16,644 results match your criteria BMJ Case Reports [Journal]


Spontaneous intracerebral haemorrhage: a rare complication of aortic aneurysm endoleak.

BMJ Case Rep 2018 Jun 23;2018. Epub 2018 Jun 23.

Vascular Surgery, Dunedin Hospital, Dunedin, New Zealand.

We present a rare case of intracerebral haemorrhage secondary to consumptive coagulopathy in relation to ongoing endoleak after thoracic endovascular aneurysm repair (TEVAR). A 68-year-old man underwent elective TEVAR for an 18 cm diameter Crawford type II thoracoabdominal aneurysm. He was subsequently shown to have a type 1b endoleak and a short episode of disseminated intravascularcoagulation (DIC) perioperatively. Read More

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Macrocephaly, epilepsy and intracranial cysts: an image to remember.

BMJ Case Rep 2018 Jun 23;2018. Epub 2018 Jun 23.

Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

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Involvement of bilateral posterior limb of internal capsule in hypernatraemic dehydration.

BMJ Case Rep 2018 Jun 23;2018. Epub 2018 Jun 23.

Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, Chandigarh UT, India.

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Pyrexia of unknown origin: inferior vena cava agenesis.

BMJ Case Rep 2018 Jun 23;2018. Epub 2018 Jun 23.

Department of Infectious Diseases and Tropical Medicine, Birmingham Heartlands Hospital, Heart of England NHS Hospital Trust, Birmingham, UK.

A 26-year-old woman presented with a 5-day history of fever after returning from Bali. She denied sexual contact abroad. On examination, there was suprapubic tenderness and a widespread maculopapular rash. Read More

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Delayed leucoencephalopathy after coil embolisation of unruptured cerebral aneurysm.

BMJ Case Rep 2018 Jun 23;2018. Epub 2018 Jun 23.

Department of Comprehensive Strokology, Fujita Health University School of Medicine, Toyoake, Japan.

A 56-year-old right-handed woman was successfully treated by coil embolisation for a large unruptured paraclinoid aneurysm of the left internal carotid artery. Though she was discharged on day 3 after the intervention with uneventful clinical course, she was rehospitalised for continuous headache and right upper limb weakness 2 weeks after the treatment. Subsequent progression of cognitive dysfunction and right hemiparesis were observed. Read More

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Pancreatic intraepithelial neoplasia in heterotopic pancreas: incidentally diagnosed on endoscopic mucosal resection of a duodenal polyp.

BMJ Case Rep 2018 Jun 23;2018. Epub 2018 Jun 23.

Division of Gastroenterology and Hepatology, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.

Heterotopic pancreas is the presence of pancreatic tissue outside its normal location. It can develop similar pathological conditions that develop in the normal pancreas, including adenocarcinoma and its precursor lesions. Due to the rarity of the condition, the diagnosis can be challenging, and treatment is not well established. Read More

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Pregnancy and gastric cancer: diagnostic and treatment dilemma.

BMJ Case Rep 2018 Jun 23;2018. Epub 2018 Jun 23.

Women & Children's Division, Royal Oldham Hospital, Greater Manchester, UK.

Gastric cancer in pregnancy is an extremely rare entity. The incidence of gastric cancer is more in elderly patients and higher in the male population. Gastric cancer symptoms can be nausea, vomiting and epigastric discomfort which is similar to early pregnancy symptoms. Read More

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A migratory shark bone.

BMJ Case Rep 2018 Jun 23;2018. Epub 2018 Jun 23.

Princess Alexandra Hospital NHS Trust, Harlow, UK.

Fish bone ingestion is a common presentation in ENT. If not managed correctly, it can cause serious complications for the patient and dilemmas for the clinician. A 49-year-old Sri Lankan woman presented to the emergency department following shark bone ingestion with a 'pricking' sensation in her throat. Read More

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Apprehension in patient's mind: leading to myiasis.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

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

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A case of antiepiligrin cicatricial pemphigoid with extensive cutaneous erosions mimicking pemphigus vulgaris.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

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

Cicatricial pemphigoid (CP) is a chronic, autoimmune, subepidermal blistering disease with predominant mucosal involvement. In this article, we report a young patient with mucosal and extensive cutaneous involvement in the form of large erosions mimicking those of pemphigus vulgaris thus leading to diagnostic dilemma. We were unable to find any other previous reports with such extensive cutaneous erosions mimicking those of pemphigus vulgaris. Read More

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June 2018
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Wellens' syndrome: a close call.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

Internal Medicine, Reading Hospital and Medical Center, West Reading, Pennsylvania, USA.

