10,321 results match your criteria 65-year-old patient

Multiple-Session Subthreshold Micropulse Laser Therapy for Exudative Perifoveal Vascular Anomalous Complex: a case report.

Retin Cases Brief Rep 2021 Jul 16. Epub 2021 Jul 16.

Department of Ophthalmology, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, South Korea.

Purpose: To report a case of exudative perifoveal vascular anomalous complex treated with a 532 nm subthreshold micropulse laser unresponsive to intravitreal injections.

Methods: A case report.

Results: A 65-year-old woman presented with blurred vision in left eye for 1 month. Read More

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Parotid saliva H-NMR analysis for colon cancer metabolomics: A case report.

Spec Care Dentist 2021 Jul 22. Epub 2021 Jul 22.

Dental Physical Sciences Unit, Centre for Oral Bioengineering, Institute of Dentistry, Queen Mary University of London, London, UK.

Background: A key priority in colon cancer research is the identification of molecular biomarkers to improve early diagnosis, guide prognosis, and the design of new therapeutic approaches. Saliva is a powerful diagnostic biofluid that can be used to detect systemic alterations. This study aimed to investigate the parotid saliva (PS) metabolic Proton Nuclear Magnetic Resonance ( H-NMR) profile of a patient diagnosed with colon cancer, and the subsequent changes 1 year after the end of chemotherapy. Read More

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Successful multimodality treatment for advanced hepatocellular carcinoma with tumor thrombosis of the main portal trunk: a case study.

Clin J Gastroenterol 2021 Jul 21. Epub 2021 Jul 21.

Department of Gastroenterology and Metabolism, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan.

The overall survival of patients with advanced hepatocellular carcinoma with tumor thrombosis of the main trunk or bilobar branches of the portal vein is extremely poor. Moreover, there is no standard treatment established for the condition. Herein, we present the case of a 65-year-old man who were treated the patient with hepatic arterial infusion chemotherapy, radiation therapy for tumor thrombosis, portal vein stent placement, lenvatinib administration, and renal venous shunt embolization. Read More

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Staphylococcus capitis Endocarditis of a Native Valve.

Cureus 2021 Jun 18;13(6):e15738. Epub 2021 Jun 18.

Internal Medicine, Jersey Shore University Medical Center, Neptune City, USA.

Described as primarily an opportunistic pathogen, is primarily found as normal flora of the human skin but has been defined in literature as being a rare cause of infective endocarditis. We present a case of an otherwise healthy 65-year-old male who presented to our institution with symptoms similar to septic emboli. Blood cultures were obtained and ultimately grew in both bottles with repeat cultures one day later confirming the growth. Read More

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An unusual case of Adrenocortical Adenocarcinoma with Biochemical Masquerade of Pheochromocytoma.

Pak J Med Sci 2021 Jul-Aug;37(4):1241-1243

Lubna Mirza Norman Regional Hospital, Norman, United State.

Adrenocortical carcinoma (ACC) is a rare malignancy that arises from the adrenal cortex and often presents as adrenal incidentaloma on abdominal scans with rise in the use of imaging modalities. ACC often presents as Cushing's syndrome or virilization. On the other hand, pheochromocytoma is an adrenal medullary tumor. Read More

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November 2020

Temporal association between SARS-CoV-2 and new-onset myasthenia gravis: is it causal or coincidental?

BMJ Case Rep 2021 Jul 21;14(7). Epub 2021 Jul 21.

Neurology, Care Hospital Banjara Hills, Hyderabad, India.

Several case reports of COVID-19 in patients with myasthenia gravis (MG) have been documented. However, new-onset autoimmune MG following COVID-19 has been reported very rarely. We report one such case here. Read More

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A pair of gout-like hands.

W Li X Man

Clin Exp Dermatol 2021 Jul 20. Epub 2021 Jul 20.

