A5010018351- Cardiac Arrest and Resuscitation
- Mechanical Circulatory Support Devices
- Streptococcal Infections and Treatments
- Trauma and Emergency Care Studies
- Respiratory Support and Mechanisms
- Infective Endocarditis Diagnosis and Management
- Long-Term Effects of COVID-19
- Hernia repair and management
- Trauma Management and Diagnosis
- Cardiac Structural Anomalies and Repair
- Infectious Encephalopathies and Encephalitis
- COVID-19 Clinical Research Studies
- Muscle and Compartmental Disorders
- Pleural and Pulmonary Diseases
- Sepsis Diagnosis and Treatment
- Electrolyte and hormonal disorders
- Nosocomial Infections in ICU
- Pericarditis and Cardiac Tamponade
- Pneumonia and Respiratory Infections
- Neonatal and Maternal Infections
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Otolaryngology and Infectious Diseases
- Bacterial Identification and Susceptibility Testing
- Methemoglobinemia and Tumor Lysis Syndrome
- Autopsy Techniques and Outcomes
Tokyo Metropolitan Bokutoh Hospital
2015-2025
National Institute of Infectious Diseases
2014
Patients with massive pulmonary embolism (PE) have poor outcomes and their management remains challenging. An interventional radiology (IVR)-computed tomography (CT) system available in our emergency room (ER) allows immediate access to CT extracorporeal membrane oxygenation (ECMO) safe cannulation under fluoroscopy. We aimed determine if initial treatment this "hybrid ER" is helpful patients PE requiring cardiopulmonary resuscitation (ECPR).The records of transferred hybrid ER between...
An ongoing outbreak of a novel coronavirus disease (coronavirus 2019, COVID-19) has become global threat. While clinical reports from China to date demonstrate that the majority cases remain relatively mild and recover with supportive care, it is also crucial be well prepared for severe warranting intensive care. Initiating appropriate infection control measures may not always achievable in primary care or acute-care settings.A 45-year-old man was admitted unit due pneumonia, later confirmed...
Atomoxetine, a selective norepinephrine reuptake inhibitor for attention-deficit hyperactivity disorder, may lead to severe complications, notably cardiac issues, upon overdose. We present unique case of venoarterial extracorporeal membrane oxygenation (VA-ECMO) rescue atomoxetine-induced cardiogenic shock.
Whether and how bystander cardiopulmonary resuscitation (CPR) modifies the cardiac rhythm after out-of-hospital arrest (OHCA) over time remains unclear. We investigated association between CPR likelihood of ventricular fibrillation (VF) or tachycardia (VT) as first documented rhythm.We identified individuals with witnessed OHCA origin from a nationwide population-based registry in Japan 1 January 2005 31 December 2019. The was compared patients who received those did not, using 1:2...
Abstract Aim FibCare ® is a novel point‐of‐care testing device enabling prompt evaluation of fibrinogen levels. This study aimed to investigate the accuracy at tertiary emergency department. Methods Blood specimens obtained medical center between October 1, 2021, and April 30, 2023, were evaluated. The correlation levels assessed via those Clauss method was evaluated using Spearman's test. discrepancy two measurement methods according level diagnosis. Results A total 177 from 147 patients...
Extracorporeal cardiopulmonary resuscitation (ECPR) is an effective treatment for out-of-hospital cardiac arrest and refractory ventricular fibrillation. Despite the success of this intervention, trauma a potential complication that may adversely impact patient outcomes. This study assessed incidence in patients who underwent ECPR. We hypothesized all incurred until conclusion ECPR would have significant negative effect on survival neurological
Hemophagocytic syndrome (HPS) can develop as a complication of dengue in rare cases, but its relationship with is not well known. We report case dengue-associated HPS liver involvement and coagulopathy. The patient, Japanese female traveler who had recently returned from Thailand, severe complications infection, she recovered fully symptomatic treatment.
