17,540 results match your criteria BMJ Case Reports [Journal]


Cardiac arrest by inhalation of deodorant spray.

BMJ Case Rep 2018 Nov 15;2018. Epub 2018 Nov 15.

Intensive Care, Maasstad Ziekenhuis, Rotterdam, The Netherlands.

Drug abuse by inhalation of volatile household product substances is uncommon, however, it can have devastating consequences. This case report describes the fatal outcome of deodorant inhalation by a 19-year-old patient in a detoxification clinic who developed a cardiac arrest after inhaling butane from a deodorant spray. Despite initial successful resuscitation, he developed a postanoxic encephalopathy with a status epilepticus resistant to extensive treatment. Read More

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http://dx.doi.org/10.1136/bcr-2018-224345DOI Listing
November 2018
1 Read

Parry-Romberg syndrome in a patient with scleroderma.

BMJ Case Rep 2018 Nov 14;2018. Epub 2018 Nov 14.

Department of Dermatology, Southend University Hospital NHS Foundation Trust, Westcliff-on-Sea, UK.

Parry-Romberg syndrome (PRS) is characterised by progressive but self-limiting facial hemiatrophy. We describe a 48-year-old woman with a 3-year history of gradually worsening right facial hemiatrophy on a background of scleroderma. Her initial primary concern was alopecia. Read More

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http://dx.doi.org/10.1136/bcr-2018-226754DOI Listing
November 2018
2 Reads

Obstructive sleep apnoea and hypoventilation in an adult with congenital myasthenic syndrome.

BMJ Case Rep 2018 Nov 14;2018. Epub 2018 Nov 14.

Johns Hopkins Hospital and Health System, Baltimore, Maryland, USA.

In this case report, we describe an adult male with congenital myasthenic syndrome due to mutations in muscle-specific receptor tyrosine kinase (, c.79+2 T>G; IVS1 +2 T>G, c.2368 G>A, Val790Met) presenting with sleep apnoea and hypercapnic respiratory failure. Read More

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http://dx.doi.org/10.1136/bcr-2018-226534DOI Listing
November 2018
2 Reads

Clinical and radiological findings in a severe case of cleidocranial dysplasia.

BMJ Case Rep 2018 Nov 12;2018. Epub 2018 Nov 12.

Division of Oral and Maxillofacial Radiology, Department of Diagnostic Sciences, Rutgers School of Dental Medicine, Newark, New Jersey, USA.

Cleidocranial dysplasia (CCD) is a rare congenital autosomal dominant condition, causing hypoplasia of the clavicle, abnormal formation of teeth, skeletal and craniofacial bones. CCD is caused by the mutation of RUNX2/CBFA1 present in the short arm of chromosome 6 at position 21.1, a transcription factor essential for the formation of teeth, cartilage and bone. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22667
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http://dx.doi.org/10.1136/bcr-2018-226671DOI Listing
November 2018
7 Reads

Renal pseudomass: be aware of splenorenal fusion.

BMJ Case Rep 2018 Nov 12;2018. Epub 2018 Nov 12.

Department of Radiology, Shiraz University of Medical Sciences, Shiraz, The Islamic Republic of Iran.

Splenosis is the heterotopic implantation of splenic tissue that usually occurs in a previous major abdominal trauma or splenectomy setting. However, splenorenal fusion is an uncommon entity, categorised as a developmental anomaly. There have been several confirmed cases in the literature. Read More

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http://dx.doi.org/10.1136/bcr-2018-226652DOI Listing
November 2018
2 Reads

Cerebral tuberculomas in a 6-year-old girl causing central diabetes insipidus.

BMJ Case Rep 2018 Nov 12;2018. Epub 2018 Nov 12.

Consultant Paediatric Infectious Diseases and Immunology, Imperial College Healthcare NHS Trust, St Mary's Hospital, London, UK.