Department of Dermatology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

A 65-year-old man presented to our hospital with a 1-year history of multiple nodules on his arms and hands without itching or pain. He is suffering from autoimmune thrombocytopenia for more than 20 years and taking long-term oral glucocorticoids. He also had history of diabetes, hypertension and hyperthyroidism. Read More

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Descemet membrane suturing to manage recurrent graft detachment in a patient with Descemet membrane endothelial keratoplasty on failed penetrating keratoplasty.

Ther Adv Ophthalmol 2021 Jan-Dec;13:25158414211027705. Epub 2021 Jul 6.

Sussex Eye Hospital, Brighton and Sussex University Hospitals NHS Trust, Eastern Road, Brighton BN2 5BF, UK.

A 65-year-old patient with history of keratoconus, mild cataract and penetrating keratoplasty over 30 years ago developed corneal oedema subsequent of graft failure with best corrected visual acuity (BCVA) of counting fingers. He underwent a successful cataract surgery combined with a 7.25 mm Descemet's Membrane Endothelial Keratoplasty (DMEK) with Sodium Hexafluoride (SF6) gas. Read More

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Abdominal unicentric Castleman's disease: a case report.

Pan Afr Med J 2021 8;38:339. Epub 2021 Apr 8.

Gastroenterology Department, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.

Castleman's disease is a rare disease characterized by benign lymphoepithelial proliferation. There are two forms: unicentric and multicentric Castleman's disease. Mediastinal location is the most frequent. Read More

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Severe acquired haemophilia associated with asymptomatic SARS-CoV-2 infection.

BMJ Case Rep 2021 Jul 20;14(7). Epub 2021 Jul 20.

Department of Hematology Oncology, Northwell Health, New Hyde Park, New York, USA.

A 65-year-old man presented with symptoms of severe subcutaneous bleeding in his arm, which led to compartment syndrome requiring fasciotomy and massive blood transfusion protocol. Medical history was significant for history of autoimmune thyroid disease. Workup revealed elevated partial thromboplastin time, decreased factor VIII levels and elevated factor VIII inhibitor levels. Read More

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Cytological Appearances of Ovarian Seromucinous Borderline Tumor in Ascites: Presentation of 2 Cases.

Acta Cytol 2021 Jul 20:1-8. Epub 2021 Jul 20.

Department of Pathology, Saga University Hospital, Saga, Japan.

Background: Seromucinous borderline tumor (SMBT) is a rare neoplasm which was newly defined in the 2014 WHO classification. Although the clinical and histopathological characteristics of SMBT have been well described, its cytological characteristics have not. We recently experienced 2 cases of SMBT which were defined by cytological findings of ascites. Read More

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DICER1-Mutated Botryoid Fibroepithelial Polyp of the Parotid Duct: Report of the First Case.

Head Neck Pathol 2021 Jul 19. Epub 2021 Jul 19.

Institute of Pathology, Friedrich-Alexander University Erlangen-Nürnberg (FAU), University Hospital Erlangen (UKER), Krankenhausstrasse 8-10, 91054, Erlangen, Germany.

DICER1, a member of the ribonuclease III family, is involved in the biogenesis of microRNAs and, hence, it influences gene expression regulation. DICER1 germline (associated with the inherited DICER1 syndrome) or somatic mutations have been linked to tumorigenesis in histogenetically diverse benign and malignant neoplasms in different organs including pleuropulmonary blastoma, cystic nephroma, embryonal rhabdomyosarcoma, nasal chondromesenchymal hamartoma, poorly differentiated thyroid carcinoma, thyroblastoma, intracranial sarcoma and gonadal Sertoli-Leydig cell tumors in addition to others. Moreover, rare botryoid (giant) fibroepithelial polyps may harbor this mutation. Read More

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Laryngeal Cancer With Lung Metastases Showing Long-Term Complete Response and Delayed Immune-Related Adverse Event After Nivolumab Discontinuation.