We describe a case of a middle-aged man who presented to the emergency department with typical anginal chest pains and found to have new, deeply inverted T-waves on ECG consistent with Wellens' syndrome. Similar to the description by Wellens , a critical 99% stenosis of the proximal left anterior descending artery was indeed confirmed by coronary angiography and successfully treated with drug-eluting stent. It is very important that physicians recognise this ECG finding as a harbinger of a serious cardiovascular condition and the necessity for an early invasive cardiac catheterisation. Read More

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Necrotising fasciitis as a complication of primary varicella infection in an immunocompetent child.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

Department of Paediatrics, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.

Necrotising fasciitis (NF) is an infrequent yet significant complication of primary varicella infection in immunocompetent children. We report a case of a 4-year-old girl who presented three days into her chicken pox illness, with a rapidly progressing, severely tender erythematous rash surrounding one chicken pox lesion on her thigh. She required intravenous antibiotics, two surgical debridements, a skin graft and a prolonged stay in the paediatric intensive care unit, but ultimately we were able to save her life and limb. Read More

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Paraneoplastic cerebellar degeneration with bilateral facial palsy: a rare primary presentation of breast cancer.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

Department of Neurology, G B Pant Institute of Post Graduate Medical Education and Research, New Delhi, India.

Paraneoplastic cerebellar degeneration is a rare dysfunction of the cerebellum associated with malignancy. Nevertheless, it is the most common paraneoplastic syndrome affecting the brain. A 50-year-old woman presented to the neurology outpatient department (OPD) with symptoms of cerebellar dysfunction since 4 months and complaints of a painless lump in the right breast and drooling from mouth since 1 month. Read More

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Usual suspects: the foreign bodies of the aerodigestive tract.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

Otorhinolaryngology and Head and Neck Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.

This case series is about four different foreign bodies lodged in different locations of the aerodigestive tract. All four cases had delayed diagnosis due to inconspicuous history. Radiology in the form of computed tomography aided the appropriate diagnosis in most of these cases. Read More

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Influenza B-related meningoencephalitis in adults.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia.

We present a case involving an 85-year-old man with acute confusion and new onset seizure following a 1-week history of respiratory prodrome. This case report describes a case of influenza B-related meningoencephalitis supported by evidence of an influenza B infection and temporal relation of the neurological event and respiratory illness in the absence of other identifiable cause. Diagnosis is guided by cerebrospinal fluid profile and nasopharyngeal PCR. Read More

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Acute renal artery embolisation: role of local catheter-based intra-arterial thrombolysis.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

Cardiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.

A 45-year-old man without previous comorbidity presented to us with acute onset right-sided flank pain for last 14 hours. His general physical and systemic examination was unremarkable, and there were no clinical signs of peritonitis. The ultrasonography did not reveal any evidence of nephrolithiasis or hydronephrosis. Read More

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Abscess originating from osteomyelitis as a cause of lower urinary tract symptoms (LUTS) and acute urinary retention.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

Department of Urology, Hospital de Braga, Braga, Portugal.

Lower urinary tract symptoms (LUTS) are a common complaint in the general population with great impact on the quality of life. Besides the classical pathologies, there are less common causes that must be considered in the treatment approach for patients with LUTS. We present the case of a 30-year-old patient with multiple emergency department episodes with dysuria, urinary frequency, suprapubic pain and an episode of acute urinary retention. Read More

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Oncocytoma of the adrenal gland in Birt-Hogg-Dube syndrome.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

General Surgery, Queen Elizabeth University Hospital Campus, Glasgow, UK.

A 32-year-old man was referred to our surgical unit with a left adrenal lesion. He was previously diagnosed with Birt-Hogg-Dube syndrome after presenting with a left pneumothorax and an incidental finding of a right apical lung mass. This syndrome is characterised commonly by benign skin hamartomas, recurrent pneumothoraces and an increased risk of renal tumours. Read More

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Accidental aspiration of a solid tablet of sodium hydroxide.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

Department of General Internal Medicine, Geneva University Hospitals, Geneva, Switzerland.