A 6-year-old girl presented acutely with worsening frontal headaches. She had a 3-month history of lethargy, reduced appetite, weight loss, cough and intermittent fevers. A chest X-ray showed a left upper lobe consolidation, and a CT head showed multiple enhancing lesions with significant surrounding oedema in both cerebral hemispheres. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22659
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http://dx.doi.org/10.1136/bcr-2018-226590DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6254463PMC
November 2018
4 Reads

Bilateral central retinal artery occlusion from catastrophic antiphospholipid syndrome.

BMJ Case Rep 2018 Nov 12;2018. Epub 2018 Nov 12.

Department of Internal Medicine, John H Stroger Jr Hospital of Cook County, Chicago, Illinois, USA.

A 23-year-old woman with history of systemic lupus erythematous presented with dizziness and headache and was admitted for the stroke workup. During her stay, she had sudden painless loss of vision in her right eye consistent with central retinal artery occlusion (CRAO). Ocular massage and paracentesis were attempted without success to resume the flow. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22646
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http://dx.doi.org/10.1136/bcr-2018-226463DOI Listing
November 2018
7 Reads

Anti-HMGCR antibody-associated necrotising myopathy and its association with statin use.

BMJ Case Rep 2018 Nov 12;2018. Epub 2018 Nov 12.

Neuroscience, Mater Dei Hospital, Msida, Malta.

A 66-year-old man presented with chest pain and a 1-year history of generalised weakness, accompanied with generalised aches and pains. Symptoms worsened when he was initiated on statins. Investigations yielded high creatine kinase, high HMG-coenzymeA reductase (HMGCR) antibody titre, myopathic features on electromyography and muscle biopsy, and muscle atrophy on MRI. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22630
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http://dx.doi.org/10.1136/bcr-2018-226302DOI Listing
November 2018
3 Reads

Secretory cervical schwannoma: first of its kind.

BMJ Case Rep 2018 Nov 12;2018. Epub 2018 Nov 12.

Otolaryngology (ENT), AIIMS, New Delhi, India.

Schwannomas arising from cervical sympathetic chain are rare benign neoplasms which are slow growing, usually asymptomatic, biochemically non-secretory and functionally inactive tumours. We present a case of secretory schwannoma arising from the cervical sympathetic chain, causing hypertension and associated with raised urinary catecholamine degradation by-products. Transcervical excision of the tumour was followed by normalisation of blood pressure and urinary vanillylmandelic acid levels and pathologically the tumour was proved to be a schwannoma. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22522
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http://dx.doi.org/10.1136/bcr-2018-225222DOI Listing
November 2018
6 Reads

Phytophotodermatitis: still a poorly recognised diagnosis.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Internal Medicine Department, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.

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http://dx.doi.org/10.1136/bcr-2018-227859DOI Listing
November 2018
4 Reads

Paget-Schroetter syndrome.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Internal Medicine, Michigan State University/Sparrow Hospital, Lansing, Michigan, USA.

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http://dx.doi.org/10.1136/bcr-2018-227754DOI Listing
November 2018
2 Reads

Right coronary artery pseudoaneurysm post everolimus eluting stent implantation causing tamponade.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India.

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http://dx.doi.org/10.1136/bcr-2018-227714DOI Listing
November 2018
1 Read

Phantom tumour and heart failure.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

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

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22736
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http://dx.doi.org/10.1136/bcr-2018-227364DOI Listing
November 2018
12 Reads

Thoracic splenosis: correct imaging diagnosis prevents invasive procedures like biopsy and thoracoscopy.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Diagnostic and Interventional Imaging, McGovern Medical School-UTHealth, Houston, Texas, USA.

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22735
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http://dx.doi.org/10.1136/bcr-2018-227355DOI Listing
November 2018
3 Reads

Primary varicella zoster infection with tongue lesions.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Paediatric Emergency Medicine, Imperial College Healthcare NHS Trust, London, UK.

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http://dx.doi.org/10.1136/bcr-2018-227265DOI Listing
November 2018
2 Reads

Hydralazine-associated antineutrophil cytoplasmic antibody vasculitis with pulmonary-renal syndrome.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Nephrology, Deaconess Health System, Evansville, Indiana, USA.

