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Alotaibi JJ, Albuqami B, Alotaibi W, Al Ghamdi RM, Alaskar M, Kuriry H, Almasri N. Denosumab-induced autoimmune hepatitis: Case report. Clin Case Rep 2024; 12:e8736. [PMID: 38634089 PMCID: PMC11021674 DOI: 10.1002/ccr3.8736] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Accepted: 03/24/2024] [Indexed: 04/19/2024] Open
Abstract
This report described a patient not known to have a hepatic disease, found to have a drug-induced autoimmune hepatitis from denosumab. This is an unreported side effect, and here, we presented the possible predisposing factors and suggested monitoring parameters.
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Affiliation(s)
| | | | | | | | | | - Hadi Kuriry
- Prince Sultan Military Medical CityRiyadhSaudi Arabia
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Al-Saleh S, Alshehri N, Alsiddiqi S, Rayis M, Eltahir S, AlDajjam K, Alzaid M, Alotaibi W. Sickle Cell Disease Phenotypes and Obstructive Sleep Apnea; Are They Related? Hematol Oncol Stem Cell Ther 2024; 17:130-136. [PMID: 38560974 DOI: 10.56875/2589-0646.1116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 08/26/2023] [Indexed: 04/04/2024] Open
Abstract
OBJECTIVE This study aims to compare the polysomnographic features between Arab-Indian and Benin phenotypes of sickle cell disease (SCD). MATERIALS AND METHODS This prospective cross-sectional study was conducted in the Children's Hospital at King Fahad MedicalCity, in Riyadhwhere childrenwere recruited fromthe pediatric hematology clinic and pediatric sleepmedicine. All families were approached and patients who met the inclusion criteria and agreed to participate were included in the study. RESULTS Eighty four children (37 of whom were females) with SCD were included in the study. Their median (interquartile) age was 9 (6.65, 11) years and their body mass index z score was -1.45 (-2.195, -1.45). The evidence of obstructive sleep apnea (OSA) was more prominent in the Benin phenotype (66.7%) in comparison to those of the Arab-Indian (35.2%) phenotype ( p = 0.006). Additionally, 56.7% of Benin had moderate to severe OSA whereas Arab-Indian had 18% with a ( p = 0.0003). Controlling for other factors, the odds ratio (confidence interval) of having OSA in Benin phenotype was 4.68 (1.42-15.38) times higher as compared to Arab-Indian phenotype. CONCLUSION The risk of having OSA as well as the severity of OSA is higher in Benin phenotype as compared to Arab-Indian phenotype which indicates the presence of potential OSA risk factors other than the SCD itself.
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Affiliation(s)
- Suhail Al-Saleh
- Department of Pediatrics, King Abdullah Bin Abdulaziz University Hospital, Riyadh, Saudi Arabia
| | - Norah Alshehri
- Department of Pediatrics, King Abdullah Bin Abdulaziz University Hospital, Riyadh, Saudi Arabia
| | - Sara Alsiddiqi
- Department of Pediatrics, King Abdullah Bin Abdulaziz University Hospital, Riyadh, Saudi Arabia
| | - Mohmmed Rayis
- Department of Hematology Oncology, King Fahad Medical City, Riyadh, Saudi Arabia
| | - Safa Eltahir
- Department of Pediatrics, King Fahad Medical City, Riyadh, Saudi Arabia
| | - Khaled AlDajjam
- Department of Pediatrics, King Fahad Medical City, Riyadh, Saudi Arabia
| | - Mohammed Alzaid
- Department of Pediatrics, King Fahad Medical City, Riyadh, Saudi Arabia
| | - Wadha Alotaibi
- Department of Pediatrics, King Fahad Medical City, Riyadh, Saudi Arabia
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Sultan H, AlNasser M, Assiri A, Tawhari F, Bakkari A, Mustafa M, Alotaibi W, Asiri A, Khudari A, Alshreem A, Ayoub M, Alkhathami S, Basndwah H, Alsaeed O, Alkredees M, Alsalem T, Alhuwail A, Almalki T, Alzahrani Y, Alshahrani F, Alqahtani B, Alghamdi B, Ibrahim ARN, Zaitoun M. Utilization of direct oral anticoagulants in a Saudi tertiary hospital: a retrospective cohort study. Eur Rev Med Pharmacol Sci 2023; 27:10076-10081. [PMID: 37916378 DOI: 10.26355/eurrev_202310_34188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/03/2023]
Abstract
