2,113 results match your criteria Case Reports in Medicine [Journal]


A Novel Mutation in the Adult-Onset Alexander's Disease Gene.

Case Rep Med 2019 10;2019:2986538. Epub 2019 Jan 10.

Brookwood Baptist Health Medical Education, 817 Princeton Ave SW, POB2, Suite 106, Birmingham, AL 35211, USA.

The case describes a 25-year-old Caucasian female diagnosed with Alexander's disease (AxD) as an outpatient after extensive inpatient workup. Her presenting complaints included incontinence, clumsiness, seizures, dysphagia, and dysarthria. She was also found to have pancytopenia and dysautonomia. Read More

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http://dx.doi.org/10.1155/2019/2986538DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348877PMC
January 2019

Cardiac Arrest in the Airport Revealing Cocaine Body Packing: A Case Report.

Case Rep Med 2019 6;2019:6183154. Epub 2019 Jan 6.

Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS1144, Paris, France.

Ingestion of large amounts of cocaine packages is a well-known method for cross-border transportation. Intestinal obstruction and life-threatening sympathomimetic toxidrome including seizures, ventricular dysrhythmia, and cardiac arrest resulting from the rupture of cocaine packages may occur. Here, we report a case of a 34-year-old pregnant woman who had a sudden cardiac arrest while waiting for her bags at Paris-Charles de Gaulle Airport, France. Read More

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http://dx.doi.org/10.1155/2019/6183154DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339722PMC
January 2019
1 Read

Hemorrhagic Spinal Schwannoma in Thoracolumbar Area with Total Paraplegia.

Case Rep Med 2019 2;2019:7190739. Epub 2019 Jan 2.

Department of Anatomical Pathology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

Hemorrhagic schwannoma in the medulla spinalis is a rare occurrence. It is a variant of the slow-growing nerve sheath tumor that usually has subtle clinical symptoms. Injury to the spinal schwannoma that was previously suspected by spinal manipulations may accelerate the progression of symptoms and cause an acute presentation of paraplegia. Read More

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http://dx.doi.org/10.1155/2019/7190739DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334320PMC
January 2019
1 Read

A Case of Parvovirus-Related Haemophagocytic Lymphohistiocytosis in a Patient with HbH Disease.

Case Rep Med 2018 24;2018:8057045. Epub 2018 Dec 24.

Department of Haematology, Tan Tock Seng Hospital, Singapore.

Hemophagocytic lymphohistiocytosis (HLH) is rare and life-threatening medical emergency. Parvovirus infection is rarely associated with HLH. We report a case of parvovirus-related HLH in a patient with alpha thalassaemia (HbH disease). Read More

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https://www.hindawi.com/journals/crim/2018/8057045/
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http://dx.doi.org/10.1155/2018/8057045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323427PMC
December 2018
2 Reads

Sarcoidosis Presenting as Acute Respiratory Distress Syndrome.

Case Rep Med 2018 23;2018:6465180. Epub 2018 Dec 23.

Department of Pulmonary and Critical Care Medicine-Jefferson Health, Abington, PA, USA.

Sarcoidosis is a multisystem granulomatous disease of unknown origin. It typically involves the lungs and mediastinal lymph nodes in a chronic fashion. However, acute syndrome has been reported possibly in response to systemic release of proinflammatory cytokines. Read More

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http://dx.doi.org/10.1155/2018/6465180DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323477PMC
December 2018
1 Read

Disseminated Histoplasmosis with Miliary Histoplasmosis, Neurohistoplasmosis, and Bacteremia in Probable Neurosarcoidosis.

Authors:
Peter V Bui

Case Rep Med 2018 11;2018:3162403. Epub 2018 Dec 11.

Department of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.

Introduction: Neurosarcoidosis, either isolated or as part of systemic sarcoidosis, is an uncommon entity and has diagnostic uncertainty. Treatment for neurosarcoidosis can increase the risk of infections, including fungal infections such as disseminated histoplasmosis. Neurosarcoidosis may further predispose patients to infections of the central nervous system. Read More

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http://dx.doi.org/10.1155/2018/3162403DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311783PMC
December 2018
4 Reads

Seizure and Acute Vision Loss in a Filipino Lupus Patient: A Case of Posterior Reversible Encephalopathy Syndrome with Intraparenchymal Hemorrhage.

Case Rep Med 2018 9;2018:4238676. Epub 2018 Dec 9.

Section of Rheumatology, Department of Medicine, UP-Philippine General Hospital, Manila, Philippines.

