20,922 results match your criteria BMJ Case Rep[Journal]


Cystic kidneys in a neonate: do not forget to examine pupils.

BMJ Case Rep 2020 Jul 2;13(7). Epub 2020 Jul 2.

Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

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http://dx.doi.org/10.1136/bcr-2020-236517DOI Listing

E-cigarette, or vaping, product use-associated lung injury (EVALI) treated with veno-venous extracorporeal membrane oxygenation (VV-ECMO) and ultra-protective ventilator settings.

BMJ Case Rep 2020 Jul 2;13(7). Epub 2020 Jul 2.

Division of Pulmonary, Critical Care, and Sleep Medicine, University of California San Diego, La Jolla, California, USA.

A 19-year-old man vaping with tetrahydrocannabinol presented with dyspnoea and right pneumothorax. History, imaging and negative infectious workup were consistent with E-cigarette, or vaping, product use-associated lung injury (EVALI). Treated with systemic steroids, he developed acute respiratory distress syndrome and was intubated requiring veno-venous extracorporeal membrane oxygenation (VV-ECMO) by hospital day 3. Read More

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http://dx.doi.org/10.1136/bcr-2020-234771DOI Listing

Ciprofloxacin/dexamethasone precipitate formation in the ear canal of a paediatric patient.

BMJ Case Rep 2020 Jul 2;13(7). Epub 2020 Jul 2.

Department of Clinical Sciences, High Point University Fred Wilson School of Pharmacy, High Point, North Carolina, USA.

This case report describes a paediatric patient diagnosed with otitis externa and treated with topical ciprofloxacin/dexamethasone. The patient completed the course of therapy and then developed precipitate formation from the pharmacological treatment. Laboratory testing of the precipitate confirmed the presence of a large quantity of ciprofloxacin. Read More

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http://dx.doi.org/10.1136/bcr-2020-234290DOI Listing

First report of paracoccidioidomycosis reactivation as a complication of immunosuppressive therapy for acute severe colitis in a caving enthusiast.

BMJ Case Rep 2020 Jul 2;13(7). Epub 2020 Jul 2.

Department of Gastroenterology, Weston Area Health NHS Trust, Weston-super-Mare, England, UK.

Treatment for ulcerative colitis often requires the administration of immunosuppressive therapy. Shortly after rescue therapy with infliximab for acute severe colitis, a patient who was also taking corticosteroids, azathioprine and adalimumab became rapidly unwell with atypical pneumonia, which did not respond to conventional antimicrobials. Re-examining the travel history revealed a prior caving trip to Costa Rica. Read More

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http://dx.doi.org/10.1136/bcr-2019-234125DOI Listing

Atezolizumab-induced type 1 diabetes mellitus in a patient with metastatic renal cell carcinoma.

BMJ Case Rep 2020 Jul 2;13(7). Epub 2020 Jul 2.

Department of Medicine, University of Maryland Baltimore, Baltimore, Maryland, USA

Checkpoint inhibitor immunotherapy has revolutionised cancer treatment since its inception. During an inflammatory response, activated cytotoxic T cells expressing programmed cell death protein 1 (PD-1) interact with programmed cell death-ligand 1 (PD-L1) on peripheral tissues to thwart an autoimmune reaction. Cancer cells upregulate PD-L1 expression to evade the immune system and are vulnerable to attack in the presence of PD-1 or PD-L1 checkpoint inhibitors. Read More

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http://dx.doi.org/10.1136/bcr-2019-233842DOI Listing

Radiographic changes of chronic recurrent multifocal osteomyelitis that persisted into adulthood.

BMJ Case Rep 2020 Jul 2;13(7). Epub 2020 Jul 2.

Clinical Medicine, New York Institute of Technology College of Osteopathic Medicine at Arkansas State University, Jonesboro, Arkansas, USA

Chronic recurrent multifocal osteomyelitis (CRMO) is a rare non-infectious autoinflammatory disorder typically seen in young women. We describe the case of a young man who presented at 13 years of age with pain in the tibia, humerus, clavicle and hip. Worsening of the condition through clinical presentation and radiographic imaging was observed over 10 years. Read More

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http://dx.doi.org/10.1136/bcr-2019-232106DOI Listing

Migrated subconjunctival crystalline lens: a traumatic phacocele.

BMJ Case Rep 2020 Jul 1;13(7). Epub 2020 Jul 1.

Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, AIIMS, New Delhi, Delhi, India.

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http://dx.doi.org/10.1136/bcr-2020-237014DOI Listing

Coinfection with SARS-CoV-2 and influenza A virus.