Sodium hydroxide is a corrosive, highly alkaline (PKa=14.8) household product. Ingestion of sodium hydroxide liquid is common, showing toxicity on the oesophagus and stomach. Read More

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Unilateral pulmonary vein atresia: diagnostic dilemma unfolded on imaging.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

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

Unilateral pulmonary vein atresia is a rare entity, usually congenital in origin. It is thought to result from failure of incorporation of common pulmonary vein to left atrium. Patients often present with recurrent chest infections and haemoptysis during infancy or early childhood. Read More

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Heart transplant recipient with mycophenolate mofetil-induced colitis: the great imitator.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

Department of Pathology, University of Texas Medical Branch Institute for the Medical Humanities, Galveston, Texas, USA.

In this article, we report a case of a 55-year-old male heart transplant recipient who presented with diarrhoea. An extensive workup for infectious diseases was negative. The patient had a colonoscopy with biopsies showing colitis that mimicked graft-versus-host disease on histopathology. Read More

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An unusual case of leptomeningeal carcinomatosis in a patient with primary adenocarcinoma of the lung.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

Department of Respiratory, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

A 72-year-old man was brought to the emergency department with acute onset confusion and haemoptysis. Chest X-ray showed a possible lung mass, while CT head showed a fluid-filled, space-occupying lesion (SOL) in the right frontal lobe of the brain. MRI head indicated that this SOL had spilt its contents into the subarachnoid and intraventricular spaces. Read More

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June 2018
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Numb chin syndrome as a presenting symptom of diffuse large B-cell lymphoma with secondary myelofibrosis.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

Department of Hematology and Internal Medicine, PGIMER, Chandigarh, India.

Diffuse large B-cell lymphoma (DLBCL) is the most common non-Hodgkin's lymphoma that classically presents with rapidly enlarging lymph nodes. We present a 59-year-old man with unusual clinical presentation of numb chin syndrome (NCS) as the first symptom of disease. On evaluation, he was found to have diffuse extranodal skeletal involvement in the form of lytic-sclerotic lesions and minimal lymphadenopathy. Read More

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Femoral nerve paralysis complicating a post-traumatic iliopsoas haematoma.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

Department Of Orthopedic Surgery, Tunis El Manar University, Faculty Of Medecine, Tunis, Tunisia.

Paralysis of the femoral nerve secondary to iliopsoas haematoma is a rare post-traumatic complication. Because of the large differential diagnosis, a high level of suspicion is required for its early recognition. Treatment modalities are controversial due to the rarity of this entity. Read More

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Acute locked superior shoulder dislocation in a patient with cuff tear arthropathy.

BMJ Case Rep 2018 Jun 20;2018. Epub 2018 Jun 20.

Center for Musculoskeletal Surgery, Charite Universitatsmedizin Berlin Campus Virchow-Klinikum, Berlin, Germany.

In the field of traumatic shoulder dislocations, this report of a 61-year-old female patient discusses the case of an acute locked superior shoulder dislocation in conjunction with a chronic rotator cuff arthropathy resulting from a low-energy fall on the outstretched and abducted arm. Radiological assessment revealed a complex combination of associated bony injuries including a fracture of the upper part of the glenoid and an impaction fracture of the inferior articular surface of the humeral head. Closed reduction and immobilisation were not successful in obtaining joint stability. Read More

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June 2018
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Superior vena cava syndrome presenting as position-dependent periorbital oedema.

BMJ Case Rep 2018 Jun 20;2018. Epub 2018 Jun 20.

Department of Dermatology, Amphia Ziekenhuis, Breda, The Netherlands.

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Massive faecal impaction leading to abdominal compartment syndrome and acute lower limb ischaemia.

BMJ Case Rep 2018 Jun 20;2018. Epub 2018 Jun 20.

General and Endocrine Surgery, Footscray Hospital, Footscray, Victoria, Australia.

Abdominal compartment syndrome (ACS) is associated with significant morbidity and mortality requiring prompt treatment. We report a rare case of a 57-year-old man who developed acute lower limb ischaemia, severe metabolic acidosis and renal impairment from massive faecal impaction of unknown aetiology resulting in ACS causing occlusion of the right common iliac artery. This was treated with faecal disimpaction, which eventually resulted in slow but full recovery. Read More

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Renal pelvicalyceal rupture secondary to extraperitoneal pelvic packing (EPP) in the unstable trauma patient.

BMJ Case Rep 2018 Jun 20;2018. Epub 2018 Jun 20.

Trauma, Gold Coast University Hospital, Southport, Queensland, Australia.