Posterior reversible encephalopathy syndrome (PRES) is a rare and poorly understood neurologic condition that has been described in some patients with systemic lupus erythematosus (SLE). Intracerebral hemorrhage is a unique and atypical presentation of PRES and has been described only in a small number of patients with SLE. We present the case of a 33-year-old female, diagnosed with SLE and active nephritis, who was admitted for seizures. Read More

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https://www.hindawi.com/journals/crim/2018/4238676/
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http://dx.doi.org/10.1155/2018/4238676DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304919PMC
December 2018
7 Reads

Posterior Reversible Encephalopathy Syndrome due to Hypomagnesemia: A Case Report and Literature Review.

Case Rep Med 2018 29;2018:1980638. Epub 2018 Nov 29.

Department of Neurology, St. Josef Hospital, The Academic Hospital of Duisburg-Essen University, Mülheimer Strasse 83, 46045 Oberhausen, Germany.

Background: Hypomagnesemia can cause various unspecific neurological complications, which can lead to diagnostic confusion. One of these complications is the posterior reversible encephalopathy syndrome (PRES), which is extremely uncommon and has been reported only twice in the English-language literature.

Case Presentation: We report the case of a 60-year-old man who presented with PRES involving only the cerebellar hemispheres and associated with hypomagnesemia. Read More

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https://www.hindawi.com/journals/crim/2018/1980638/
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http://dx.doi.org/10.1155/2018/1980638DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304829PMC
November 2018
6 Reads

Analysis of Treatment of 3 Patients with Acute-on-Chronic Liver Failure.

Case Rep Med 2018 22;2018:7421502. Epub 2018 Nov 22.

Department of Infectious Disease, General Hospital of the Yangtze River Shipping, Wuhan Brain Hospital, Wuhan 430010, China.

Acute-on-chronic liver failure (ACLF) is an acute liver decompensation that occurs within 4 weeks on the basis of chronic liver disease. At present, the treatments of ACLF include general supportive treatment, etiological treatment, prevention and treatment of complications, artificial liver treatment, and liver transplantation. Many studies suggest that stem cell therapy may become a new treatment for patients with ACLF. Read More

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https://www.hindawi.com/journals/crim/2018/7421502/
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http://dx.doi.org/10.1155/2018/7421502DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282116PMC
November 2018
8 Reads

Toxicological and Biochemical Analyses of an Autopsy Case Involving Oral Overdose of Multiple Antidiabetic and Antihypertensive Drugs.

Case Rep Med 2018 25;2018:5864658. Epub 2018 Nov 25.

Department of Legal Medicine, Osaka City University Medical School, Asahi-machi 1-4-3, Abeno, Osaka 545-8585, Japan.

Oral antidiabetics can cause fatal hypoglycemia; although they can be chemically identified and quantified, biochemical investigations are important for assessing the biological consequences of an overdose. Such cases of overdose involving oral antidiabetics may involve other drugs for treating lifestyle-related diseases, particularly antihypertensives. Here, we report a toxicological and biochemical investigation of drugs and biochemical profiles in a fatal overdose involving multiple oral antidiabetics and antihypertensives. Read More

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https://www.hindawi.com/journals/crim/2018/5864658/
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http://dx.doi.org/10.1155/2018/5864658DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6286784PMC
November 2018
3 Reads

A Case Report of Acute Airway Compromise due to Subcutaneous Emphysema.

Case Rep Med 2018 25;2018:3103061. Epub 2018 Nov 25.

Cumming School of Medicine, University of Calgary, Alberta Health Services, Department of Surgery, South Health Campus, 4448 Front St SE, Calgary, AB T3M1M4, Canada.

In the acute management of a trauma patient, airway patency is of utmost importance. The present case describes a male patient who presented with delayed severe upper airway obstruction secondary to massive subcutaneous emphysema following blunt traumatic injury two days previously. Airway compromise is a rarely described but serious complication of subcutaneous emphysema. Read More

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http://dx.doi.org/10.1155/2018/3103061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6286736PMC
November 2018
2 Reads

Bortezomib-Induced Pulmonary Toxicity: A Case Report and Review of Literature.

Case Rep Med 2018 25;2018:2913124. Epub 2018 Nov 25.

Department of Medicine, Wilmot Cancer Institute, University of Rochester, Rochester, NY, USA.

Bortezomib, a proteasome inhibitor, is an established therapy against multiple myeloma. Bortezomib-induced lung injury, although not appreciated during the introductory time of the medication, has now been highlighted in multiple case reports. The objective of this study is to report a case of bortezomib-induced lung injury, review current literature, and perform exploratory analysis. Read More

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http://dx.doi.org/10.1155/2018/2913124DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6286773PMC
November 2018
1 Read

A Rare Case of Monophasic Synovial Sarcoma of Thoracic Vertebra.

Case Rep Med 2018 18;2018:2313927. Epub 2018 Nov 18.

Raritan Bay Medical Center, Perth Amboy, NJ, USA.

