کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2651737 1139522 2015 3 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Acute fever and seizure in a patient with recent atrial fibrillation ablation
ترجمه فارسی عنوان
تب حاد و تشنج در بیمار مبتلا به فیبریلاسیون دهلیزی اخیر
کلمات کلیدی
فیستول دهلیزی مری؛ تخریب فیبریلاسیون دهلیزی؛ تب؛ سپسیس؛ تشنج
Atrial-esophageal fistula; Atrial fibrillation ablation; Fever; Sepsis; Seizure
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

Patients undergoing radiofrequency ablation for treatment of atrial fibrillation may present critically ill with complications of atrial esophageal fistula, commonly manifesting as neurologic deficits and septicemia difficult to distinguish from other acute etiologies without a high index of suspicion. The temporal variability in fistula formation and symptom presentation, along with their nonspecific features, makes diagnosis often a late finding with historically high morbidity and mortality. We present a patient admitted to a medical intensive care unit with status epilepticus and recurrent positive blood cultures for organisms commonly associated with the gastrointestinal (GI) tract. Chest computed tomography (CT) without contrast, transthoracic echocardiography, and initial neurologic imaging were unhelpful. A diagnosis was ultimately made by upper endoscopy of the esophagus after hematemesis with suspicion for GI bleed, at which point surgical intervention was attempted but without success. This case reviews the clinical features of atrial esophageal fistula formation and its initial diagnosis and management.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Heart & Lung: The Journal of Acute and Critical Care - Volume 44, Issue 4, July–August 2015, Pages 314–316
نویسندگان
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