Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_203»
«MEDICAL WRITING: CASE ABSTRACT_203»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
Necrotising fasciitis of the
shoulder in association with rheumatoid arthritis treated with etanercept: a
Necrotising fasciitis is a severe
infection characterised by the fulminant destruction of tissue with associated
systemic signs of sepsis and toxicity. Etanercept is a fully human fusion
protein that inhibits tumor necrosis factor and the inflammatory cascade. It is
effective in the treatment of many disorders but concerns regarding severe life
threatening infections have been raised in multiple reports.
We present the case of a
39-year-old Caucasian man, who presented with sudden onset of severe and
progressive neck and left shoulder pain, with a two-year history of
seronegative rheumatoid arthritis treated with azathoprine and etanercept. On
examination the left side of his neck and his left shoulder were oedematous,
tender with an erythematous rash and his active range of movement was limited.
Magnetic resonance imaging of his shoulder showed extensive oedema of the
subcutaneous and intramuscular fat of the left lower neck consistent with
fasciitis. He was treated medically and made a good recovery.
Our patient, while having a
pre-existing increased mortality risk, had a serious infection which responded
well to optimum medical treatment without the need for surgery. As anti tumor
necrosis factor agents are frequently associated with infection, including
tuberculous infection, this case highlights the need for a high index of
suspicion for other severe bacterial infections in patients on
Find in the abstract:
·Why is it important
·Needs to be reported
Answer the questions:
1.Is this the first report of this kind in the literature?
2.What are brief details of what the patient(s) presented with?
3.What the reader should learn from the case report?
4.What the clinical impact will be?
5.Is it an original case report of interest to a particular clinical
specialty of medicine?
6.Will it have a broader clinical impact across medicine?
7.Are any teaching points identified?
·Why abstract is the most important part for case
published in electronic databases?