Hydralazine, a vasodilator, is commonly used as an adjunctive treatment for moderate to severe hypertension, heart failure and hypertensive emergencies in pregnancy. Hydralazine-induced lupus was first described in 1953. Clinical presentation ranges from arthralgia, myalgia, petechiae, or rash to single or multiorgan involvement. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22716
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http://dx.doi.org/10.1136/bcr-2018-227161DOI Listing
November 2018
3 Reads

Synchronous endometrioid carcinoma of the endometrium and small cell neuroendocrine carcinoma of the cervix: a rare combination.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

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

Synchronous multiple primaries of female genital tract are uncommon, with the most frequently encountered combination being of endometrium and ovary. Concurrent primary tumours of endometrium and cervix are rare. We report a case of coexistent endometrioid carcinoma of the endometrium and small cell neuroendocrine carcinoma of the cervix in 48-year-old woman who presented with menometrorrhagia and was detected to have metastases to distant sites on imaging. Read More

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http://dx.doi.org/10.1136/bcr-2018-227155DOI Listing
November 2018
2 Reads

Heterotopic ossification following anterior shoulder dislocation.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Trauma and Orthopaedics, Royal Lancaster Infirmary, Lancaster, UK.

Heterotopic ossification (HO) is the abnormal growth of extraskeletal bone. Joint involvement may result in chronic stiffness and pain causing considerable functional impairment and the inability to perform the activities of daily living. HO affecting the shoulder joint is rare and little is known about its clinical course or treatment. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22696
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http://dx.doi.org/10.1136/bcr-2018-226968DOI Listing
November 2018
4 Reads

Double trouble: exudative hypertensive retinopathy in a patient with retinitis pigmentosa.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

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

A young female suffering from chronic kidney disease presented with retinal features suggestive of retinitis pigmentosa (RP). Cystoid intraretinal changes were noted at the macula in both eyes on optical coherence tomography. Careful clinical examination and fluorescein angiography revealed disc oedema, macular hard exudates and flower petal leakage in both eyes. Read More

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http://dx.doi.org/10.1136/bcr-2018-226950DOI Listing
November 2018

Adult intussusception secondary to diverticular disease.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

General Surgery, Royal Sussex County Hospital, Brighton, UK.

Intussusception is the invagination of a proximal segment of bowel into the lumen of an adjacent distal segment. It is a common condition in the paediatric age group although it rarely occurs in adults. Organic lesions in the bowel wall are the primary cause of adult intussusceptions with malignant neoplasms being the most common. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22667
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http://dx.doi.org/10.1136/bcr-2018-226678DOI Listing
November 2018
7 Reads

Unexpected presentation of in a male child.

Authors:
Bhargavi Kola

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Pediatrics, TTUHSC, Odessa, Texas, USA.

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http://dx.doi.org/10.1136/bcr-2018-226608DOI Listing
November 2018
1 Read

Polyglandular endocrine emergency: lessons from a patient, which a book cannot teach.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Diabetes and Endocrinology, Royal Glamorgan Hospital, Llantrisant, UK.

A 30-year-old woman with polyglandular autoimmune type 2 syndrome was found collapsed at home with a cardiac arrest, which required direct current cardioversion. On admission, she was hypothermic, hypotensive and bradycardic. Initial biochemical investigations were consistent with a pre-renal acute kidney injury, metabolic acidosis and a possible sepsis. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22650
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http://dx.doi.org/10.1136/bcr-2018-226503DOI Listing
November 2018
14 Reads

Successful treatment of total placenta previa by multidisciplinary therapy in a Jehovah's Witness patient who refused blood transfusions.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Obstetrics and Gynecology, University of Toyama, Toyama, Japan.

A 35-year-old Jehovah's Witness patient with total placenta previa was referred to our hospital at 30 weeks of gestation. She refused autologous and allogeneic blood transfusions, but agreed to receive acute normovolaemic haemodilution, intraoperative blood salvage and biological products. At 35 weeks, she underwent emergent caesarean delivery because of labour pains. Read More

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http://dx.doi.org/10.1136/bcr-2018-226486DOI Listing
November 2018
3 Reads

Case of Donath-Landsteiner haemolytic anaemia in an adult female.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Medicine, Nassau University Medical Center, East Meadow, New York, USA.

