Infectious disease
The proposed scoring system for hospitalization or discharge of patients with COVID-19

Enayatollah Noori; Mostafa Vahedian; Sajjad Rezvan; Neda Minaei; Reihane Tabaraii

Volume 8, Issue 1 , January 2022, , Pages 60-63

Abstract
  Objective: Since the outbreak of coronavirus disease 2019 (COVID-19), the triage ofpatients diagnosed with corona virus has been a very important issue. The aim of thisstudy was to introduce a triage scoring system according to the clinical and para-clinicalfindings of patients in order to be admitted ...  Read More

Emergency medicine
Two year-old boy with ischemic stroke

Mustafa Bolatkale; Çağdaş Can; Ahmet Çağdaş Acara

Volume 3, Issue 2 , July 2017, , Pages 71-72

Abstract
  Arterial ischemic stroke (AIS) in adults is considered a serious health threat and requires urgent medical treatment. Prompt diagnosis allows the therapeutic option of thrombolysis within the time window of 3 to 6 hours after first symptoms. Alternatively, early anti-platelet therapy is effective in ...  Read More

Infectious disease
Posterior reversible encephalopathy syndrome due to COVID-19

Maythem Abdulhassan Al Kaisy

Volume 7, Issue 2 , July 2021, , Pages 143-145

Abstract
  Objective: During the late 2019, a group of patients had unexplained chest infections in Wuhan which turned out to be the new pandemic coronavirus disease 2019 (COVID-19). New neurological symptoms have been reported in COVID-19 patients. Posterior reversible encephalopathy syndrome (PRES) is a new neurological ...  Read More

Clinical Toxicology
Seizure after a massive infusion of N-acetylcysteine and successful treatment with a good outcome

Khadijeh Saravani

Articles in Press, Corrected Proof, Available Online from 13 June 2022

Abstract
  Objective: N-acetylcysteine is frequently used as an efficacious antidote for acetaminophen toxicity. It prevents liver injury induced by paracetamol and in most cases the overdose of acetylcysteine produces mild clinical effects.Case Presentation: Here we describe a patient who self-treated himself ...  Read More

Clinical Toxicology
Pseudo-SAH in a patient with methanol poisoning

Elham Pishbin; Hamidreza Reihani; Bahram Zarmehri; Mahdi Foroughian

Volume 8, Issue 1 , January 2022, , Pages 64-65

Abstract
  Objective: Methanol poisoning is a dangerous life-threatening event, manifested withvarious symptoms, sometimes very rare ones, that all should be addressed to preventmisdiagnosis of the methanol-poisoned patients.Case Presentation: A 21-year-old young man was brought to the emergency department(ED) ...  Read More

Emergency medicine
Unilateral cyanosis on tongue as an unusual appearance in emergency department: a case report

Seyed Reza Habibzadeh; Esmaeil Rayat Dost; Saeed Barazandehpour; Mahdi Foroughian

Volume 7, Issue 1 , January 2021, , Pages 69-70

Abstract
  Introduction: Unilateral and bilateral tongue cyanosis usually occurs due to the Raynaud syndrome and in the underlying severe types of vasculitis and rheumatology.Case Presentation: The present study was conducted on a 54-year-old woman who referred to the emergency department with complaints of ...  Read More

Emergency medicine
For whom the desert bell tolls: heat stroke or stroke

Mustafa Bolatkale; Çağdaş Can; Ahmet Çağdaş Acara

Volume 3, Issue 2 , July 2017, , Pages 73-74

Abstract
         Heat stroke is the most complicated and dangerous amongst heat injuries that can lead to irreversible injury and even death with itself or with creating predisposibility to different diseases. The following case report depicts a patient who presented primarily with impairment ...  Read More

Emergency medicine
Fournier’s gangrene following an ant bite in a healthy man: A very rare case report

Abbas Edalatkhah; Mohammad Ali Jafari; Sima Valizadeh; Alireza Esmaeili; Ehsan Zarepur

Volume 6, Issue 2 , July 2020, , Pages 115-117

Abstract
  Objective: Necrotizing fasciitis of the perinea, referred to as Fournier’s gangrene, is a necrotizing infection of the perinea. To the best of our knowledge, there is no report on the Fournier’s gangrene following an ant bite and this is a rare case report of this type.Case Presentation: ...  Read More

