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    1945 results match your criteria Case Reports in Medicine [Journal]

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    A Rare Case of Cavitary Lesion of the Lung Caused by Mycoplasma pneumoniae in an Immunocompetent Patient.
    Case Rep Med 2017 21;2017:9602432. Epub 2017 Aug 21.
    Division of Pulmonary and Critical Care Medicine, Department of Medicine, Bronx Lebanon Hospital Center Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA.
    Mycoplasma pneumoniae is an atypical bacterium that most commonly causes upper respiratory tract infections, but it can also cause pneumonia, referred to as "walking pneumonia." Although cavitary lesions are present in a wide variety of infectious and noninfectious processes, those attributable to M. pneumoniae are extremely uncommon; thus, to date, epidemiological studies are lacking. Read More

    Thyrotoxicosis and Choledocholithiasis Masquerading as Thyroid Storm.
    Case Rep Med 2017 23;2017:9454698. Epub 2017 Aug 23.
    Madigan Army Medical Center, Tacoma, WA, USA.
    A 26-year-old female, thirteen months postpartum, presented to the emergency department for four weeks of epigastric abdominal pain, pruritus, new onset jaundice, and 11.3 kgs (25 lbs) unintentional weight loss. On examination, she was afebrile, tachycardic, alert, and oriented and had jaundice with scleral icterus. Read More

    Granulomatosis with Polyangiitis with Myocarditis and Ventricular Tachycardia.
    Case Rep Med 2017 20;2017:6501738. Epub 2017 Aug 20.
    Surgical Consultative Nephrology, UCLA Stone Center, Los Angeles, CA, USA.
    Granulomatosis with polyangiitis (GPA), previously known as Wegener's granulomatosis, is a pulmonary-renal syndrome affecting small and medium sized blood vessels. The disease has a prevalence in studies ranging from 3 to 15.7 cases per 100,000, with a noted increasing incidence and prevalence in more recent studies. Read More

    Large Subcapsular Splenic Hematoma with a Large Pancreatic Pseudocyst Was Successfully Treated with Splenic Arterial Embolization and Ultrasound-Guided Percutaneous Drainage of Pancreatic Pseudocyst.
    Case Rep Med 2017 22;2017:6381479. Epub 2017 Aug 22.
    Department of Gastroenterology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
    Subcapsular splenic hematoma is a rare complication of pancreatitis. The management for subcapsular splenic hematoma remains controversial. We herein report a case of a large subcapsular splenic hematoma with a large pancreatic pseudocyst, which was successfully treated with splenic arterial embolization and ultrasound- (US-) guided percutaneous drainage of pancreatic pseudocyst, for the first time. Read More

    A Successfully Treated Case of Gastrointestinal Stromal Tumor Causing Severe Anemia and Localized Peritonitis Showing Angina Pectoris Resulting in Watershed Cerebral Infarction.
    Case Rep Med 2017 20;2017:6030561. Epub 2017 Aug 20.
    Department of Neurology, Ishibashi General Hospital, 628 Ishibashi, Shimotsuke, Tochigi 329-0596, Japan.
    Ischemic stroke following acute myocardial infarction is a rare but a serious complication. Because the pathophysiology of stroke is dynamic, it is often hard to identify the cause of stroke. Here, we present the case of a 75-year-old man with ischemic stroke following angina pectoris caused by severe anemia and localized peritonitis due to gastrointestinal stromal tumor of small intestine. Read More

    Anaphylactoid Purpura Associated with Streptococcal Cellulitis: A Case Report and Literature Review.
    Case Rep Med 2017 16;2017:5960898. Epub 2017 Aug 16.
    Division of General Medicine, First Department of Integrated Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama-City, Saitama-ken 330-8503, Japan.
    A 54-year-old Japanese man noticed painful swelling and redness of his left leg. He was admitted for treatment of cellulitis, which was accompanied with increased anti-streptolysin O and anti-streptokinase titers in his clinical course. After Piperacillin/Tazobactam administration, the skin lesion resolved. Read More

    More Than a Decade of Misdiagnosis of Alternating Hemiplegia of Childhood with Catastrophic Outcome.
    Case Rep Med 2017 16;2017:5769837. Epub 2017 Aug 16.
    Batterjee Medical College, Jeddah, Saudi Arabia.
    Alternating hemiplegia of childhood (AHC) is a distinct clinical disorder characterized by recurrent episodes of hemiplegia, abnormal ocular movement, and progressive developmental delay. It is an extremely rare genetic disorder related to ATP1A3 gene mutations. In this paper, we present a case of AHC in which the diagnosis was missed for many years until severe hypoxic brain insult occurred from prolonged status epilepticus. Read More