Donath-Landsteiner haemolytic anaemia (DLHA), also known as paroxysmal cold haemoglobinuria, is a very rare and difficult condition to diagnose as well as treat. Here, we present a case of a 55-year-old Hispanic woman who presented with severe intravascular haemolytic anaemia in the setting of a viral illness 2 weeks prior to presentation. Direct antiglobulin testing revealed mixed results: positive for either complement, IgG or both on various occasions which led to a battery of tests including the Donath-Landsteiner antibody testing which turned out positive establishing the diagnosis of DLHA. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22647
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http://dx.doi.org/10.1136/bcr-2018-226475DOI Listing
November 2018
6 Reads

De Winter pattern: a forgotten pattern of acute LAD artery occlusion.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Cardiology, Hospital do Espirito Santo EPE, Evora, Portugal.

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http://dx.doi.org/10.1136/bcr-2018-226413DOI Listing
November 2018
1 Read

Dulaglutide-induced cerebral venous thrombosis in a patient with type 2 diabetes mellitus.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Endocrinology and Medicine Unit V, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.

Though patients with diabetes mellitus are at a high risk of atherothrombotic events, every such event should not be attributed to the disease itself. We present a case of a patient with diabetes with headache and blurring of vision for 3 days. Brain imaging revealed right transverse sinus thrombosis and acute infarct of the right posterior parieto-occipital region, predominantly in the posterior cortical watershed zone. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22634
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http://dx.doi.org/10.1136/bcr-2018-226346DOI Listing
November 2018
2 Reads

Primary hydatid cyst of the urinary bladder.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Surgery, College of Medicine, Azadi Teaching Hospital, University of Duhok, Duhok City, Iraq.

A 35-year-old man presented with poorly localised lower abdominal pain for 3 months. Abdominal examination revealed lower abdominal tenderness, with normal other parts of examination. CT scan of the abdomen showed irregular multiloculated mass related to the upper part of the urinary bladder with mild rim enhancement in the postcontrast study with no areas of calcifications. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22634
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http://dx.doi.org/10.1136/bcr-2018-226341DOI Listing
November 2018
5 Reads

In trauma, expect the unexpected: a rare case of post-traumatic pancreatitis associated with salmonellosis and enterocolitis.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Pediatric Surgery, Children's Health Children's Medical Center Dallas, Dallas, Texas, USA.

A 16-year-old Hispanic man was transferred to our level I paediatric trauma centre with pancreatitis. Ten days prior, he had sustained a gunshot wound to the abdomen requiring an exploratory laparotomy for repair of a traumatic left diaphragmatic injury. Additional injuries included gastric, renal, liver and pancreatic lacerations as well as a T12 burst fracture that resulted in paraplegia. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22628
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http://dx.doi.org/10.1136/bcr-2018-226286DOI Listing
November 2018
4 Reads

Lymphangioleiomyomatosis (LAM) presenting as recurrent pneumothorax in an infant with tuberous sclerosis: treated successfully with sirolimus.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Pediatrics, All India Institute of Medical Sciences, New Delhi, India.

Lymphangioleiomyomatosis (LAM) either sporadic or a part of tuberous sclerosis complex is rare in paediatric age group. Here, we report a case of LAM with tuberous sclerosis in an infant. She was referred to our institute at the age of 4 months as a case of recurrent bilateral pneumothorax requiring intercostal tube drainage. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22624
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http://dx.doi.org/10.1136/bcr-2018-226244DOI Listing
November 2018
5 Reads

Renal autotransplantation for the management of renal artery in-stent restenosis in an adult patient with Takayasu arteritis.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Cardiology, PGIMER, Chandigarh, India.