Emergency medicine
How much can a small bursa stretch? A curious case of massive superficial infrapatellar bursitis in the emergency departme

Ganesh Singh Dharmshaktu; Tanuja Pangtey

Volume 7, Issue 2 , July 2021, , Pages 146-148

Abstract
  Introduction: Inflammation of the infrapatellar bursa results from various causes like trauma, infection and overuse. Superficial skin or soft tissue infection can also lead to occasional septic bursitis. Infrapatellar bursa has two parts, superficial and deep bursae. Superficial bursa inflammation reactive ...  Read More

Critical Care
Renal infarction mimicking cholecystitis: a case report of a patient presenting with stroke

Sadaf Sheikh; Umair Javed

Articles in Press, Accepted Manuscript, Available Online from 27 April 2022

Abstract
  Objective: Renal infarction which is a rare phenomenon can be missed on the patient’s work up making its incidence low.Case Presentation: We report a 68-year-old lady with known history of hypertension presented with epigastric pain and vomiting for 4 days. During her stay in the emergency room, ...  Read More

Emergency medicine
Painless aortic dissection with slurred speech (Neurologic symptom)

Esmaeal Rayat Dost; Saeed Barazandehpour; Navid Kalani; Samaneh Abiri

Volume 7, Issue 1 , January 2021, , Pages 71-73

Abstract
  Objective: Aortic dissection is an uncommon disorder with a high mortality rate, especially if misdiagnosis and mistreatment are not considered. Case Presentation: We present a 67-year old female with slurred speech and left sided plegia during her brother’s funeral. The patient did not have ...  Read More

Emergency medicine
A patient with a traumatic brain injury due to barrel bomb tertiary blast effect

Mustafa Bolatkale; Çağdaş Can; Ahmet Çağdaş Acara; Aydın Sarıhan

Volume 3, Issue 2 , July 2017, , Pages 75-76

Abstract
   Preparing to manage weapons of mass destruction events challenges emergency services systems neighboring Syria every day. Understanding injury from explosives is essential for all providers of emergency care in both civilian and military settings. In this case, the authors present a 22-year-old ...  Read More

Emergency medicine
Cellulitis: when to say its treatment failure

Sadaf Sheikh

Articles in Press, Accepted Manuscript, Available Online from 27 April 2022

Abstract
  Cellulitis is treated with antibiotics as routine management and based on the literature the cellulitis hospitalization can be avoided by 11% if appropriate antibiotics are used.1 Randomized clinical trials and Cochrane reviews have suggested that oral antibiotics are non-inferior to intravenous administration ...  Read More

Emergency medicine
An unusual case of both bones forearm shaft fracture with ipsilateral distal radio-ulnar joint disruption

Atul Rai Sharma; Akash Singhal; Anurag Patil; Gladson David Masih

Volume 8, Issue 1 , January 2022, , Pages 66-68

Abstract
  Objective: Distal radioulnar joint (DRUJ) subluxation with associated both bones forearm fracture is a rare clinical entity and is easily missed, leading to significant functional limitations.Case Presentation: A 28-year-old male fell on the outstretched hand and suffered left side both bones forearm ...  Read More

Clinical Toxicology
Medical system error causing methotrexate poisoning and delay in diagnosis: report of two cases

Hamidreza Reihani; Maryam Ziadi Lotfabadi

Volume 7, Issue 1 , January 2021, , Pages 74-76

Abstract
  Objective: We are going to alert the emergency physicians to be aware of drugs side effects. Some drugs like methotrexate are not routine drugs, and the symptoms may be miss diagnosed if not completely notified.Case Presentation: We present two patients under treatment with methotrexate. Both of them ...  Read More

Emergency medicine
Case report of a piece of dishwashing steel wool in a child’s pharynx

Parvin Aَbbaslou; Maryam Ahmadipour

Volume 6, Issue 2 , July 2020, , Pages 118-120

Abstract
  Objective: Foreign body swallowing is a common pediatric problem. A foreign body in the pharynx is a medical emergency that requires urgent intervention. Evaluation and treatment of pharyngeal foreign bodies is much more difficult in children than in adults and sometimes requires hospitalization and ...  Read More