BMJ Case Rep 2020 Jul 1;13(7). Epub 2020 Jul 1.

Department of Respiratory Medicine, Yokkaichi Municipal Hospital, Yokkaichi, Mie, Japan.

Since December 2019, coronavirus disease 2019 (COVID-19) has been an international public health emergency. The possibility of COVID-19 should be considered primarily in patients with new-onset fever or respiratory tract symptoms. However, these symptoms can occur with other viral respiratory illnesses. Read More

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http://dx.doi.org/10.1136/bcr-2020-236812DOI Listing

Transcatheter arterial embolisation of a haemorrhagic renal cyst.

BMJ Case Rep 2020 Jul 1;13(7). Epub 2020 Jul 1.

Pulmonary, Critical Care, and Sleep Medicine, University of Florida, Gainesville, Florida, USA.

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http://dx.doi.org/10.1136/bcr-2020-236628DOI Listing

Hyperostosis frontalis interna diagnosed after a provoked seizure.

BMJ Case Rep 2020 Jul 1;13(7). Epub 2020 Jul 1.

Department of Neurology-Oncology, Baylor College of Medicine, Houston, Texas, USA.

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http://dx.doi.org/10.1136/bcr-2020-236520DOI Listing

Viral and bacterial coinfection of the respiratory tract in a 10-month-old child.

BMJ Case Rep 2020 Jul 1;13(7). Epub 2020 Jul 1.

Consultant, Department of Paediatrics and Neonates, North Manchester General Hospital, Manchester, England, UK.

A 10-month-old child, immunised appropriately for age, presented with a history of cough, vomiting, diarrhoea, increased work of breathing and eye redness for 1 week. She was treated for suspected bronchiolitis with supportive oxygen and hypertonic saline nebulisation. In view of continuing fever spikes and persistent oxygen requirement, she was evaluated further. Read More

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http://dx.doi.org/10.1136/bcr-2020-235295DOI Listing

Bilateral adrenal haemorrhage secondary to rivaroxaban in a patient with antiphospholipid syndrome.

BMJ Case Rep 2020 Jul 1;13(7). Epub 2020 Jul 1.

Internal Medicine and Pediatrics, Jackson Memorial Hospital, Miami, Florida, USA.

A 46-year-old man with antiphospholipid syndrome (APS) and previous pulmonary embolism on anticoagulation with rivaroxaban was brought in to the hospital after a syncopal episode. He was found to be hypotensive and tachycardic and later admitted to the intensive care unit. Clinical presentation and laboratory findings were consistent with adrenal insufficiency. Read More

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http://dx.doi.org/10.1136/bcr-2020-234947DOI Listing

Severe rhabdomyolysis and acute asymptomatic pancreatitis following the concomitant use of Biktarvy in the setting of hyperosmolar diabetic crisis.

BMJ Case Rep 2020 Jul 1;13(7). Epub 2020 Jul 1.

Department of Internal Medicine, HIV Reference Center, Hôpital Erasme, Université Libre de Bruxelles, Hopital Erasme, Bruxelles, Belgium.

Biktarvy (bictegravir/emtricitabine/tenofovir alafemanide), which has been recently approved for the treatment of HIV, is a single-pill regimen that associates bictegravir and a novel integrase strand transfer inhibitor (INSTI) with a combination of two nucleoside reverse transcriptase inhibitors (NRTI) of emtricitabine and tenofovir alafemanide. Among treatment complications, rhabdomyolysis has been reported in association with some NRTI and INSTI but never with bictegravir. Acute pancreatitis has also been reported recently with another INSTI, dolutegravir. Read More

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http://dx.doi.org/10.1136/bcr-2020-234483DOI Listing

Multidisciplinary management of ankyloblepharon filiforme adnatum.

BMJ Case Rep 2020 Jul 1;13(7). Epub 2020 Jul 1.

Craniofacial Unit, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

A female infant born at 41+6 weeks via emergency caesarean section due to failure to progress and maternal sepsis was found to have a small fibrous band connecting the upper and lower eyelids of the right eye. This was diagnosed as ankyloblepharon filiforme adnatum. The child was investigated for multisystemic malformations by the paediatric department, but none were found, and the partially fused right eyelid was dissected using microsurgical scissors to allow full opening of the eye. Read More

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http://dx.doi.org/10.1136/bcr-2020-234249DOI Listing

Lynch syndrome-associated colorectal cancer in a 16-year-old girl due to a mutation.

