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Related Concept Videos

Chronic Pharyngitis01:23

Chronic Pharyngitis

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Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
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Chronic Pancreatitis I: Introduction01:24

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The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
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Chronic Bowel Disorders: Introduction01:17

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Chronic Pancreatitis II: Collaborative Care01:29

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
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Chronic Kidney Disease I: Introduction01:25

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Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
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Chronic Obstructive Pulmonary Disease01:24

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COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
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Robotic Lateral Pancreaticojejunostomy for Chronic Pancreatitis
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Chronic meningococcemia.

Beatriz Prista-Leão1,2,3, Francisco Almeida1,2,3, Ana Cláudia Carvalho1,2,3

  • 1Infectious Diseases Department, Centro Hospitalar Universitário de São João, Alameda Professor Hernani Monteiro, 4200-319, Porto, Portugal.

Idcases
|February 22, 2019
PubMed
Summary

Chronic meningococcemia, a rare prolonged fever caused by Neisseria meningitidis, often presents with arthritis and rash. Early diagnosis and treatment are crucial for favorable outcomes and preventing transmission.

Keywords:
Arthritis-dermatitis syndromeChronic meningococcemiaMeningococcal rash and arthritisMild meningococcal disease

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Area of Science:

  • Infectious Diseases
  • Bacteriology
  • Clinical Medicine

Background:

  • Neisseria meningitidis causes a spectrum of diseases, from mild infections to asymptomatic carriage.
  • Chronic meningococcemia is a rare manifestation of N. meningitidis bacteremia, typically associated with serogroup B.
  • Diagnosis can be challenging due to intermittent bacteremia, leading to delayed recognition.

Observation:

  • A case of chronic meningococcemia in a young woman presented with prolonged fever, arthralgia, and exanthem.
  • The patient had no significant prior medical history.
  • Blood cultures were negative outside of febrile episodes, highlighting diagnostic difficulties.

Findings:

  • The patient's presentation included fever, joint pain, and a skin rash.
  • Prompt recognition and appropriate treatment led to a favorable outcome.
  • Early intervention is critical for resolving chronic meningococcemia without complications.

Implications:

  • High clinical suspicion is necessary for timely diagnosis of chronic meningococcemia.
  • Effective treatment can prevent progression to severe meningococcal disease.
  • Prompt management reduces the risk of N. meningitidis transmission and secondary cases.