Pulmonary artery stump thrombosis is a recognized complication after pneumonectomy. However, to our knowledge, there is only one case report of delayed development of this complication. We report the case of a 68 year-old man who presented with chest pain nearly ten years after undergoing a right pneumonectomy for lung cancer. Workup identified a pulmonary artery stump thrombosis. Due to the acute onset of his symptoms, the patient was anticoagulated, and his chest pain resolved. While the literature suggests that anticoagulation is not generally required for stump thromboses, we highlight features of this case that may indicate an increased risk of clinically important sequelae. Taking previous reports into account, we argue that a specific subset of patients with stump thrombosis may benefit from systemic anticoagulation.
Laser has been used efficiently for treatment of oral lichen planus, leukoplakia, aphthous ulcers and oral manifestations of HIV. Two cases of recalcitrant oral pemphigus vulgaris that were successfully treated with CO2 laser are described. The patients had been treated by a dermatologist with pulse therapy of methyl prednisolone and cyclophosphamide over a period of 6 to 8 months, but the clinical course was characterized by episodes of painful flare-ups and nonresponsiveness. The patients were extremely uncomfortable with recurrent oral lesions. CO2 laser at low power was used to irradiate the lesions. It was shown to be effective in relieving pain and healing of lesions, with nonrecurrence. To the best of our knowledge, this is the first case report of such a treatment of oral pemphigus vulgaris. Further clinical studies are warranted to confirm efficacy and to optimize the treatment protocol.
Background: Colic is an important disease of horses. It is a multifactorial and complex disorder. Colic remains one of the common causes of death in horses therefore in present investigation, clinical and haemato-biochemical changes associated with GI colic in horses were studied. Methods: Total 105 horses were examined to study the clinical and haemato-biochemical parameters in colicky horses in southern part of Rajasthan. Result: Mean respiration rate, pulse rate and capillary refill time was found to be significantly increased in horses affected with colic than healthy control animals (P less than 0.05). In haematological indices, mean packed cell volume was significantly increased in colic affected horses (P less than 0.05) whereas mean total platelet count and mean lymphocyte count was found to be significantly decreased (P less than 0.05). In serum biochemical indices, serum aspartate amino transferase, serum alanine amino transferase, blood urea nitrogen, serum creatinine, serum glucose, serum albumin, serum total protein, serum alkaline phosphate and blood lactate were found to be significantly increased in horses affected with colic than healthy control group (P less than 0.05).
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