Synovial sarcoma of spine is an extremely rare malignancy with poor prognosis. It is often metastatic at the time of presentation. Its relative rarity and histological resemblance to other tumors make it diagnostically challenging, requiring the need of immunohistochemistry and cytogenetics for definite diagnosis. Read More

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http://dx.doi.org/10.1155/2018/2313927DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276405PMC
November 2018
1 Read

Chorea Hyperglycemia Basal Ganglia Syndrome in a 63-Year-Old Male.

Case Rep Med 2018 5;2018:9101207. Epub 2018 Nov 5.

U.S. Department of Veteran Affairs, Internal Medicine, 1970 Roanoke Blvd., Salem, VA 24153, USA.

Chorea hyperglycemia basal ganglia syndrome (CHBG) is a rare condition that manifests within the setting of uncontrolled nonketotic diabetes mellitus. The objective of this case report is to present a patient found to have CHBG and provide a timeline in terms of his workup and subsequent treatment. We also present a commentary on the current understanding of the pathophysiology and treatment and how this was applied to our patient. Read More

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http://dx.doi.org/10.1155/2018/9101207DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247715PMC
November 2018
2 Reads

Reset Osmostat: A Challenging Case of Hyponatremia.

Case Rep Med 2018 4;2018:5670671. Epub 2018 Nov 4.

Woodlands Health Campus 2, Yishun Avenue 2, Singapore 768024.

Hyponatremia is the most common electrolyte abnormality seen in hospitalised patients with up to 15-20% of patients having a sodium level of less than 135 mmol/L (Reddy and Mooradian, 2009). Cases of hyponatremia were first described in the 1950s (George et al., 1955). Read More

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https://www.hindawi.com/journals/crim/2018/5670671/
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http://dx.doi.org/10.1155/2018/5670671DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247647PMC
November 2018
7 Reads

Sarcoidosis and Its Splenic Wonder: A Rare Case of Isolated Splenic Sarcoidosis.

Case Rep Med 2018 5;2018:4628439. Epub 2018 Nov 5.

Texas A&M University, College Station, TX, USA.

Sarcoidosis is a systemic granulomatous disease of unknown etiology characterized by presence of noncaseating granulomas in the involved organs. The pulmonary interstitium is most commonly affected but extrapulmonary involvement can occur in almost any other organ system. Such an involvement can occur with or without the presence of pulmonary involvement, but isolated extrapulmonary involvement has been noted only in around 10% of cases. Read More

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http://dx.doi.org/10.1155/2018/4628439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247667PMC
November 2018
3 Reads

Rhabdomyolysis-Induced Acute Kidney Injury in Diabetic Emergency: Underdiagnosed and an Important Association to Be Aware of.

Case Rep Med 2018 31;2018:4132738. Epub 2018 Oct 31.

Department of Medicine, Internal Medicine Residency Program, Hackensack Meridian Health, Jersey Shore University Medical Center, Neptune, New Jersey 07753, USA.

Rhabdomyolysis is a potentially life-threatening clinical syndrome associated with muscle injury which can cause a leakage of intracellular contents, manifested from the range of being asymptomatic to a life-threatening condition causing acute kidney injury and severe electrolyte abnormalities. Rhabdomyolysis has been associated with both diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic nonketotic syndrome, though there is an increased association with rhabdomyolysis and acute kidney injury with hyperosmolar nonketonic state compared with patients with diabetic ketoacidosis. Common clinical manifestations are muscle pain, dark urine, and generalized weakness. Read More

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http://dx.doi.org/10.1155/2018/4132738DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234448PMC
October 2018
2 Reads

Therapy with Ulipristal Acetate in a Hypertensive Patient.

Case Rep Med 2018 1;2018:1091520. Epub 2018 Nov 1.

Servicio de Obstetricia y Ginecología, Hospital Universitari Sagrat Cor, Barcelona, Spain.

Ulipristal acetate (UPA) is a medical therapy for patients with symptomatic uterine fibroids. The drug has shown efficacy in the control of heavy menstrual bleeding and, as a consequence, in anaemia improvement. We report the case of a hypertensive patient treated with two courses of UPA. Read More

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http://dx.doi.org/10.1155/2018/1091520DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6236705PMC
November 2018
2 Reads

Hip Mobilization at Preterm Age May Accelerate Developmental Dysplasia Recovery.

Case Rep Med 2018 29;2018:8625721. Epub 2018 Oct 29.

Department of Physical Therapy, Communication Sciences and Disorders and Occupational Therapy, Faculty of Medicine, University of São Paulo, Brazil.

Purpose: Few studies have described mobilization approaches in developmental dysplasia of the hip (DDH). The present study describes the hip mobilization of a preterm infant (born at 33 6/7 weeks of gestational age) diagnosed with DDH.

