Search our Database of Scientific Publications and Authors

I’m looking for a

    14887 results match your criteria BMJ Case Reports [Journal]

    1 OF 298

    Implantable cardiac defibrillator infections: the emerging importance of Mycobacterium fortuitum.
    BMJ Case Rep 2017 Sep 19;2017. Epub 2017 Sep 19.
    Department t of Internal Medicine Critical Care, TTUHSC, Lubbock, Texas, USA.
    Infection is a clinically relevant complication associated with intracardiac devices. Atypical mycobacteria, particularly Mycobacterium fortuitum, have been increasingly implicated in cardiovascular implantable electronic device (CIED) infections. We present a case of M. Read More

    Melioidosis mimicking tubercular cold abscess.
    BMJ Case Rep 2017 Sep 19;2017. Epub 2017 Sep 19.
    Department of Orthopaedics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
    Burkholderia pseudomallei is a Gram-negative bacillus found in soil. The infection is thought to occur by inoculation or inhalation. It usually affects people with predisposing factors like diabetes mellitus and chronic alcoholism. Read More

    Anisocoria secondary to inadvertent contact with scopolamine patch.
    BMJ Case Rep 2017 Sep 19;2017. Epub 2017 Sep 19.
    Crystal Run Healthcare, Rock Hill, New York, USA.
    A unilaterally fixed mydriasis, also known as a 'blown pupil,' is considered an ominous sign concerning for intracranial pathology. Causes of anisocoria can range from benign to immediately life-threatening. When a patient presents with anisocoria, the concern for a fatal diagnosis leads the clinician to obtain numerous tests, many of which may be unnecessary. Read More

    Filarial pleural effusion without peripheral blood or pleural fluid eosinophilia.
    BMJ Case Rep 2017 Sep 19;2017. Epub 2017 Sep 19.
    Department of Pulmonary Medicine, Moti Lal Nehru Medical College, Allahabad, Uttar Pradesh, India.
    Lymphatic filariasis is a tropical parasitic disease and is endemic in India. It is present in various forms but its manifestation as pleural effusion is rare. Here, we describe a case of 58-year-old male who presented with complaint of left side chest pain and breathlessness. Read More

    Acute carpal tunnel syndrome caused by thrombosed persistent median artery associated with bifurcated median nerve in a pregnant woman.
    BMJ Case Rep 2017 Sep 19;2017. Epub 2017 Sep 19.
    Department of Radiology, Acıbadem Mehmet Ali Aydınlar University School of Medicine, Istanbul, Turkey.
    Carpal tunnel syndrome (CTS) is a common form of peripheral nerve entrapment, which is observed due to compression of the median nerve at the level of the carpal tunnel in the wrist. Bifid median nerve and persistent median artery association are rare, and they may be independent risk factors for CTS. These rare entities are usually asymptomatic, but in cases of acute thrombosis or dilatation of the persistent median artery, acute findings can be seen. Read More

    Whipple's endocarditis presenting as ulnar artery aneurysm; if you don't look, you won't find.
    BMJ Case Rep 2017 Sep 19;2017. Epub 2017 Sep 19.
    Microbiology, Cardiff University, Cardiff, UK.
    A 54-year-old female patient presented to her local district general hospital with a painful, swollen left arm. Imaging revealed an ulnar artery aneurysm. The aetiology was embolic, with an echocardiogram revealing vegetations on the aortic valve. Read More

    Coexistent duplication of urethra and a refluxing ectopic ureter presenting as recurrent epididymo-orchitis in a child.
    BMJ Case Rep 2017 Sep 19;2017. Epub 2017 Sep 19.
    Christian Medical College and Hospital Vellore, Vellore, India.
    Congenital anomalies of the kidney and urinary tract (CAKUTs) occur in 3-6 per 1000 live births, accounting for most cases of paediatric end-stage kidney disease.(1) However, the molecular basis of CAKUT and anomalies of the external genitalia is poorly understood. We, herein, describe a case with left recurrent epididymo-orchitis with a coexistent urethral duplication and an ectopic ureter with an ipsilateral non-functioning kidney, which is, to the best of our knowledge, the first reported case of its kind. Read More