Presented here is the case of an 86-year-old man who was found to have right-sided pelvicalyceal rupture and anuric renal failure, secondary to obstructive uropathy caused by life-saving extraperitoneal pelvic packing (EPP) in the settling of severe trauma. In efforts to control haemorrhage in this haemodynamically unstable patient, EPP placement deviated from the recognised method of three extraperitoneal packs bilaterally with seven surgical packs placed. Progress postoperative imaging revealed right-sided hydroureteronephrosis with obstruction evident at the level of the extraperitoneal pelvic packs, identified by delayed contrast excretion from the preceding CT angiography imaging. Read More

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Laparoscopic revisional surgery for an unusual complication of Roux-en-Y gastric bypass.

BMJ Case Rep 2018 Jun 20;2018. Epub 2018 Jun 20.

General Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

With the worldwide epidemic of obesity, there has been an increase in the numbers of primary and revisional procedures of bariatric surgery such as the Roux-en-Y gastric bypass (RYGBP). Nevertheless, this type of surgery is not exempt from complications. An excessive length of non-functional Roux limb proximal to the jejunojejunostomy can cause abnormal upper gastrointestinal symptoms after laparoscopic RYGBP. Read More

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Gorlin-Goltz syndrome: first reported case of bullae in the lungs complicated with tension pneumothorax.

Authors:
Darren Yap

BMJ Case Rep 2018 Jun 20;2018. Epub 2018 Jun 20.

Otolarnygology, Royal Berkshire Hospital, Reading, UK.

A 13-year-old girl was referred by her general practitioner with acute worsening exertional dyspnoea and sudden onset of left-sided chest pain. There was no associated trauma, palpitations or syncope. Clinical examination revealed that the left lung was hyper-resonant on percussion with reduced air entry on auscultation. Read More

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Symptomatic dyspnoea addressed by excision of ossified anterior longitudinal ligament.

BMJ Case Rep 2018 Jun 20;2018. Epub 2018 Jun 20.

Department of Orthopedic Surgery, National University Hospital, Singapore.

Ossification of the anterior longitudinal ligament (OALL) in cervical spine is known to cause dysphagia. However, dyspnoea and obstructive sleep apnoea (OSA) due to OALL is a rare entity. A 50-year-old man presented to our clinic 2 years after anterior cervical discectomy and fusion (ACDF) with complaints of dysphagia, dyspnoea and difficulty in sleeping supine. Read More

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Posterior root medial meniscus reconstruction: an option in chronic posterior root meniscal injury management.

BMJ Case Rep 2018 Jun 20;2018. Epub 2018 Jun 20.

Department of Orthopedics- Traumatology, Thammasat University Hospital, Pathumtani, Thailand.

Posterior root medial meniscus (PRMM) tears have shown to be biomechanically equivalent to complete meniscectomy. Drawbacks from PRMM tears repair are unsatisfactory healing rates. In this case report, we outlined a PRMM reconstruction with gracilis graft healing outcome in chronic PRMM tear case, based on clinical and MRI evaluation. Read More

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June 2018
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Long-term control of laryngeal plasma cell mucositis with systemic immunosuppression.

BMJ Case Rep 2018 Jun 20;2018. Epub 2018 Jun 20.

Department of Immunology, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.

Plasma cell mucositis (PCM) is a rare non-neoplastic plasma cell proliferative disorder of the mucous membranes, which typically presents as soft tissue lesions involving oral, upper airway or genital mucosa. Laryngeal involvement resulting in stridor has been reported in four other cases previously, with three requiring tracheostomy. We present a case of supraglottic stenosis in a 53-year-old woman presenting with dysphonia and stridor, requiring surgical resection on three occasions accompanied by tracheostomy on two occasions; biopsy was consistent with PCM. Read More

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Active bleeding from intercostal artery pseudoaneurysm after a percutaneous tube thoracostomy drainage procedure: diagnosis with CT angiography and treatment with transarterial coil embolisation.

BMJ Case Rep 2018 Jun 19;2018. Epub 2018 Jun 19.

Department of Medical Imaging, Kaohsiung Medical University Chung Ho Memorial Hospital, Kaohsiung, Taiwan.

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June 2018
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Intravenous immunoglobulin therapy for dengue capillary leak syndrome in a renal allograft recipient.

BMJ Case Rep 2018 Jun 19;2018. Epub 2018 Jun 19.