Ear Nose Throat J 2021 Jul 19:1455613211031025. Epub 2021 Jul 19.

Department of Otorhinolaryngology, Head and Neck Surgery, Tokyo Medical University, Nishishinjuku, Tokyo, Japan.

We report a case of laryngeal cancer with multiple lung metastases that maintained a complete response (CR) for 18 months after discontinuing nivolumab treatment, with colitis developing 5 months after drug discontinuation. A 65-year-old man was diagnosed with T3N2cM0 stage IVA right supraglottic squamous cell carcinoma that progressed after 1 course of TPF (cisplatin, docetaxel, and 5-fluorouracil) as induction chemotherapy. He underwent total laryngectomy, bilateral neck dissection, pharyngeal reconstruction with anterolateral thigh flap, and creation of a permanent tracheostoma; extranodal extension was detected in the right cervical lymph node metastasis, and the patient underwent adjuvant radiotherapy. Read More

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Gastroenteropancreatic neuroendocrine neoplasm - a complex presentation in imaging methods.

Neuro Endocrinol Lett 2021 Jul 19;42(3):141-149. Epub 2021 Jul 19.

II. Department of Radiology, Faculty of Medicine of Comenius University in Bratislava and St. Elisabeth's Cancer Institute, Bratislava, Slovakia.

Neuroendocrine neoplasms comprise an ever greater ratio of primary gastrointestinal tract tumors, thanks to the improving diagnostics. The clinical presentation can be quite diverse depending on the type of the tumor. Imaging methods - both the spectrum of radiological methods and methods of nuclear medicine - are an integral part of the diagnostics. Read More

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65-year-old woman with hematemesis.

J Am Coll Emerg Physicians Open 2021 Aug 12;2(4):e12510. Epub 2021 Jul 12.

Department of Emergency Medicine Chang Gung Memorial Hospital, Linkou Branch Taoyuan Taiwan.

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Endoscopic revision of gastric bypass using plication technique: an adjustable approach.

VideoGIE 2021 Jul 28;6(7):311-315. Epub 2021 May 28.

Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Video 1This video case presentation highlights a 65-year-old woman with weight regain after Roux-en-Y gastric bypass and a dilated gastrojejunal anastomosis who presented for endoscopic revision of her gastric bypass involving a plication technique, followed by gastrojejunal anastomosis stenosis dilation. Read More

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Diagnostic and Management Considerations in a Patient With Primary Pulmonary Meningioma With Associated Micro-Solid Nodules.

Cureus 2021 Jun 16;13(6):e15700. Epub 2021 Jun 16.

Hematology and Medical Oncology, Jersey City Medical Center, Jersey City, USA.

Primary pulmonary meningiomas (PPMs) are rare mesodermal tumors that arise in the lung and are most often incidentally identified as single pulmonary nodules. Most cases of PPM are benign, and surgical resection remains the primary curative treatment. We describe the case of a 65-year-old asymptomatic female who presented with an incidentally identified 2. Read More

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Lead thrombus under standard-dose edoxaban in a patient with normal to high creatinine clearance and protein S deficiency.

Thromb J 2021 Jul 17;19(1):50. Epub 2021 Jul 17.

Department of Internal Medicine, Division of Cardiology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta Pei Road, Niao Sung District, Kaohsiung City, 83301, Taiwan.

Background: Non-vitamin K antagonist oral anticoagulants (NOACs) are as effective and safe as warfarin for thromboembolic prevention and treatment. The efficacy of NOACs lacks evidence from large and randomized studies in patients with inherited severe thrombophilia, including protein S deficiency. Further, some concerns still exist regarding the relative efficacy of edoxaban in preventing arterial thromboembolism in patients with normal to high creatinine clearance (CrCl). Read More

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Metastatic rectal cancer in the ampulla of Vater: A unique case.

Cancer Rep (Hoboken) 2021 Jul 17:e1510. Epub 2021 Jul 17.

