18,513 results match your criteria BMJ case reports[Journal]


Globe luxation following cow horn injury.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Dr. R. P. Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

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http://dx.doi.org/10.1136/bcr-2019-229994DOI Listing

Adhesional small bowel obstruction related to stapling device from previous laparoscopic inguinal hernia repair.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

The Cambridge Colorectal Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Small bowel obstruction (SBO) is common surgical presenting problem, accounting for roughly 15 000 laparotomies per year in the UK. However, SBO post laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair is uncommon with an estimated incidence of 0.2%-0. Read More

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http://dx.doi.org/10.1136/bcr-2019-229377DOI Listing

Joubert syndrome with multiple pituitary hormone deficiency.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Department of Pediatric Endocrinology, University of Kyrenia, Kyrenia, Cyprus.

Joubert syndrome (JS) and JS-related disorders are a group of developmental delay, multiple congenital anomalies and complex midbrain-hindbrain malformations. A few cases of JS with multiple pituitary hormone deficiency (MPHD) have been reported in literature. Here, we presented an unusual presentation of JS in a newborn with MPHD. Read More

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http://dx.doi.org/10.1136/bcr-2018-229016DOI Listing

Use of ventriculostomy in the treatment of septic cavernous sinus thrombosis (SCST).

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Division of Neurosurgery, Ascension Providence Hospital, College of Human Medicine, Michigan State University, Southfield, Michigan, USA.

We present a novel treatment with the use of intraventricular antibiotics delivered through a ventriculostomy in a patient who developed septic cavernous sinus thrombosis after sinus surgery. A 65-year-old woman presented with acute on chronic sinusitis. The patient underwent a diagnostic left maxillary antrostomy, ethmoidectomy, sphenoidotomy and sinusotomy. Read More

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http://dx.doi.org/10.1136/bcr-2018-228929DOI Listing

Rare variant of Guillain-Barré syndrome after chikungunya viral fever.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Neurology, Aga Khan University Hospital, Karachi, Pakistan.

Chikungunya (CHIK) viral fever is a self-limiting illness that presents with severe debilitating arthralgia, myalgia, fever and rash. Neurological complications are rare. We present a case of a 36-year-old woman who presented with acute onset progressive difficulty swallowing and left arm weakness. Read More

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http://dx.doi.org/10.1136/bcr-2018-228845DOI Listing

Multiple splenic artery aneurysms in non-cirrhotic hepatic fibrosis.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Radio diagnosis, All India Institute of Medical Sciences, New Delhi, India.

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http://dx.doi.org/10.1136/bcr-2018-228705DOI Listing

Reversible hypoxic brain injury: the penumbra conundrum of Grinker.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

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

A female patient, aged 61 years, presented to us with a 3-day history of fever and altered sensorium. She was discharged from another hospital 1 week back where she was admitted for community-acquired pneumonia. She was put on mechanical ventilation for threatened airway and her magnetic resonance brain imaging showed evidence of delayed posthypoxic leucoencephalopathy, also known as Grinker's myelinopathy. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22867
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http://dx.doi.org/10.1136/bcr-2018-228670DOI Listing
April 2019
1 Read

Thoracic involvement of diffuse lymphangiomatosis successfully treated with sildenafil.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Service de Pneumologie et Centre de Référence Constitutif des Maladies Pulmonaires Rares, Hôpital Bichat, Assistance Publique - Hôpitaux de Paris, Paris, France.

General lymphatic anomaly (GLA) is a very rare disorder, characterised by multifocal lymphatic malformations into various tissues that is due to congenital abnormalities of lymphatic development. No treatment has ever proved its efficiency.We report a 22-year-old man with recurrent bronchial casts due to thoracic involvement of GLA. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22852
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http://dx.doi.org/10.1136/bcr-2018-228523DOI Listing
April 2019
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Diabetic muscle infarction: rare complication with a distinct clinical manifestation.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Division of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Diabetic muscle infarction is an unusual condition with distinctive clinical characteristics seen in patients with prolonged and uncontrolled diabetes. Clinical findings and imaging study are unique and challenging. Patients usually present with acute unilateral severe muscular pain and swelling, particularly in the lower extremities. Read More

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http://dx.doi.org/10.1136/bcr-2018-228480DOI Listing
April 2019
1 Read

Pyoderma gangrenosum-like lesion secondary to methylenetetrahydrofolate reductase mutation: an unusual presentation of a rare disease.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Department of Dermatology, Center for Blistering Diseases, Boston, Massachusetts, USA.