OBJECTIVE This study aimed to assess the appropriateness of direct oral anticoagulants (DOACs) utilization in a Saudi tertiary hospital. PATIENTS AND METHODS Adult inpatients and outpatients diagnosed with atrial fibrillation, deep vein thrombosis, or pulmonary embolism were included in a retrospective cohort study. Patients received at least one month of apixaban, rivaroxaban, or dabigatran. The duration of the study at the Armed Forces Hospital Southern Region in Khamis Mushait, Saudi Arabia, was from January 1, 2019, to December 31, 2021. The study assessed the appropriateness of DOACs dosing, initial and follow-up monitoring, the presence of clinically significant interactions, and treatment duration adherence. RESULTS 778 patients were included in the analysis (mean age 71.34 ± 15.98 years, equal male and female representation). Rivaroxaban was administered to 40.8% of the patients, while apixaban and dabigatran were administered to 31.02% and 28.18% of the patients, respectively. The most prevalent indication for DOACs was atrial fibrillation (72.84%), followed by deep vein thrombosis and pulmonary embolism (27.16%). The most prevalent category of medication errors was inappropriate maintenance dose (41.7%), followed by inappropriate initial dose (37.97%) and lack of laboratory parameter monitoring (36.42%). 31.5 percent of the study sample lacked baseline renal functions, while 24.5% of patients lacked baseline liver functions. 115 patients (14.8%) had potential clinically significant interactions. Regarding treatment duration, 232 patients (29.8%) were improperly prescribed DOACs based on their indications. CONCLUSIONS In a significant proportion of DOAC patients, the prescribed rational DOAC utilization parameters were not implemented. The results of the study provide specific improvement areas and objectives for Anticoagulation stewardship programs.
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Affiliation(s)
- H Sultan
- Pharmaceutical Care Administration, Armed Forces Hospital Southern Region, Khamis Mushait Asir, Saudi Arabia.
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Alzaid M, Al-Mobaireek K, Almannai M, Mukhtar G, Eltahir S, Zafar A, Zada AP, Alotaibi W. Clinical and molecular characteristics of primary ciliary dyskinesia: A tertiary care centre experience. Int J Pediatr Adolesc Med 2021; 8:258-263. [PMID: 34401452 PMCID: PMC8356118 DOI: 10.1016/j.ijpam.2021.03.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Revised: 01/06/2021] [Accepted: 03/08/2021] [Indexed: 05/02/2023]
Abstract
BACKGROUND Primary ciliary dyskinesia (PCD) is a ciliopathy with diverse clinical and genetic findings caused by abnormal motile cilia structure and function. In this study, we describe the clinical characteristics of confirmed PCD cases in our population and report the radiological, genetic, and laboratory findings. METHODS This was a retrospective, observational, single-centre study. We enrolled 18 patients who were diagnosed with confirmed PCD between 2015 and 2019. We then analyzed their data, including clinical findings and workup. RESULTS In our cohort, 56% of patients had molecularly confirmed PCD, and RSPH9 was the most common gene identified. Transmission electron microscopy (TEM) showed an ultrastructural defect in 64% of samples, all of which matched the genetic background of the patient. Situs inversus (SI) was observed in 50% of patients, and congenital heart disease was observed in 33%. The median body mass index (BMI) was 15.87 kg/m2, with a median z score of -1.48. The median FEV1 value was 67.6% (z score - 2.43). Radiologically, bronchiectasis was noted in 81% of patients at a variable degree of severity. Lung bases were involved in 91% of patients. We were unable to correlate the genotype-phenotype findings. CONCLUSION We describe the clinical and molecular characteristics of patients with confirmed PCD in a tertiary centre in Saudi Arabia and report 9 new pathogenic or likely pathogenic variants in one of the PCD-associated genes.
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Affiliation(s)
- Mohammed Alzaid
- Pulmonary Division of the Pediatric Department, Children Specialized Hospital, King Fahad Medical City, Saudi Arabia
- Corresponding author. Pulmonary Division of the Pediatric Department, Children Specialized Hospital, King Fahad Medical City, Riyadh, PO Box 13514, Saudi Arabia.