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

A 45-year-old man presented 4 months after ABOi renal transplantation with febrile illness and bicytopenia necessitating cessation of mycophenolate mofetil. Dengue non-structural protein 1 antigen (NS1 Ag) test was positive. Lowest total leucocyte count was 3. Read More

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June 2018
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Case of severe acute lupus myocarditis and multiple-organ failure.

BMJ Case Rep 2018 Jun 19;2018. Epub 2018 Jun 19.

Department of Medicine, Logan Hospital, Meadowbrook, Queensland, Australia.

We report a case of severe lupus myocarditis with rapid, acute deterioration to cardiogenic shock and multiorgan failure, highlighting the importance of early identification and treatment of acute presentations in patients with systemic lupus erythematosus. A 31-year-old woman with previously diagnosed subacute cutaneous lupus erythematosus initially presented with abdominal pain and frank per-rectal bleeding. She deteriorated rapidly with type 1 respiratory failure and acute kidney injury requiring dialysis secondary to acute cardiac failure with a prolonged intensive care unit admission, over a month. Read More

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June 2018
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Enhancement of PTSD treatment through social support in Idobata-Nagaya community housing after Fukushima's triple disaster.

BMJ Case Rep 2018 Jun 19;2018. Epub 2018 Jun 19.

Internal Medicine, Soma Central Hospital, Fukushima, Japan.

Cognitive-behavioural therapy is a first-line treatment for post-traumatic stress disorder (PTSD), but it is difficult to implement in disaster settings. We report the case of an 80-year-old Japanese woman, who was diagnosed with PTSD after the 2011 triple disaster (earthquake, tsunami and nuclear plant accident) in Fukushima. Her recovery was greatly enhanced by the social support she received while living in Idobata-Nagaya community housing, established by Soma city in Fukushima, where residents could naturally discuss their traumatic experiences. Read More

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June 2018
2 Reads

Bilateral chorea/ballismus: detection and management of a rare complication of non-ketotic hyperglycaemia.

BMJ Case Rep 2018 Jun 19;2018. Epub 2018 Jun 19.

Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, Nebraska, USA.

Non-ketotic hyperglycaemia (NKH) is the most common metabolic cause of hemichorea-hemiballismus (HC-HB) and an often-reversible condition. A 68-year-old man presented to the emergency department with a severe hyperglycaemic episode and altered mental status. He was treated appropriately and discharged home after his blood glucose levels were normal with an improvement of mental status. Read More

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Reactive hypoglycaemia: a rarely considered 'stroke mimic' in non-diabetic individuals.

BMJ Case Rep 2018 Jun 19;2018. Epub 2018 Jun 19.

Care of the Elderly Department, Countess of Chester Hospital NHS Foundation Trust, Chester, UK.

Hypoglycaemia is a well-documented 'stroke mimic'. The literature documents numerous case reports of patients presenting with focal neurological deficits subsequently attributed to hypoglycaemia. The significant majority of these cases are found in patients with pre-existing diabetes. Read More

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June 2018
1 Read

Cogan's syndrome with pyoderma gangrenosum: management of two uncommon disorders with aggressive presentation in a patient.

BMJ Case Rep 2018 Jun 19;2018. Epub 2018 Jun 19.

Department of Rheumatology, Peterborough City Hospital, Peterborough, United Kingdom.

Pyoderma gangrenosum (PG) coexisting with Cogan's syndrome (CS) is uncommon, although cutaneous manifestations are known to develop in CS. A middle-aged white female patient had chronic relapsing PG requiring ciclosporin and prednisolone. Despite receiving optimal doses of ciclosporin and prednisolone, she developed acute vestibulo-auditory symptoms as a result of CS. Read More

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June 2018
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Analgesic effect of long-acting somatostatin receptor agonist pasireotide in a patient with acromegaly and intractable headaches.

BMJ Case Rep 2018 Jun 19;2018. Epub 2018 Jun 19.

Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA.

A 22-year-old woman presented with worsening vision loss and headaches. A diagnosis of acromegaly was confirmed after detection of an invasive pituitary macroadenoma and biochemical testing. Despite two attempts of surgical debulking of the tumour and administration of long-acting octreotide and cabergoline, growth hormone (GH) and insulin-like growth factor 1 (IGF-1) levels were uncontrolled. Read More

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June 2018
2 Reads

Beliefs of a traditional rural Indian family towards naturalistic and faith healing for treating epilepsy: a case study.

BMJ Case Rep 2018 Jun 17;2018. Epub 2018 Jun 17.

School of Public Health, PGIMER, Chandigarh, India.

