Report
Catching Congenital Heart Disease in Adulthood with Mirror-like Arrhythmias
Issue:
Volume 14, Issue 3, June 2025
Pages:
44-48
Received:
4 April 2025
Accepted:
18 April 2025
Published:
19 May 2025
Abstract: This present casework concerns CHD with mirror like arrhythmias in a 64-year-old male which is accompanied by a large thrombus in right atrial chamber as seen through echocardiography. It isn’t a common presentation and since the patient came with signs that are not characteristic of CHD, several tests were done to arrive at the diagnosis of CHD through various images and examinations. The arrhythmogenic substrate for any adult CHD is versatile and encompasses all the variations of arrhythmias seen in normal adults, and however specific to congenital malformations such as WPW and Ebstein’s anomaly. The management of these arrhythmias depends on the severity; a walker may require an occasionally follow-up while one with symptoms like syncope will require invasive tests like cardiac catheterization and programmed electrical stimulation. Chronic VFIB/PVFIB is treated by antiarrhythmic medications and AICDs, while IART is treated by catheter ablation. This case shows that there is a need to improve public aw.reness regarding CHD in adults particularly when complicated by atypical arrhythmias. International and local approaches should be tailored to increase survival rates of patients and improve the diagnostic processes.
Abstract: This present casework concerns CHD with mirror like arrhythmias in a 64-year-old male which is accompanied by a large thrombus in right atrial chamber as seen through echocardiography. It isn’t a common presentation and since the patient came with signs that are not characteristic of CHD, several tests were done to arrive at the diagnosis of CHD th...
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Research Article
Comparative Analysis of Clinical Situation, Pathogen Distribution, and Antibiotic Resistance in Urinary Tract Infections Between Outpatients and Inpatients
Issue:
Volume 14, Issue 3, June 2025
Pages:
49-57
Received:
19 April 2025
Accepted:
3 May 2025
Published:
29 May 2025
DOI:
10.11648/j.cmr.20251403.12
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Abstract: Urinary tract infections (UTIs) are among the most prevalent bacterial infections in both community and healthcare settings. In this study, we conducted a retrospective analysis of 1,516 urinary tract infection (UTI) patients (1,179 inpatients and 337 outpatients) at the Fourth Affiliated Hospital of Soochow University between January 1, 2021, and December 31, 2024. The study aimed to compare clinical characteristics, pathogen distribution, and antibiotic resistance profiles between outpatient and inpatient UTI cases. Key findings revealed a significantly higher urine culture positivity rate in females compared to males, with this gender disparity being more pronounced among outpatients. The peak age of UTI onset varied between groups: inpatients (both sexes) and male outpatients exhibited the highest incidence in the 70-79-year age group, whereas female outpatients peaked earlier (50-59 years). Escherichia coli (E. coli) remained the predominant pathogen in both cohorts, though its prevalence was higher in outpatients. In contrast, inpatients displayed greater microbial diversity, with a broader spectrum of isolated pathogens. E. coli and Enterococcus isolates from inpatients demonstrated higher overall antibiotic resistance than those from outpatients. These findings underscore distinct epidemiological and resistance patterns between outpatient and inpatient UTI cases, providing critical insights for optimizing empirical antibiotic therapy and reinforcing the need for tailored antimicrobial stewardship strategies in these populations.
Abstract: Urinary tract infections (UTIs) are among the most prevalent bacterial infections in both community and healthcare settings. In this study, we conducted a retrospective analysis of 1,516 urinary tract infection (UTI) patients (1,179 inpatients and 337 outpatients) at the Fourth Affiliated Hospital of Soochow University between January 1, 2021, and ...
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,
Alattabi Mustafa Allawi Ismael