    HSV-1 Encephalitis: High Index of Clinical Suspicion, Prompt Diagnosis, and Early Therapeutic Intervention Are the Triptych of Success-Report of Two Cases and Comprehensive Review of the Literature.
    Case Rep Med 2017 16;2017:5320839. Epub 2017 Aug 16.
    Department of Internal Medicine, General Hospital of Veria, Veria, Greece.
    Herpes Simplex Virus (HSV) encephalitis is an acute infectious disease of the Central Nervous System (CNS), usually affecting the limbic structures, the median temporal cortex, and the orbitofrontal regions. Its annual incidence has significantly increased over the last 20 years and the mortality rate is 7%, if early diagnosed and treated, and 70%, if left untreated, while it is associated with high rates of morbidity. It should be noted that even when Cerebrospinal fluid (CSF) analysis seems normal, imaging studies are not specific and HSV Polymerase Chain Reaction (PCR) test is negative; the clinician should be more aggressive, if clinical presentation is indicative for HSV encephalitis, by administrating acyclovir early after patient's admission. Read More

    A Case of Immediate Hypersensitivity Reaction to Maltitol.
    Case Rep Med 2017 15;2017:2127167. Epub 2017 Aug 15.
    Immunology Department, San Pedro de Alcántara Hospital, Avda. Pablo Naranjo, S/N, 10002 Cáceres, Spain.
    Background: Maltitol is a sugar alcohol that is frequently used as a noncaloric sweetener, although it is also used as an excipient, a plasticizer in gelatin capsules, and an emollient. It has not been previously described as an agent involved in immediate hypersensitivity reactions.

    Methods: We report on an anaphylactoid reaction with pharyngeal occlusion suffered by a 60-year-old man after ingestion of a candy containing maltitol syrup. Read More

    Popliteal Artery Entrapment or Chronic Exertional Compartment Syndrome?
    Case Rep Med 2017 14;2017:6981047. Epub 2017 Aug 14.
    San Antonio Military Medical Center (SAMMC), San Antonio, TX, USA.
    Diagnosis of lower limb pain in an athlete can be a challenging task due to the variety of potential etiologies and ambiguity of presenting symptoms. Five of the most commonly encountered causes of limb pain in athletes are chronic exertional compartment syndrome (CECS), medial tibial stress syndrome (MTSS), tibial stress fractures, soleal sling syndrome, and popliteal artery entrapment syndrome (PAES). Of these, the least frequent but potentially most serious of the pathologies is PAES. Read More

    Ameloblastic Fibroodontoma: Uncommon Case Presentation in a 6-Year-Old Child with Review of the Literature.
    Case Rep Med 2017 13;2017:9483738. Epub 2017 Aug 13.
    Department of Oral Pathology, Faculty of Dentistry, Asian Institute of Medicine, Science & Technology (AIMST) University, Kedah Darul Aman, Malaysia.
    Ameloblastic fibroodontoma is a benign mixed odontogenic neoplasm considered in patients with asymptomatic swelling and unerupted teeth that exhibit histologic features between ameloblastic fibroma and complex odontoma. Radiographically, this lesion appears as radiolucency admixed with focal radio opaque masses of irregular shapes and sizes. This lesion is confirmed by the presence of proliferating odontogenic epithelium, ectomesenchyme, and dental hard tissue formation on pathological analysis supplementing clinical and radiographic findings. Read More

    Donor-Cell Origin High-Risk Myelodysplastic Syndrome Synchronous with an Intracranial Meningioma-Like Tumor, 8 Years after Allogeneic Hematopoietic Stem Cell Transplantation for Chronic Lymphocytic Leukemia.
    Case Rep Med 2017 3;2017:9674385. Epub 2017 Aug 3.
    Serviço de Transplante de Medula Óssea, Instituto Português de Oncologia do Porto, Porto, Portugal.
    Secondary neoplasias are well known consequences of radiotherapy or chemotherapy for a primary cancer. In this report, we describe two rare secondary neoplasias occurring in the same patient: a meningioma-like intracranial tumor and high-risk myelodysplastic syndrome (MDS) of donor-cells origin, both diagnosed simultaneously, 8 years after an allogeneic hematopoietic stem cell transplantation (allo-HSCT) for chronic lymphocytic leukemia (CLL). Due to an engraftment failure during the first allo-HSCT of a matched related donor for CLL treatment, the salvage treatment was a second allo-HSCT. Read More

