RESUMEN
Oncologic emergencies may be seen in any emergency department and will become more frequent as our population ages and more patients receive chemotherapy. Life-saving interventions are available for certain oncologic emergencies if the diagnosis is made in a timely fashion. In this article we will cover neutropenic fever, tumor lysis syndrome, hypercalcemia of malignancy, and hyperviscosity syndrome. After reading this article the reader should be much more confident in the diagnosis, evaluation, and management of these oncologic emergencies.
Asunto(s)
Neoplasias/terapia , Viscosidad Sanguínea/fisiología , Urgencias Médicas , Tratamiento de Urgencia/métodos , Enfermedades Hematológicas/diagnóstico , Enfermedades Hematológicas/terapia , Humanos , Hipercalcemia/diagnóstico , Hipercalcemia/terapia , Neoplasias/complicaciones , Neutropenia/diagnóstico , Neutropenia/terapia , Síndrome de Lisis Tumoral/diagnóstico , Síndrome de Lisis Tumoral/terapiaRESUMEN
BACKGROUND: Oriental Cholangiohepatitis (Clonorchis infestation) is caused by Clonorchis sinensis, a liver fluke endemic to China. OBJECTIVE: To discuss the presentation of clonorchiasis and diagnosis of this condition in the emergency department (ED). CASE REPORT: This is a case report of a Chinese woman who recently immigrated to the United States and was evaluated in a tertiary care urban ED. The patient presented with complaints of abdominal pain and was found on imaging to have clonorchiasis infestation of the bile ducts. She was admitted and treated for cholangitis and clonorchiasis infestation with piperacillin/tazobactam and praziquantel. CONCLUSION: History and imaging play an important role in diagnosis of this endemic parasitic abdominal infection.