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Damughatla AR, Milan-Ortiz V, Koleti P, Milan-Ortiz MM, Pasham SR, Damughatla AR, Kamatham S, Bazzy K. Identifying the Cause of Acute Left-Sided Visual Loss: A Clinical Dilemma. J Med Cases 2023; 14:200-203. [PMID: 37435103 PMCID: PMC10332869 DOI: 10.14740/jmc4093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Accepted: 06/05/2023] [Indexed: 07/13/2023] Open
Abstract
Given the global increase in the incidence of head and neck cancers over the last decade, the use of chemoradiation has also increased. It is well known that chemotherapy/radiation are established standard therapies in head and neck cancers, especially in patients who are not candidates for surgery. Despite this increase in chemoradiation therapies in head and neck cancers, there is a lack of established guidelines on the surveillance and screening of these patients for long-term complications. We present an interesting case of acute left eye blindness in a veteran patient with a history of laryngeal cancer status post chemoradiation and in the setting of a left ventricular (LV) thrombus on anticoagulation resulting in a diagnostic challenge determining the etiology. This case emphasizes the need for thorough patient-centered annual evaluation, thus providing an opportunity for early noninvasive or minimally invasive intervention.
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Affiliation(s)
- Anirudh R. Damughatla
- Department of Internal Medicine, Wayne State University & Detroit Medical Center, Detroit, MI, USA
- Department of Internal Medicine, John D. Dingell Veterans Affairs Medical Center, Detroit, MI, USA
- Department of Biomedical Engineering, The Ohio State University, Columbus, OH, USA
| | - Vanessa Milan-Ortiz
- Department of Internal Medicine, Wayne State University & Detroit Medical Center, Detroit, MI, USA
- Department of Internal Medicine, John D. Dingell Veterans Affairs Medical Center, Detroit, MI, USA
| | - Pragna Koleti
- Department of Internal Medicine, Suburban Community Hospital, Norristown, PA, USA
| | | | - Sudhir Reddy Pasham
- Department of Internal Medicine, Guthrie Robert Packer Hospital, Sayre, PA, USA
| | | | - Saivaishnavi Kamatham
- Department of Internal Medicine, Wayne State University & Detroit Medical Center, Detroit, MI, USA
- Department of Internal Medicine, John D. Dingell Veterans Affairs Medical Center, Detroit, MI, USA
| | - Kareem Bazzy
- Department of Internal Medicine, Wayne State University & Detroit Medical Center, Detroit, MI, USA
- Department of Internal Medicine, John D. Dingell Veterans Affairs Medical Center, Detroit, MI, USA
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Milan-Ortiz V, Damughatla AR, Qazi AM, Kamatham S, Oli S, Koleti P, Levine DL. Neutropenic Enterocolitis Following Autologous Stem Cell Transplantation: A Compelling Clinical Case Report Written With the Assistance of ChatGPT. Cureus 2023; 15:e36390. [PMID: 37090367 PMCID: PMC10115743 DOI: 10.7759/cureus.36390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/20/2023] [Indexed: 04/25/2023] Open
Abstract
Neutropenic enterocolitis (NE) is a rare and life-threatening condition that typically occurs in patients with hematologic malignancies undergoing intensive chemotherapy, radiation therapy, or bone marrow transplant regimens, predisposing them to profound neutropenia. NE can have a nonspecific clinical presentation and mimic other gastrointestinal disorders such as appendicitis, diverticulitis, or inflammatory bowel disease but is associated with very high morbidity and mortality if not diagnosed and treated promptly. We present the case of a middle-aged female with a recent diagnosis of follicular lymphoma who developed neutropenic enterocolitis after undergoing induction chemotherapy for an autologous stem cell transplant (ASCT). In this article, we provide a literature review of neutropenic enterocolitis and highlight the importance of a prompt diagnosis and management, given its high mortality rate.
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Affiliation(s)
- Vanessa Milan-Ortiz
- Internal Medicine, Wayne State University Detroit Medical Center, Detroit, USA
| | | | - Adam M Qazi
- Internal Medicine, Wayne State University Detroit Medical Center, Detroit, USA
| | | | - Sharad Oli
- Pulmonary Critical Care, Wayne State University Detroit Medical Center, Detroit, USA
| | - Pragna Koleti
- Internal Medicine, Suburban Community Hospital, Norristown, USA
| | - Diane L Levine
- Internal Medicine, Wayne State University Detroit Medical Center, Detroit, USA
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Milan-Ortiz V, Damughatla AR, Kamatham S, Jawad ZN, Shakoor S. Myoclonic Jerks and Ataxia: A Case of Rare Neurological Side Effects of Amiodarone. Cureus 2022; 14:e28412. [PMID: 36171835 PMCID: PMC9509288 DOI: 10.7759/cureus.28412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/25/2022] [Indexed: 11/07/2022] Open
Abstract
We present the case of an 85-year-old man with a known medical history of recurrent ventricular arrhythmia and paroxysmal atrial fibrillation who was started on an amiodarone loading dose four days before presenting with tremors and balance impairment. Amiodarone's adverse effects in various systems have been well studied, although this is not the case with neurotoxic side effects. In this article, we discuss the neurotoxic side effects caused by amiodarone and the importance of a complete physical examination when starting this medication for supraventricular and ventricular arrhythmias.
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