Background: The coronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (sarscov2), has
been shown to cause conventional respiratory distress, in addition to that, there has been recent reports suggesting the cardiovascular system
involvement during the course of the infection, including microthrombosis and cardiopulmonary serosal layers infection and inammation
although being separately described. The present paper demonstrates the rst reported case of the concomitant presence of intra-cardiac free-
oating microthrombi and pericardial effusion secondary to COVID-19 infection, beyond the casual clinical presentation.
Case report :A 51 year-old man with no medical history, presented to the emergency department, with a progressively worsening dyspnea, he had
an oxygen saturation of 85% on rst medical contact. The chest radiography and the baseline ECG showed respectively multifocal bilateral patchy
opacities and a sinus tachycardia with low QRS voltage and t wave inversion in all leads. On further assessment, the echocardiography revealed the
presence of free-oating microthrombi in the right atrium and a moderate pericardial effusion. Biological ndings and pulmonary computed
tomography were suggestive of sarscov2 infection. Interestingly, there was no evidence of pulmonary embolism. The patient, thus, received
heparin therapy and colchicine. We noted a rapid improvement in the following seven days, the hospital discharge was, hence, deemed warranted.
Conclusions: This case highlights an unusual presentation of COVID-19 infection, the diagnostic and therapeutic challenges we are facing in this
setting. Moreover, it raises the question about the emergent need of a therapeutic regimen, in order to better manage this unique condition and a
fortiori mitigate the COVID-19 complications.
Introduction :
Odontophobia is a complex anxiety disorder related to excessive fear of dental care. Of multifactorial origin, it affects more females than males at all ages. Odontophobia can also be associated with other disorders, namely post-traumatic stress disorder (PTSD), which is recognized in refugees from civil wars.
Materials and methods :
Descriptive and analytical cross-sectional epidemiological study, carried out during February 2020 at the Syrian refugee camp in Zaatari, Jordan, involving 200 consultants at the dental office to assess their degree of odontophobia and to determine the risk factors associated with this disorder, particularly post-traumatic stress disorder (PTSD).
Results :
The authors collated 200 subjects of which 125 (62.5%) were phobic with a corah score (> or = to 13) and 75 (37.5%) were non-phobic with a corah score (< to 13). The sex ratio was statistically different between the two populations with a predominance of female sex (p=0.025). odontophobia is also related to the length of time spent in Syria during the civil war, it is observed more in 96 (48%) patients who spent between (13 and 24 months) (p=0.017). Similarly, odontophobia is influenced by post-traumatic stress disorder in its severe form (p=0.011).
Conclusion:
Descriptive and analytical observational epidemiological study showing the high prevalence of odontophobia among Syrian refugees consulting at the dental office of the Moroccan military medical-surgical hospital in Zaatari camp in Jordan and its influence by post-traumatic stress disorder (PTSD).
Background Diabetic ketoacidosis (DKA) is a serious life-threatening condition due to its profound hydro electrolytic disturbances and multiple complications, notably cerebral edema and circulatory collapse. Conductive disorders occurring during its course, such as sinus arrest, are poorly reported and can be life-threatening on their own in the absence of adequate recognition and treatment. Our effort through this report was raising awareness of unusual conduction complications of diabetic ketoacidosis and showing the importance of early diagnosis and treatment.
Case presentation we present the case of a middle-aged man with past history of type 2 diabetes whose symptoms included asthenia and consciousness disorder concomitant with ketoacidosis decompensation. Electrocardiogram (ECG) revealed the presence of sinus arrest with ventricular escaping rhythm. The rapid management of the diabetic decompensation resulted in spontaneous return to sinus rhythm, thus avoiding permanent pacing for the patient.
Conclusions Atypical complications during ketoacidosis decompensation, such as sinus arrest, are often overlooked and associated with reserved prognosis. Proper recognition and prompt treatment are crucial for optimal outcome.
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