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Biomedical subjects

C Frigg

Publications and source records attributed to C Frigg.

3 recordsLinked to original sources

[Severe vertigo after a scuba-dive to 29 meters].

A 27-year-old flight instructor experienced 5 to 10 minutes after a scuba-dive to 29 m, which lasted totally 50 minutes, dizziness, nausea and severe vertigo. The symptoms lasted about an hour. The patient vomited several times and noted sudden onset headache and vertigo lasting the following three days. Hyperbaric oxygen therapy was started 30 hours after the event because decompression sickness was suspected. Transthoracic echocardiographic evaluation showed a patent foramen ovale. Diving accidents may be caused by decompression sickness, the formation of a free intravascular gas phase (bubbles) may result in transatrial shunting in the presence of a patent foramen ovale and may lead to neurological signs and symptoms. In this context the diver was advised to undergo closure of the atrial septal defect. Five months after the incident the patient underwent successful transcatheter occlusion of the PFO.

Adult↗

[Snakebite---intoxication by cobra venom].

A private reptile breeder who handled exotic snakes was bitten by a Cobra near his ear. An ambulance was immediately called and the patient was transferred under unstable hemodynamic conditions to the nearest major hospital. During transport the patient had to undergo cardiopulmonary resuscitation. In the hospital, his status again deteriorated and he was intubated at a Glasgow coma scale of 5 and vasoactive medications were given. The patient was transferred by helicopter to a university hospital, where several doses of antivenom were given. After 4 days of deep coma the patient regained consciousness and spontaneous respiration and was extubated. Around the location of the bite wound angioedema and local necrosis developed. Surgical treatment of the wound was not necessary and 8 days after the incident the patient was fully recovered and was discharged from the hospital.

Angioedema↗

[Acute febrile state].

A 34 year old airline pilot, who had spent nine days in Cameroon (Westafrica) presented for his yearly physical examination two weeks later. The physical examination and routine laboratory tests were within normal limits. The patient complained about mild pain of joints and extremities and about not feeling quite well. The same evening (a few hours after the physical examination) he experienced chills and fever (up to 39.5 degrees Celsius). He was seen subsequently by a tropical medicine specialist, who diagnosed Plasmodium falciparum on blood smears. The patient was immediately placed on Riamet, fever and symptoms disappeared completely within a few days.

Adult↗