BMJ Case Rep 2020 Jul 1;13(7). Epub 2020 Jul 1.

Pediatrics, Ohio State University College of Medicine, Columbus, Ohio, USA

The diagnosis of paediatric colorectal cancer is an unusual finding often diagnosed at an advanced stage with associated poor survival. Paediatric colorectal cancer warrants investigation for hereditary cancer predisposition syndromes, including Lynch syndrome. Here we describe a 16-year-old girl who presented with a stage IIA mucinous adenocarcinoma of the descending colon (T3 N0 M0) treated by resection alone that was associated with a pathogenic germline mutation of (c. Read More

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http://dx.doi.org/10.1136/bcr-2019-233935DOI Listing

Monozygotic vanishing twin after single euploid blastocyst transfer.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

The Ronald O Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medicine, New York, New York, USA

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http://dx.doi.org/10.1136/bcr-2020-236015DOI Listing

Effectiveness of stenting with an intubation tube for a subglottic mass in an infant.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Department of Pediatrics, Dokkyo Medical University, Shimotsuga, Tochigi, Japan.

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http://dx.doi.org/10.1136/bcr-2020-235904DOI Listing

Postinfrapubectomy extruded one wax as cause of recurrent urethral polyp formation after progressive perineal urethroplasty: a rare scenario.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

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http://dx.doi.org/10.1136/bcr-2020-235813DOI Listing

No evidence of vertical transmission of SARS-CoV-2 after induction of labour in an immune-suppressed SARS-CoV-2-positive patient.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Department of Obstetrics and Gynaecology, Erasmus Medical Center, Rotterdam, Zuid-Holland, The Netherlands

We present a case of a 38+1 weeks pregnant patient (G1P0) with a proven COVID-19 infection, who was planned for induction of labour because of pre-existent hypertension, systemic lupus erythematosus, respiratory problem of coughing and mild dyspnoea without fever during the COVID-19 pandemic in March 2020. To estimate the risk of vertical transmission of Severe Acute Respiratory Syndrome CoronaVirus 2 (SARS-CoV-2) during labour and delivery, we collected oropharyngeal, vaginal, urinary, placental and neonatal PCRs for SARS-CoV-2 during the period of admission. All PCRs, except for the oropharyngeal, were negative and vertical transmission was not observed. Read More

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http://dx.doi.org/10.1136/bcr-2020-235581DOI Listing

Bradyarrhythmia secondary to vagus nerve stimulator 7 years after placement.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Cardiology, Monmouth Medical Center, Long Branch, New Jersey, USA.

We present a case of a 38-year-old man with a previous medical history of asthma and refractory epilepsy requiring vagal nerve stimulator (VNS) placement 7 years prior to the presentation who was found to be in atrial fibrillation with a rapid ventricular response during a preoperative evaluation, which prompted transoesophageal echocardiography and subsequent cardioversion. In preparation for cardioversion, the VNS was turned off and the patient was cardioverted to normal sinus rhythm. Following cardioversion, the VNS was activated again. Read More

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http://dx.doi.org/10.1136/bcr-2020-235514DOI Listing

Isolated second-phase diabetes insipidus post-transsphenoidal surgery.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Department of Diabetes and Endocrinology, Mater Dei Hospital, Msida, Malta.

A 57-year-old woman presented with severe lethargy, dizziness and nausea 1 week after transsphenoidal resection of a growth hormone secreting pituitary adenoma. She was found to have severe hyponatremia of 115 mmol/L. Importantly, she was neurologically intact and clinically euvolaemic. Read More

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http://dx.doi.org/10.1136/bcr-2020-235499DOI Listing

Unilateral Blaschko-linear eruption with Gottron-like papules: blaschkoid lupus erythematosus or dermatomyositis?

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India.

A 6-year-old boy presented with dusky erythematous plaques in linear and whorled pattern over limbs and trunk for the past 1 year along with subcutaneous nodule on the left cheek of 3 months duration. He also had Gottron-like and inverse Gottron-like papules on hands. Histology from truncal lesion showed interface dermatitis with superficial and deep perivascular and periappendageal infiltrate suggestive of discoid cutaneous lupus erythematosus (CLE), while biopsy from facial nodule revealed features of lupus panniculitis. Read More

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http://dx.doi.org/10.1136/bcr-2020-235498DOI Listing

Endovascular treatment of resistant hypertension in a young female with focal fibromuscular dysplasia.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, Delhi, India

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http://dx.doi.org/10.1136/bcr-2020-235481DOI Listing

Rasmussen's aneurysm in a child with acute lymphoblastic leukaemia.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Department of CTVS, Army Hospital Research and Referral, New Delhi, Delhi, India.