    Refractory coeliac disease: or is it?
    BMJ Case Rep 2017 Sep 19;2017. Epub 2017 Sep 19.
    Department of Gastroenterology, St Thomas Hospital, London, UK.
    A previously healthy 33-year-old man presented with a 3-month history of nausea, anorexia and weight loss. Coeliac disease was diagnosed at another hospital with positive serology and D2 biopsies and he was started on a gluten-free diet. The details of these tests were not available to us. Read More

    Nerf gun eye injuries: traumatic hyphema.
    BMJ Case Rep 2017 Sep 18;2017. Epub 2017 Sep 18.
    Accident & Emergency Department, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
    Three unrelated patients attended the accident and emergency department with pain and blurred vision after ocular injury with a Nerf gun. Two were adults and one was a child, all of which presented within a 3 months' period. All three cases were found to have ≥1 mm of traumatic hyphema (pooling of blood in anterior chamber of the eye), indicating significant ocular trauma. Read More

    Rare cause of colonic intussusception in an adult.
    BMJ Case Rep 2017 Sep 15;2017. Epub 2017 Sep 15.
    San Antonio Military Medical Center, Fort Sam Houston, Texas, USA.
    Colonic intussusception is an uncommon phenomenon in adults. Advanced imaging has facilitated the increase in awareness of this rare disease. When present, the lead point is most often secondary to a malignancy with primary adenocarcinoma being the most frequent cause. Read More

    Renal cell carcinoma with isolated metastasis to sigmoid mesentery: a rare resectable combination.
    BMJ Case Rep 2017 Sep 15;2017. Epub 2017 Sep 15.
    Department of Urology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
    Renal cell carcinoma accounts for 2%-3% of all malignancies in adults. It spreads via direct extension, lymphatic route as well as haematogenous route. Lymph nodes, lungs, bone, liver and brain are the usual sites for its metastatic spread. Read More

    Combined caesarean with splenectomy in pregnancy with portal hypertension: defining plausibility.
    BMJ Case Rep 2017 Sep 15;2017. Epub 2017 Sep 15.
    Department of Surgical Disciplines (General Surgery), All India Institute of Medical Sciences, New Delhi, Delhi, India.
    24-year-old woman at 28 weeks gestation was referred from peripheral hospital with diagnosis of pregnancy with portal hypertension. She had received multiple transfusion for pancytopaenia in the past and had undergone endoscopic sclerotherapy for oesophageal varices. Initially, she was admitted in our hospital at 28 weeks gestation for blood transfusion and was evaluated by multispecialty team of doctors. Read More

    Successful twice interrupted therapy of HCV infection in patients with cirrhosis with hepatocellular carcinoma before and after liver transplantation.
    BMJ Case Rep 2017 Sep 15;2017. Epub 2017 Sep 15.
    Department of Infectious Diseases, Regional Specialistic Hospital, Wroclaw, Poland.
    We are presenting the case study of the patient diagnosed at the age of 37 with liver cirrhosis due to genotype 1b hepatitis C virus infection. At the age of 46, he was diagnosed with hepatocellular carcinoma with subsequent resection of the tumour in May 2015. In December 2015, the treatment was started with ombitasvir, paritaprevir/ritonavir and dasabuvir (3D) with ribavirin (RBV) 1000 mg per day. Read More

    Rare case of primary leiomyosarcoma of sigmoid mesocolon.
    BMJ Case Rep 2017 Sep 15;2017. Epub 2017 Sep 15.
    Department of Surgery, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
    We experienced a rare case of primary leiomyosarcoma of sigmoid mesentery. A 45-year-old woman was presented to us with left iliac fossa mass and discomfort for 4-month duration. CT scan of abdomen and pelvis revealed a huge mass 14 cm×14 cm×16 cm occupying left iliac fossa mimicked having a large left ovarian carcinoma. Read More