Design And Methods: During the 43-day hospital stay, the infant was seen twice a week (ten sessions, 20 minutes each). Read More

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http://dx.doi.org/10.1155/2018/8625721DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231373PMC
October 2018
2 Reads

Sinking Skin Flap Syndrome: Phenomenon of Neurological Deterioration after Decompressive Craniectomy.

Case Rep Med 2018 23;2018:9805395. Epub 2018 Oct 23.

Department of Internal Medicine, Temple University, Conemaugh Memorial Medical Center, Johnstown, PA, USA.

Sinking skin flap syndrome is rare phenomenon that occurs in patients with large craniectomies. Alteration in normal anatomy and pathophysiology can result in wide variety of symptoms including altered mental status, hemodynamic instability, and dysautonomias. Management is largely conservative. Read More

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https://www.hindawi.com/journals/crim/2018/9805395/
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http://dx.doi.org/10.1155/2018/9805395DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218751PMC
October 2018
21 Reads

Macrophage Activation Syndrome, Glomerulonephritis, Pericarditis, and Retinal Vasculitis as Initial Presentation of Systemic Lupus Erythematosus.

Case Rep Med 2018 26;2018:5979386. Epub 2018 Sep 26.

Department of Medicine, Mount Sinai St Luke's and Mount Sinai West, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Macrophage activation syndrome (MAS) is a rare manifestation of systemic lupus erythematosus (SLE) with potentially life-threatening consequences. To the best of our knowledge, this is the first case reported in literature for a constellation of MAS, glomerulonephritis, pericarditis, and retinal vasculitis as initial presentation of SLE. Despite extensive multisystem involvement of his disease, the patient responded well to initial steroid treatment, with mycophenolate mofetil successfully added as a steroid-sparing agent. Read More

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http://dx.doi.org/10.1155/2018/5979386DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178166PMC
September 2018
4 Reads

Peritonitis: An Emerging Infection in Peritoneal Dialysis Patients.

Case Rep Med 2018 19;2018:3537283. Epub 2018 Sep 19.

Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, 1945 Route 33, Neptune, NJ 07753, USA.

Recently, the incidence of () associated infection has increased significantly in hospital and ambulatory care settings in parallel to the increasing use of inappropriate antibiotics. According to the CDC, approximately 83,000 patients who developed . experienced at least one recurrence and 29,000 died within 30 days of the initial diagnosis. Read More

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https://www.hindawi.com/journals/crim/2018/3537283/
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http://dx.doi.org/10.1155/2018/3537283DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6169237PMC
September 2018
14 Reads

When a Seemingly Harmless Prescription Turns into Toxicity.

Case Rep Med 2018 16;2018:9724390. Epub 2018 Sep 16.

Department of Neurology, Albert Einstein Medical Center, Philadelphia, PA, USA.

Valacyclovir neurotoxicity is commonly seen in the elderly and those with impaired renal function. Differential diagnosis can be challenging as a myriad of medical conditions, including herpes zoster virus associated encephalitis, may present in a similar fashion. We present a case of a 71-year-old male who presented with altered mental status in the setting of recent herpes zoster eruption. Read More

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https://www.hindawi.com/journals/crim/2018/9724390/
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http://dx.doi.org/10.1155/2018/9724390DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165624PMC
September 2018
15 Reads

The First Report of Multicentric Carpotarsal Osteolysis Syndrome Caused by Mutation in Asian.

Case Rep Med 2018 16;2018:6783957. Epub 2018 Sep 16.

Department of Pediatrics, Faculty of Medicine, Thammasat University, Bangkok, Thailand.

Multicentric carpotarsal osteolysis syndrome (MCTO) is a rare skeletal disorder characterized by aggressive osteolysis associated with progressive nephropathy. The early clinical presentation can mimic polyarticular juvenile idiopathic arthritis. Since 2012, mutations have been discovered in all MCTO patients. Read More

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https://www.hindawi.com/journals/crim/2018/6783957/
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http://dx.doi.org/10.1155/2018/6783957DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164201PMC
September 2018
12 Reads

A Very Rare Complication of Hepatitis A Infection: Acute Myocarditis-A Case Report with Literature Review.

Case Rep Med 2018 13;2018:3625139. Epub 2018 Sep 13.

Internal Medicine Department, Beaumont Hospital, Royal Oak, MI, USA.

Hepatitis A is a common viral infection with a benign course but in rare cases can progress to acute liver failure. It usually presents with abdominal pain, nausea, vomiting, diarrhea, jaundice, anorexia, or asymptomatically, but it can also present atypically with relapsing hepatitis and prolonged cholestasis. In addition, extrahepatic manifestations have been reported, including urticarial and maculopapular rash, acute kidney injury, autoimmune hemolytic anemia, aplastic anemia, acute pancreatitis, mononeuritis, reactive arthritis, glomerulonephritis, cryoglobulinemia, Guillain-Barre syndrome, and pleural or pericardial effusion. Read More

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http://dx.doi.org/10.1155/2018/3625139DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158949PMC
September 2018
7 Reads

Haploidentical Stem Cell Transplantation: A Gateway to Infrequent Availability of HLA-Matched Related Donors.