Pyoderma gangrenosum (PG)-like ulcerations are a rare clinical manifestation of methylenetetrahydrofolate reductase (MTHFR) mutation. We describe a patient considered to have PG who was treated with long-term high doses of systemic corticosteroids and multiple immunosuppressive agents for several years. In spite of this continuous aggressive therapy, the lesions did not improve but continued to get worse. Read More

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http://dx.doi.org/10.1136/bcr-2018-228403DOI Listing
April 2019
1 Read

Lemierre's syndrome: a disguised threat.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Department of Paediatrics, Centro Hospitalar de Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal.

Lemierre's syndrome is a potentially severe disease characterised by suppurative thrombophlebitis of the internal jugular vein and subsequent disseminated septic embolisation. The profile of this syndrome declined in the mid-20th century, coinciding with the introduction of antibiotics. Currently, lack of awareness of this condition delays appropriate treatment and worsens prognosis. Read More

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http://dx.doi.org/10.1136/bcr-2018-228397DOI Listing

Merkel cell carcinoma: an aggressive cutaneous carcinoma with rare metastasis to the thyroid gland.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Department of GME, Summa Western Reserve Hospital, Cuyahoga Falls, Ohio, USA.

Merkel cell carcinoma (MCC) is an aggressive and rare neuroendocrine cutaneous carcinoma with poor prognosis and with increasing morbidity and mortality in cases of distant metastasis. Given the rarity of MCC, optimal treatment is not well established. Treatment usually consists of multidisciplinary management with local excision of the primary tumour. Read More

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http://dx.doi.org/10.1136/bcr-2018-228273DOI Listing

Microphthalmia with linear skin defects syndrome (MIDAS).

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Department of Pediatrics, Hospital de São Bernardo, Centro Hospitalar de Setúbal, EPE, Setúbal, Portugal.

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http://dx.doi.org/10.1136/bcr-2018-227791DOI Listing

Simple semi-permanent blockade against rigid varus foot in a case with spasticity: possible practical benefits in ambulatory adults.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Department of Rehabilitation Medicine, Kanazawa University Hospital, Kanazawa, Ishikawa, Japan.

A 55-year-old ambulatory woman with hemiplegia and varus foot deformity had several problems in her daily life, including load pain and stance instability in the affected foot, easy fatigue of the non-paralysed leg, low back pain, neck stiffness and rapid shoe-rubber wear on the deformed side. We began repeated focal blockades using botulinum toxin to the tibialis posterior muscle to control varus spasticity. Distant influences presenting in the whole body were relieved soon after the first blockade, and shoe wear also stopped. Read More

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http://dx.doi.org/10.1136/bcr-2018-227732DOI Listing

Hypomelanosis of Ito: streaks and whorls.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

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http://dx.doi.org/10.1136/bcr-2018-227693DOI Listing

Cutaneous malakoplakia presenting as a groin swelling and graft failure.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Department of Radiology, NHS Greater Glasgow and Clyde, Glasgow, UK.

Malakoplakia (from the Greek malakos, 'soft' and plakos 'plaque') is a granulomatous inflammatory condition, commonly presenting as a plaque in the genitourinary system, but has been shown to affect a wide variety of structures including the skin. Presentation is varied and a high degree of clinical suspicion is needed to make a diagnosis. We report a case of cutaneous malakoplakia presenting as an inguinal swelling in a 48-year-old kidney transplant patient with temporally associated graft dysfunction. Read More

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http://dx.doi.org/10.1136/bcr-2018-227460DOI Listing

Intraorbital aneurysm of the ophthalmic artery.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Department of Ophthalmology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.