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http://dx.doi.org/10.1136/bcr-2020-235399DOI Listing

Laparoscopic sigmoid vaginoplasty: a salvage option for genitourinary fistula after failed McIndoe's repair.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Department of Urology, All India Institute of Medical Sciences, New Delhi, Delhi, India.

A 30-year-old woman presented with vesicovaginal fistula after a forceful intercourse. She was diagnosed as a case of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome 14 years ago and had underwent McIndoe's vaginoplasty using amniotic membrane. Similarly, another 14-year-old girl presented with an iatrogenic urethral and bladder neck injury during an attempt at McIndoe's vaginoplasty 4 months ago at another centre leading to urinary fistula with absent vagina. Read More

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http://dx.doi.org/10.1136/bcr-2020-235297DOI Listing

Fatal H1N1-related acute necrotising encephalopathy in an adult.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

General Medicine, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India

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http://dx.doi.org/10.1136/bcr-2020-235264DOI Listing

Aarskog-Scott syndrome: clinical and molecular characterisation of a family with the coexistence of a novel FGD1 mutation and 16p13.11-p12.3 microduplication.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

ENT Section, University of Catania Department of Surgical and Medical Sciences Advanced Technologies GF Ingrassia, Catania, Sicilia, Italy.

Aarskog-Scott syndrome (AAS), also known as facio-genital dysplasia or faciodigitogenital syndrome, is a rare genetic disorder clinically characterised by facial, limb and genitalanomalies. Although also autosomal dominance and recessive patterns have been reported, up to now, only an X linked form associated to mutations of the gene has been recognised as causative for this syndrome.In this case report, we describe a large Italian family in which three members across three generations show classical features of the syndrome. Read More

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http://dx.doi.org/10.1136/bcr-2020-235183DOI Listing

Haemolacria: a case of pseudomembranous conjunctivitis in a neonate.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Department of Adolescent and Child Health, Mater Dei Hospital, Msida, Malta.

We report an unusual case of an 11-day-old neonate presenting with haemolacria on a background of sticky conjunctival discharge. This was secondary to pseudomembranous conjunctivitis which responded well to systemic erythromycin. Early appropriate treatment is important to prevent progression of the ophthalmic infection, which could lead to blindness, and to prevent other manifestations of neonatal chlamydial infection, particularly pneumonia, which could be fatal. Read More

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http://dx.doi.org/10.1136/bcr-2020-235110DOI Listing

Feasibility and effectiveness of palliative intensity-modulated radiotherapy for carotid sinus syndrome secondary to recurrent head and neck cancer.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Department of Radiation Oncology, Osaka International Cancer Institute, Osaka, Japan.

A 74-year-old man presented with recurrent syncope 3 months after definitive surgery for hypopharyngeal cancer. The patient experienced dizziness and severe hypotension on the movement of the neck and head. CT revealed disease recurrence with masses encasing the left internal carotid artery. Read More

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http://dx.doi.org/10.1136/bcr-2020-235066DOI Listing

Translating research evidence into clinical practice: a reminder of important clinical lessons in management of resistant hypertension through a case study in general practice.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Department of General Practice, Curtin University Bentley Campus, Perth, Western Australia, Australia

A case of a 59-year-old man with resistant hypertension, despite 8 months of non-pharmacological and pharmacological management up to maximal doses of triple antihypertensive therapy. Review of the literature found a study that reported improved blood pressure control with bedtime dosing of antihypertensive treatment. Changing to bedtime dosage of antihypertensives resulted in significant improvement in blood pressure control to below target levels. Read More

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http://dx.doi.org/10.1136/bcr-2020-235007DOI Listing

Benign endobronchial lesion causing massive haemoptysis in a patient with haemophilia B.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Department of Internal Medicine, Michigan State University, East lansing, Michigan, USA.

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http://dx.doi.org/10.1136/bcr-2020-234970DOI Listing

Idiopathic spontaneous extensive iliocaval thrombosis presenting with renal infarct.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

We describe an extremely rare case of idiopathic spontaneous extensive venous thrombosis in a young man involving the inferior vena cava, the iliac veins and both renal veins associated with right haemorrhagic renal infarction with non-functioning right kidney. Read More

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http://dx.doi.org/10.1136/bcr-2020-234957DOI Listing

Stroke and spinal infarct caused by percutaneous coronary intervention.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Cardiology, University of Louisville, Louisville, Kentucky, USA.

