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Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche
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  This is an Open Access Journal Open Access journal
ISSN (Online) 1828-6550
Published by Accademia Peloritana dei Pericolanti Homepage  [1 journal]
  • Clinical score for surgical treatment of acute scrotum in pediatric age

    • Authors: Roberta Bonfiglio; Fabiola Cassaro, Chiara Cambiaso, Santi D'Antoni, Angela Simona Montalto, Salvatore Arena, Carmelo Romeo, Pietro Impellizzeri
      Abstract: Acute scrotum is a set of signs and symptoms that should lead the patient to go to a first aid center. There are different causes of these signs and symptoms, but testicular torsion is identified as the main ones and can be suspected thanks to a careful history, physical examination and testicular ultrasound. It is important to quickly differentiate the various conditions associated with acute scrotum in order to optimize surgery times and preserve testicular vitality.
      Often the radiological study is essential to identify the causes of acute scrotum, in particular the testicular Doppler ultrasound is sensitive and specific for testicular torsion, infact it is considered the gold standard for diagnosis. However, the radiological study can delay surgical treatment and reduce testicular vitality.
      So TWIST score was proposed. It is based on the identification of signs and symptoms that can lead at clinical diagnosis of testicular torsion.
      Our narrative of literature review analyzes TWIST score validity and shows the utility of an adequate clinical examination obtaining a diagnosis of torsion cord, reducing the costs and the time of surgical treatment resulting in a higher likelihood of preserving testicular vitality
      PubDate: Tue, 18 Apr 2023 00:00:00 +020
  • A case of pleural empyema treated with intrapleuralurokinase

    • Authors: Federica Xerra; Immacolata Rulli, Mauro Iannelli, Antonella Gambadauro, Francesca Galletta, Monica Fusco, Simona Allera, Sara Manti, Carmelo Romeo, Francesco Monaco, Eloisa Gitto
      Abstract: Pleural empyema, a severe complication of bacterial pneumonia, is a rare entity in the neonatal period. Treatment with systemic antibiotics and tube drainage may fail because of the thick viscous fluid, bacterial products with fibrin deposition, and multiple involvement. Intrapleural fibrinolytic therapy with urokinase is an effective and non-invasive treatment option that avoids surgical intervention, although its use in neonates has not been studied extensively. In this report, we describe the case of a 39-day-old male newborn with pneumonia and pleural empyema, treated successfully with antibiotics, chest tube drainage and intrapleuralurokinase.
      PubDate: Tue, 11 Apr 2023 00:00:00 +020
  • A case of a shocking rhythm

    • Authors: Francesca Galletta; Antonella Gambadauro, Sara Manti, Flavia Caime, Monica Fusco, Simona Allera, Mauro Iannelli, Letteria Barbuscia, Eloisa Gitto
      Abstract: We report a case of a 40-day-old patient admitted to the neonatal and paediatric intensive care unit for severe cardiovascular failure with an initial sinus rhythm. The first diagnostic hypothesis was septic shock, thus antibiotics, fluid resuscitation, inotropic drugs and ventilatory supportwere immediately started. After achieving haemodynamic stability, a new cardiovascular failure occurred with supraventricular tachycardia (SVT), making diagnosis of cardiogenic shock. Cardiogenic shock should be considered, although it is a rare cause of shock in children. SVT may be a cause of cardiogenic shock, therefore it should be diagnosed whit the aid of a cardiorespiratory monitor, which represents a useful device in the differential diagnosis of the various types of shock.
      PubDate: Tue, 11 Apr 2023 00:00:00 +020
  • An unusual association in a patient with COVID-19-related ARDS and
           bilateral pleural effusion

    • Authors: Antonio Cipolla; Antonio Faiello, Giuseppe Ielo, Giorgio Morana, Federica Lo Bello, Alfio Proietto, Carlo Vanchieri, Gaetano Caramori
      Abstract: We present the case of a 76-year-old female, previously diagnosed with pulmonary sarcoidosis, that was admitted to our Unit of Pulmonology for acute hypoxemic respiratory failure secondary to COVID-19-related acute respiratory distress syndrome (ARDS) and with bilateral pleural effusions. Despite the therapy the patient’s conditions gradually deteriorated during the hospital stay with progressive hypoxemia and the patient died 36 days after the admission
      PubDate: Fri, 07 Apr 2023 10:46:42 +020
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Heriot-Watt University
Edinburgh, EH14 4AS, UK
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