2,257 results match your criteria Case Reports in Medicine [Journal]


Correction of Diastasis Rectus Abdominis with Tacking the Rectus Sheath and Resection of Excess Skin for Cosmesis.

Case Rep Med 2020 16;2020:7635801. Epub 2020 Jun 16.

Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan.

Introduction: We report a case of diastasis rectus abdominis (DRA), in which the improvement of the appearance was obtained by performing extra skin resection. . A 30-year-old woman presented persistent abdominal bulging after her second delivery. Read More

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http://dx.doi.org/10.1155/2020/7635801DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315276PMC

Retroperitoneal Fibrosis after Chronic Abscesses of Silicone Fluid Fillers in a Case of Gluteal Augmentation.

Case Rep Med 2020 3;2020:7236295. Epub 2020 Jun 3.

Department of Pathology and Laboratory Medicine, King Saud University, Riyadh, Saudi Arabia.

Filler injection or implantation is a progressing revolutionary subject. Although the widely available kinds in many implications are considered safe, post filler adverse events are not uncommon. These reactions range from mild reactions such as edema or erythema to detrimental reactions such as recurrent infected granuloma or vascular occlusion, which are predominantly related to non-FDA approved materials. Read More

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http://dx.doi.org/10.1155/2020/7236295DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290857PMC

Causal Link between Ventricular Ectopy and Concussion.

Case Rep Med 2020 3;2020:7154120. Epub 2020 Jun 3.

Waitemata Cardiology, 181 Shakespeare Road, Milford, Auckland 0620, New Zealand.

We present a unique case study report of a male individual with a history of mild nonischaemic cardiomyopathy, with no ventricular ectopy, that at the age of 76 years sustained multiple concussions (i.e., mild traumatic brain injury) within a week of each other. Read More

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http://dx.doi.org/10.1155/2020/7154120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292985PMC

Giant Isolated Omphalocele: Role of Prenatal Diagnosis in Prognostic Asessment and Perinatal Management.

Case Rep Med 2020 9;2020:4578912. Epub 2020 Jun 9.

Department of Hematology, Complejo Asistencial Universitario de Salamanca and IBSAL, Salamanca, Spain.

Omphalocele is a congenital malformation of the abdominal wall consisting of a protrusion of the abdominal contents at the base of the umbilical cord. It has a high association with genetic and structural defects; however, if the latter is ruled out, its prognosis improves significantly. Prenatal diagnosis has a key role in this condition as omphalocele can be diagnosed by ultrasound in the first trimester scan, enabling a coordinated approach strategy to achieve the best perinatal results. Read More

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http://dx.doi.org/10.1155/2020/4578912DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303742PMC

Lipin-1 Deficiency-Associated Recurrent Rhabdomyolysis and Exercise-Induced Myalgia Persisting into Adulthood: A Case Report and Review of Literature.

Case Rep Med 2020 27;2020:7904190. Epub 2020 May 27.

Department of Biochemistry, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.

Phosphatidate phosphatase-1 (lipin-1) is encoded by gene. Lipin-1 deficiency has been reported as the second most common cause of early-onset rhabdomyolysis after primary fatty acid oxidation disorders. We report a case of a 32-year-old Sri Lankan female with a history of more than 10 episodes of rhabdomyolysis and exercise intolerance since childhood. Read More

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http://dx.doi.org/10.1155/2020/7904190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275236PMC

Myalgia and Hematuria in Association with Clonidine and Arginine Administration for Growth Hormone Stimulation Tests.

Case Rep Med 2020 26;2020:4827072. Epub 2020 May 26.

Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.

Growth hormone deficiency (GHD) in children has significant impacts on growth and metabolism. Two-agent GH stimulation tests are commonly used to diagnose GHD, and these tests are generally considered safe. We report the case of a 5-year 5-month-old boy with a history of anaplastic ependymoma who underwent GH stimulation testing for growth deceleration using clonidine and arginine. Read More

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http://dx.doi.org/10.1155/2020/4827072DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270994PMC

COVID-19: The Case of Three Patients with the Same Diagnosis but Different Clinical and Laboratory Features.

Case Rep Med 2020 24;2020:9185041. Epub 2020 May 24.

Richmond University Medical Center, 355 Bard Avenue, Staten Island, New York, NY 10310, USA.