In this case study, we describe our experiences with a rural poor family from north India that initially contacted faith healers for treatment of their child who was having symptoms suggestive of epilepsy, but the seizures continued even after this. The family migrated to a city, where they started allopathic treatment, but eventually they had to discontinue it as there was no apparent relief. Again, they went back to their native village and restarted the treatment from the faith healer. Read More

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Bone inside eye: choroidal osteoma presenting as exudative retinal detachment: a challenge to diagnosis.

BMJ Case Rep 2018 Jun 17;2018. Epub 2018 Jun 17.

Department of ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, Delhi, New Delhi, India.

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June 2018
2 Reads

Phemphigoid gestationis.

BMJ Case Rep 2018 Jun 17;2018. Epub 2018 Jun 17.

Department of Gynecology/Obstetrics, Centro Hospitalar de Leiria, Leiria, Portugal.

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Accessory bile duct: a rare but important anatomical variant.

BMJ Case Rep 2018 Jun 17;2018. Epub 2018 Jun 17.

Department of Surgical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, USA.

An 84-year-old man presented with pancreatic adenocarcinoma. Following neoadjuvant chemoradiation, the patient underwent a pancreaticoduodenectomy, complicated by early bile leak. Re-exploration and intraoperative cholangiogram identified an accessory common bile duct draining segment 5 of the right hepatic lobe, which was then ligated. Read More

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June 2018
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Isolated thyroid metastasis from benign phyllodes tumour.

BMJ Case Rep 2018 Jun 17;2018. Epub 2018 Jun 17.

Department of Pathology, University of the Philippines Manila, Manila, Philippines.

We present a rare and interesting case of a 35-year-old woman who initially underwent an uneventful wide excision for a 13 cm left benign phyllodes tumour. She then noted a slowly growing left thyroid nodule 8 months postsurgery which on thyroidectomy 4 years later was shown to be a 6.9cm isolated thyroid metastasis from the phyllodes tumour. Read More

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June 2018
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Case of posterior cortical atrophy (PCA) evolved to PCA-CBS.

BMJ Case Rep 2018 Jun 17;2018. Epub 2018 Jun 17.

Department of Medicine, Centre for Memory Disturbances, Laboratory of Neurochemistry, Section of Neurology, Perugia, Italy.

A 68-year-old lawyer developed insidious disturbances in topographic orientation and apraxia. He underwent a geriatric evaluation, only documenting slight cognitive disturbances, and a 18F-fluorodeoxyglucose positron emission tomography (FDG-PET), showing mild right-lateralised frontoparietal hypometabolism. After 1 year, because of worsening in spatial orientation and the onset of dressing apraxia, he was referred to our memory clinic. Read More

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June 2018
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Beware of beta! A case of salbutamol-induced lactic acidosis in severe asthma.

BMJ Case Rep 2018 Jun 17;2018. Epub 2018 Jun 17.

Our Lady's Hospital Navan, Navan, Ireland.

A 22-year-old woman presented with symptoms and signs consistent with acute severe asthma. After significant doses of beta-agonist, she developed a significant lactic acidosis. Significant issues arose in this patient's history with regards to purchase of medications, compliance and follow-up with respiratory service. Read More

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June 2018
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Tracheal agenesis in a new born: lessons learnt.

BMJ Case Rep 2018 Jun 17;2018. Epub 2018 Jun 17.

Department of Neonatology, Christian Medical College, Vellore, Tamilnadu, India.

Tracheal agenesis is a rare but fatal congenital tracheal malformation. Lack of prenatal symptom and a typical clinical presentation lead to failure to arrive at a correct diagnosis and confusion during resuscitation. We report a case of a newborn male child with type 2 tracheal agenesis. Read More

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June 2018
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Varicella zoster lumbosacral plexopathy: a rare cause of lower limb weakness.

BMJ Case Rep 2018 Jun 17;2018. Epub 2018 Jun 17.

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

This is a rare case of Varicella zoster virus (VZV) lumbosacral plexopathy in an 84-year-old women presenting with lower limb weakness and rash. Contrast-enhanced MRI showed enhancement of the left L3-L5 descending nerves and left lumbosacral plexus consistent with inflammatory/infectious aetiology. Cerebrospinal fluid PCR confirmed VZV DNA and cerebrospinal fluid serological testing was positive for VZV immunoglobulin (Ig)M and IgG antibodies. Read More

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June 2018
1 Read