    Cranial fasciitis of childhood (CFC): an unusual clinical case of a rare disease.
    BMJ Case Rep 2017 Sep 13;2017. Epub 2017 Sep 13.
    Department of Pediatrics, Università degli Studi di Pavia, Pavia, Lombardia, Italy.
    Cranial fasciitis of childhood (CFC) is a very uncommon tumour of the scalp, which is almost exclusively observed in the first years of life. It is a benign proliferation of fibroblasts, but its rapid growth rate may resemble a malignant disease. This disease may be suspected from clinical and radiological features, but a definitive diagnosis may be achieved only by pathological examination. Read More

    Lactobacillus: the not so friendly bacteria.
    BMJ Case Rep 2017 Sep 13;2017. Epub 2017 Sep 13.
    Department of Microbiology, Lewisham and Greenwich NHS Trust, London, UK.
    We present a 65-year-old diabetic patient with a complex liver abscess and bacteraemia from Lactobacillus paracasei The abscess resulted in a prolonged hospital stay due to ongoing sepsis despite ultrasound-guided drainage and broad-spectrum antibiotics. Furthermore, the patient developed several secondary complications including a right-sided pleural effusion, an inferior vena cava thrombus and septic lung emboli. The abscess was eventually managed successfully with a prolonged course of antibiotics and multiple ultrasound-guided drainage procedures. Read More

    Brainstem encephalitis and acute polyneuropathy associated with hepatitis E infection.
    BMJ Case Rep 2017 Sep 11;2017. Epub 2017 Sep 11.
    Institute of Neurosciences, Queen Elizabeth University Hospital, Department of Neurology, Glasgow, Glasgow, UK.
    A 59-year-old man presented with feverish illness. His Glasgow Coma Scale was 15, had reduced visual acuity in the left eye with partial left ptosis and mild left hemiparesis with an extensor left plantar. Over 48 hours, he accrued multiple cranial nerves palsies and progressed to a flaccid paralysis necessitating admission to an intensive care unit. Read More

    Supraventricular tachycardia diagnosed by smartphone ECG.
    BMJ Case Rep 2017 Sep 11;2017. Epub 2017 Sep 11.
    Department of Cardiology, Naval Medical Center San Diego, San Diego, California, USA.
    Diagnosis of paroxysmal supraventricular tachycardia (PSVT) may be difficult due to its episodic nature, which can be brief and self-limited, limiting the ability for clinicians to diagnose the specific rhythm disorder in a timely manner. We present a case of PSVT, which was unable to be diagnosed through typical evaluation with an event monitor despite several years of symptoms. The patient was ultimately diagnosed using the AliveCor Mobile ECG, a smartphone-based ECG device and application, which he purchased himself and captured a typical atrioventricular node re-entrant tachycardia. Read More

    Fever, bone pain and erectile dysfunction. Where is the cat?
    BMJ Case Rep 2017 Sep 12;2017. Epub 2017 Sep 12.
    Department of internal medicine, Clinique Saint-Pierre Ottignies, Ottignies, Belgium.
    Cat-scratch disease is due to Bartonella henselae and commonly presents as a localised papular lesion with regional lymphadenopathy. We report the case of a young man suffering general symptoms and dysautonomy characterised by an erectile dysfunction due to an invasive cat-scratch disease. He was successfully treated by tetracyclines during 3 weeks. Read More

    Neostigmine and glycopyrronium: a potential safe alternative for patients with pseudo-obstruction without access to conventional methods of decompression.
    BMJ Case Rep 2017 Sep 11;2017. Epub 2017 Sep 11.
    Department of General Surgery, Dorset County Hospital NHS Foundation Trust, Dorchester, UK.
    Intestinal pseudo-obstruction mimics bowel obstruction. However, on examination, no mechanical cause is identified. This condition will often resolve when managed conservatively, yet in some cases decompression is required to avoid the serious complications of bowel ischaemia and perforation. Read More