SARS-CoV-2 is an RNA virus that causes COVID-19, which has been responsible for the pandemic that was declared in early 2020. Its pathological effect is majorly in the respiratory tract, but its full pathogenicity remains a mystery. Symptoms associated with COVID-19 include fever, cough, and shortness of breath. Read More

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http://dx.doi.org/10.1155/2020/9185041DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249276PMC

May-Thurner Syndrome: A Consideration for Deep Vein Thrombosis in Males.

Case Rep Med 2020 23;2020:2324637. Epub 2020 May 23.

Internal Medicine, Department of General Medicine, Sengkang General Hospital, Singapore.

May-Thurner syndrome (MTS) is an underdiagnosed cause of lower limb deep vein thrombosis (DVT). The clinical prevalence of MTS-related DVT is likely underestimated, particularly in patients with other more recognisable risk factors. MTS is classically described in females between the age group of 20-50 years. Read More

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http://dx.doi.org/10.1155/2020/2324637DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7267864PMC

Aneurysm of Upper Limb Arteries in Children: Report of Five Cases.

Case Rep Med 2020 20;2020:9198723. Epub 2020 May 20.

Department of Pediatric Surgery, St Georges Hospital NHS Trust, London, UK.

Background: Arterial aneurysm in children is rare.

Aim: To present the description of case series of successful surgical treatment of upper limb aneurysms in children. The case series included 2 boys and 3 girls, with median age 3. Read More

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http://dx.doi.org/10.1155/2020/9198723DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260628PMC

Thrombolysis of Postoperative Acute Pulmonary Embolism with a Thrombus in Transit.

Case Rep Med 2020 19;2020:7561986. Epub 2020 May 19.

Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary, 3330 Hospital Dr NW, Calgary, AB, Canada T2N 4N1.

Right heart thrombus in transit clot (RHTT) associated with a pulmonary thromboembolism (PTE) is a rare but potentially fatal diagnosis. Early diagnosis and immediate intervention are crucial. This report describes the case of a healthy, physically active 32-year-old female who presented 19 days postoperatively, following an anterior cruciate ligament reconstruction and partial lateral meniscectomy with a saddle PE, RHTT, and right ventricular (RV) strain. Read More

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http://dx.doi.org/10.1155/2020/7561986DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256686PMC

Auto-Administered Photobiomodulation on Diabetic Leg Ulcers Treatment: A New Way to Manage It?

Case Rep Med 2020 20;2020:7428472. Epub 2020 May 20.

Faculty of Dentistry, University "Côte d'Azur", 5 Avenue du 22ème BCA, 06357 Nice, France.

Background: Peripheral arterial disease is a dramatic consequence of an uncontrolled diabetic condition causing an increase of morbidity and mortality and its treatment is currently medical or surgical, finally requiring, in the 7-20% of cases, major or minor amputation. Photobiomodulation therapy (PBM) is a laser treatment used in medicine, thanks to its ability to stimulate the wound healing, the acceleration of inflammatory process, and the modulation of pain. Recently, the self-administration of the treatment has been suggested for different purposes in medicine and dentistry with a great number of advantages and no side effects. Read More

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http://dx.doi.org/10.1155/2020/7428472DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260630PMC

Insulin Independence in Newly Diagnosed Type 1 Diabetes Patient following Fenofibrate Treatment.

Case Rep Med 2020 14;2020:6865190. Epub 2020 May 14.

Department of Medical Endocrinology and Metabolism, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

A 19-year-old girl was diagnosed with type 1 diabetes and showing polydipsia and polyuria. She was double autoantibody-positive and had a diabetes-prone tissue type. She was immediately started on insulin. Read More

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http://dx.doi.org/10.1155/2020/6865190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7245672PMC

Second Cancers in a Patient with Gastric MALT Lymphoma.

Case Rep Med 2020 13;2020:1213596. Epub 2020 May 13.

Department of Lymphoma and Myeloma, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Mucosa-associated lymphoid tissue (MALT) lymphoma is an extranodal low-grade B-cell lymphoma, which is thought to arise from a background of chronic immune stimulation, bacterial, viral, or autoimmune stimuli. Treatment advances have increased the number of MALT lymphoma survivors, but there is still debate as to whether these patients are at a higher risk of developing second cancers. This is a case of a long-surviving (>20 years) patient with multiple diagnosed malignancies following MALT lymphoma. Read More

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http://dx.doi.org/10.1155/2020/1213596DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244950PMC

Concurrent Phacoemulsification and Encircling for Hypotony Maculopathy after Blunt Trauma.

Case Rep Med 2020 11;2020:6594170. Epub 2020 May 11.

