tailieunhanh - Báo cáo y học: " Palpitations following regular ibuprofen dosing in a 13-year-old girl: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Palpitations following regular ibuprofen dosing in a 13-year-old girl: a case report | Douglas Journal of Medical Case Reports 2010 4 76 http content 4 1 76 jAc JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Palpitations following regular ibuprofen dosing in a 13-year-old girl a case report Robert J Douglas Abstract Introduction The sensation of palpitations may either be the initial or the only symptom of cardiac arrhythmia. We describe a case of an apparent clear temporal relationship between standard ibuprofen dosing and palpitations. A review of the medical literature revealed this to be to the best of our knowledge the first reported case of this type. Case presentation A 13-year-old Caucasian girl initially presented to our clinic with hamstring tendinitis. She was commenced on a medication regimen of paracetamol and ibuprofen. After the third ibuprofen dose she experienced palpitations. These were associated with lower chest and or upper abdominal discomfort and a feeling of being hot and sweaty. Her symptoms ceased upon the cessation of ibuprofen therapy. Conclusion Cardiac arrhythmia is a potentially fatal disorder that may exhibit heart palpitations as its initial or only symptom. The prompt recognition of the cause of the symptom can reduce mortality and morbidity associated with any underlying pathological processes. There is a need to investigate cases of recurrent palpitations so as to exclude underlying structural cardiac pathology and or abnormal cardiac rhythm. Introduction Tendinitis or the inflammation of a tendon is a musculoskeletal disorder that is commonly seen in patients in general practice clinics. It is usually treated with a combination of rest simple analgesics a non-steroidal antiinflammatory drug NSAID and physical rehabilitation. In this case report we describe a case of cardiac palpitations that temporally appears to be caused by standard ibuprofen dosing an event that has not been previously described in the medical literature. Case presentation A 13-year-old Caucasian girl .

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