Acute ischaemic stroke is a known risk of percutaneous coronary intervention (PCI). The incidence of such complications has increased in frequency over the last decade due to higher comorbidity burden and increased complexity of PCI procedures. The overall incidence of post-PCI ischaemic stroke remains low at 0. Read More

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http://dx.doi.org/10.1136/bcr-2020-234804DOI Listing

False-positive paracetamol levels in a patient with hyperbilirubinaemia: clinical perspectives.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Royal Preston Hospital, Preston, UK.

​Serum concentrations of paracetamol are measured to investigate the cause of acute hepatitis, monitor the clearance of paracetamol from the body and to determine if supratherapeutic levels warrant treatment with N-acetylcysteine (NAC). ​A 49-year-old man treated for ischaemic colitis developed worsening renal and liver function tests. As part of the investigation of hepatorenal failure, paracetamol levels were requested, which were elevated at 14 mg/L (normal <4 mg/L) resulting in treatment with NAC. Read More

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http://dx.doi.org/10.1136/bcr-2020-234702DOI Listing

Intracardiac metastasis from head and neck squamous cell carcinoma.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Department of Hematology/Medical Oncology, University of Missouri System, Columbia, Missouri, USA.

Cardiac metastasis from head and neck cancer is an extremely rare and devastating condition with an abysmal prognosis. Most of our knowledge about this condition is from case reports and series. We present a case of squamous cell carcinoma of the tonsils that was complicated by embolic stroke and critical limb ischemia that were found to be secondary to intracardiac metastasis. Read More

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http://dx.doi.org/10.1136/bcr-2020-234691DOI Listing

Effect of autologous adipose-derived mesenchymal stem cell therapy in combination with autologous platelet-rich plasma in the treatment of elbow tendinopathy.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Melbourne Stem Cell Centre, Box Hill North, Victoria, Australia.

Tendinopathy is a common condition of both the athletic and general population and can be associated with significant pain and disability. The ability of mesenchymal stem cells (MSCs) to differentiate along a mesodermal cell lineage, including tenocytes, and secrete various bioactive regenerative and anti-inflammatory molecules has seen them considered as a future reparative therapy for tendinopathy. Preclinical trials with MSCs have shown promising positive functional and structural outcomes in several connective tissue related conditions. Read More

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http://dx.doi.org/10.1136/bcr-2020-234592DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328806PMC

Filgrastim induced thrombocytopenia.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

George Washington University, Washington, District of Columbia, USA.

Drug-induced thrombocytopenia (DITP) is suggested by severe thrombocytopenia with subsequent recovery of platelet count after removal of the offending drug. The diagnosis is ascertained when there is reproducibility of thrombocytopenia with repeated exposure. Filgrastim is used during peripheral blood progenitor cell harvest during autologous stem cell transplantation in the setting of multiple myeloma to prolong event-free survival and overall mortality. Read More

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http://dx.doi.org/10.1136/bcr-2020-234584DOI Listing

Case of aggressive metastatic follicular variant papillary thyroid carcinoma with BRAF K601E and BCORL1 mutations.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Department of Endocrinology, Diabetes, and Metabolism, Mayo Clinic Florida, Jacksonville, Florida, USA.

BCL6 corepressor like-1 (BCORL1) mutation has rarely been described in thyroid cancer or in association with BRAF mutations in any malignancy. However, we report a 49-year-old woman who had aggressive follicular variant papillary thyroid carcinoma (FV-PTC) with both the BRAF K601E and BCORL1 mutations. The patient underwent a total thyroidectomy for a 3. Read More

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http://dx.doi.org/10.1136/bcr-2019-234208DOI Listing

Unexplained cause of thrombocytopenia, fever, anasarca and hypothyroidism: TAFRO syndrome with thrombotic microangiopathy renal histology.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Heamatology, Hopital Erasme, Brussels, Belgium.

TAFRO (thrombocytopenia, anasarca, fever, reticulin myelofibrosis or renal dysfunction and organomegaly) syndrome is a systemic inflammatory disease characterised by thrombocytopenia, anasarca, fever or inflammatory syndrome, reticulin myelofibrosis or renal dysfunction and organomegaly. It was first described as a subtype of idiopathic multicentric Castleman disease. Here, we report the case of a 42-year-old woman presenting with thrombocytopenia, anasarca, inflammatory syndrome, renal insufficiency, reticulin myelofibrosis at bone marrow biopsy and cervical and axillary lymph nodes. Read More

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http://dx.doi.org/10.1136/bcr-2019-234155DOI Listing

Ketoacidosis associated with ketogenic diet in a non-diabetic lactating woman.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Division of Pulmonary and Critical Care Medicine, South Shore Hospital, Weymouth, Massachusetts, USA.