Gemella bergeri is one of the nine species genus and relatively difficult to identify. We herein describe first case septic shock due a coinfection with Eikenella corrodens. A 44-year-old Asian man medical history IgG4-related ophthalmic disease who was prescribed corticosteroids (prednisolone) presented our hospital dyspnea. On arrival, he in shock, purpuric eruption noted on both legs. Contrast enhanced computed tomography showed fluid retention at right maxillary sinus, left lung ground...
We reported, in our previous study, a patient with coronavirus disease 2019 (COVID-19) who was successfully treated extracorporeal membrane oxygenation. Data on clinical courses and outcomes of critically ill patients COVID-19 Japan are limited the literature. This study aimed to describe Tokyo, Japan.This is single-center case series study. Patients mechanical ventilation (MV) were reviewed retrospectively. baseline characteristics, in-hospital treatment, collected.Between February 2, 2020,...
Systemic capillary leak syndrome (SCLS) is a rare disease characterized by episodic exacerbation of hypovolemia, hemoconcentration, and hypoalbuminemia due to hyperpermeability. Although the overall pathophysiology remains unknown, transient endothelial dysfunction believed be associated with disease.1 diagnosed clinically, often requiring exclusion other differential diagnoses such as sepsis, angioedema, anaphylactic shock. Exacerbation SCLS could life-threatening, leading hypovolemic shock...
Liposomal-amphotericin B (L-AmB) is used for cutaneous leishmaniasis (CL); however, its treatment failure has not yet been described in detail. A 58-year-old man returned from the Republic of Venezuela with a ulcer on his left lower leg. The causative pathogen was Leishmania braziliensis. We started L-AmB 3 mg/kg/day 6 days; did resolve. patient successfully retreated higher dose 4 9 times (total, 36 mg/kg). If fails to treat CL and other therapeutics cannot be used, increasing viable option.
Ureterosciatic hernia is a rare type of pelvic floor herniation that occurs through the sciatic foramen. The resulting ureteral obstruction may lead to hydronephrosis and further complications including urinary tract infection urosepsis. There have been 30 reported cases ureterosciatic hernia. Ureteral stenting surgical repair used as treatment options.We report case an 86-year-old woman who was transferred Tokyo Metropolitan Bokutoh Hospital with symptoms fever septic shock. Her computed...
We report a case of disulfiram overdose that caused delayed onset impaired consciousness and ketoacidosis.
BACKGROUND Whether and how the transfusion volume should be limited in resuscitation after trauma remains unclear. We investigated association between survival outcome following trauma. METHODS Using Japan Trauma Data Bank (2019–2021), we identified patients 18 years or older who received balanced blood within first 24 hours of injury. evaluated total number red cell (RBC) units transfused at discharge using logistic regression analysis generalized additive model. Subgroup analyses based on...
Abstract We aim to raise awareness of the role Streptococcus dysgalactiae subsp. equisimilis (SDSE) in causing endovascular and central nervous system infections, promote recognition SDSE as a pathogen that may cause serious invasive infections.
An 83-year-old febrile woman presented with leg pain.Her lateral right thigh was swollen, but no neurological or ischemic findings were noted.A computed tomography scan showed an abnormal internal iliac artery leading directly into the posterior aspect of thigh, which determined to be a persistent sciatic (PSA) (Picture).The PSA thrombosed, dilated, and surrounded by enlarged multiple nodular aneurysms, irregular wall thickening perivascular edema indicative infection.Methicillin-resistant...
Most mediastinal abscesses result from infections after thoracotomy, esophageal perforation or penetrating chest trauma. This disease is rarely caused by closed blunt All previously reported such cases trauma presented with hematoma and sternal osteomyelitis resulting fracture. Here we report a 15-year-old sumo wrestler who an anterior abscess without any The resulted the hematogenous spread of Staphylococcus aureus to that might have been incurred during wrestling exercises.