Department of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, Chiba, Japan.

A 37-year-old Japanese man had his right eye hit by a fist. His right eye developed hypotony maculopathy and secondary cataract, and his visual acuity decreased to 20/200 with an intraocular pressure of 4 mmHg. He underwent phacoemulsification and aspiration, implantation of the intraocular lens, and encircling with a silicone tire. Read More

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http://dx.doi.org/10.1155/2020/6594170DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240647PMC

Cocaine-Induced Giant Bullous Emphysema.

Case Rep Med 2020 2;2020:6410327. Epub 2020 May 2.

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

Background: Emphysematous bullae, defined as airspaces of greater than or equal to one centimeter in diameter, have a variety of etiologies such as tobacco use and alpha-1 antitrypsin being the most common. Emphysematous bullae have also been reported in patients using cocaine usually involving the lung periphery and sparing the central lung parenchyma. We present a case of a male with a history of cocaine abuse found to have a singular giant emphysematous bulla occupying >95% of the right hemithorax requiring video-assisted thoracic surgery (VATS) with a favorable outcome. Read More

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http://dx.doi.org/10.1155/2020/6410327DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225852PMC

Surgical Management of an Empyema in a 3-Year-Old Child.

Case Rep Med 2020 5;2020:5179292. Epub 2020 May 5.

Department of Thoracic Surgery, Sismanoglio General Hospital of Athens, Athens, Greece.

empyema in nonimmunocompromised children is rare. A case of surgical management of invasive aspergillosis in a previously healthy 3-year-old child is presented. The patient was initially admitted to a hospital with severe respiratory deterioration and clinical instability, originally attributed to sepsis. Read More

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http://dx.doi.org/10.1155/2020/5179292DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225848PMC

Type II Diabetes Patients under Sildenafil Citrate: Case Series Showing Benefits and a Side Effect.

Case Rep Med 2020 9;2020:4065452. Epub 2020 May 9.

Faculdade de Medicina Do ABC, Santo André, Brazil.

Background: Diabetes mellitus is a highly prevalent disease with rapid universal growth. In 2013, there were already 382 million people with diabetes, and it is expected that by 2035, this number will double. Chronic hyperglycemia causes a series of biochemical and structural changes, especially in the eyes, kidneys, heart, arteries, and peripheral nerves, which usually leads to the progression of microvascular disease. Read More

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http://dx.doi.org/10.1155/2020/4065452DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238323PMC

Peripheral Ameloblastoma of Upper Gingiva in a Patient with Port-Wine Stain.

Case Rep Med 2020 9;2020:2870715. Epub 2020 May 9.

College of Dental Medicine, University of Sharjah, Sharjah, UAE.

The peripheral ameloblastoma (PA), also known as extraosseous ameloblastoma, is a rare soft tissue tumor of odontogenic origin, accounting for 1-5% of all ameloblastoma. In some cases, saucerization of underlying bone is the only radiological evidence of this lesion, and PA has identical histological characteristics of intraosseous ameloblastoma. However, it is slow growing, less aggressive, and less invasive in nature. Read More

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http://dx.doi.org/10.1155/2020/2870715DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238321PMC

Methotrexate-Associated Lymphoproliferative Disorder Developed Ectopically in the Maxillary Gingiva and Bilateral Lungs.

Case Rep Med 2020 27;2020:4814519. Epub 2020 Apr 27.

Department of Oral and Maxillofacial Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

A 58-year-old Japanese woman complained of a painful right maxillary premolar gingiva and ulcer. The patient had RA and had been treated with several immunosuppressive drugs such as methotrexate. Head and neck CT indicated no obvious bone destruction with maxillary. Read More

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http://dx.doi.org/10.1155/2020/4814519DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204348PMC

Effect of High Selective Serotonin-Reuptake Inhibitor Doses on the Development and Treatment of Sarcoid-Like Reaction.

Case Rep Med 2020 25;2020:9751837. Epub 2020 Apr 25.

Department of Internal Medicine, College of Medicine, King Khalid University, Abha, Saudi Arabia.

Sarcoidosis is a systemic disorder characterized by the presence of noncaseating granulomas that are most commonly observed in the lungs. Sarcoid-like reaction has been reported to develop in response to several immune modulator agents and antidepressants. In this report, a case of pulmonary sarcoidosis that was strongly related to the use of more than the average recommended dose of selective serotonin-reuptake inhibitor (SSRI) medications has been described. Read More

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http://dx.doi.org/10.1155/2020/9751837DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7196970PMC

Leptomeningeal Enhancement due to Neurosarcoidosis Mimicking Malignancy.