A 37-year-old woman who had 8 weeks post partum, breast feeding and on a low carbohydrate and high protein (ketogenic) diet, was admitted to the hospital with acute onset of nausea, vomiting and abdominal pain of 1-day duration. On admission, she was found to have high anion gap metabolic acidosis, elevated beta-hydroxybutyric acid level, normal glucose level and evidence of ketoacidosis. She was treated with lactated Ringer solution, along with dextrose 5% solution with the resolution of symptoms and metabolic derangement. Read More

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http://dx.doi.org/10.1136/bcr-2019-234046DOI Listing

Bilateral acute anterior uveitis and iris atrophy caused by moxifloxacin.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Department of Ophthalmology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

A 56-year-old paramedic was admitted to hospital and treated for severe pneumonia. Shortly after initiating antibiotic treatment (including moxifloxacin), he developed bilaterally painful eyes and was diagnosed with bilateral acute anterior uveitis (AAU). Three years later, he was referred to the ophthalmology clinic with bilateral iris transillumination suggesting iris atrophy and limited pupillary dilation, indicating iris sphincter muscle paralysis. Read More

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http://dx.doi.org/10.1136/bcr-2019-233528DOI Listing

Venovenous anastomosis in macular telangiectasia type 2: an unusual presentation.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Department of Retina, LV Prasad Eye Institute, Hyderabad, India

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http://dx.doi.org/10.1136/bcr-2019-232325DOI Listing

Isolated oesophageal adenocarcinoma metastasis at percutaneous endoscopic gastrostomy (PEG) site.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Department of General and Upper GI Surgery, St James Hospital, Dublin, Ireland

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http://dx.doi.org/10.1136/bcr-2020-236778DOI Listing

Testicular seminoma with large direct iliac nodal metastasis: unusual presentation.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Urology and Renal Transplant, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

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http://dx.doi.org/10.1136/bcr-2020-236702DOI Listing

Wild-type transthyretin cardiac amyloidosis diagnosed in a patient in his 50s.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Cardiology, Shimane University Faculty of Medicine, Izumo, Japan

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http://dx.doi.org/10.1136/bcr-2020-236656DOI Listing

Importance of umbilical cord examination in neonates.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India

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http://dx.doi.org/10.1136/bcr-2020-236481DOI Listing

4-month-old boy coinfected with COVID-19 and adenovirus.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Pediatrics, Rush University Medical Center, Chicago, Illinois, United States.

A 4-month-old boy with a history of muscular ventricular septal defect and atopic dermatitis presented with decreased oral intake, loose stools, stuffy nose, mild cough and diaphoresis. The patient had an in-home exposure to COVID-19. The initial respiratory pathogen panel was positive for adenovirus, consistent with his symptoms. Read More

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http://dx.doi.org/10.1136/bcr-2020-236264DOI Listing

Antipsychotic pitfalls: idiopathic intracranial hypertension and antipsychotic-induced weight gain.

Authors:
Hirofumi Namiki

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Tokachi-Ikeda Community Center, Japan Association for Development of Community Medicine, Ikeda-cho, Nakagawa-gun, Hokkaido, Japan

Idiopathic intracranial hypertension (IIH) is a condition associated with poor vision and headaches that can cause disability and reduced quality of life. The onset of IIH is typically associated with sudden weight gain and obesity, which may be due to first-generation or second-generation antipsychotics. This case involved the use of quetiapine in an obese, 28-year-old woman; she gained significant weight after starting the antipsychotic and later developed headaches and blurred vision. Read More

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http://dx.doi.org/10.1136/bcr-2020-236161DOI Listing

Special dermatological presentation of paediatric multisystem inflammatory syndrome related to COVID-19: erythema multiforme.

BMJ Case Rep 2020 Jun 29;13(6). Epub 2020 Jun 29.

Infectious Disease Unit, University Hospital Geneva Children's Hospital, Geneve, Switzerland

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http://dx.doi.org/10.1136/bcr-2020-236986DOI Listing

Frydman-Cohen-Karmon syndrome: a rare syndromic association of blepharophimosis.

BMJ Case Rep 2020 Jun 29;13(6). Epub 2020 Jun 29.

Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India

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http://dx.doi.org/10.1136/bcr-2020-236373DOI Listing