    Low-dose intrapleural alteplase (without deoxyribonuclease) in complicated parapneumonic effusion: case series and literature reviews.
    BMJ Case Rep 2017 Sep 11;2017. Epub 2017 Sep 11.
    Department of Medical, Pusat Perubatan Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.
    This case series reviews two cases of elderly patients who presented with fever, cough and shortness of breath. Clinical examinations and initial chest radiographs confirmed unilateral pleural effusion. Thoracenteses were consistent with exudative pleural effusion. Read More

    MELAS syndrome associated with a new mitochondrial tRNA-Val gene mutation (m.1616A>G).
    BMJ Case Rep 2017 Sep 11;2017. Epub 2017 Sep 11.
    Department of Neurology, Gifu Municipal Hospital, Gifu City, Japan.
    We describe the case of a 40-year-old-man with mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS) syndrome, with cardiomyopathy and severe heart failure. He had a mitochondrial transfer RNA (tRNA) mutation (m.1616A>G) of the (tRNA-Val) gene, and it was not found in MELAS syndrome ever before. Read More

    Immune thrombocytopenic purpura associated with fingolimod.
    BMJ Case Rep 2017 Sep 11;2017. Epub 2017 Sep 11.
    Department of Clinical Haematology, Monash University, Melbourne, Victoria, Australia.
    Fingolimod is an oral sphingosine-1-phosphate receptor modulator which causes lymphocyte sequestration in lymph nodes and is approved for relapsing multiple sclerosis. The Therapeutic Goods Administration of Australia is aware of only one case where fingolimod preceded immune thrombocytopenic purpura (ITP) by 5 weeks. Here we report three such cases. Read More

    Pure red cell aplasia and myasthenia gravis: a patient having both autoimmune conditions in the absence of thymoma.
    BMJ Case Rep 2017 Sep 11;2017. Epub 2017 Sep 11.
    Department of Neurology, Mater Dei Hospital, Msida, Malta.
    This is a patient who was presented initially with symptoms of malaise, tiredness and exertional dyspnoea and found to have a severe normocytic normochromic anaemia with low reticulocyte counts. Bone marrow confirmed the diagnosis of pure red cell aplasia (PRCA) and at the time serology for recent parvovirus infection was positive. He was successfully treated with transfusions and intravenous Ig. Read More

    Successful ultrasound-guided drainage of an intra-abdominal collection in late pregnancy.
    BMJ Case Rep 2017 Sep 11;2017. Epub 2017 Sep 11.
    Department of Interventional Radiology, Mid Essex Hospital Services NHS Trust, Chelmsford, Essex, UK.
    Pregnancy complicated by an intra-abdominal collection is uncommon and poses a challenge in the management. We present a case that illustrates successful treatment via ultrasound-guided drainage of a collection associated with a dermoid cyst in a 30 weeks pregnant patient presenting with fever and right-sided abdominal pain. Following treatment, the patient clinically improved rapidly. Read More

    An unusual presentation of chronic cyanide toxicity from self-prescribed apricot kernel extract.
    BMJ Case Rep 2017 Sep 11;2017. Epub 2017 Sep 11.
    Departments of Anaesthesia and Perioperative Medicine, Alfred Hospital, Melbourne, Victoria, Australia.
    Hypoxia under general anaesthesia is a potentially life-threatening condition. A seemingly well 67-year-old man appeared hypoxic with peripheral pulse oximetric measurement during routine anaesthesia. Postoperatively, the patient admitted to daily self-prescription of apricot kernel extract for a period of 5 years. Read More