Intraorbital ophthalmic artery (OA) aneurysms are rare. They can be asymptomatic or present with visual disturbances, exophthalmos and headaches. We present a case of a 57-year-old man who presented with reduced vision, diplopia and exophthalmos. Read More

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http://dx.doi.org/10.1136/bcr-2018-227044DOI Listing

Robust response to nivolumab in patient with renal cell carcinoma inferior vena cava tumour thrombus.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Department of Urology, University of Texas Health, San Antonio, Texas, USA.

A 47-year-old previously healthy man presented with acute moderate flank pain. Evaluation revealed left renal cell carcinoma, with inferior vena cava tumour thrombus invasion. Patient had no significant history or risk factors to pre-dispose him to genitourinary cancers. Read More

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http://dx.doi.org/10.1136/bcr-2018-227030DOI Listing

Splenic rupture after elective cardioversion.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Hiram C. Polk Department of Surgery, University of Louisville, Louisville, Kentucky, USA.

Splenic laceration and rupture are common phenomena among patients in a traumatic setting, especially in blunt trauma. Much more unusual, however, is splenic injury without a known insult. Several case reports and studies have been written about spontaneous splenic injury in patients with viral, haematological or malignant processes. Read More

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http://dx.doi.org/10.1136/bcr-2018-226679DOI Listing

Takotsubo cardiomyopathy secondary to haemophagocytic lymphohistiocytosis in HIV patients: a comprehensive review.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Internal Medicine, Allama Iqbal Medical College, Lahore, Pakistan.

Haemophagocytic lymphohistiocytosis (HLH) is an immune dysregulation disorder with variable presentations and non-specific features making it extremely difficult to diagnose early in the clinical course. Here, we are presenting a case of a young man who presented in cardiogenic shock with findings of anterolateral wall ischaemia on ECG. Echocardiography findings were consistent with takotsubo cardiomyopathy (TCM). Read More

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http://dx.doi.org/10.1136/bcr-2018-226599DOI Listing

Periorbital necrotising fasciitis with underlying undiagnosed hepatitis C infection.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.

We report the case of a 56-year-old man, previously well, who presented with a spontaneous right-sided periorbital necrotising soft tissue infection and subsequently found to have undiagnosed hepatitis C and liver cirrhosis. The patient presented with rapid onset right eye pain, periorbital swelling and septic shock. CT scan revealed diffuse inflammatory changes to the soft tissue anterior to the right eye. Read More

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http://dx.doi.org/10.1136/bcr-2017-223720DOI Listing

Comprehensive molecular imaging of malignant transformation of giant cell tumour of bone reveals diverse disease biology.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Division of Cancer Medicine, Department of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Malignant transformation of giant cell tumour of the bone is extremely rare. In addition, bone transformation in giant cell tumour may occur in different phases. With conventional X-rays, CT scans or MRIs, it may be challenging to distinguish among different phases of bone transformation, normal bone, soft tissue disease and bone disease (benign vs malignant lesions) and changes in multiple organs such as lung, liver and lymph nodes unless every lesion is biopsied, which is not practical. Read More

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http://dx.doi.org/10.1136/bcr-2016-218839DOI Listing

Hemiazygos continuation of isolated left-sided inferior vena cava into persistent left superior vena cava: rare association of left isomerism.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

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

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http://dx.doi.org/10.1136/bcr-2019-230350DOI Listing

Septal bounce illustrated on coronary angiogram.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

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

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http://dx.doi.org/10.1136/bcr-2019-230179DOI Listing

Head of the pancreas mass that turned out to be not a pancreatic cancer.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Internal Medicine, Tripler Army Medical Center, Honolulu, Hawaii, USA.

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http://dx.doi.org/10.1136/bcr-2019-230110DOI Listing

Perineal ulcer: a rare cause of extensive subcutaneous emphysema.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA, USA.

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http://dx.doi.org/10.1136/bcr-2019-229918DOI Listing
April 2019
1 Read

Crohn's disease initiated with extraintestinal features.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, Massachusetts, USA.

Crohn's disease (CD) is a multifactorial, chronic immune-mediated disorder. The oral cavity is involved in 0.5% to 20% of the patients with CD. Read More

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http://dx.doi.org/10.1136/bcr-2019-229916DOI Listing
April 2019
2 Reads

Prolapsing mass in the caecum: learning point for the colonoscopist.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Colorectal Surgery, Royal Gwent Hospital, Newport, UK.

