An unusual anesthetic course in a patient susceptible to malignant hyperthermia.
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Biomedical subjects
Publications and source records attributed to K L Fridrich.
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An interesting case of a patient with dermatomyositis and a superimposed Ludwig's angina is presented. Dermatomyositis is a disease that is poorly understood and has many presenting characteristics similar to facial cellulitis and infection. In the present case the rapid progression of the clinical course necessitated prompt intervention. It was virtually impossible to differentiate between signs of dermatomyositis and an infectious process. No clear cause of the facial swelling was determined, but it was presumably from an ulcerative lesion in the floor of the mouth.
Maxillofacial pain is often managed by the use of mild analgesics, such as acetylsalicylic acid and nonsteroidal anti-inflammatory agents. The following is a review of an idiosyncratic phenomenon that could prove life-threatening following ingestion of these pharmaceuticals. A thorough review of the patient's past medical history with an understanding of this syndrome may alleviate such a danger.
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