| | - Khalid Al-Mobaireek
- Pulmonary Division of the Pediatric Department, King Khalid University Hospital, Saudi Arabia
| | - Mohammed Almannai
- Genetic and Metabolic Division of the Pediatric Department, Children Specialized Hospital, King Fahad Medical City, Saudi Arabia
| | - Gawahir Mukhtar
- Pulmonary Division of the Pediatric Department, Children Specialized Hospital, King Fahad Medical City, Saudi Arabia
| | - Safa Eltahir
- Pulmonary Division of the Pediatric Department, Children Specialized Hospital, King Fahad Medical City, Saudi Arabia
| | - Adnan Zafar
- Pulmonary Division of the Pediatric Department, Children Specialized Hospital, King Fahad Medical City, Saudi Arabia
| | | | - Wadha Alotaibi
- Pathology Department, Kind Fahad Medical City, Saudi Arabia
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Albassam D, Alzaid M, Alotaibi N, Alsadoon H, Alqazlan F, Alotaibi W. Pediatric gastropleural fistula, a complication of sleeve gastrectomy: Case report and brief review. Clin Case Rep 2021; 9:1078-1082. [PMID: 33768786 PMCID: PMC7981667 DOI: 10.1002/ccr3.3639] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 06/24/2020] [Revised: 10/28/2020] [Accepted: 11/08/2020] [Indexed: 02/01/2023] Open
Abstract
Gastropleural fistula (GPF) is a rare pathological communication between the stomach and pleura. It may complicate sleeve gastrectomy (SG). An endoscopic application of OTSC can be used to manage GPF.
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Affiliation(s)
- Dana Albassam
- Pediatric Pulmonary SectionChildren Specialized HospitalKing Fahad Medical CityRiyadhSaudi Arabia
| | - Mohammed Alzaid
- Pediatric Pulmonary SectionChildren Specialized HospitalKing Fahad Medical CityRiyadhSaudi Arabia
| | - Nawaf Alotaibi
- Gastroenterology DepartmentKing Fahad Medical CityRiyadhSaudi Arabia
| | - Hammad Alsadoon
- Pediatric Pulmonary SectionChildren Specialized HospitalKing Fahad Medical CityRiyadhSaudi Arabia
| | - Felwa Alqazlan
- Department of General PediatricsKing Fahad Medical CityRiyadhSaudi Arabia
| | - Wadha Alotaibi
- Pediatric Pulmonary SectionChildren Specialized HospitalKing Fahad Medical CityRiyadhSaudi Arabia
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Zafar A, Qureshi M, Alzaid M, Alotaibi W. Relationship of the size of MPA (main pulmonary artery) and MPA/Ascending aorta ratio with severity of bronchiectasis in children with PCD. Imaging 2020. [DOI: 10.1183/13993003.congress-2020.849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Alzaid MA, Eltahir S, Amin Ur Rahman M, Alotaibi W, Mobaireek K. An SFTPC gene mutation causes childhood interstitial lung disease: first report in the Arab region. JRSM Open 2020; 11:2054270419894821. [PMID: 32095252 PMCID: PMC7011330 DOI: 10.1177/2054270419894821] [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] [Indexed: 11/26/2022] Open
Abstract
Background Surfactant protein C dysfunction is one of the causes of childhood
interstitial lung disease but has not previously been reported in Arabian
countries. Case presentation A six-year-old girl had presented at the age of eight months old with
bronchiolitis followed by a persistent cough, dyspnea and hypoxaemia. She
was found to have gastroesophageal reflux disease, but her symptoms did not
resolve despite her therapy being optimised. Further tests, including a
chest computed tomographic scan, lung biopsy and genetic testing, confirmed
a diagnosis of surfactant protein C dysfunction. Conclusion We report the first case in the Arab region of childhood interstitial lung
disease caused by surfactant protein C deficiency.
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Affiliation(s)
| | - Safa Eltahir
- Pathology Department, King Fahad Medical City, Saudi Arabia
| | | | - Wadha Alotaibi
- Pathology Department, King Fahad Medical City, Saudi Arabia
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Eltahir S, Alzaid M, Mukhtar G, Alotaibi W. The Long-term Outcome of Sleeve Gastrectomy in Managing Obstructive Sleep Apnea in Prader–Willi Syndrome Patients: A Case Series. DSAHMJ 2020. [DOI: 10.2991/dsahmj.k.200916.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Alotaibi W, Eltahir S, Rayis M, Al-Mobaireek K, Alsarheed A, Mukhtar G, Jumayev J, Al-Saleh S. Pediatric sickle cell disease and obstructive sleep apnea: A cross-sectional study in a tertiary pediatric center in Saudi Arabia. J Family Community Med 2018; 25:183-187. [PMID: 30220848 PMCID: PMC6130169 DOI: 10.4103/jfcm.jfcm_153_17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
OBJECTIVE The aim of the study was to evaluate snoring and obstructive sleep apnea (OSA) in Saudi children with sickle cell disease (SCD). MATERIALS AND METHODS This cross-sectional study was conducted among children with SCD attending a hematology clinic were recruited. Demographics, clinical data, and sleep questionnaires were collected and overnight polysomnographies performed. RESULTS Seventy children (31 of whom were females) with SCD were included in the study. Their median (interquartile) age was 9 (6.5, 11) years and their body mass index z-score was -1.2 (-2.0, -0.4). Seventy-four percent of SCD patients snored and 32 (46%) had evidence of OSA (obstructive apnea-hypopnea index [OAHI] ≥2 events per hour of sleep), 13 of whom had moderate OSA (OAHI ≥5 and <10 events per hour of sleep) and 10 had severe OSA (OAHI ≥10 events per hour of sleep). CONCLUSION Snoring and the proportion of OSA were high in children with SCD. This underlines the importance of screening for OSA in all children with SCD.