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http://dx.doi.org/10.1136/bcr-2019-229811DOI Listing

Simple and novel technique for fabrication of prosthetic vaginal dilators.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Jodhpur, Jodhpur, India.

Vaginal agenesis is one of the major congenital anomalies affecting women. Postoperative prosthetic vaginal dilators are indicated in patients treated surgically for vaginal agenesis. Although different dental materials such as acrylics and silicone-coated materials are used, addition silicones alone have never been used for the fabrication of prosthetic vaginal dilators. Read More

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http://dx.doi.org/10.1136/bcr-2019-229524DOI Listing

Male occult triple-negative breast cancer.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Surgery, Salmaniya Medical Complex, Manama, Bahrain.

Male breast cancer is a rare but important condition accounting for only 1% of breast cancer worldwide and less than 1% of all male malignancies. Occult male breast cancer is an extremely rare type of male breast cancer that manifests as axillary metastases without an identifiable breast lesion. We report a case of triple-negative occult male breast cancer who underwent modified radical mastectomy. Read More

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http://dx.doi.org/10.1136/bcr-2019-229482DOI Listing

Pleuroparenchymal fibroelastosis (PPFE) treated with lung transplantation and review of the literature.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

A 26-year-old woman presented with a 15-year history of non-progressive dyspnoea. Chest imaging showed bilateral apical pleural and parenchymal scarring, pleural thickening and bronchiectasis. Pulmonary function tests showed a moderate restrictive defect. Read More

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http://dx.doi.org/10.1136/bcr-2019-229402DOI Listing

Aberrant internal carotid artery in the middle ear: the duplication variant.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Nicosia Otolaryngology Center, Nicosia, Cyprus.

Vascular variants concerning the internal carotid artery (ICA) at the skull base level are rare. Correct workup and diagnosis in case of suspicion of such a variant are important as it mimics glomus tumours and could complicate myringotomy or middle ear surgery. We report a case of a 39-year-old woman presented with a 6-month history of right pulsatile tinnitus and aural fullness. Read More

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http://dx.doi.org/10.1136/bcr-2018-228865DOI Listing

Hereditary segmental neurofibromatosis: a report of three cases in a family.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Plastic Surgery, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India.

Hereditary segmental neurofibromatosis (SNF) is an extremely rare form of SNF with nine families reported till date. SNF is considered to be a result of mosaicism and hereditary transmission is possibly explained by increased susceptibility of mutations at neurofibromatosis gene loci. We report here three members of an Indian family with SNF. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22882
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http://dx.doi.org/10.1136/bcr-2018-228826DOI Listing
April 2019
1 Read

Cost of a delay.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

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

Abandoning a renal transplant operation during a live-related transplant is a rare occurrence. We recently encountered a case of previously undiagnosed coarctation of aorta (CoA) in the recipient during surgery. This was diagnosed by the absence of femoral pulses, a Doppler scan showing monophasic flows bilaterally in the iliac arteries and a difference in the mean arterial pressure between the radial artery and iliac artery of 50 mm Hg. Read More

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http://dx.doi.org/10.1136/bcr-2018-228667DOI Listing

Splenic artery aneurysm in a patient of autosomal dominant polycystic kidney disease: beyond tenuous concomitance!

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

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

Splenic artery aneurysm (SAA) is rare, with risk of rupture especially if diameter is >2 cm. It is usually asymptomatic and detected incidentally on imaging either in young pregnant women or elderly cirrhotic patients. Extracranial vascular abnormalities known to be associated with autosomal dominant polycystic kidney disease (ADPKD) include ascending aortic aneurysms, dissections of coronary and vertebral arteries and rarely SAA. Read More

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http://dx.doi.org/10.1136/bcr-2018-228552DOI Listing

Disease of the past re-emerging in modern Australian society.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Infectious Diseases, Blacktown Hospital, Blacktown, New South Wales, Australia.