Case Rep Med 2018 10;2018:2573657. Epub 2018 Sep 10.

Department of Medicine, Division of Hematology, Mayo Clinic, Rochester, MN 55905, USA.

Haploidentical stem cell transplantation provides a plausible alternative for the patients when a fully matched donor is unavailable. Historically, the decision of considering haploidentical transplant has remained elusive; however, with the recent advances, the consideration of haploidentical grafts as a treatment option has become more apparent for both allografting for diseases and engraftment failure. We are reporting here an anecdotal case of a successful haploidentical engraftment in a patient with the prior graft failure of an HLA-matched related donor. Read More

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https://www.hindawi.com/journals/crim/2018/2573657/
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http://dx.doi.org/10.1155/2018/2573657DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6151688PMC
September 2018
12 Reads

A Case Report of Sarcoidosis Mimicking Vertebral Metastasis.

Case Rep Med 2018 9;2018:5326324. Epub 2018 Sep 9.

Department of Internal Medicine, Virginia Commonwealth University Health Systems, Richmond, VA, USA.

A 35-year-old African American male, previously healthy, presented with lower back and bilateral lower extremity pain associated with intermitted night sweats and weight loss. Imaging was concerning diffuse vertebral metastatic lesions. He underwent extensive workup to evaluate for metastatic disease. Read More

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http://dx.doi.org/10.1155/2018/5326324DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6151222PMC
September 2018
1 Read

Mitral Valve Endocarditis due to .

Case Rep Med 2018 4;2018:8613948. Epub 2018 Sep 4.

University Hospital, Department of Cardiology and Cardiovascular Medicine, Eberhard Karls University Tuebingen, 72076 Tuebingen, Germany.

species are Gram-positive, facultative anaerobic, rod-shaped bacteria. They belong to the lactic acid bacteria group and are also known as a usual part of the normal flora of the gastrointestinal tract as well as of the urinary and genital tracts. They are an infrequent human pathogen but can induce several infections such as bacteremia and infectious endocarditis. Read More

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http://dx.doi.org/10.1155/2018/8613948DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142765PMC
September 2018
12 Reads

Lamotrigine-Valproic Acid Interaction Leading to Stevens-Johnson Syndrome.

Case Rep Med 2018 29;2018:5371854. Epub 2018 Aug 29.

Genia-Genetics Molecular Laboratory, Bulevar General Artigas 922, 11300 Montevideo, Uruguay.

Lamotrigine (LTG) is currently indicated as adjunctive therapy for focal and generalized tonic-clonic seizures and for treatment of bipolar disorder and neuropathic pain. A common concern with LTG in children is the frequency of appearance of skin rash. The intensity of this adverse effect can vary from transient mild rash to Stevens-Johnson syndrome (SJS), which can be fatal mainly when LTG is coadministered with valproic acid (VPA). Read More

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http://dx.doi.org/10.1155/2018/5371854DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136509PMC
August 2018
5 Reads

Ehlers-Danlos Syndrome: Not Just Joint Hypermobility.

Case Rep Med 2018 29;2018:5053825. Epub 2018 Aug 29.

University Rehabilitation Institute of Republic of Slovenia, Linhartova 51, 1000 Ljubljana, Slovenia.

Ehlers-Danlos syndrome is an umbrella term for a group of heritable soft connective tissue disorders which is characterized by joint hypermobility, skin texture and elasticity abnormalities, and visceral and vascular fragility or dysfunctions. As the syndrome is rare, it is often underdiagnosed. Patients usually present late, with chronic moderate to severe pain which is attributed to the joint hypermobility and joint subluxations. Read More

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http://dx.doi.org/10.1155/2018/5053825DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136482PMC
August 2018
1 Read

A Rare Cause of Acute Kidney Injury: Primary Renal Lymphoma in a Patient with Human Immunodeficiency Virus.

Case Rep Med 2018 13;2018:8425985. Epub 2018 Aug 13.

Department of Medicine, Nephrology Unit, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia.

We reported a case of primary renal lymphoma (PRL) presented with non-oliguric acute kidney injury and bilateral kidney infiltrates in an individual with human immunodeficiency virus (HIV) disease. Acute kidney injury secondary to lymphoma infiltrates is very rare (less than 1% of hematological malignancy). A 37-year-old gentleman with underlying human immunodeficiency virus (HIV) disease was on combined antiretroviral therapy since diagnosis. Read More

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http://dx.doi.org/10.1155/2018/8425985DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110045PMC
August 2018
7 Reads

A Case of Neurosarcoidosis-Induced Syndrome of Inappropriate Secretion of Antidiuretic Hormone Diagnosed with Neuroendoscopy.