    Fibular insufficiency fracture: an under-reported complication of advanced tibialis posterior dysfunction.
    BMJ Case Rep 2017 Sep 7;2017. Epub 2017 Sep 7.
    Department of Orthopaedics, Pilgrim Hospital, Boston, Lincolnshire, UK.
    We present a case of fibular insufficiency (stress) fracture in a patient with pre-existing asymptomatic advanced tibialis posterior dysfunction. The patient had severe planovalgus (flat foot) deformity but no pain before the injury; hence had never sought any treatment. She was first treated conservatively for the fracture which failed to control the deformity and had ongoing symptoms. Read More

    Rare case of massive bilateral chylothorax.
    BMJ Case Rep 2017 Sep 7;2017. Epub 2017 Sep 7.
    Department of Internal Medicine, Western Michigan University School of Medicine, Kalamazoo, Michigan, USA.
    We present a case of a 48-year-old woman who was referred from an outside hospital. There, she had initially underwent hysterectomy and left salpingo-oophorectomy for tubo-ovarian abscess. She later developed a colovaginal fistula and perforation of sigmoid colon and underwent Hartmann's procedure along with drainage of a left subphrenic abscess. Read More

    Laparoscopic adrenalectomy as an effective approach to massive bilateral pheochromocytomas.
    BMJ Case Rep 2017 Sep 7;2017. Epub 2017 Sep 7.
    Department of Endocrinology, Diabetes and Metabolism, Coimbra Hospital and University Centre, Coimbra, Portugal.
    Pheochromocytomas are catecholamine-secreting neoplasms, arising from adrenomedullary chromaffin cells. In type 2 multiple endocrine neoplasia (MEN2) syndrome, pheochromocytomas are usually benign but with predisposition to be bilateral (50%-80% of cases).The authors present the case of a young patient diagnosed with uncommonly large bilateral cystic pheochromocytomas and simultaneous detection of medullary thyroid carcinoma. Read More

    Total knee prosthesis infected with Mycobacterium tuberculosis.
    BMJ Case Rep 2017 Sep 7;2017. Epub 2017 Sep 7.
    Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
    Mycobacterium tuberculosis (MTB) infection of a prosthetic joint is rarely reported in developed countries.(1) Typically, MTB infection involves the hips or knees, and the infection can occur secondary to crushing and degradation of the granuloma during surgery or, less commonly, from distant foci spreading through the blood. In the present case, MTB infection likely resulted from haematogenous spread since multiple hot spots suggestive of MTB infection were noted in other sites. Read More

    Nasogastric tube knotting: a rare and potentially overlooked complication among healthcare professionals.
    BMJ Case Rep 2017 Sep 7;2017. Epub 2017 Sep 7.
    Department of General Surgery, Kettering General Hospital NHS Foundation Trust, Kettering, UK.
    Nasogastric tube placement is a common procedure performed in surgical and medical specialities. The occurrence of knot formation is perhaps one of the least well-recognised complications associated with its usage. We present a case of nasogastric tube knotting to remind colleagues of this rare but important complication. Read More

    Bilateral tarsal tunnel syndrome attributed to bilateral fibrous tarsal coalition and symmetrical hypertrophy of the sustentaculum tali.
    BMJ Case Rep 2017 Sep 7;2017. Epub 2017 Sep 7.
    Department of Orthopaedics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
    Tarsal tunnel syndrome (TTS) is one of the frequently encountered entrapment neuropathies of the lower limb. Most often the aetiology is considered to be idiopathic. However, it has to be thoroughly investigated to rule out diverse extrinsic and intrinsic causes. Read More

    Acute fibrinous and organising pneumonia.
    BMJ Case Rep 2017 Sep 7;2017. Epub 2017 Sep 7.
    Serviço de Medicina Interna B, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
    Acute fibrinous and organising pneumonia (AFOP) is a rare histological pattern of interstitial lung disease. The authors describe a 60-year-old woman admitted to the hospital for sustained fever, presenting with an alveolar opacity on chest X-ray, with the presumed diagnosis of community-acquired pneumonia and the onset of antibiotics. Since serological results suggested that Legionella pneumophila was the infectious agent, she was discharged on levofloxacin. Read More