    A Challenging Diagnosis of IgG4-Related Disease When Understanding Limitations of Laboratory Testing Was Pivotal.
    Case Rep Med 2017 30;2017:8748696. Epub 2017 Jul 30.
    Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada.
    A 76-year-old man was incidentally found on a CT scan to have lymphadenopathy and bilateral kidney enlargement suggestive of infiltrative renal disease. He was largely asymptomatic but had bilateral salivary and lacrimal gland enlargement. A grossly elevated serum IgG (>70 g/L) with concomitant suppression of other immunoglobulins, a small IgG restriction, and a parotid biopsy revealing lymphoplasmacytic infiltrate with slight kappa light chain excess all suggested a lymphoproliferative disorder (LPD). Read More

    Recurrent CSF Rhinorrhea Misdiagnosed as Chronic Allergic Rhinitis with Subsequent Development of Bacterial Meningitis.
    Case Rep Med 2017 26;2017:9012579. Epub 2017 Jul 26.
    Infectious Diseases Section, Jerry L. Pettis Memorial Veterans Hospital, Loma Linda, CA, USA.
    Introduction: Cerebrospinal fluid (CSF) rhinorrhea results from an abnormal communication of the dura mater to the nasal mucosa. The majority of cases of CSF rhinorrhea are the result of trauma or surgery involving the skull base. Spontaneous CSF rhinorrhea is a rare clinical entity with increased risk of ascending infection. Read More

    Unilateral Headache Status after Intra-Aortic Balloon Pump Placement.
    Case Rep Med 2017 27;2017:5043471. Epub 2017 Jul 27.
    Department of Anesthesiology, Westchester Medical Center, Valhalla, NY 10595, USA.
    Introduction: Intra-aortic balloon pump (IABP) counterpulsation is a catheter-based treatment for coronary artery disease and decompensated heart failure to increase coronary blood flow and improve cardiac output. IABP is generally well tolerated, and complications are usually related to peripheral vasculature or red blood cell and platelet consumption. The usual insertion site via femoral artery renders the patient bedbound. Read More

    Multiple Osteolytic Lesions Causing Hypercalcemia: A Rare Presentation of Acute Lymphoblastic Leukemia.
    Case Rep Med 2017 17;2017:2347810. Epub 2017 Jul 17.
    Civil Hospital Karachi, Dow University of Health Sciences, Karachi, Pakistan.
    Acute lymphoblastic leukemia is characterized by unchecked proliferation of malignant lymphoblasts which replaces the normal bone marrow culminating in anemia due to red blood cells inadequacy as well as in easy bruising/bleeding secondary to insufficient platelets production. Even the white blood cells which are produced excessively are immature and abnormal. ALL is the most common hematological malignancy in children. Read More

    A Unique Case for Spinal Cord Stimulation: Successful Treatment of Small Fiber Neuropathy Pain Using Multiple Spinal Cord Stimulators.
    Case Rep Med 2017 16;2017:6969285. Epub 2017 Jul 16.
    University of Texas Health Sciences Campus in San Antonio (UTHSCSA), San Antonio, TX, USA.
    Spinal cord stimulators have commonly been used to treat multiple pain conditions. This case report represents a unique case of using multiple spinal cord stimulators for widespread small fiber neuropathy pain. This case report concerns patient JJ who first presented with generalized neuropathic pain. Read More

    Torsion of Atypical Meckel's Diverticulum Treated by Laparoscopic-Assisted Surgery.
    Case Rep Med 2017 13;2017:4514829. Epub 2017 Jul 13.
    Division of Pathology, Fujinomiya City General Hospital, Fujinomiya, Japan.
    Introduction: Meckel's diverticulum (MD) is the most common congenital anomaly of the intestine, with an incidence of 2~4%. Of those, only 2% of patients with MD are symptomatic. Torsion of MD is extremely rare, and only a dozen cases have been previously reported. Read More