Case Rep Med 2018 6;2018:9496149. Epub 2018 Aug 6.

Department of Neurosurgery, Saitama Sekishinkai Hospital, Saitama, Japan.

We treated a patient with neurosarcoidosis, which caused the syndrome of inappropriate secretion of antidiuretic hormone (SIADH), in whom diagnosis was performed using neuroendoscopy. The patient was a 56-year-old female who was hospitalized for hyponatremia and diagnosed with SIADH based on a detailed examination. During the course, she developed impaired consciousness due to acute hydrocephalus, which improved after ventricular drainage. Read More

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http://dx.doi.org/10.1155/2018/9496149DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109485PMC
August 2018
8 Reads

Cardiac Involvement by HIV-Associated DLBCL.

Case Rep Med 2018 24;2018:7531319. Epub 2018 Jul 24.

Department of Infectious Diseases, STAR Clinic, SUNY Downstate Medical Center, Brooklyn, NY, USA.

Non-Hodgkin's lymphoma (NHL) is a common AIDS-defining malignancy among people living with HIV. Of the different types of NHLs, diffuse large B-cell lymphoma (DLBCL) is the most common. Prognosis of DLBCL has improved over the years in the general population but remains relatively poor in HIV-positive individuals. Read More

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http://dx.doi.org/10.1155/2018/7531319DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081529PMC
July 2018
3 Reads

Pseudohyperkalemia: Hyperkalemia Cocktail or Alternative Diagnosis.

Case Rep Med 2018 24;2018:9060892. Epub 2018 Jul 24.

Internal Medicine, PeaceHealth Southwest Medical Center, 400 NE Mother Joseph Place, Vancouver, WA 98664, USA.

Introduction: Hyperkalemia is a commonly encountered clinical problem. Pseudohyperkalemia is believed to be an in vitro phenomenon that does not reflect in vivo serum potassium and therefore should not be treated. Here, we present a case who unfortunately underwent unnecessary treatment because of failure to detect the common lab abnormality of pseudohyperkalemia. Read More

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https://www.hindawi.com/journals/crim/2018/9060892/
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http://dx.doi.org/10.1155/2018/9060892DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081547PMC
July 2018
4 Reads

Brachial Plexus Chemical Neurolysis with Ethanol for Cancer Pain.

Case Rep Med 2018 24;2018:8628645. Epub 2018 Jul 24.

Department of Anesthesiology, University of Texas Health Science Center at San Antonio (UTHSCSA), San Antonio, TX, USA.

Chemical neurolytic nerve blocks have been successfully used to treat a variety of cancer-related pain. However, the literature has been sparse regarding neurolysis of the brachial plexus for cancer pain. We present a unique case report of a successful chemical neurolysis of the brachial plexus with dehydrated ethanol for a patient suffering from metastatic mammary carcinoma with tumor invasion of the right brachial plexus. Read More

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http://dx.doi.org/10.1155/2018/8628645DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081596PMC
July 2018
2 Reads

Lactate Gap: A Diagnostic Support in Severe Metabolic Acidosis of Unknown Origin.

Case Rep Med 2018 24;2018:5238240. Epub 2018 Jul 24.

Department of Anesthesiology and Critical Care Medicine, Nordland Hospital Bodø, Bodø, Norway.

Ethylene glycol poisoning is a medical emergency. The metabolites glycolate and glyoxylate give metabolic acidosis. Because of similar structure, these metabolites are misinterpreted as lactate by many point-of-care blood gas analyzers. Read More

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http://dx.doi.org/10.1155/2018/5238240DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081525PMC
July 2018
3 Reads

Syncope: An Atypical Presentation of Pulmonary Embolism Secondary to Occult Uterine Malignancy.

Case Rep Med 2018 12;2018:9141529. Epub 2018 Jul 12.

National Institute of Cardiovascular Diseases, Karachi, Pakistan.

All syncopal patients who present to the emergency department should be considered for pulmonary embolism (PE) as part of their differential diagnosis. PE presenting as a syncopal episode and associated with occult uterine malignancy is uncommon. Review of the literature indicates that up to 10% of patients with unprovoked venous thromboembolism (VTE) are diagnosed with cancer in the year following that first episode of VTE. Read More

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http://dx.doi.org/10.1155/2018/9141529DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6079599PMC
July 2018
2 Reads

A Rare Case of Vascular Leiomyosarcoma Originating from a Branch Vessel of the External Iliac Vein.

Case Rep Med 2018 15;2018:5160591. Epub 2018 Jul 15.

