Achievement of Functional Independence in a Patient with Sickle Cell Disease with Autoimmune Hepatitis, Osteomyelitis, Wilson’s Disease, and Pathological Fracture Following Physiotherapy

Vaidya, Laukik; Naqvi, Waqar M.; Awasthi, Abhiram; Kumar, Kiran; Phansopkar, Pratik

doi:10.14260/jemds/2020/719

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…The patient in this case was also provided with IVIG treatment. In this case, treatment of the underlying cause, the long-term recovery of the patient, and the acute care of paralysis and its complications were the main focuses of our management, which was in accordance with earlier studies [9][10][11].…”

Section: Resultssupporting

confidence: 86%

“…According to a study that shows that rehabilitation has a significant role in accelerating recovery, the recovery in ADLs was only extremely mild [ 9 ]. Studies have shown that early physical therapy helps severely ill ICU patients recover quickly [ 10 - 12 ]. Our key areas of attention were weakness and tiredness, and the results improved in line with earlier research showing that emphasizing fatigue produces better immediate outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Refining the Pulmonary and Functional Competencies in a Male Patient With Guillain-Barré Syndrome

Bhagwatkar,

Harjpal

2023

Cureus

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Guillain-Barré syndrome (GBS) is the most prevalent form of autoimmune-related acute demyelinating polyneuropathy that affects people of any age group. Its global prevalence is 1.9 per 100,000 people. Acute or subacute symmetrical motor and sensory neuropathy involving several peripheral nerves is referred to as GBS. It typically occurs after an infection caused by a virus, but infrequently with surgery or vaccination. There are different variants of GBS, like acute sensory axonal neuropathy, acute motor axonal neuropathy, and Miller-Fisher syndrome. Motor paralysis that affects distal muscles more than proximal muscles and is more pronounced and symmetrical may be a presenting symptom of GBS. Over the course of several days, it starts in the legs and progresses to the arms, face, and eyes. Reflexes may be missing, bifacial weakness may be present, severe cases result in respiratory paralysis, and autonomic abnormalities may be rare. Patients with GBS exhibit anti-ganglioside antibodies that seem to react with antigens found in some previous infectious pathogens' lipopolysaccharides. These antibodies target gangliosides, like GM1, which are dispersed within the myelin of the peripheral nervous system. There are three phases: acute, plateau, and recovery. Only plasmapheresis and intravenous immunoglobulin have shown effective recovery. A 24-year-old male presented with weakness of the bilateral lower limb associated with fever and breathlessness. The range of motion of hip flexion was reduced to 45 degrees, and muscle power was also reduced. For hip flexors, it was 3/5; for knee flexors and extensors, it was 4/5; and for ankle plantar flexors and dorsiflexors, it was 2/5. Investigations like a complete blood count (CBC), cerebrospinal fluid (CSF) examination, and nerve conduction velocity (NCV) were done. Post-diagnosis, the patient received an intravenous immunoglobulin (IVIG) dose; the same was managed by neurophysiotherapy, and after treatment, the patient was functionally independent. According to the findings of our study, neurorehabilitation resulted in favorable outcomes, shortened the length of the hospital stay, and enabled him to return to his desk job.

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Section: Resultssupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Refining the Pulmonary and Functional Competencies in a Male Patient With Guillain-Barré Syndrome

Bhagwatkar,

Harjpal

2023

Cureus

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“…Trauma, open fractures, surgery, malnutrition, sickle cell disease, low blood pressure, peripheral vascular disease, long-term use of steroids, malignancy, smoking, alcoholism, systemic or local immunocompromise, the presence of a foreign body, and nowadays, the presence of implants like plates and screws, low socioeconomic status, etc. are the predisposing factors for COM [ 6 , 7 , 15 - 17 ]. It is usually associated with sickle cell disease.…”

Section: Discussionmentioning

confidence: 99%

Early Physiotherapy as an Adjunct to Surgical Approach in Case of Chronic Tibial Osteomyelitis Treated with Sequestrectomy and an Ilizarov Ring Fixator in a 14-Year-Old Schoolgirl: A Case Report

Mundada¹,

Patil²

2022

Cureus

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Osteomyelitis is an infectious disease of the bone and bone marrow caused by pyogenic organisms that may be acute or chronic. Early diagnosis and treatment prevent complications like limb deformity and limb length discrepancies. A 14-year-old girl presented to the orthopedic department with complaints of pain, fever, swelling, tenderness, and pus discharge across the right leg below the knee. Previously, she visited a local hospital where after initial investigations, she underwent saucerization followed by antibiotic bead application. After experiencing no improvements, she came to Acharya Vinoba Bhave Rural Hospital, Sawangi Meghe, Wardha. After investigations, she was confirmed to have chronic right tibial osteomyelitis, after which she underwent sequestrectomy with an Ilizarov Fixator application. After three months, she started experiencing pain over the right leg, discharge from the wound site, on and off fever, and difficulty walking, for which she was again admitted to this hospital. She was primarily managed by dressing and medication and subsequently received physiotherapy intervention with proper rehabilitation protocol which was found to be very effective in achieving functional mobility and independence. This case study concludes that a multidisciplinary team involving a definitive surgical approach and physiotherapy rehabilitation protocol which resulted in improved functional mobility and independent ambulation for the patient, which plays a significant role in a fast and successful recovery.

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Achievement of Functional Independence in a Patient with Sickle Cell Disease with Autoimmune Hepatitis, Osteomyelitis, Wilson’s Disease, and Pathological Fracture Following Physiotherapy

Cited by 2 publications

References 10 publications

Refining the Pulmonary and Functional Competencies in a Male Patient With Guillain-Barré Syndrome

Refining the Pulmonary and Functional Competencies in a Male Patient With Guillain-Barré Syndrome

Early Physiotherapy as an Adjunct to Surgical Approach in Case of Chronic Tibial Osteomyelitis Treated with Sequestrectomy and an Ilizarov Ring Fixator in a 14-Year-Old Schoolgirl: A Case Report

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