Case Rep Med 2020 20;2020:9513576. Epub 2020 Apr 20.

Internal Medicine The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

The present report describes the case of a 56-year-old African American man experiencing progressive disequilibrium, lower extremity weakness, difficulty walking, and hearing loss. Brain magnetic resonance imaging showed leptomeningeal enhancement. Initial differential diagnosis was broad, including malignant, infectious, and inflammatory etiologies. Read More

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http://dx.doi.org/10.1155/2020/9513576DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7191391PMC

Gastrointestinal Cryptococcosis Associated with Intestinal Lymphangiectasia.

Case Rep Med 2020 20;2020:7870154. Epub 2020 Apr 20.

Internal Medicine Department, Hospital de Especialidades Eugenio Espejo, Quito, Ecuador.

Intestinal lymphangiectasia is a pathological dilation of enteric lymphatic vessels resulting in lymph leakage to the intestinal lumen. This chronic lymph leakage leads to a state of immunosuppression secondary to the loss of humoral and cellular components of the immune system and represents a potential risk factor for opportunistic infections. We report a case of protein-losing enteropathy in a seemingly immunocompetent patient. Read More

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http://dx.doi.org/10.1155/2020/7870154DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7191395PMC

Could the Novel Oral Anticoagulants Be Used for Coronary Artery Aneurysm?

Case Rep Med 2020 25;2020:5073814. Epub 2020 Apr 25.

Department of Cardiology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.

Coronary artery aneurysms (CAAs) are uncommon in coronary angiography, and left main coronary artery aneurysms are rare. There is no consensus for the treatment of CAAs. A young patient with left coronary artery aneurysm diagnosed by coronary angiography and with recurrent acute myocardial infarction was treated with rivaroxaban and aspirin. Read More

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http://dx.doi.org/10.1155/2020/5073814DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7196985PMC

A Case of Acute Motor Sensory Axonal Neuropathy: A Variant of Guillain-Barré Syndrome, with Possible Syndrome of Irreversible Lithium-Effectuated Neurotoxicity.

Case Rep Med 2020 20;2020:4683507. Epub 2020 Apr 20.

Internal Medicine, University Hospitals Regional Hospitals, Richmond Heights, OH 44143, USA.

Acute Motor Sensory Axonal Neuropathy (AMSAN) is a rare and severe variant of Guillain-Barré syndrome (GBS) that has a prolonged recovery course. GBS is often suspected due to ascending muscle weakness, sensation difficulties, respiratory compromise, and antecedent diarrhea. The diagnosis of GBS is supported by cerebrospinal fluid analysis showing albuminocytologic dissociation. Read More

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http://dx.doi.org/10.1155/2020/4683507DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189311PMC

Primary Dural Lymphoma: Clinical Cases and Literature Review.

Case Rep Med 2020 21;2020:2812487. Epub 2020 Apr 21.

Department of Neurosurgery Azienda Ospedali Riuniti, Università Politecnica Delle Marche, Ancona, Italy.

Primary dural lymphoma (PDL) is an extranodal non-Hodgkin lymphoma that accounts for less than 1% of all central nervous system lymphomas. Primary dural lymphoma grows from the dura mater, and it is often diagnosed as meningioma or acute subdural hematoma due to its radiological characteristics. Surgery is the gold standard of therapy; in many patients, PDL is relatively benign with good outcome. Read More

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http://dx.doi.org/10.1155/2020/2812487DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7191402PMC

Disease Specific to Chronic Lymphedema and Class III Obesity.

Case Rep Med 2020 16;2020:9234183. Epub 2020 Apr 16.

Department of Internal Medicine, University of Missouri Kansas City School of Medicine, Kansas City 64108, USA.

Elephantiasis nostras verrucosa (ENV) is a unique, chronic condition found in patients with obesity and chronic secondary lymphedema. It develops due to chronic inflammation and recurrent infection, most commonly on gravity-dependent sites. Progressive tissue enlargement, deformity, and disability necessitate intervention. Read More

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http://dx.doi.org/10.1155/2020/9234183DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7182976PMC

Isolated Splenic Lymphangiomas Presenting in an Infant with Isolated Anaemia.

Case Rep Med 2020 13;2020:8919424. Epub 2020 Apr 13.