Department of Urology, Osaka Rosai Hospital, 1179-3 Nagasone, Kitaku, Sakai, Osaka 591-8025, Japan.

Leiomyosarcoma arising from the external iliac vein is uncommon. This is a report of a 51-year-old Japanese man with venous leiomyosarcoma originating from a branch vessel of the left external iliac vein. The tumor was found during a medical examination, and the patient had no symptoms. Read More

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http://dx.doi.org/10.1155/2018/5160591DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6079617PMC
July 2018
5 Reads

The Wolf Hidden behind the Clots: Catastrophic Antiphospholipid Antibody Syndrome.

Case Rep Med 2018 19;2018:4693037. Epub 2018 Jul 19.

Department of Medicine, Baystate Medical Center, University of Massachusetts Medical School, Springfield, MA, USA.

Catastrophic antiphospholipid syndrome (CAPS) is a rare but highly fatal clinical syndrome that occurs in up to 1% of patients with antiphospholipid syndrome (APS). The diagnosis of CAPS is often delayed because its presentation with multiple organ thromboses can be confused with other thrombotic microangiopathies and severe sepsis. We report a case of CAPS in a patient with APS and systemic lupus erythematosus (SLE) presenting with thrombotic storm precipitated by trauma, cytomegalovirus (CMV) infection, and noncompliance with anticoagulation therapy. Read More

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https://www.hindawi.com/journals/crim/2018/4693037/
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http://dx.doi.org/10.1155/2018/4693037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6079609PMC
July 2018
23 Reads

Successful Percutaneous Coronary Intervention for Atherosclerotic Coronary Lesion with Anomalous Origin of the Right Coronary Artery.

Case Rep Med 2018 19;2018:4232941. Epub 2018 Jul 19.

Department of Cardiovascular Medicine, Japanese Red Cross Saitama Hospital, Saitama, Japan.

Congenital coronary artery anomalies, including anomalous origin of a coronary artery, can manifest as life-threatening conditions, such as myocardial infarction or arrhythmia, and may even lead to sudden death associated with specific congenital anatomical features. Such arteries can also develop atherosclerotic lesions. This report describes the case of a 75-year-old man who was admitted to our hospital due to exertional dyspnea. Read More

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https://www.hindawi.com/journals/crim/2018/4232941/
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http://dx.doi.org/10.1155/2018/4232941DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6079552PMC
July 2018
12 Reads

8q22.1 Microduplication Syndrome: Why the Brain Should Be Spared? A Literature Review and a Case Report.

Case Rep Med 2018 12;2018:3871425. Epub 2018 Jul 12.

Department of the Adult and Developmental Age Human Pathology, Unit of Child Neurology and Psychiatry, University Hospital of Messina, Messina, Italy.

Microduplication of chromosome 8q22.1 is mainly associated to Leri's pleonosteosis syndrome phenotype, an extremely rare autosomal dominant disease encompassing the GDF6 and SDC2 genes. To date, most of the authors focus their attention only on skeletal symptoms of the disease, and they do not systematically research or describe the co-occurrence of psychiatric illnesses or mental disorders with these muscular-skeletal diseases. Read More

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http://dx.doi.org/10.1155/2018/3871425DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6079567PMC
July 2018
2 Reads

Successful Treatment of Methampyrone-Induced Toxic Epidermal Necrolysis with Therapeutic Plasma Exchange.

Case Rep Med 2018 18;2018:2182604. Epub 2018 Jul 18.

Department of Dermatology and Venereology, Telogorejo Hospital, Semarang, Indonesia.

The toxic epidermal necrolysis (TEN) is a severe cutaneous adverse reaction frequently caused by drug exposure. A 58-year-old male was admitted to the hospital after administration of methampyrone. He developed sloughing of the total epidermis which rapidly extended over the trunk and limbs. Read More

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http://dx.doi.org/10.1155/2018/2182604DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6079558PMC
July 2018
1 Read

Erratum to "Fat Embolism Syndrome: A Case Report and Review Literature".

Case Rep Med 2018 27;2018:3424163. Epub 2018 Jun 27.

Department of Orthopedic Surgery, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.

[This corrects the article DOI: 10.1155/2018/1479850.]. Read More

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http://dx.doi.org/10.1155/2018/3424163DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040245PMC
June 2018
1 Read

Sclerotic Bone Metastasis in Pulmonary Adenocarcinoma.

Case Rep Med 2018 12;2018:1903757. Epub 2018 Jun 12.

Department of Medicine, Hamad Medical Corporation, Doha, Qatar.

Pulmonary adenocarcinoma is one of the major types of lung cancers in which metastasis is very common and it accounts approximately to one-third of all primary pulmonary cancers. Although a minority of patients with lung cancer are asymptomatic, which gets usually detected in routine chest radiography, most of the patients present with some symptoms. Lung cancer metastasis may occur virtually in every organ system. Read More

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http://dx.doi.org/10.1155/2018/1903757DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020462PMC
June 2018
2 Reads

Incidental Finding of Left Ventricular False Chamber: Diagnostic and Therapeutic Implications.