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Affiliation(s)
- Wadha Alotaibi
- Department of Pediatrics, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
| | - Safa Eltahir
- Department of Pediatrics, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
| | - Mohmmed Rayis
- Department of Hematology Oncology, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
| | - Khalid Al-Mobaireek
- Department of Pediatrics, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
| | - Ayah Alsarheed
- Department of Pediatrics, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
| | - Gawahir Mukhtar
- Department of Pediatrics, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
| | - Jumageldi Jumayev
- Sleep disorders Center, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
| | - Suhail Al-Saleh
- Division of Respiratory Medicine, Hospital for Sick Children, Toronto, Ontario, Canada
- Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada
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Al-Haidary AS, Alotaibi W, Alhaider SA, Al-Saleh S. A newly identified novel variant in the CSF2RA gene in a child with pulmonary alveolar proteinosis: a case report. J Med Case Rep 2017; 11:122. [PMID: 28464852 PMCID: PMC5414320 DOI: 10.1186/s13256-017-1285-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 11/10/2016] [Accepted: 04/05/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The congenital form of pulmonary alveolar proteinosis due to colony stimulating factor 2 receptor alpha gene mutations is a rare disease with only a few cases reported worldwide. In this study we report a new case of pulmonary alveolar proteinosis with a novel variant in colony stimulating factor 2 receptor alpha gene. CASE PRESENTATION A 5-year-old Saudi boy presented with a history of progressive dyspnea over 6 months; he was diagnosed as having pulmonary alveolar proteinosis. A molecular study revealed a novel variation in colony stimulating factor 2 receptor alpha gene. His clinical condition showed significant improvement after whole lung lavage. CONCLUSIONS This case has the typical presentation of congenital pulmonary alveolar proteinosis due to colony stimulating factor 2 receptor alpha defect with a novel variant in this gene likely to be pathogenic.
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Affiliation(s)
- Adel S Al-Haidary
- Department of Pediatrics, King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Saudi Arabia.
| | - Wadha Alotaibi
- Department of Pediatrics, King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Saudi Arabia
| | - Sami A Alhaider
- Department of Pediatrics, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
| | - Suhail Al-Saleh
- The Hospital for Sick Children, 555 University Avenue, Toronto, M5G 1X8, ON, Canada
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Eltahir S, Ahmad KS, Al-Balawi MM, Bukhamsien H, Al-Mobaireek K, Alotaibi W, Al-Shamrani A. Lung disease associated with filamin A gene mutation: a case report. J Med Case Rep 2016; 10:97. [PMID: 27091362 PMCID: PMC4836084 DOI: 10.1186/s13256-016-0871-1] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [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: 07/27/2015] [Accepted: 03/15/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Mutations in the gene encoding filamin A (FLNA) lead to diseases with high phenotypic diversity including periventricular nodular heterotopia, skeletal dysplasia, otopalatodigital spectrum disorders, cardiovascular abnormalities, and coagulopathy. FLNA mutations were recently found to be associated with lung disease. In this study, we report a novel FLNA gene associated with significant lung disease and unique angiogenesis. CASE PRESENTATION Here, we describe a 1-year-old Saudi female child with respiratory distress at birth. The child then had recurrent lower respiratory tract infections, bilateral lung emphysema with basal atelectasis, bronchospasm, pulmonary artery hypertension, and oxygen and mechanical ventilation dependency. Molecular testing showed a new pathogenic variant of one copy of c.3153dupC in exon 21 in the FLNA gene. CONCLUSIONS Our data support previous reports in the literature that associate FLNA gene mutation and lung disease.
