Open Access Case Report

Complications of Spinal Cord Injury can Hide Fever and Cough Associated to COVID-19

Aylin Ayyıldız, Banu Kuran, Banu Altoparlak, Beril Dogu, Figen Yılmaz

Asian Journal of Case Reports in Medicine and Health, Page 1-5

Aim: Coronavirus disease (COVID-19) is a lower respiratory tract infectious disease. This new coronavirus responsible for severe acute respiratory syndrome, higher level of illness and death. Comorbid health conditions are highly important in clinical course of Coronavirus disease. Patient with spinal cord injury (SCI) may have numerous comorbidities like respiratory muscle weakness, tendency to coagulation caused by immobilisation, autonomic dysreflexia accompanied by hypertension, urinary tract infection, SCI-induced immune suppression etc.

Case of Presentation: A 43 year-old male patient is affected by ASIA A, T7 level paraplegia. After the COVID-19 outbreak, he acquired severe dorsal pain with recurrent submaximal fever at night. The patient was considered primarily as a urinary tract infection. He was evaluated covid-19 on the development of dyspnoea and cough in the following periods. Due to SCI complications, it is late in diagnosis and treatment.

Discussion: SCI patients are vulnerable individuals of our society in having respiratory infections. Comorbidities caused by the spinal cord injury lay the ground for this. The importance of this sensitive condition should be emphasized in the COVID-19 pandemic. SCI patients may not come with symptoms such as fever, cough and dyspnoea, which are typical symptoms of covid-19 in initial hospital admissions.

Conclusion: Complications of SCI can cover COVID-19 infections. Evaluating SCI patients in terms of infection, this should be known and cautious. In this way, there is no delay in the treatment of SCI patients and less mortality can be observed.

Open Access Case Study

Esophageal Cancer Causing Severe Bronchial Airway Obstruction – A Case Presentation

K. G. Lynrah, Iadarilang Tiewsoh, Anamika Das, Evan Synrem, Bhupen Barman, Evarisalin Marbaniang, Arnab Kalita

Asian Journal of Case Reports in Medicine and Health, Page 6-10

Esophageal cancer is one of the leading malignancies of the gastrointestinal tract with the commonest symptom being dysphagia to solids and liquids. This is a case of esophageal cancer who presented to us with loss of appetite, weight and bronchospasm not relieved by bronchodilators. Esophageal cancer can affect the upper part of the esophagus or lower part of the esophagus. When the mass lesions are supra bifurcal they have thirty percent tendency of involving the airways.

Here we describe a case of a middle aged male, chronic smoker who presented with wheezing on and off for 3 months along with loss of appetite and weight. This was followed by worsening symptoms of breathing difficulty and productive cough for 3 weeks prior to admission. He was initially treated with bronchodilators but never improved. On evaluation he was found to have esophageal cancer which had invaded the pericardium and the right and left main bronchus resulting in the respiratory symptoms which was thought to be due to chronic obstructive airway disease.

Conclusion: Thus in this case report it tells us that - airway disease is not only because of inflammation of the airways caused by chronic obstructive airway disease or bronchial asthma but can be cause by other obstructive pathologies which arise from the airways or from adjacent structures of the airways.

Open Access Case Study

Congenital Agenesia of the Inferior Vena Cava: A Diagnosis to Mention in Front of a Deep Vein Thrombosis

Raja Amri, Romdhane Denguezli, Wafa Garbouj, Khaled Bouzaidi, Manel Loukil, Mohamed Ali Sbai

Asian Journal of Case Reports in Medicine and Health, Page 23-30

Congenital agenesia of the inferior vena cava (IVC) is an extremely rare morphological anomaly in the general population; found in approximately 0.0005% to 1% [1]. It is a rare cause of deep vein thrombosis (DVT) and could be responsible for less than 5% of thromboses without a contributory factor in subjects under 30 years of age [2].

We present a case of DVT agenesis, demonstrated by a CT angiography, performed as part of the etiologic assessment of extensive, bilateral and recurrent deep venous thrombosis (DVT), in a young 24-year-old man.

We discuss the mechanisms of occurrence of thrombosis associated with IVC agenesis and their possible clinical and therapeutic features.

Open Access Case Study

Accumulation of Urine in the Peritoneal Cavity after Bladder Rupture Following Vaginal Delivery: A Case Report

Reihane Sadat Hosseini, Mehnoosh Farshchian, Somayyehalsadat Hosseini, Faeze Sadat Hosseini

Asian Journal of Case Reports in Medicine and Health, Page 31-34

Spontaneous bladder rupture following vaginal delivery is very rare. Herein, we present a case report with the accumulation of urine in the peritoneal cavity after normal vaginal delivery. An 18-year-old primigravid woman referred to the aImamHosein Hospital hospital, Mashhad, Iran, with the accumulation of urine in the peritoneal cavity. The computed tomography scan and ultrasound were normal for structure of bladder. Probably, the bladder rupture led to making a small hole in the bladder and accumulation of urine in the abdominal cavity. The laboratory symptoms and clinical and radiological findings would help emergency physicians to appropriately manage these patients.

Open Access Original Research Article

The Prediction of Return Quality Medical Record Documents William Booth Hospital, Semarang

Amalia Azizah, Ayu Permata, Jaka Prasetya, Slamet Isworo

Asian Journal of Case Reports in Medicine and Health, Page 11-22

Objective: Completeness of medical records and the accuracy of returning medical records to assembling units in hospitals is one indicator of service quality. This study aims to obtain an overview of the quality and speed of return of medical records from hospital ward service units to medical record units and to be the basis for improving quality in-hospital services.

Methods: This research was conducted from 6 February to 21 March 2020 in a qualitative descriptive method with observation, in-depth interviews with medical records officers.

Results: Based on the results of the study, the predicted percentage of achieving medical record return for all wards with a target of 100% will be achieved in the 54th month with a modeling trend of y = 0.2254 x + 84.887. While the modeling trends of each ward are as follows: a). Kasandra Ward y = 0.034 x + 0.6947  with 100% of the target will be achieved in the 93 rd month. b). Agatha ward y = 0.047 x + 0.972 with a target of 100% will be achieved in the 6th month, c). Benetha Ward y = 0.047 x + 0.967 with a target of 100%, to be achieved in the 8th month. d) Perinatology Ward y = 0.0037 x + 0.7776 with a target of 100% will be achieved in the 61st month.

Conclusion: Return of medical records at a bad intention booth house will meet the quality indicators according to the target of 100% between 6 months to 93 months starting from January 2019.

Suggestion: Improved socialization to medical personnel regarding deadlines for returning medical records including gifts and penalties for all workers medically responsible.