    Secondary Syphilis Presenting as Glossodynia, Plaques en Prairie Fauchée, and a Split Papule at the Oral Commissure: Case Report and Review.
    Case Rep Med 2017 12;2017:1980798. Epub 2017 Jul 12.
    Hospital Universitário Gaffrée e Guinle, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
    Syphilis has been coined "the great imitator" due to its extreme heterogeneity of presentation and mimicry of other conditions. Therefore, it is essential that physicians be familiar with the full spectrum of its manifestations. Syphilis may also lead to oral lesions that, occasionally, are unaccompanied by concomitant tegumentary findings. Read More

    Seronegative Autoimmune Hepatitis A Clinically Challenging Difficult Diagnosis.
    Case Rep Med 2017 6;2017:3516234. Epub 2017 Jul 6.
    New York Presbyterian Brooklyn Methodist Hospital, 506 6th Street, Brooklyn, NY 11215, USA.
    Autoimmune hepatitis (AIH) is a complex liver disease of unknown cause which results in immune-mediated liver injury with varied clinical presentations. Seronegative AIH follows a similar course to autoantibody-positive disease and diagnosis may be challenging. There are no single serologic tests of sufficient diagnostic specificity, and delay in appropriate treatment may lead to progression of the liver disease and liver failure. Read More

    A Case of Atopic Myelitis with Cervical Cavernous Angioma.
    Case Rep Med 2017 3;2017:9506275. Epub 2017 Jul 3.
    Shin-Aikai Spine Center, Katano Hospital, Matsuzuka 39-1, Katano City, Osaka 576-0043, Japan.
    Atopic myelitis, a type of myelitis which appears in patients with elevated serum levels of immunoglobulin E (IgE), occurs more commonly in the cervical spinal cord, but this mechanism has not yet been elucidated. Herein, we experienced a case of atopic myelitis developed during the growth of cervical cavernous angioma caused by bleeding. A 37-year-old woman suffered from hand swelling caused by a house cat licking. Read More

    Acute Appendicitis: An Extracolonic Manifestation of Clostridium difficile Colitis.
    Case Rep Med 2017 3;2017:5083535. Epub 2017 Jul 3.
    Chicago Medical School, Rosalind Franklin University of Medicine and Science, 3333 Green Bay Rd, North Chicago, IL 60064, USA.
    The current report is the case of a 30-year-old male patient who presented with symptomatology suggestive of appendicitis. However, careful history-taking and laboratory tests led to the diagnosis of Clostridium difficile colitis, resulting in successful nonsurgical management of this patient. Although both appendicitis and C. Read More

    A Rare Case of Primary Bilateral Adrenal Lymphoma.
    Case Rep Med 2017 5;2017:1251950. Epub 2017 Jul 5.
    Department of Advanced Internal Medicine, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074.
    Lymphoma may involve the adrenal glands, but primary lymphoma is rare. Only a few cases have been reported in medical literature. Primary adrenal lymphoma is extremely rare, accounting for <1% of non-Hodgkin lymphomas. Read More

    Sertoli-Leydig Cell Tumor with Concurrent Rhabdomyosarcoma: Three Case Reports and a Review of the Literature.
    Case Rep Med 2017 2;2017:4587296. Epub 2017 Jul 2.
    Pennsylvania Hospital, Penn Medicine, Philadelphia, PA, USA.
    Sertoli-Leydig Cell Tumors (SLCTs) make up <1% of all ovarian tumors and are benign or malignant, androgen-secreting tumors. Rhabdomyosarcoma (RMS) is a heterogeneous group of malignant tumors that resemble developing skeletal muscle. There have been case reports of patients with concurrent SLCT and RMS with limited treatment options. Read More

    Multiple Bony Injuries on Bone Scan in a Case of Unsuspected Child Abuse.
    Case Rep Med 2017 27;2017:3015941. Epub 2017 Jun 27.
    Department of Medical Imaging and Radiological Sciences, College of Health Science, Kaohsiung Medical University, Kaohsiung, Taiwan.
    This case is described of an eleven-month-old infant with lower limbs swelling and the left elbow skeletal malformation following a fall. The radionuclide bone scan was performed to exclude bone infection or congenital skeletal anomaly. The images unexpectedly showed multiple increased radioactive foci throughout the whole body. Read More