Department of Surgery, University Hospital of Larissa, Larissa, Greece.

Background: A metastatic lesion located in the ampulla of Vater is considered extremely rare, with only 32 cases reported globally.

Case: A 65-year-old patient was primarily diagnosed with a rectal adenocarcinoma. Twenty-four months later as part of the oncological follow-up, the patient was diagnosed with a single secondary tumor in the ampulla of Vater. Read More

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Increased 68Ga-FAPI Uptake in Ankylosing Spondylitis in a Patient With Rectal Cancer.

Clin Nucl Med 2021 Jul 14. Epub 2021 Jul 14.

From the Department of Nuclear Medicine and Minnan PET Center, Xiamen Cancer Hospital, The First Affiliated Hospital of Xiamen University, Teaching Hospital of Fujian Medical University, Xiamen, China.

Abstract: Ankylosing spondylitis represents an inflammatory arthropathy with a predilection for the axial skeleton. We reported 68Ga-FAPI PET/CT finding of ankylosing spondylitis in a 65-year-old patient with rectal cancer. In addition to accumulating in primary tumor and metastatic lymph nodes, increased 68Ga-FAPI uptake was also observed in the sacroiliac and costovertebral joints, indicating sacroiliitis and spondylitis. Read More

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[Three Cases of Colon Medullary Carcinoma in Our Institution].

Gan To Kagaku Ryoho 2021 Jul;48(7):967-969

Clinical Education and Training Center, Kawasaki Medical School General Medical Center.

Medullary carcinoma of the colorectum is a relatively new histological subtype that was first described in the eighth edition of the Japanese classification of colorectal, appendiceal, and anal carcinoma. In our institution, only 3 cases of medullary carcinoma have been diagnosed since 2013. Case #1 was a 93-year-old woman with type 1 ascending colon cancer; she received a right hemicolectomy. Read More

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Brain Abscesses in Crohn's Disease as a Complication of Infliximab Therapy.

Cureus 2021 Jun 4;13(6):e15449. Epub 2021 Jun 4.

Internal Medicine/Gastroenterology and Hepatology, University of Missouri School of Medicine, Columbia, USA.

Infliximab therapy is highly effective in the treatment of Crohn's disease. Infliximab-induced immunosuppression increases the risk for various infections, including opportunistic infections. We describe a case of brain abscesses as a complication of infliximab therapy in a 65-year-old man. Read More

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A case of intracranial myxoid mesenchymal tumor with EWSR1:CREM fusion in an adult female: Extensive immunohistochemical evaluation.

Neuropathology 2021 Jul 13. Epub 2021 Jul 13.

Division of Neurosurgery, Department of Brain and Neurosciences, Faculty of Medicine, Tottori University, Tottori, Japan.

Intracranial myxoid mesenchymal tumor (IMMT) is a recently described, extremely rare group of neoplasms characterized by fusions between the female-expressed transcript (FET) family genes and the cAMP response element-binding protein (CREB) family genes. Controversy persists regarding whether the tumor is a myxoid variant of angiomatoid fibrous histiocytoma or a completely distinct clinicopathological entity. Here, we report a case of IMMT arising in the posterior fossa in a 65-year-old woman with a history of breast cancer. Read More

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Annual, seasonal, cultural and vacation patterns in sleep, sedentary behaviour and physical activity: a systematic review and meta-analysis.

BMC Public Health 2021 Jul 13;21(1):1384. Epub 2021 Jul 13.

Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, City East Campus, GPO Box 2471, Adelaide, SA, 5001, Australia.

Background: Time spent in daily activities (sleep, sedentary behaviour and physical activity) has important consequences for health and wellbeing. The amount of time spent varies from day to day, yet little is known about the temporal nature of daily activity patterns in adults. The aim of this review is to identify the annual rhythms of daily activity behaviours in healthy adults and explore what temporal factors appear to influence these rhythms. Read More

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An Unexpected Colonic Polyp: Cavernous Hemangioma.