A 28-year-old man with fever, atraumatic lower limb pain and rash was noted to have multiple areas of ecchymosis involving both lower limbs. He was anaemic and also had a grossly swollen left leg. Differential diagnoses of compartment syndrome, vascular tear, platelet and clotting factor disorders, vasculitis and myositis were ruled out. Read More

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http://dx.doi.org/10.1136/bcr-2018-228448DOI Listing

Complex encephalopathy arising from the combination of opioids and gabapentin.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Allegiance Health, Jackson, Michigan, USA.

The interactions between opioids and gabapentin are more clinically relevant than ever. Prescriptions dispensed for gabapentin increased from 39 million in 2012 to 64 million in 2018 in the USA and are ever increasing. Authors present a challenging case of these interactions. Read More

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http://dx.doi.org/10.1136/bcr-2018-228354DOI Listing
April 2019
2 Reads

Reversible uraemic encephalopathy.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

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

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http://dx.doi.org/10.1136/bcr-2018-228261DOI Listing

Deceptively asymptomatic cryptococcaemia in a renal transplant recipient: the lull before a storm.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

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

Cryptococcal infection constitutes around 3% of opportunistic infections in solid organ transplant recipients. Most common organ affected in renal transplant recipients (RTRs) is central nervous system and usually presents with chronic meningoencephalitis (CME). Ischaemic stroke as a consequence of cryptococcal meningoencephalitisis rare and possibly due to the involvement of intracranial vessel by exudates causing vasculitis-related thrombosis. Read More

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http://dx.doi.org/10.1136/bcr-2018-228115DOI Listing

Is ivabradine a wonder drug for atypical POTS?

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Internal Medicine, Abington Hospital - Jefferson Health, Abington, PA, USA.

Syncope is a sudden loss and gain of consciousness. Traditionally, it is caused by the abnormalities of neurological, cardiac or vasovagal systems. We present a case of a 19-year-old woman presenting with recurrent syncopal episodes with no apparent cause. Read More

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http://dx.doi.org/10.1136/bcr-2018-227789DOI Listing

MDS with 5q deletion and rare positive mastocytosis: a diagnostic and therapeutic challenge.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Hematology and Medical Oncology, Oakland University William Beaumont School of Medicine, Royal Oak, Michigan, USA.

A patient with a diagnosis of myelodysplastic syndrome (MDS) with isolated 5q deletion underwent repeat bone marrow biopsy to assess haematological response after 6 months of initial lenalidomide therapy. Subsequent bone marrow biopsies revealed persistent MDS with del(5q) in addition to a small atypical mast cell population with >25% of mast cells with spindle-shaped morphology and immunohistochemistry characteristics consistent with mastocytosis. Molecular testing on the bone marrow was positive for D816V and the patient was diagnosed with systemic mastocytosis (SM) with an associated haematological neoplasm. Read More

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http://dx.doi.org/10.1136/bcr-2018-227768DOI Listing

Loeffler's endocarditis with isolated left ventricular involvement on cardiac MRI.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

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

Loeffler endocarditis is an uncommon restrictive cardiomyopathy associated with eosinophilia and endomyocardial fibrosis causing diastolic restriction, predominantly involving the right ventricle. Cardiac MRI plays a crucial role in early detection of disease. Early disease usually responds well to corticosteroids. Read More

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http://dx.doi.org/10.1136/bcr-2018-227642DOI Listing

Hunter syndrome with persistent thrombocytopenia.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Pediatrics, APC, PGIMER, Chandigarh, India.

A case of Hunter syndrome, 6½-year-old boy presented with persistent thrombocytopenia and bleeding diathesis. However, cytopenia is not a usual presentation in patients with mucopolysaccharidosis II. After ruling out other causes of severe thrombocytopenia, a clinical possibility of chronic Epstein-Barr virus (EBV) infection was considered. Read More

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http://dx.doi.org/10.1136/bcr-2018-226518DOI Listing

Postsurgical peritoneal inclusion cyst masquerading as a large pelvic mass.

Authors:
Nigel Pereira

BMJ Case Rep 2019 Apr 16;12(4). Epub 2019 Apr 16.

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

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http://dx.doi.org/10.1136/bcr-2019-230066DOI Listing

Man with epigastric pain and persistently elevated serum lipase.

BMJ Case Rep 2019 Apr 16;12(4). Epub 2019 Apr 16.

