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    1983 results match your criteria Case Reports in Medicine [Journal]

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    A Particular Use of Endobag: Extraction of Rectal Foreign Bodies.
    Case Rep Med 2017 20;2017:8909706. Epub 2017 Dec 20.
    General Surgery and Transplantation Unit, Department of Medical and Biological Sciences, University of Udine, Udine, Italy.
    Introduction: The incidence of foreign bodies (FBs) in the rectum has recently increased. FB removal by the transanal way or by colonoscopy is generally feasible and only in few cases surgery is strictly necessary. