A case of Creutzfeldt-Jakob disease diagnosed with a combination of ER visit by the patient and a home visit by the physician
Ando, T.; Sato, K.; Ishiguro, H.; Karino, M.; Ito, C.; Shinagawa, T.; Takao, M.; Miyamori, T.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 37(Suppl 2): 204-206
2010
ISSN/ISBN: 0385-0684 PMID: 21368524 Document Number: 643320
In case of home care patient's health gets deteriorated, an admission is often requested due to a nursing care need rather than a medical need. However, it is often inevitable to transfer a patient to other nursing home, or to observe the patient at home, is caused by a limitation of medicalre sources and the capacity of the patient to adapt environmental changes. It may be criticized that a medical care of the elderly at home is left unattended as a consequence of the oversight of critical pathophysiologic changes. We have experienced a case diagnosed as Creutzfeldt-Jakob disease, which was not suspected at the initial visit of our ER unit. A grave hidden disease was recognized by next day's emergency visit and a follow-up elaboration examination at our hospital. Such cooperation may have a potency maintaining a home medical treatment level by grasping the precise pathophysiology of home elderly patients.