    An Unexpected Cause of Bradycardia in a Patient with Bacterial Meningitis.
    Case Rep Med 2017 21;2017:4297372. Epub 2017 Jun 21.
    Department of Internal Medicine, University Hospital of Heraklion, Crete, Greece.
    Sinus bradycardia which is a sinus rhythm with a resting heart rate of less than 60 bpm is caused by intrinsic cardiac disorders like sick sinus syndrome or inferior myocardial infarction, metabolic and environmental causes (such as hypothyroidism and electrolyte disorders), medications (such as beta-blockers and amiodarone), infection (such as myocarditis), increased intracranial pressure, and toxic exposure, while it can sometimes be a normal phenomenon, especially during sleep, in athletes, and during pregnancy. Symptomatic sinus bradycardia should warrant a thorough work-up in order to identify any reversible causes; otherwise, placement of a permanent pacemaker could be needed. We present the case of a patient who was admitted due to confusion and fever and was found to have pneumococcal meningitis and bacteremia, and during his hospital stay he developed symptomatic sinus bradycardia that was of intractable cause and persistent. Read More

    Incidental Thrombus in Transit Causing Embolic Stroke.
    Case Rep Med 2017 20;2017:3161972. Epub 2017 Jun 20.
    Warren Alpert School of Medicine, Brown University, Providence, RI, USA.
    Thrombus in transit leading to paradoxical systemic arterial embolism is a rare echocardiographic finding in patients presenting with embolic stroke. We present a case of a patient who had an atrial thrombus in transit discovered incidentally and later suffered a fatal stroke. Etiologies of cardioembolic stroke and the use of echocardiography in diagnosis and management are briefly discussed. Read More

    Treatment of Severe Refractory Hematuria due to Radiation-Induced Hemorrhagic Cystitis with Dexamethasone.
    Case Rep Med 2017 21;2017:1560363. Epub 2017 Jun 21.
    Laboratory of the Biology of Tissue Healing, Ontogeny and Nutrition, Department of Morphology and Institute of Biomedicine, School of Medicine, Federal University of Ceara, Fortaleza, CE, Brazil.
    Treatment of pelvic neoplasms with radiotherapy may develop sequelae, especially RHC. An 85-year-old male patient was admitted to a hospital emergency with gross hematuria leading to urinary retention and was diagnosed with RHC. The urinary bladder was probed, unobstructed, and maintained in continuous three-way saline irrigation. Read More

    Natural History of Invasive Papillary Breast Carcinoma Followed for 10 Years: A Case Report and Literature Review.
    Case Rep Med 2017 8;2017:3725391. Epub 2017 Jun 8.
    Department of Pathology, Myongji Hospital and Seonam University College of Medicine, Goyang, Republic of Korea.
    Diachronic research on untreated breast cancer completely depends on past medical records when no more recent, advanced methods are available. Herein, we report a case of invasive papillary breast carcinoma followed for 10 years in a 59-year-old woman who refused any treatment. The diagnosis was based on core needle biopsies. Read More

    Systemic Embolization from an Unusual Intracardiac Mass in the Left Ventricular Outflow Tract.
    Case Rep Med 2017 1;2017:4513623. Epub 2017 Jun 1.
    Virginia Tech Carilion School of Medicine and Carilion Medical Center, Roanoke, VA, USA.
    Endocarditis can affect any endocardial surface; in the vast majority of cases, the cardiac valves are involved. It is exceedingly rare to develop infective endocarditis on the endocardium of the left ventricular outflow tract due to the high velocity of blood that traverses this area. Herein, we present a rare case of left ventricular outflow tract endocarditis that likely occurred secondary to damage to the aortic valve leaflets (from healed prior aortic valve endocarditis) causing a high velocity aortic valve regurgitant jet that impinged upon the interventricular septum which damaged the endocardium and resulted in a fibrotic "jet lesion. Read More

    Repair of Thoracoabdominal Aortic Aneurysm with Thrombosed Infrarenal Component: A Modified Hybrid Technique without Aortic Cross Clamping.
    Case Rep Med 2017 31;2017:7432032. Epub 2017 May 31.
    Division of Vascular and Endovascular Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
    The authors report the successful repair of a Crawford type III thoracoabdominal aortic aneurysm (TAAA) with a thrombosed infrarenal component using a modified hybrid technique without aortic clamping in a high-risk patient. A 64-year-old male with a history of hypertension, diabetes, and severe chronic obstructive pulmonary disease presented with acute on chronic backache and bilateral short distance claudication. A computerized tomography scan demonstrated a large, nonleaking Crawford type III TAAA with thrombosed infrarenal component of the aneurysm. Read More

