Volume 30
Case A 35-year-old male presented to the emergency room (ER) with acute dyspnoea (SpO2 98%), pain and absent breathing sounds over the left hemithorax and hypotension (reported pre-hospital blood pressure 63/37 mmHg). He had no relevant medical history, except smoking of marihuana. Supposedly he felt a little snap in the…
Abstract Encephalopathy is a severe and underestimated neurological complication of COVID-19 infection, with a high prevalence in COVID-19 patients in intensive care. We present a case of a 68-year-old male with severe COVID-19 encephalopathy and prolonged lowered consciousness, without showing any brain imaging abnormalities. There are multiple mechanisms of cause,…
Abstract In this case report, we describe an 85-year-old female patient who presented with a rare but important problem of anticoagulant rebound complicating dabigatran use. Despite multiple attempts to correct the bleeding, it continued and the coagulation times remained prolonged. Important risk factors for high dabigatran concentrations and prolonged coagulation…
A 74-year-old man was admitted to the haematology ward because of acute promyelocytic leukaemia and treated with all-trans retinoic acid and arsenic trioxide. Treatment was complicated by differentiation syndrome. The patient developed progressive respiratory failure caused by herpes simplex virus pneumonia. Following admission to the intensive care unit, he was…
History of Ebola virus Ebolavirus (EBOV) is a member of the family of the Filoviridae together with five other genera: Marburgvirus, Cuevavirus, Dianlovirus, Striavirus and Thamnovirus. Importantly, novel filoviruses of unknown pathogenic potential continue to be discovered by global surveillance programs. Filoviridae are filamentous virions containing a negative sense RNA…
In this last issue of the Netherlands Journal of Critical Care (NJCC) in 2022, Ronald Akkerman and colleagues from the Leiden University Medical Center review the Ebola virus in the series of potential pandemic pathogens.[1] As many among us contemplate the possible impact of the coronavirus disease of 2019 (COVID-19)…
Since the onset of the coronavirus disease of 2019 (COVID-19) pandemic, many patients have become infected. In addition, many have been admitted to intensive care due to the severity of the disease, exacerbated comorbidities or new diseases occurring concomitantly with COVID-19. Whether the upcoming winter will be challenging is currently…
Case A 63-year-old woman was brought to the emergency department because of chest pain, severe dyspnoea and syncope. She had been experiencing abdominal discomfort and vomiting since her vaccination with ChAdOx1 nCoV-19 (AstraZeneca) 12 days earlier. Her past medical history included a cholecystectomy and a deep venous thrombosis of the…
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