw fixation for an osteochondritis dissecans lesion of the femoral condyle resulted in complications necessitating the need for secondary surgery. We reviewed the case history of these patients and described the circumstances under which the bioabsorbable screws were used, the events leading to the need for secondary surgery, and the ultimate outcome. In the 2 cases presented, these implants were found to retain their mechanical stiffness for many months. This resulted in articular damage in 1 case after the treated lesion failed to heal. In the second case, screw breakage 8 months after implantation resulted in it becoming a loose body, which required removal during a second arthroscopic procedure. We conclude that these implants retain their mechanical properties for many months and cannot be relied on to degrade quickly. If a treated lesion fails to heal, these implants can cause mechanical problems due to their retained structural properties.- - - - - - - - - - ranking = 0.5keywords = plant (Clic here for more details about this article) |
5/118. Epithelioid angiosarcoma of the splenic capsule. Report of a case reiterating the concept of inert foreign body tumorigenesis.We report an epithelioid angiosarcoma involving the splenic capsule. This neoplasm developed because of a gauze sponge, retained for 38 years following left-sided nephrectomy. Clinical, radiological, and histological features of this angiosarcoma add to the validity of the concept of inert foreign body tumorigenesis in humans.- - - - - - - - - - ranking = 0.37931171454147keywords = capsule (Clic here for more details about this article) |
6/118. airway management of a patient with facial trauma.airway management in patients with facial trauma is usually challenging. In this case, we report the airway management of a patient who had multiple midface fractures and a two-inch tree limb implanted into his face.- - - - - - - - - - ranking = 0.125keywords = plant (Clic here for more details about this article) |
7/118. Accidental implantation of a bur tip in the elbow of a dentist. A possible pathway for inoculation with deadly infectious agent.The most common source of occupational injury to dentists is percutaneous puncture of the hands from "sharps". We report a percutaneous injury involving a dentist where the tip of a dental bur became implanted in his elbow. The dentist had been vaccinated against hepatitis b and both the patient and dentist were hiv and hepatitis b seronegative immediately after the incident. Surgical exploration of the dentist's elbow the following day was unsuccessful in locating the bur tip. The dentist remains healthy and is not incapacitated as a result of the injury, despite retention of the bur tip. This accident has implications for modifying the design of present and future dental units. We are not aware of a previous report of this type of injury.- - - - - - - - - - ranking = 0.625keywords = plant (Clic here for more details about this article) |
8/118. An unusual mode of injury-implantation of a broken toothbrush medial to ramus: report of a case.Impalement injury and implantation of a foreign body in the oral cavity is common in young children. Typically the child falls with the foreign body in the mouth resulting in implantation of the object at various sites in the oral cavity. It is quite unusual to have the head of a toothbrush with bristles implanted fully in the soft tissue medial to the ramus, in the region of pterygomandibular space, following an injury with a cricket ball without a history of fall. A case of an unusual foreign body implanted at an unusual site by an unusual injury is being presented.- - - - - - - - - - ranking = 1keywords = plant (Clic here for more details about this article) |
9/118. Aspiration of fruit gel snacks.Aspiration of a foreign body is common in children and can cause upper airway obstruction, leading to significant morbidity or mortality. We report 3 cases of aspiration of a popular fruit-flavored gel snack that led to cardiopulmonary arrest and death in 1 case and respiratory failure in 2 other cases. There is increasing concern about the safety of this gel snack and its risk of aspiration, even in older children. Pediatricians should advise parents and children about the dangers of eating this candy during their health maintenance visits.- - - - - - - - - - ranking = 0.63184358234299keywords = fruit (Clic here for more details about this article) |
10/118. pantoea agglomerans as a cause of septic arthritis after palm tree thorn injury; case report and literature review.We report the case of a 14 year old healthy boy, who was admitted six weeks after being injured by a palm tree thorn, with limping caused by pain and swelling in his right knee. An ultrasound examination revealed a foreign body in the posterior lateral aspect of the right knee. pantoea agglomerans was identified in the synovial fluid. The patient underwent two arthrotomies and was treated with amoxicillin-clavulanate intravenously for three weeks. The postoperative course was uneventful, and joint function returned to normal. A review of the literature between 1953 and 2002 revealed that bacterial growth after plant thorn injuries is reported infrequently. Yet when reported, pantoea agglomearns is the most common organism found. Therefore, it must be considered and suspected in "aseptic" cases of arthritis, when there is a history of a plant thorn injury. We also emphasise the efficacy of ultrasound examination in these cases to identify the presence and location of a plant thorn.- - - - - - - - - - ranking = 0.375keywords = plant (Clic here for more details about this article) |
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