Emergency medicine
A woman with a postpartum severe headache

Mustafa Mahmood Eid

Volume 7, Issue 1 , January 2021, , Pages 77-79

Abstract
  Objective: Epidural anesthesia is one of the famous, generally safe, and most requestedpain relief measures in labor. Nevertheless, it can have some complications thoughpneumocephalus and subdural effusion are very rare complications.Case Presentation: A 32-year-old woman presented with a severe persistent ...  Read More

Clinical Toxicology
When numbers can be misleading: lithium induced irreversible neurotoxicity at therapeutic drug levels

Jyoti Aggarwal; Zainab Mehdi; Baldeep Kaur; Yuvraj Singh Cheema; Monica Gupta

Volume 8, Issue 1 , January 2022, , Pages 69-73

Abstract
  Objective: Lithium is a principal drug used in the treatment of bipolar disorder (BPD). Due to its narrow therapeutic index, serum levels need to be monitored regularly. In elderly patients with renal dysfunction lithium toxicity can develop paradoxically within the therapeutic range. This can lead to ...  Read More

Clinical Toxicology
Severe hemoglobinuria due to Hemiscorpius enischnochela (Scorpiones: Hemiscorpiidae) envenomation from South of Iran

Mehran Shahi; Seyed Hamid Moosavy; Hossein Sanaei-Zadeh

Volume 6, Issue 2 , July 2020, , Pages 121-125

Abstract
  Objective: Scorpion stings are common in tropical regions of Iran. Hemiscorpius enischnochela are distributed in southern part of Iran. The venom of this scorpion causes severe hemolysis, hemoglobinuria, and occasionally death.Case Presentation: This report describes the clinical manifestations of envenomation ...  Read More

Emergency medicine
An acute ST-elevation myocardial infarction which went viral

Chui King Wong; Glen Chiang Hong Tan; Mohd Johar Jaafar

Volume 8, Issue 1 , January 2022, , Pages 74-76

Abstract
  Objective: ST-elevations in electrocardiogram (ECG) secondary to an acute myocarditis may mimic ST-elevation myocardial infarction (STEMI). It is vital to distinguish between the two entities to avoid inappropriate clinical management and complications.Case Presentation: A previously well 19-year-old ...  Read More

Emergency medicine
Base of skull fracture leading to pneumomediastinum and pneumo-retroperitoneum: a case report with review of literature

Garima Sharma; Sanya Vermani; Anjum Syed

Volume 8, Issue 1 , January 2022, , Pages 77-79

Abstract
  Objective: The presence of air within the mediastinal compartment and retro-peritoneal compartment, in the setting of trauma, can be because of visceral and skeletal injuries. However, in absence of a local site injury, an approach based on anatomical communication between various body compartments should ...  Read More

Emergency medicine
Pneumoperitoneum due to pneumothorax in blunt thoracoabdominal trauma: A diagnostic challenge

Luis Miguel Castro; Rui Manuel Mendes; Coelho Fátima Borges; Capella Vanessa; Ávila Leonor

Volume 8, Issue 1 , January 2022, , Pages 80-82

Abstract
  Objective: A Perforation of hollow viscus is the most common cause of pneumoperitoneumafter a blunt thoracoabdominal trauma and demands prompt surgical exploration.Alternative routes into the peritoneal cavity, such as the presence of a diaphragmaticlaceration associated with pneumothorax, although rare, ...  Read More

Clinical Toxicology
Compsobuthus matthiesseni sting from Bazoft: A case report

Rouhullah Dehghani; Kobra Taji; Amrollah Mahmoudi; Masoomeh Varzandeh

Volume 8, Issue 1 , January 2022, , Pages 83-85

Abstract
  Objective: A Scorpion sting is one of the most important health and medical problems in most parts of Iran.Case Presentation: This case report occurred in Chaharmahal Bakhtiari province of Bazoft city. The injured person was a 48-year-old woman, weighing about 69 kg. Two documentary filmmakers were on ...  Read More