Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_269»
«MEDICAL WRITING: CASE ABSTRACT_269»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
Fatal septicemia in a
patient with cerebral lymphoma and an Amplatzer septal occluder: a case report
The Amplatzer septal occluder is
frequently used for percutaneous closure of an atrial septal defect.
Complications include thrombosis and embolism, dislocation, cardiac
perforation, and, rarely, infection. We report the case of a patient who had
survived an occluder-related thromboembolism two years previously.
A 72-year-old Caucasian woman had
received a septal occluder because of an atrial septal defect seven years ago.
Two years ago, she underwent chemotherapy of a non-Hodgkin lymphoma, developed
atrial fibrillation, and experienced a left-sided occluder thrombosis with
stroke and peripheral embolism. Now, she presented with cerebral lymphoma,
received glucocorticoids, and subsequently developed skin lesions. Swabs from
the lesions and blood cultures were positive for methicillin-resistant Staphylococcus
aureus and Pseudomonas aeruginosa. Endocarditis, however,
was considered only two months later and echocardiography suggested aortic
valve endocarditis. Despite antibiotic therapy, she died three days later
because of septicemia, and no post-mortem investigation was carried out. It
remains uncertain whether the septal occluder was endothelialized or infected
and whether explantation might have changed the outcome.
If infections occur in patients
with a septal occluder, endocarditis should be considered and echocardiography
should be performed early. To prevent a fatal outcome, explantation of the
septal occluder should be considered, especially in patients with problems that
suggest delayed endothelialization. Post-mortem investigations, including
bacteriologic studies, should be carried out in patients with a septal occluder
in order to assess the focal and global long-term effects of these devices.
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?