Renovascular hypertension is a common clinical presentation in Takayasu arteritis (TA), when the renal arteries are involved. Although most of the patients respond to optimal antihypertensive drug therapy, certain patients with TA require percutaneous or surgical renal artery revascularisation to manage renovascular hypertension. We, hereby, present a 45-year-old woman, who had resistant hypertension secondary to in-stent restenosis (ISR) of renal artery stent in a single functioning kidney. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22623
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http://dx.doi.org/10.1136/bcr-2018-226236DOI Listing
November 2018
6 Reads

Use of Integra dermal substitute to prevent implantable device extrusion in an Olympic athlete.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Plastic Surgery Department, Royal Stoke University Hospital, Stoke-on-Trent, UK.

We present a challenging case of imminent metallic implant extrusion in a Paralympic athlete managed with a single-stage procedure using 'Integra' dermal substitute. The patient had hereditary spastic paraparesis, for which a baclofen pump delivering intrathecal medication was vital in the management of his condition. The device had been most recently implanted into the thigh after previous complications. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22618
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http://dx.doi.org/10.1136/bcr-2018-226181DOI Listing
November 2018
3 Reads

Successful treatment of central nervous system myeloma manifesting as cauda equina nodules with intrathecal chemotherapy, lenalidomide and dexamethasone.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Medical Imaging Department, ACT Health, Canberra, Australian Capital Territory, Australia.

We report a case of central nervous system myeloma manifesting as cauda equina nodules, successfully treated with triple intrathecal (IT) chemotherapy, lenalidomide and dexamethasone. After presenting with multiple plasmacytomas which led to a diagnosis of non-secretory myeloma at age 56, the patient underwent multiple episodes of treatment for relapsing myeloma over a 7-year period. In March 2017, he presented with declining gait over a month with bilateral hip flexion weakness, absent lower limb reflexes and dorsal column loss. Read More

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http://dx.doi.org/10.1136/bcr-2018-226146DOI Listing
November 2018
3 Reads

Bronchoalveolar carcinoma as an unsuspected cause for worsening shortness of breath in a patient with metastatic breast cancer.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Oncology, Maidstone and Tunbridge Wells NHS Trust, Maidstone, UK.

A 70-year-old woman with lung metastases from a breast cancer presented with worsening cough and dyspnoea. She recently had a pleurodesis for a malignant pleural effusion. Chest CT scans demonstrated various radiological changes leading to diagnostic challenges. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22612
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http://dx.doi.org/10.1136/bcr-2018-226125DOI Listing
November 2018
8 Reads

Large mediastinal mass in a 15-year-old boy.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Paediatric Infectious Disease, Aga Khan University Hospital, Karachi, Pakistan.

Hyperimmunoglobulin E syndrome is a rare multisystem inherited disorder characterised by high serum IgE levels, skin disorder causing eczema, dermatitis, recurrent staphylococcal infections and pulmonary infections and various skeletal and connective tissue abnormalities. Common presentation is with recurrent skin and sinopulmonary infections. Several features unrelated to immune system such as characteristic facial features, hyperextensibility of joints, multiple bone fractures and craniosynostosis have been described in the literature. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22607
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http://dx.doi.org/10.1136/bcr-2018-226074DOI Listing
November 2018
5 Reads

Pelvic pain in young girls: not only dysmenorrhoea!

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Gynecology and Obstetrics Department, Hospital de Braga, Braga, Portugal.

Imperforate hymen is the most frequent cause of haematocolpos, although it is a rare malformation (1:2000). We present two cases of young girls with cyclic abdominal pain and urinary symptoms. At gynaecological examination, they all presented imperforate hymen and ultrasound revealed significant vaginal distension. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22604
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http://dx.doi.org/10.1136/bcr-2018-226041DOI Listing
November 2018
11 Reads

Challenging cause of bullous eruption of the hands in the Arctic.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Dermatology and Venereology, Aarhus University Hospital, Aarhus, Denmark.