    An Exceptional Case of Intraparotid Plexiform Neurofibroma Originating from Autonomic Fibers of the Auriculotemporal Nerve.
    Case Rep Med 2017 29;2017:8327215. Epub 2017 May 29.
    1st Department of Otorhinolaryngology, Head and Neck Surgery, Aristotle University of Thessaloniki, AHEPA Hospital, 1 Stilponos Kyriakidi St., 54636 Thessaloniki, Greece.
    Plexiform neurofibromas are benign tumors that tend to occur in patients suffering from neurofibromatosis type 1 (NF-1). This report addresses a rare case where the tumor affected the parotid gland, deriving almost exclusively from the peripheral portion of the facial nerve. A 6-year-old male was referred to us complaining about a gradually enlarging swelling over the right parotid area. Read More

    Antiphospholipid Syndrome: Multiple Manifestations in a Single Patient-A High Suspicion Is Still Needed.
    Case Rep Med 2017 23;2017:5797041. Epub 2017 May 23.
    Department of Hematology/Oncology, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA.
    Antiphospholipid Syndrome (APS) is an autoimmune disorder with clinical and laboratory features of vascular thrombosis, pregnancy loss, and persistent antiphospholipid antibodies (aPLs). The pathophysiology is thought to involve the activation of endothelial cells, monocytes, platelets, and complement by aPLs. Disease can range from asymptomatic to rapidly fatal catastrophic APS. Read More

    A Novel Surgical Technique for Fixation of Recurrent Acromioclavicular Dislocations: AC Dog Bone Technique in Combination with Autogenous Semitendinosus Tendon Graft.
    Case Rep Med 2017 23;2017:5457625. Epub 2017 May 23.
    Department of Trauma Surgery, Medical University of Graz, Graz, Austria.
    Various surgical techniques have been described for the fixation of acromioclavicular (AC) dislocations. However, recurrent dislocation is one of the main complications associated with the majority of these techniques. We report a case of postoperative AC joint redislocation. Read More

    Hashimoto's Encephalopathy Presenting with Unusual Behavioural Disturbances in an Adolescent Girl.
    Case Rep Med 2017 21;2017:3494310. Epub 2017 May 21.
    Department of Psychiatry, Sri Ramachandra Medical College & Research Institute, Sri Ramachandra University, Chennai, India.
    Hashimoto's encephalopathy (HE) is a rare autoimmune disorder with neurological and neuropsychiatric manifestations and elevated titres of anti-thyroid antibodies. Here we are reporting a case of HE in a 19-year-old girl who presented with seizure-like episodes, confusion, and behavioural disturbances with catatonic symptoms such as posturing, echopraxia, echolalia, and ambivalence. Patient did not respond to antipsychotics and anticonvulsants. Read More

    Portal Hypertensive Biliopathy Presents with Massive Bleeding during ERCP after Balloon Sphincteroplasty in a Noncirrhotic Saudi Sickler Patient.
    Case Rep Med 2017 14;2017:4163919. Epub 2017 May 14.
    Gastroenterology Division, Department of Medicine, King Abdulaziz Hospital, Al Hasa, Saudi Arabia.
    Portal hypertensive biliopathy (PHB) is described as abnormalities of the walls of the biliary tree secondary to portal hypertension. Gastrointestinal bleeding caused by PHB is rare. PHB as a cause of serious bleeding after sphincteroplasty during ERCP is extremely rare. Read More

    Ventilator Management of Bronchopleural Fistula Secondary to Methicillin-Resistant Staphylococcus aureus Necrotizing Pneumonia in a Pregnant Patient with Systemic Lupus Erythematosus.
    Case Rep Med 2017 14;2017:1492910. Epub 2017 May 14.
    Department of Pulmonary and Critical Care, King Fahad Medical City, P.O. Box 59046, Riyadh 11525, Saudi Arabia.
    Managing mechanical ventilation in patient with bronchopleural fistula with coexisting acute respiratory distress syndrome is a challenging situation for the intensivist. We are reporting a case of a pregnant patient with systemic lupus erythematosus on immunosuppressive medications who developed methicillin-resistant Staphylococcus aureus necrotizing pneumonia complicated by bronchopleural fistula and acute respiratory distress syndrome. Read More

