Report of a Case

Weinstein, Eugene C.; PALLAIS, VIRGINIA

doi:10.1097/00005373-196811000-00015

Cited by 3 publications

(2 citation statements)

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“…A less common form -rhombcncephalitis -occurs in previously healthy individuals [5], The latter usually spares the meninges [3] and, with a few exceptions [6], it displays a biphasic clinical pattern [3,5] and is uni formly fatal unless effective treatment is promptly set up [7], Ampicillin, eventually in combination with gentamicin, has been shown to be the most effective antibiotic [8], Listeria organisms have never been seen on the initial Gram stain film and have only rarely been cultured from the CSF [6]. Posi tive identification of Listeria infection has usually been made from blood cultures, most of the time too late to allow effective therapy […”

Section: Discussionmentioning

confidence: 99%

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Pontomedullary Encephalitis and Basal Meningitis due to <i>Listeria monocytogenes: </i>Report of a Case

Callea¹,

Donati²,

Faggi³

et al. 1985

Eur Neurol

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A case of CNS listeriosis in a 49-year-old man, previously in good health, is described. The illness showed a biphasic clinical pattern with a prodromal phase characterized by headache, fever and leukocytosis and subsequent development of pontomedullary cranial nerve paresis. The infection was rapidly progressive and fatal. Gram-positive rods, identified as Listeria monocytogenes, were detected in CSF samples only at the end stage of illness. Neuropathological abnormalities consisted of rhombcncephalitis and basal meningitis. The major difficulties encountered in the early diagnosis of CNS listeriosis are discussed.

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Section: Discussionmentioning

confidence: 99%

“…2], the most common neuropathologica! ab normality being purulent meningitis [3], In 1957, a further form of CNS listeriosisrhombencephalitis -was described [4], Since then a few additional cases, mostly in healthy persons, have been reported [5,6],…”

Section: Introductionmentioning

confidence: 99%

Pontomedullary Encephalitis and Basal Meningitis due to <i>Listeria monocytogenes: </i>Report of a Case

Callea¹,

Donati²,

Faggi³

et al. 1985

Eur Neurol

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Complete transverse transection of the normal‐sized non‐pregnant uterus associated with wearing a safety belt in abdominal blunt trauma: Narrative review and case study

Srisukho,

Chandacham,

Tongsong

2023

Intl J Gynecology & Obste

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This review and case study illustrates a patient with a complete transverse transection of a non‐pregnant uterus caused by blunt trauma associated with wearing a safety belt. The 31‐year‐old patient, who had a previous cesarean section, presented with impending hypovolemic shock caused by intra‐abdominal hemorrhage secondary to blunt trauma while wearing a safety belt. On physical examination, a transverse straight line of ecchymosis along the line of a fastened safety belt was noted without any other external injury. The operative findings revealed a complete transverse transection which had cut through the lower part of the non‐pathological, normal‐sized uterus with active bleeding and mild injury to the small bowel without active bleeding. Total hysterectomy and simple closure of the small bowel were performed with successful outcomes. We hypothesize that transection was caused by the enormous pressure produced by blunt trauma transmitted through the abdomen by the fastened safety belt and the weakness of the uterine wall caused by the previous low transverse cesarean section which facilitated the separation and extension to the entire wall. In conclusion, this case study provides the following learning points: (1) Enormous forces produced by a fixed fastened safety belt during a car accident can cause complete transverse transection of a normal‐sized, non‐pathological uterus, leading to life‐threatening intra‐abdominal hemorrhage. (2) A previous cesarean section may potentiate the transection, especially when the uterus is repositioned above the pelvic brim. (3) The gynecologic condition should also be included in the differential diagnoses in cases of intra‐abdominal hemorrhage. If highly suspected, gynecologists should be notified for early recognition and avoidance of delayed actions.

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Trauma During Pregnancy — A Review of Management

Bowman

Giles

Deane

1989

Aust NZ J Obst Gynaeco

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The assessment and management of 22 pregnant patients who were admitted after trauma to Westmead Hospital between July, 1987 and October, 1988 was reviewed. Thirteen of the 22 patients were victims of motor vehicle accidents. Despite the fact that an injury research unit, responsible for the clerking and review of all trauma patients, is well established at our institution, only 6 patients in this series had been assessed in this fashion. Although a number of important obstetric investigations (albeit uncommon in the accident and emergency room situation) are well described in the literature, these were not performed in a number of patients. A protocol for the management of such patients is recommended so that more standardized and appropriate care might be given to the injured pregnant patient.

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Report of a Case

Cited by 3 publications

References 0 publications

Pontomedullary Encephalitis and Basal Meningitis due to <i>Listeria monocytogenes: </i>Report of a Case

Pontomedullary Encephalitis and Basal Meningitis due to <i>Listeria monocytogenes: </i>Report of a Case

Complete transverse transection of the normal‐sized non‐pregnant uterus associated with wearing a safety belt in abdominal blunt trauma: Narrative review and case study

Trauma During Pregnancy — A Review of Management

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