Phytophotodermatitis is caused by deposition of photosensitising compounds on the skin followed by ultraviolet exposure. We present an unusual case of a 29-year-old Australian male visiting Greenland who presented with severe itchy bullous eruption on his hands. The cause was a combination of exposure to lime fruit juice and prolonged sun exposure from the Arctic midnight sun. Read More

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http://dx.doi.org/10.1136/bcr-2018-225981DOI Listing
November 2018
6 Reads

Large anterior urethral calculus masquerading as periurethral abscess.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Urethral calculus causes variety of symptoms from simple dysuria to acute urinary retention. The diagnosis is many times not easy. A plain X-ray of the pelvis may aid in diagnosis. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22583
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http://dx.doi.org/10.1136/bcr-2018-225831DOI Listing
November 2018
10 Reads

Splenic granulomas: a rare manifestation of complex in an immunocompetent host.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

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

Infections caused by complex (MAC) are commonly seen in immunocompromised individuals. Though disseminated MAC infections with splenic granulomas are seen in some patients, MAC infection clinically manifesting as only splenic granulomas is rare. This presentation is even less common in immunocompetent individuals. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22578
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http://dx.doi.org/10.1136/bcr-2018-225788DOI Listing
November 2018
3 Reads

Rapid detection of rhombencephalitis in an immunocompetent patient by multiplexed PCR.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Weill Cornell Medical Center, NewYork-Presbyterian Hospital, New York City, New York, USA.

A 46-year-old previously healthy man presented with 1 week of headache, nausea, vomiting and dizziness. He was found to have cranial nerve deficits, his cerebrospinal fluid (CSF) demonstrated a lymphocytic pleocytosis and brain MRI suggested rhombencephalitis. Although Gram stains and cultures of his CSF did not identify a pathogen, DNA was detected by the FilmArray Meningitis/Encephalitis panel within 2 hours of performing a lumbar puncture. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22557
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http://dx.doi.org/10.1136/bcr-2018-225575DOI Listing
November 2018
4 Reads

Severe haemophilia A in a neonate presenting as haemopneumothorax after tracheo-oesophageal fistula-oesophageal atresia repair.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.

A male infant with oesophageal atresia and distal tracheo-oesophageal fistula (TEF type C) underwent right thoracotomy and transpleural repair of TEF on day 4 of life. He did not have a family history of coagulation disorders. A preoperative finding of prolonged partial thromboplastin time (PTT)>200 s was overlooked, and he went to surgery. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22552
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http://dx.doi.org/10.1136/bcr-2018-225526DOI Listing
November 2018
5 Reads

Rare case of a newborn baby with left-sided Erb's palsy and a contralateral/right-sided paralysis of the diaphragm.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Pediatrics, Division of Neonatology, Regina General Hospital, Regina, Saskatchewan, Canada.

Brachial plexus birth injury (BPBI) and phrenic nerve injury can sometimes occur concurrently in neonates following difficult deliveries like breech presentation, shoulder dystocia, forceps or vacuum extraction. Phrenic nerve palsy should be suspected in a newborn with respiratory distress and an elevated hemidiaphragm on the imaging studies in presence of the associated risk factors. The right side is affected more often than the left side and most of it is associated with BPBI. Read More

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http://dx.doi.org/10.1136/bcr-2018-225373DOI Listing
November 2018
2 Reads

Isolated renal mucormycosis in a patient with Idiopathic CD4 lymphocytopenia.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

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

Idiopathic CD4 lymphocytopenia (ICL) is characterised by a low CD4 +lymphocyte count in the absence of HIV or other underlying aetiologies. We report a case of a 17-year-old girl with ICL with autoimmune hepatitis who developed isolated renal mucormycosis, which, to our knowledge, is the first reported case described in literature. Combination therapy with antifungals and surgical resection was done, and the patient improved. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22523
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http://dx.doi.org/10.1136/bcr-2018-225234DOI Listing
November 2018
10 Reads

Leptomeningeal carcinomatosis as primary presentation of metastatic urothelial cancer.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Neurology, University of Florida College of Medicine, Gainesville, Florida, USA.

Leptomeningeal spread of carcinoma, referred to here as leptomeningeal carcinomatosis, is an uncommon complication of many cancer types. Its manifestations as the presenting symptoms of a new cancer diagnosis is even less common. This case describes the manifestations of leptomeningeal spread of urothelial carcinoma with review of pathophysiology driving the presenting symptoms of hypertension and headache. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2017-22415
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http://dx.doi.org/10.1136/bcr-2017-224150DOI Listing
November 2018
5 Reads

Use of mineral trioxide aggregate for retreatment of a tooth with large periapical lesion, wide-open apices and vertical root fracture.