Department of Haematology, Children's University Hospital, Damascus University, Damascus, Syria.

Lymphangiomas are benign tumours of lymphatic vessels which are not linked with the normal lymphatic vessels. Their symptoms usually depend on their location and size as they can compress or block adjacent organs. We present a 9-month-old girl with isolated cavernous lymphangiomas of the spleen, a rare variable of lymphangiomas, with no symptoms. Read More

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http://dx.doi.org/10.1155/2020/8919424DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174914PMC

Mutations and Their Clinical Presentations: New Case Report and Systematic Review.

Case Rep Med 2020 13;2020:8795607. Epub 2020 Apr 13.

School of Medicine, Lebanese University, Beirut, Lebanon.

Lethal congenital contracture syndrome type 7 (LCCS7) and congenital hypomyelinating neuropathy type 3 (CHN3) are rare autosomal recessive diseases, characterized by severe neonatal hypotonia, polyhydramnios, arthrogryposis, facial diplegia, and severe motor paralysis, leading to death in early infancy. They are related to mutations in the (contactin associated protein 1) gene, playing an important role in myelination. Recent studies have shown that both diseases could present with a wide phenotypic spectrum, with promising survival up to early childhood. Read More

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http://dx.doi.org/10.1155/2020/8795607DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174947PMC

Acute Portal Vein Thrombosis Treated with Recombinant Human Soluble Thrombomodulin Combined with Antithrombin III.

Case Rep Med 2020 13;2020:8268016. Epub 2020 Apr 13.

Department of Gastroenterology, Mishuku Hospital, 5-33-12, Kamimeguro, Meguro-ku, Tokyo 153-0051, Japan.

Portal vein thrombosis is a major complication associated with liver cirrhosis. In cirrhotic patients, a decrease in procoagulant and anticoagulant factors and an unstable balance between them is observed, and a relative decrease in the activation of anticoagulant drivers is one of the main causes of portal vein thrombosis (PVT). Herein, we report a case of acute portal thrombosis associated with liver cirrhosis and treated with a recombinant form of soluble thrombomodulin (thrombomodulin alpha, TM-) in combination with antithrombin III. Read More

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http://dx.doi.org/10.1155/2020/8268016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174955PMC

A "Catastrophic" Heparin-Induced Thrombocytopenia.

Case Rep Med 2020 13;2020:6985020. Epub 2020 Apr 13.

Internal Medicine Complex Unit, AOU Cagliari, Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy.

Background: Heparin-induced thrombocytopenia (HIT) is a transient, antibody-mediated thrombocytopenia syndrome that usually follows exposure to unfractioned heparin (UFH) or low-molecular-weight heparin (LMWH). In contrast to other pathological conditions which lead to thrombocytopenia and bleeding complications, HIT results in a paradoxical prothrombotic state. It is caused by antibodies directed to complexes containing UFH or LMWH and a self-platelet protein: the platelet factor 4 (PF4). Read More

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http://dx.doi.org/10.1155/2020/6985020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174963PMC

Splenic Abscess after Sleeve Gastrectomy.

Case Rep Med 2020 12;2020:4850675. Epub 2020 Apr 12.

Department of Digestive Surgery, Hotel Dieu de France Hospital, University Saint Joseph Medical School, Beirut, Lebanon.

Splenic abscess is a very rare complication of laparoscopic sleeve gastrectomy (LSG). Clinical presentation includes fever, leucocystosis, and abdominal pain. CT SCAN is a must for diagnosis. Read More

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http://dx.doi.org/10.1155/2020/4850675DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174958PMC

Old Era Continues in Modern World: A Case Report of Scurvy Induced Myopathy in Patient with Chronic Alcoholism.

Case Rep Med 2020 9;2020:4798941. Epub 2020 Apr 9.

Florida International University, Miami, FL, USA.

We report a case of myopathy in a chronic alcoholic patient with scurvy who presented with generalized weakness, myalgias, and arthralgia. Our case raises awareness regarding rare interaction between vitamin C deficiency and myopathy which is seen more commonly in patients with history of chronic alcoholism and low socioeconomic status. Early treatment with vitamin C replacement is helpful in treatment of the disease and its complications. Read More

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http://dx.doi.org/10.1155/2020/4798941DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7171605PMC

Glycogenic Hepatopathy: A Rare Hepatic Complication of Poorly Controlled Type 1 DM.

Case Rep Med 2020 13;2020:1294074. Epub 2020 Apr 13.