    Intraplacental Choriocarcinoma: Rare or Underdiagnosed? Report of 2 Cases Diagnosed after an Incomplete Miscarriage and a Preterm Spontaneous Vaginal Delivery.
    Case Rep Med 2017 16;2017:7892980. Epub 2017 Apr 16.
    Department of Obstetrics and Gynecology, Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal.
    Intraplacental choriocarcinoma is a rare malignant tumor diagnosed after an abortion, an ectopic pregnancy, or a term or preterm pregnancy or following the diagnosis of a hydatidiform mole. During pregnancy, it may be more common than reported, as most patients are asymptomatic and placental choriocarcinomas are usually inconspicuous macroscopically and are often mistaken for an infarct. Based upon a case study methodology, we describe 2 cases of intraplacental choriocarcinoma: the first case was identified in the product of a uterine curettage following an incomplete miscarriage and the second in one of the placentas of a bichorionic twin pregnancy. Read More

    Asymptomatic Brain Edema after Hemodialysis Initiation in a Patient with Severe Uremia.
    Case Rep Med 2017 3;2017:9265315. Epub 2017 May 3.
    Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
    A 66-year-old man with severe renal insufficiency presented with mild confusion associated with uremia. Cranial magnetic resonance imaging (MRI) showed no remarkable changes. The patient was placed on short-duration hemodialysis (2 hours) with smaller surface area and low blood flow (100 mL/min) to avoid dialysis disequilibrium syndrome (DDS). Read More

    A Case of Urachal Carcinoma of the Abdominal Wall in a Kidney Transplant Recipient.
    Case Rep Med 2017 4;2017:3919635. Epub 2017 May 4.
    Department of Nephrology, Kitasato University School of Medicine, Kanagawa, Japan.
    Urachal carcinoma is an extremely rare malignant tumor arising from the urachus in the fetus. We report a patient who developed urachal carcinoma 18 years after kidney transplantation. A 59-year-old man was admitted because of abdominal pain and massive ascites. Read More

    Forsaken Foregut: Case Report of Simultaneous Black Esophagus and Ischemic Cholangiopathy.
    Case Rep Med 2017 24;2017:8362613. Epub 2017 Apr 24.
    Dalhousie University, 1276 South Park Street, Rm 483 Bethune Building, Halifax, NS, Canada B3H 2Y9.
    Black esophagus or acute esophageal necrosis rarely occurs after severe hemodynamic compromise or low-flow states. Other contributing factors may include corrosive injury from gastric contents and diminished mucosal repair mechanisms. Ischemic cholangitis, another rare clinical entity, is also usually the result of a significant vascular and/or hypotensive insult to the biliary tree. Read More

    A Curious Case of Intestinal Diaphragm Disease Unmasked by Perforation of a Duodenal Ulcer.
    Case Rep Med 2017 27;2017:5048345. Epub 2017 Mar 27.
    Naas General Hospital Affiliated with Trinity College Dublin, Naas, County Kildare, Ireland.
    Nonsteroidal anti-inflammatory drugs are a common cause of intestinal injury. A variety of NSAID-induced injuries may occur including ulcers, erosions, colitis, strictures, and diaphragm disease. Diaphragm disease refers to the development of multiple thin, concentric, stenosing strictures in the intestine. Read More

    Atorvastatin-Diltiazem Combination Induced Rhabdomyolysis Leading to Diagnosis of Hypothyroidism.
    Case Rep Med 2017 11;2017:8383251. Epub 2017 Apr 11.
    The Teaching (General) Hospital-Kandy, Kandy, Sri Lanka.
    Statins and hypothyroidism, independently, can rarely cause rhabdomyolysis. The combination of them especially with concurrent intake of drugs such as diltiazem increases the risk of rhabdomyolysis. Hashimoto's encephalopathy is a rare condition associated with Hashimoto's thyroiditis and some patients with that can present with a stroke like picture. Read More

    Delirium and High Creatine Kinase and Myoglobin Levels Related to Synthetic Cannabinoid Withdrawal.
    Case Rep Med 2017 10;2017:3894749. Epub 2017 Apr 10.
    Department of Psychiatry, Faculty of Medicine, Sakarya University, 54100 Sakarya, Turkey.
    Synthetic cannabinoids (SCs) are included in a group of drugs called new psychoactive substances. Effects of SCs on the central nervous system are similar to other cannabinoids, but 2-100 times more potent than marijuana. Thus, addiction and withdrawal symptoms are more severe than natural cannabinoids. Read More