BMJ Case Rep 2018 Nov 5;2018. Epub 2018 Nov 5.

Oral Pathology, King George Medical University, Lucknow, Uttar Pradesh, India.

Chronic periapical lesions in necrotic teeth with open apex are difficult to manage. The situation becomes more complex if the tooth has a fracture line. This case report describes the management of a traumatised tooth that had already undergone unsuccessful endodontic treatment with a large periapical lesion and open apex along with a fracture line in the root. Read More

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http://dx.doi.org/10.1136/bcr-2018-227627DOI Listing
November 2018

Successful endoscopic management of efferent loop syndrome after Billroth II distal gastrectomy.

BMJ Case Rep 2018 Nov 5;2018. Epub 2018 Nov 5.

Department of Surgery, NYU Langone Hospital - Brooklyn, Brooklyn, New York, USA.

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22716
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http://dx.doi.org/10.1136/bcr-2018-227167DOI Listing
November 2018
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Repetitive transcranial magnetic stimulation (rTMS) as a treatment for chronic dizziness following mild traumatic brain injury.

BMJ Case Rep 2018 Nov 5;2018. Epub 2018 Nov 5.

Department of Clinical Neurosciences, Division of Physical Medicine and Rehabilitation, University of Calgary, Calgary, Alberta, Canada.

A 61-year-old man sustained a mild traumatic brain injury (mTBI) following a pedestrian versus vehicle traffic accident. Post injury, he began to experience symptoms including light-headedness, spatial disorientation, nausea, fatigue and prominent dizziness brought on by postural change, physical activity or eye movements. Symptoms of dizziness persisted for over 5 years, despite numerous extensive and rigorous vestibular and vision therapy regimens. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22669
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http://dx.doi.org/10.1136/bcr-2018-226698DOI Listing
November 2018
6 Reads

Recurrent complications of PAAG implants during lactation.

BMJ Case Rep 2018 Nov 5;2018. Epub 2018 Nov 5.

Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.

A 35-year-old lactating woman with pre-existing polyacrylamide gel (PAAG) implants for 10 years presented on numerous occasions following both her pregnancies with bilateral recurrent breast infection, pain and finally massive breast enlargement with a ruptured galactocoele necessitating surgical intervention. As the safety of PAAG for the breastfeeding baby is not known, breastfeeding with PAAG implants is not recommended. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2017-21968
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http://dx.doi.org/10.1136/bcr-2017-219688DOI Listing
November 2018
6 Reads

Neurocysticercosis: do not miss the eye.

BMJ Case Rep 2018 Nov 3;2018. Epub 2018 Nov 3.

Medical College and Hospital, Kolkata, West Bengal, India.

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http://dx.doi.org/10.1136/bcr-2018-227869DOI Listing
November 2018

Squamous cell carcinoma of male urethra presenting as urethrocutaneous fistula.

BMJ Case Rep 2018 Nov 3;2018. Epub 2018 Nov 3.

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22744
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http://dx.doi.org/10.1136/bcr-2018-227447DOI Listing
November 2018
4 Reads

Laparoscopic IPOM repair of an acquired abdominal intercostal hernia.

BMJ Case Rep 2018 Nov 3;2018. Epub 2018 Nov 3.

General Surgery, Mayo General Hospital, Castlebar, Ireland.

Acquired abdominal intercostal hernia (AAIH) is an infrequent occurrence whereby intra-abdominal contents herniate into intercostal space directly from the peritoneal cavity through an acquired defect in the abdominal wall musculature and fascia. These hernias are difficult to diagnose and should always be suspected when a chest wall swelling occur after major or minor trauma. Surgical repair is warranted in symptomatic patients. Read More

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http://dx.doi.org/10.1136/bcr-2018-227158DOI Listing
November 2018
1 Read