Aims: Nonvalvular atrial fibrillation often occurs in combination with carotid atherosclerosis, but less is known about it in combination with cerebral artery stenosis. This study investigated the characteristics of cerebral infarction in patients with nonvalvular atrial fibrillation with or without cerebral artery stenosis. 13.3%) were higher in the stenosis group (n 107) than in the non-stenosis group (n 65) (P 0.01). In the stenosis group, there were different types of cerebral infarction lesions, including multiple infarction (multifocal type), massive infarction, watershed infarction, and lacunar infarction; in the non-stenosis group, the 60.0% lesions were multiple infarction (multifocal type), a significantly higher proportion than the stenosis group (26.2%, P 0.05). NIHSS score was an independent risk factor for worse prognosis at follow-up (OR (95%CI) 1.251-1.674, P 0.001). Methods Conclusions:Advanced age, hypertension, and stroke/TIA were increased in patients with cerebral infarction with nonvalvular atrial fibrillation combined with cerebral artery stenosis.bral infarction patients with atrial fibrillation are higher than that of cerebral infarction patients without atrial fibrillation 3) . Understanding the risk factors for cerebral infarction in patients with NVAF relies on the reasonable assessment of the risk of complicated cerebral infarction. These risks can then guide strategies for the prevention of thromboembolism. Clinicians can use the CHA2DS2-VASc score as a way of Introduction Nonvalvular atrial fibrillation (NVAF) is the most common type of atrial fibrillation and an independent risk factor for cerebral infarction; about 20% of the cases of cerebral infarction are cardiogenic cerebral infarction and, of these, nearly 50% are caused by NVAF 1, 2)
Background Septic thrombophlebitis (STP) of the lower extremities caused by foreign bodies is rare in the clinic, and the symptoms are serious. If the correct treatment is not implemented as soon as possible, the patient may progress to sepsis. Case presentation We report the case of a 51-year-old normally healthy male who developed fever 3 days after field work. When he was weeding with a lawn mower in the field, a metal foreign body from the grass flew into his left lower abdomen, resulting in an eschar on his left lower abdomen. He was diagnosed with scrub typhus but did not respond well to anti-infective treatment. After a detailed inquiry of his medical history and an auxiliary examination, the diagnosis was confirmed as STP of the left lower limb caused by a foreign body. After surgery, anticoagulation and anti-infection treatment, the infection and thrombosis were controlled, and the patient was cured and discharged. Conclusions STP caused by foreign bodies is rare. Early detection of the aetiology of sepsis and early adoption of the correct measures can effectively block the progression of the disease and reduce the patient’s pain. Clinicians should identify the source of sepsis through a medical history and clinical examination.
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