    Anomalous left anterior descending artery arising from the pulmonary trunk: a rare cause of angina.
    BMJ Case Rep 2017 Sep 7;2017. Epub 2017 Sep 7.
    Department of Cardiology, Cork University Hospital Group, Cork, Ireland.
    A 60-year-old man with a medical history of hypertension and dyslipidaemia presented to our rapid access chest pain clinic with a 2-month history of chest pain on exertion. An exercise stress test was arranged, which showed electrical evidence of inducible ischaemia. Subsequently, a coronary angiogram revealed an anomalous left anterior descending artery arising from the main pulmonary artery that received grade 3 collaterals from a large right coronary artery arising from the aorta. Read More

    Varicella complicated by cellulitis and deep vein thrombosis.
    BMJ Case Rep 2017 Sep 7;2017. Epub 2017 Sep 7.
    Serviço de Internamento do Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
    We report a 16-month-old girl with varicella complicated by cellulitis, invasive Group A Streptococcus (GAS) infection and deep vein thrombosis. She presented with varicella lesions, fever and a painful firm tumefaction on the right lower leg (RLL). Ultrasound showed a local subcutaneous tissue thickening suggestive of cellulitis and antibiotics were initiated. Read More

    Wasp sting induced STEMI with complete coronary artery occlusion: a case of Kounis syndrome.
    BMJ Case Rep 2017 Sep 7;2017. Epub 2017 Sep 7.
    Lancashire Cardiac Centre, Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UK.
    A 45-year-old previously healthy man with minimal coronary artery disease on imaging presented with an acute MI after sustaining a wasp sting following previous non-eventful exposures throughout his life. This is the first case of Kounis syndrome with optical coherence tomography imaging and proven IgE wasp venom hypersensitivity. The Hymenoptera venom is composed of allergenic proteins and vasoactive amines which are responsible for venom toxicity. Read More

    Imatinib dramatically alleviates pulmonary tumour thrombotic microangiopathy induced by gastric cancer.
    BMJ Case Rep 2017 Sep 7;2017. Epub 2017 Sep 7.
    Division of Cardiovascular Medicine, Department of Internal Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan.
    Pulmonary tumour thrombotic microangiopathy (PTTM) is a rare complication of cancer, which can be lethal due to progressive pulmonary hypertension (PH). Several case reports have demonstrated that imatinib, a platelet-derived growth factor receptor-tyrosine kinase inhibitor, can improve severe PH in patients with PTTM.We describe the case of a 56-year-old woman. Read More

    Granulomatous hepatitis in a patient with Crohn's disease and cholestasis.
    BMJ Case Rep 2017 Sep 7;2017. Epub 2017 Sep 7.
    Department of Internal Medicine, MedStar Washington Hospital Center, Washington, DC, USA.
    We describe a case of a 23-year-old woman with a history of Crohn's disease (CD), who initially presented with sepsis-like symptoms, subsequently developed severe cholestasis and following extensive inpatient workup was found to have non-caseating granulomas on her liver biopsy. Infectious aetiologies were excluded and the patient was treated with oral corticosteroids, which ameliorated but did not completely reverse the cholestasis. We review the differential diagnosis of hepatic granulomas and discuss the potential difficulties in establishing their exact aetiology in patients with CD. Read More

    Ganglioneuroma of the retropharyngeal space in a patient with glottic cancer.
    BMJ Case Rep 2017 Sep 7;2017. Epub 2017 Sep 7.
    Radiology Department, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal.
    We describe the case of a 71-year-old man with a ganglioneuroma of the retropharyngeal space. The patient presented with a submucosal bulge of the left oropharyngeal wall during follow-up examination of a treated vocal cord carcinoma. CT and MRI revealed a non-specific, well-defined retropharyngeal soft tissue lesion. Read More

    1 OF 298