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Affiliation(s)
- Safa Eltahir
- King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Kingdom of Saudi Arabia
| | - Khalid S Ahmad
- King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Kingdom of Saudi Arabia
| | - Mohammed M Al-Balawi
- King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Kingdom of Saudi Arabia.
| | - Hussien Bukhamsien
- King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Kingdom of Saudi Arabia
| | - Khalid Al-Mobaireek
- King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Kingdom of Saudi Arabia
| | - Wadha Alotaibi
- King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Kingdom of Saudi Arabia
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Al-Balawi MM, Al-Mobaireek K, Alotaibi W, Al-Shamrani A, Ahmad KS, Al-Saleh S. Clinical presentation of air leak in an infant with undiagnosed cystic fibrosis: a case report. J Med Case Rep 2015; 9:161. [PMID: 26162999 PMCID: PMC4517638 DOI: 10.1186/s13256-015-0620-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2014] [Accepted: 05/25/2015] [Indexed: 11/26/2022] Open
Abstract
Introduction Air leak is a well-recognized complication of advanced cystic fibrosis in older children and adults but is extremely rare in infants. To the best of our knowledge, this is the youngest reported pediatric case of an air leak from a major airway. Case presentation A 4-month-old Yamani baby girl with a family history of cystic fibrosis initially presented with a history of a persistent paroxysmal cough for 3 weeks and vomiting for 1 week. Laboratory evaluation indicated pseudo-Bartter’s syndrome. Imaging showed a tracheal tear with pneumomediastinum and subcutaneous emphysema that was treated conservatively. Conclusions This case highlights the possibility of air leak in the population of young patients with cystic fibrosis and it shows a successful conservative management of tracheal tear. Physicians should consider cystic fibrosis in infants presenting with air leak.
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Affiliation(s)
- Mohammed M Al-Balawi
- King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Kingdom of Saudi Arabia.
| | - Khalid Al-Mobaireek
- King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Kingdom of Saudi Arabia.
| | - Wadha Alotaibi
- King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Kingdom of Saudi Arabia.
| | - Abdullah Al-Shamrani
- King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Kingdom of Saudi Arabia.
| | - Khalid S Ahmad
- King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Kingdom of Saudi Arabia.
| | - Suhail Al-Saleh
- The Hospital for Sick Children, 555 University Avenue, Toronto, M5G 1X8, , ON, Canada.
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Turkistani A, El-Dawlatly AA, Delvi B, Alotaibi W, Abdulghani B. Critical incident monitoring in a teaching hospital--the third report 2003-2008. Middle East J Anaesthesiol 2009; 20:97-100. [PMID: 19266834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
UNLABELLED Several factors have been incriminated in the etiologies of critical incidents: shortages in organizing rules, anesthesia technique, patient environment, human factor, team work and communication. This is the third follow up report describing our performance during the last five years (2003-2008). The possible incriminating causes were identified with the objective of avoiding such eventualities and consequently providing a better patient outcome. PATIENTS & METHODS The computerized database and the medical records of critical incidents reports in our Department during the period of 2003-2008 were reviewed on case-by-case basis. Seventy reported incidents were discussed in the Department's Morbidity & Mortality Meetings (MMM). Incidents were classified as per possible incriminating causes: pulmonary, cardiovascular, central nervous system, metabolic, inadvertent drug injection, communicating failure, equipment failure and miscellaneous causes. RESULTS Most of the critical incidents reports occurred during maintenance of anesthesia, followed next by during induction and next by same operative day later in the ward. The majority of cases were respiratory events (29 cases), followed by communication failure (12 cases), failure of equipment (9 cases) and inadvertent drug injection (4 cases). CONCLUSIONS Respiratory events, human errors, team communication and equipment failures, continue to be the leading causes of critical incidents. Critical incidents are apt to occur so long as the human factor is involved. Vigilance in operational efficiency and the scrutiny in drug administration, supervision and training should be closely monitored in order to minimize critical incident reports.
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Affiliation(s)
- Ahmed Turkistani
- Department of Anesthsia, College of Medicine, King Saud University, Riyadh
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Alotaibi W. Pediatric Anesthesia at King Khalid University Hospital “Arabic Abstracts”. J Taibah Univ Med Sci 2009. [DOI: 10.1016/s1658-3612(09)70113-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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El-Dawlatly A, Turkistani A, Alkattan K, Hajjar W, Delvi MB, Alshaer A, Alotaibi W, Damas F. Anesthesia for thymectomy in myasthenia gravis--a report of 115 cases. Middle East J Anaesthesiol 2008; 19:1379-1386. [PMID: 18942251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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