Case Rep Med 2018 8;2018:8478475. Epub 2018 Jul 8.

Department of Cardiology, Di Circolo Hospital, University of Insubria, Varese, Italy.

We present the case of a 75-year-old man with incidental finding of a left ventricular false chamber at echocardiography. A multimodality imaging approach including also transesophageal echocardiography and cardiac magnetic resonance imaging allowed to better characterize the lesion and identify it as a pseudoaneurysm. Surgery showed an infective aetiology, which is rare, due to the finding of a large abscess in the cavity. Read More

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https://www.hindawi.com/journals/crim/2018/8478475/
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http://dx.doi.org/10.1155/2018/8478475DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057300PMC
July 2018
14 Reads

Intraoperative Tracheal Obstruction Management among Patients with Anterior Mediastinal Masses.

Case Rep Med 2018 4;2018:4895263. Epub 2018 Jul 4.

Anesthesiology and Pain Management, Saint George Hospital-University Medical Center, Beirut, Lebanon.

Background: Patients suffering from undiagnosed obstruction of the central airways: the trachea and main stem bronchi are at increased risk for perioperative and postoperative complications, especially if general anesthesia is performed.

Case Description: This report discusses a 30-year-old asymptomatic Caucasian female who faced recurrent distal airway collapse during mediastinoscopy for biopsy of an anterior mediastinal mass, which led to the inability to extubate her. This case examines the necessity of a thorough preoperative assessment especially in patients with undiagnosed tracheal obstruction and a precise coordination between anesthesiologist and surgeon in being able to perform a safe and smooth anesthesia, in order to avoid life-threatening complications and to reduce further morbidity. Read More

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http://dx.doi.org/10.1155/2018/4895263DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057329PMC
July 2018
4 Reads

Silicone-Induced Foreign Body Reaction: An Unusual Differential Diagnosis of Posterolateral Hip Pain.

Case Rep Med 2018 8;2018:1802794. Epub 2018 Jul 8.

University of Florida, Jacksonville, FL, USA.

Background: Silicone injection is commonly used for soft tissue augmentation for esthetic purposes. It is not without complications.

Case Presentation: We present a case of a 31-year-old woman presenting with refractory left lateral hip pain. Read More

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http://dx.doi.org/10.1155/2018/1802794DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057356PMC
July 2018
1 Read

Cronkhite-Canada Syndrome: Sustained Clinical Response with Anti-TNF Therapy.

Case Rep Med 2018 2;2018:9409732. Epub 2018 Jul 2.

Division of Gastroenterology, University of British Columbia, Vancouver, BC, Canada.

Cronkhite-Canada syndrome (CCS) is a rare, nonfamilial syndrome that occurs in the sixth to seventh decades of life. It is characterized by acquired gastrointestinal polyposis with an associated ectodermal triad, including alopecia, onchodystrophy, and hyperpigmentation. CCS is characteristically a progressive disease, with a high mortality rate despite medical interventions. Read More

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http://dx.doi.org/10.1155/2018/9409732DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051112PMC
July 2018
15 Reads

Slipping Rib Syndrome in a Female Adult with Longstanding Intractable Upper Abdominal Pain.

Case Rep Med 2018 2;2018:7484560. Epub 2018 Jul 2.

Department of Internal Medicine, Conemaugh Memorial Medical Center, Temple University, Johnstown, PA, USA.

Slipping rib syndrome is a rare cause of abdominal or lower chest pain that can remain undiagnosed for many years. Awareness among health care personnel of this rare but significant disorder is necessary for early recognition. Prompt treatment can avoid unnecessary testing, radiographic exposure, and years of debilitating pain. Read More

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https://www.hindawi.com/journals/crim/2018/7484560/
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http://dx.doi.org/10.1155/2018/7484560DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051074PMC
July 2018
22 Reads

An Unusual Presentation of Kawasaki Disease: Gallbladder Hydrops and Acute Cholestatic Hepatitis.

Case Rep Med 2018 3;2018:4930234. Epub 2018 Jul 3.

Departments of Pediatrics, Faculty of Medicine, TOBB University of Economics and Technology, Ankara, Turkey.

Kawasaki disease is the most common vasculitis of childhood. In its classical form, at least four of five diagnostic criteria including cervical lymphadenopathy (1.5 cm or more), nonsuppurative conjunctivitis, intraoral mucosal changes, edema in hands and feet, and maculopapular rash are required with prolonged fever over 5 days. Read More

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http://dx.doi.org/10.1155/2018/4930234DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051122PMC
July 2018
1 Read