Queensland Diabetes and Endocrine Centre, Mater Misericordiae Brisbane Ltd, South Brisbane, Queensland, Australia.

Serum lipase and amylase are commonly requested in individuals presenting with abdominal pain for investigation of acute pancreatitis. Pancreatic hyperenzymaemia is not specific for acute pancreatitis, occurring in many other pancreatic and non-pancreatic conditions. Where persistent elevation of serum lipase and amylase occurs in the absence of a diagnosed cause or evidence of laboratory assay interference, ongoing radiological assessment for pancreatic disease is required for 24 months before a diagnosis of benign pancreatic hyperenzymaemia can be made. Read More

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http://dx.doi.org/10.1136/bcr-2019-229208DOI Listing
April 2019
1 Read

Myopathy in a 61-year-old Hispanic man.

BMJ Case Rep 2019 Apr 16;12(4). Epub 2019 Apr 16.

Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

A 61-year-old Hispanic man presented to a county hospital for subacute progressive weakness, heliotrope rash and dysphagia. There was initial suspicion for dermatomyositis (DM) given the history; however, the physical exam was not consistent. An MRI followed by a muscle biopsy revealed necrotising autoimmune myositis and anti-3-hydroxy-3-methylglutary-coenzyme A-reductase antibody titers returned positive; the patient was diagnosed with necrotising autoimmune myositis. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22889
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http://dx.doi.org/10.1136/bcr-2018-228892DOI Listing
April 2019
2 Reads

Chronic cough and cystic lung disease caused by in a patient with AIDS.

BMJ Case Rep 2019 Apr 16;12(4). Epub 2019 Apr 16.

Pulmonary and Critical Care Medicine, University of Maryland Medical Center, Baltimore, Maryland, USA.

A 24-year-old man with a history of HIV and large B cell lymphoma (currently in remission) presented with fever, dry cough and dizziness. His CD4+ count was undetectable, and the HIV viral load was 109 295 cop/mL. Physical examination revealed fever, hypotension and tachycardia with coarse breath sounds in the middle and lower chest zones bilaterally. Read More

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http://dx.doi.org/10.1136/bcr-2018-228741DOI Listing

Severe rhabdomyolysis related to oxaliplatin adjuvant therapy for colorectal cancer.

BMJ Case Rep 2019 Apr 16;12(4). Epub 2019 Apr 16.

Medical Oncology, Hospital de São Francisco Xavier, Lisbon, Lisbon, Portugal.

Colorectal cancer is the third most common cancer in men and the second in women. The standard chemotherapy regiment in stage III colon cancer is based in oxaliplatin. The most common side effects include neutropenia, peripheral neuropathy, vomiting and diarrhoea. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22867
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http://dx.doi.org/10.1136/bcr-2018-228673DOI Listing
April 2019
2 Reads

Barbiturate-induced dyskalaemia in patients with traumatic brain injury patient.

BMJ Case Rep 2019 Apr 16;12(4). Epub 2019 Apr 16.

Nerancy Neuro-Intensive Care Unit, University of Virginia, Charlottesville, Virginia, USA.

A young man with severe traumatic brain injury and refractory intracranial hypertension was treated with a barbiturate coma. A rare side effect of barbiturates is dyskalaemia. The dyskalaemia presented with acute hypokalaemia that quickly became hyperkalaemia. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22811
Publisher Site
http://dx.doi.org/10.1136/bcr-2018-228119DOI Listing
April 2019
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Dorsally exophytic glioblastoma of the pons.

BMJ Case Rep 2019 Apr 16;12(4). Epub 2019 Apr 16.

Departamento de Especialidades Cirúrgicas, Universidade Federal do Rio de Janeiro Hospital Universitario Clementino Fraga Filho, Rio de Janeiro, Brazil.

Brainstem gliomas are rare tumours in adults, accounting for only 1%-2% of all intracranial gliomas. They are recognised as a heterogeneous group, in which most are malignant tumours. Brainstem gliomas are classified into four major groups according to the growth pattern on imaging, namely diffuse, focal, exophytic and cervicomedullary. Read More

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Source
http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22810
Publisher Site
http://dx.doi.org/10.1136/bcr-2018-228105DOI Listing
April 2019
2 Reads