Department of Gastroenterology and Hepatology Unit (59), Department of Medicine, King Saud University, Riyadh 11461, Saudi Arabia.

Glycogen hepatopathy (GH) is a rare complication of type 1 diabetes mellitus that leads to an abnormal accumulation of glycogen in the hepatocytes. The exact mechanism of GH remains unknown, but fluctuations in blood glucose and insulin levels play important roles in promoting glycogen accumulation. We report a case of a 16-year-old female diagnosed with poorly controlled type 1 diabetes mellitus with hepatomegaly and elevated liver enzymes. Read More

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http://dx.doi.org/10.1155/2020/1294074DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174941PMC

Single Solitary Fibrous Tumor Brain Metastasis in a Patient with Simultaneous Adenocarcinoma of the Lung: Case Report and Review of the Literature.

Case Rep Med 2020 7;2020:3938270. Epub 2020 Apr 7.

Department of Radiation Oncology, Cancer Care Northwest and Gamma Knife of Spokane, Spokane, WA, USA.

We present a unique case of a patient simultaneously diagnosed with solitary fibrous tumor (SFT) and unrelated adenocarcinoma of the lung, both proven with separate pathology. It was subsequently found that the SFT had metastasized to the brain by additional pathology, and not the predicted adenocarcinoma. SFTs are a rare mesenchymal neoplasm that accounts for less than 2% of all reported soft tissue tumors. Read More

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http://dx.doi.org/10.1155/2020/3938270DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7166291PMC

Benign Paroxysmal Positional Vertigo and Occult Subarachnoid Hemorrhage Complicated after Head Trauma.

Case Rep Med 2020 30;2020:8507383. Epub 2020 Mar 30.

Department of Neurology, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, 2800 Gongwei Road, Shanghai, China.

Benign paroxysmal positional vertigo (BPPV) is the most prevalent form of peripheral vertigo and is common in posttraumatic patients. Sometimes, posttraumatic BPPV and subarachnoid hemorrhage (SAH) exist together. How to effectively recognize SAH especially concealed bleeding before maneuver treatment for BPPV is worth paying attention by every clinician. Read More

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http://dx.doi.org/10.1155/2020/8507383DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7149420PMC

Unusual Localization of an Emergent Bacterium, .

Case Rep Med 2020 30;2020:1710271. Epub 2020 Mar 30.

Department of Neuroscience, Reproductive and Odontostomatological Sciences-ENT Section, University "Federico II", Naples, Italy.

is a bacterium belonging to the family . It is a rare but emergent cause of human pathologies especially in immunocompromised patients. We described the first case in the literature of isolated external otitis sustained by in an immunocompetent host. Read More

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http://dx.doi.org/10.1155/2020/1710271DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7149419PMC

Lumbar Radiculitis as a Complication of Vaccination against Tick-Borne Encephalitis: A Differential Diagnosis of Low Back Pain and Nerve Root Compression.

Case Rep Med 2020 23;2020:6130364. Epub 2020 Mar 23.

Basel University Hospital, Department of Rheumatology, Basel, Switzerland.

Serious adverse reactions following immunisation with adult tick-borne encephalitis (TBE) vaccines are rare, but when they occur, they most frequently involve the nervous system. We present a case of a female patient who developed a sensory and motor L4 monoradiculopathy following self-injection of an inactivated vaccine against TBE in the ipsilateral quadriceps muscle. The motor and sensory L4 dysfunction vanished after 12 months. Read More

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http://dx.doi.org/10.1155/2020/6130364DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142386PMC

Clinical Case Series of Decrease in Shear Wave Elastography Values in Ten Diabetic Dyslipidemia Patients Having NAFLD with Saroglitazar 4 mg: An Indian Experience.

Authors:
Sayak Roy

Case Rep Med 2020 27;2020:4287075. Epub 2020 Mar 27.

Dept. of Internal Medicine, Medica Superspeciality Hospital, Kolkata, India.

Background: Diabetes and other metabolic abnormalities including high triglycerides (TGs) are commonly seen comorbid conditions in patients having nonalcoholic fatty liver disease (NAFLD). There is no approved pharmacotherapy for NAFLD, and life-style therapy plays a major role. Saroglitazar, the world's first approved dual PPAR / agonist, is approved in India for the treatment of diabetic dyslipidemia. Read More

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http://dx.doi.org/10.1155/2020/4287075DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142342PMC

Acute Lymphoblastic Leukemia Presenting Initially as Spinal Cord Compression: When Chemotherapy Alone Is Enough.