    Serum Cytokine Profile in a Patient Diagnosed with Dysferlinopathy.
    Case Rep Med 2017 13;2017:3615354. Epub 2017 Apr 13.
    Institute of Fundamental Medicine and Biology, Kazan Federal University, Kazan, Russia.
    Limb-girdle muscular dystrophy type 2 (LGMD2B) is a mild form of dysferlinopathy, characterized by limb weakness and wasting. It is an autosomal recessive disease, with currently 140 mutations in the LGMD2B gene identified. Lack of functional dysferlin inhibits muscle fiber regeneration in voluntary muscles, the main pathological finding in LGMD2B patients. Read More

    Bacteremia and Urinary Tract Infection Caused by Chromobacterium violaceum: Case Reports from a Tertiary Care Hospital in Kathmandu, Nepal.
    Case Rep Med 2017 5;2017:7929671. Epub 2017 Apr 5.
    Department of Microbiology, Kathmandu Medical College, Kathmandu, Nepal.
    Chromobacterium violaceum is ubiquitous in the environment of tropical and subtropical regions but the infections caused by this organism are rare and the urinary tract infections caused by it are even rarer. Due to the propensity for hematogenous spread leading to fatal sepsis, the infections caused by Chromobacterium violaceum have high mortality rate (65-80%) with death occurring in as less as one week of acquiring infection. So, prompt proper treatment is necessary for successful treatment of the infections but, due to the rarity of the infections caused by the organism, there is limited awareness among the clinicians regarding the infections caused by this organism. Read More

    Nasogastric Tube Feeding-Induced Esophageal Bezoar: Case Description.
    Case Rep Med 2017 5;2017:1365736. Epub 2017 Apr 5.
    Division of General Surgery, Department of Surgery, American University of Beirut Medical Center, Riad El-Solh, Beirut 1107 2020, Lebanon.
    Background. Bezoars are well established entities causing gastrointestinal obstructions. Depending on the prominent constituent of these bezoars, the latter are divided into four subtypes: pharmacobezoars, lactobezoars, trichobezoars, and phytobezoars. Read More

    Severe Murine Typhus Presenting with Acalculous Cholecystitis: A Case Report and Literature Review.
    Case Rep Med 2017 4;2017:3769074. Epub 2017 Apr 4.
    Internal Medicine Department, Infectious Diseases Unit, University Hospital of Heraklion, Heraklion, Crete, Greece.
    A 54-year-old otherwise healthy male, who was being evaluated for prolonged fever, developed clinical and ultrasonographic signs compatible with acute acalculous cholecystitis. Diagnosis of murine typhus was confirmed by serology and the patient was treated with doxycycline. He improved rapidly and all clinical and laboratory abnormalities returned to normal. Read More

    Reversible Inferolateral ST-Segment Elevation Associated with Small Bowel Obstruction.
    Case Rep Med 2017 30;2017:5982910. Epub 2017 Mar 30.
    Department of Medicine, Jamaica Hospital Medical Center, Jamaica, NY 11418, USA.
    ST-segment elevation is an important and alarming electrocardiographic sign that necessitates immediate attention but does not always indicate that the primary pathology is cardiac in origin. It needs to be interpreted in the clinical context as several pathological conditions involving especially gastrointestinal tract may lead to delayed diagnosis and treatment as well as complications from invasive unnecessary interventions. We present two patients, a 64-year-old male and a 71-year-old female, who were admitted to the emergency room of a community-based hospital with similar complaints of worsening epigastric abdominal pain and were diagnosed later with small bowel obstruction. Read More

    A Case of Xanthogranulomatous Pyelonephritis Associated with Renoduodenal Fistula.
    Case Rep Med 2017 23;2017:8069205. Epub 2017 Mar 23.
    Baylor College of Medicine, One Baylor Plaza, BCM620, Houston, TX 77030, USA.
    Xanthogranulomatous pyelonephritis (XGP) is a rare form of pyelonephritis associated with repeated infection, chronic inflammation, and obstruction. Various fistulas, including those to the intestine, are a known association with XGP. Here, a 55-year-old woman with a history of multiple previous renal calculi presented with dysuria and back pain. Read More

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