Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_75»
«MEDICAL WRITING: CASE ABSTRACT_75»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
Suppurative thyroiditis due to aspergillosis:
a case report
Aspergillus, a nosocomial agent, is the most common fungal cause of suppurative
thyroiditis. Most patients with Aspergillus thyroiditis have
disseminated infection, primarily with lung compromise. Late diagnosis and
treatment, severity of immunosuppressive state and thyroid hormone overload
contribute to extremely high mortality rates.
We describe a 20-year-old
Caucasian man receiving corticosteroid suppression therapy for systemic lupus erythematosus.
He presented persistent fever with neck pain and pulmonary infection.
Piperacillin/tazobactam was initiated but after 2 days he developed hypoxemia,
vascular shock, severe anemia, lymphopenia, and high C-reactive protein.
Thyroid ultrasound revealed well-defined hypoechogenic clusters in both lobes
and laboratorial thyrotoxicosis but low triiodothyronine concentration. A
purulent substance was obtained on fine needle aspiration and drained.
Amphotericin B and fluconazole were added but he had unfavorable evolution and
died. Aspergillus fumigatus was defined only 2 days after his
This case serves to alert
clinicians to the possibility of infectious thyroiditis and reinforces the high
risk of aspergillosis in immunocompromised patients. Therefore, management
including voriconazole as first-line treatment or amphotericin B, in
association with broad-spectrum antibiotic therapy, should be adopted to
improve treatment outcome.
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?