Case Rep Med 2020 26;2020:8735724. Epub 2020 Mar 26.

Section of Hematology-Oncology, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.

Spinal cord compression (SCC) is a rare initial presentation and complication of acute lymphoblastic leukemia (ALL) with nearly all reported cases occurring in the pediatric population. We report a 38-year-old previously healthy man who presented with acute on chronic lower back pain, gait instability, urinary retention, and severe thrombocytopenia. Radiologic examination revealed two soft tissue masses of the thoracic spine associated with compression fractures causing spinal canal narrowing and cord compression. Read More

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http://dx.doi.org/10.1155/2020/8735724DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136772PMC

Endoscopic Management of a Proximally Migrated Fully Covered SEMS Using the Stent-in-Stent Technique.

Case Rep Med 2020 26;2020:3438469. Epub 2020 Mar 26.

Siriraj Gastrointestinal Endoscopy Center, Division of Gastroenterology, Department of Internal Medicine, Siriraj Hospital, Faculty of Medicine, Mahidol University, Bangkok, Thailand.

Endoscopic biliary decompression stent placement is an important approach for the palliative management of distal malignant biliary obstruction. However, migration of the inserted stent can occur, either distally or proximally; proximal migration is less common, but it also presents a greater challenge for endoscopic resolution. We present a case of a 67-year-old woman who had locally advanced pancreatic cancer and developed a common bile duct obstruction. Read More

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http://dx.doi.org/10.1155/2020/3438469DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136765PMC

A Case of Early Calciphylaxis Diagnosed by Bone Scan.

Case Rep Med 2020 17;2020:9526836. Epub 2020 Mar 17.

Nephrology, Department of Nephrology, Changzhou First People's Hospital, Changzhou, China.

Calcium uremic aortic disease (calciphylaxis) has long been considered as a rare, life-threatening small vessel disease. The diagnosis of calciphylaxis depends mainly on clinical symptoms and high risk factors, and skin biopsy can be used to confirm the diagnosis. However, noninvasive testing methods are still the focus of exploration currently. Read More

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http://dx.doi.org/10.1155/2020/9526836DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103050PMC

A Rare Presentation of Possible Disseminated Histoplasmosis with Adrenal Insufficiency Leading to Adrenal Crisis in an Immunocompetent Adult: A Case Report.

Case Rep Med 2020 17;2020:8506746. Epub 2020 Mar 17.

Department of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.

Histoplasmosis is caused by , and commonly it causes an asymptomatic illness. Although is the commonest organism to infect adrenal glands, disseminated histoplasmosis in an immune-competent host leading to adrenal insufficiency is rare in current literature. Here, we report a case of possible disseminated histoplasmosis leading to adrenal crisis in a young Asian immunocompetent male. Read More

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http://dx.doi.org/10.1155/2020/8506746DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103037PMC

A Primary Adrenal Epithelioid Angiomyolipoma (PEComa) in a Patient with Tuberous Sclerosis Complex: Report of a Case and Review of the Literature.

Case Rep Med 2020 17;2020:5131736. Epub 2020 Mar 17.

Osceola Regional Medical Center, Kissimmee, FL, USA.

Epithelioid angiomyolipomas (EAMLs) are mesenchymal tumors that are part of the family of the perivascular epithelioid cell neoplasms (PEComas). These tumors portray a potential aggressive behavior with metastatic lesions found in around 30% of reported cases. EAMLs might present sporadically or in association with the tuberous sclerosis complex (TSC). Read More

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http://dx.doi.org/10.1155/2020/5131736DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103033PMC

Combination Therapy with Nintedanib and Sarilumab for the Management of Rheumatoid Arthritis Related Interstitial Lung Disease.

Case Rep Med 2020 9;2020:6390749. Epub 2020 Mar 9.

Rheumatology Unit, Azienda Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy.

Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory disease characterized by joint and extra-articular involvement. Among them, interstitial lung disease (ILD) is one of the most common and severe extra-articular manifestations, with a negative impact on both therapeutic approach and overall prognosis. ILD can occur at any point of the natural history of RA, sometimes before the appearance of joint involvement. Read More

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http://dx.doi.org/10.1155/2020/6390749DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085352PMC

Ezetimibe: An Unusual Suspect in Angioedema.

Case Rep Med 2020 27;2020:9309382. Epub 2020 Feb 27.

Brookdale University Hospital Medical Center, Brooklyn, NY, USA.