Ann Coloproctol 2021 Jul 13. Epub 2021 Jul 13.

Department of Gastroenterology, Centro Hospitalar São João, Porto, Portugal.

Cavernous hemangiomas of the colon are rare, benign vascular lesions, and the site most commonly affected is the rectosigmoid junction. Surgical treatment is recommended for large diffuse lesions but in the presence of pedunculated lesions, endoscopic resection should be preferred if possible. We report a case of a 65-year-old man referred for colonoscopy after positive fecal occult blood, that revealed at the level of the sigmoid colon, a wide base pedunculated polyp (35 mm) occupying more than half of the lumen, with the covering mucosa with a vinous appearance. Read More

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Encephalopathy of Unclear Etiology: A Diagnostic Dilemma.

WMJ 2021 Jul;120(2):148-151

Department of Pulmonology, Marshfield Clinic Health System, Marshfield, Wisconsin.

Introduction: Drug reaction with eosinophilia and systemic symptoms (DRESS) is a potentially fatal condition caused by drug exposure resulting in hypersensitivity reaction with involvement of different organ systems.

Case Presentation: We present a case of a 65-year-old man with a recent history of right total knee arthroplasty complicated by wound infection on a regimen of vancomycin who was transferred to our hospital for further management of fever, rigors, altered mental status, acute hypoxic respiratory failure, acute kidney injury, and development of an erythematous rash.

Discussion: DRESS syndrome was considered definite in this patient according to the European Registry of Severe Cutaneous Adverse Reaction Criteria, also known as RegiSCAR. Read More

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Dialysis-related constrictive pericarditis: old enemies may sometimes come back.

J Bras Nefrol 2021 Jul 7. Epub 2021 Jul 7.

Hospital Alemão Oswaldo Cruz, Centro de Nefrologia e Diálise, São Paulo, SP, Brasil.

Cardiovascular disease is the main cause of death in patients with chronic kidney disease (CKD). Several heart conditions have been associated with CKD, including myocardial and pericardial diseases. This paper describes a case of Dialysis-related constrictive pericarditis in a patient diagnosed with sudden hypotension during a hemodialysis session. Read More

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Incidental Diagnosis of Multiple Paragangliomas by Ga-68 DOTANOC Positron Emission Tomography-Computed Tomography.

Asia Ocean J Nucl Med Biol 2021 ;9(2):173-176

Department of Nuclear Medicine, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.

A 65-year-old man presented with intermittent abdominal pain for three months. Abdominal ultrasonography revealed a mass in the body of the pancreas. Moreover, abdominal contrast-enhancing computed tomography revealed a homogenously enhancing mass in the body of the pancreas. Read More

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January 2021

Bone Fragment Granuloma Mimicking a Brain Tumor Following Placement of an Intracranial Pressure Monitoring System.

Cureus 2021 Jun 2;13(6):e15394. Epub 2021 Jun 2.

Neurosurgery, University of Puerto Rico, Medical Sciences Campus, San Juan, PRI.

The placement of intracranial pressure (ICP) monitoring system requires drilling an orifice in the skull. Bone fragments can accidentally be inserted into the brain parenchyma while introducing the ICP monitoring system during the procedure. An intracranial granuloma can be subsequently formed if a non-specific reaction is induced and maintained by the inserted bone fragment in the brain parenchyma. Read More

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Spontaneous Hemoptysis in a Patient With COVID-19.

Chest 2021 07;160(1):e39-e44

Department of Internal Medicine, Division of Infectious Diseases, Wayne State University, Detroit, MI.

Case Presentation: A 65-year-old man presented with shortness of breath, gradually worsening for the previous 2 weeks, associated with dry cough, sore throat, and diarrhea. He denied fever, chills, chest pain, abdominal pain, nausea, or vomiting. He did not have any sick contacts or travel history outside of Michigan. Read More

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