We describe a case of new onset angioedema likely due to Ezetimibe therapy in an elderly patient with a prior history of drug-induced bradykinin reactions who had been on the medication for multiple years. This is the second reported incidence of Ezetimibe-associated angioedema in literature. A 90-year-old African American female presented with angioedema of the face and oral mucosa with associated difficulty speaking developing hours after taking Ezetimibe 10 mg PO. Read More

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http://dx.doi.org/10.1155/2020/9309382DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063208PMC
February 2020

Acute Esophageal Necrosis (Gurvits Syndrome): A Rare Complication of Diabetic Ketoacidosis in a Critically Ill Patient.

Case Rep Med 2020 27;2020:5795847. Epub 2020 Feb 27.

Department of Medicine, Temple University Hospital, 3401 North Broad Street, Philadelphia, PA 19140, USA.

Acute esophageal necrosis (AEN) is a rare clinical diagnosis that primarily affects the distal third of the esophagus. AEN causes odynophagia, leading to decreased oral intake and food avoidance. AEN can arise in critically ill patients with multiple comorbidities and is an uncommon complication of diabetic ketoacidosis (DKA). Read More

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http://dx.doi.org/10.1155/2020/5795847DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063189PMC
February 2020

Long-Lasting Follow-Up with Low-Dose Steroid in an 18-Year-Old Male with Rosai-Dorfman Disease.

Case Rep Med 2020 27;2020:5727569. Epub 2020 Feb 27.

İzmir University of Economics, Faculty of Medicine, Balçova, Izmir 35330, Turkey.

Rosai-Dorfman disease (RDD) is a rare and benign pathology of sinus histiocytosis of unknown etiology. Lymphadenopathy is the predominant clinical manifestation, but diverse organs can also be affected. Histological features involve S-100+ histiocytes with characteristic nuclear features within the enlarged sinusoids of the lymph nodes. Read More

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http://dx.doi.org/10.1155/2020/5727569DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063216PMC
February 2020

Herpes Simplex Virus-2 Hepatitis: A Case Report and Review of the Literature.

Case Rep Med 2020 20;2020:8613840. Epub 2020 Feb 20.

Houston Methodist Hospital, Department of Infectious Diseases, Houston, TX 77030, USA.

Herpes simplex virus (HSV) is a rare cause of hepatitis in pregnancy and the chronically immunosuppressed, with a high propensity to progress to acute liver failure (ALF) and death. Patients typically present with a nonspecific clinical picture that often delays diagnosis and treatment, contributing to the high mortality rate. We present a case of a young female on chronic prednisone and hydroxychloroquine for systemic lupus erythematosus (SLE) who was diagnosed with HSV-2 hepatitis after presenting with right-sided chest and abdominal discomfort. Read More

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http://dx.doi.org/10.1155/2020/8613840DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054783PMC
February 2020

Merkel Cell Carcinoma and Diagnostic Experience in a Reference Hospital: A Case Series.

Case Rep Med 2020 19;2020:8391510. Epub 2020 Feb 19.

Department of Pathology and Laboratories, Fundación Santa Fe de Bogotá, Bogotá, Colombia.

Merkel cell carcinoma (MCC) is a rare poorly differentiated neuroendocrine tumor, usually located in sun-exposed skin, with aggressive behavior and with high recurrence risk and metastatic disease. In Latin America, case series have been published, and it does not exceed 32 patients in 10 years, and in Colombia, there are case reports. We present a descriptive retrospective cross-sectional study in patients diagnosed with MCC in the Department of Pathology and Laboratories at the University Hospital Fundación Santa Fe de Bogotá(FSFB) between January 2003 and December 2018. Read More

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http://dx.doi.org/10.1155/2020/8391510DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7049825PMC
February 2020

Ulipristal Acetate Efficacy in a Patient with Symptomatic Fibroid and Concomitant Pulmonary Embolism.

Case Rep Med 2020 22;2020:3249268. Epub 2020 Feb 22.

Department of Radiology, ASST Bergamo Est, Seriate, Italy.

Ulipristal acetate (UPA) is an effective drug for the treatment of symptomatic uterine fibroids. The drug is highly effective in controlling bleeding control and in the recovery of anemia. Here, we report the case of a woman with severe menorrhagia due to a uterine fibroid and with concomitant pulmonary embolism, a serious life-threatening condition. Read More

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http://dx.doi.org/10.1155/2020/3249268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057005PMC
February 2020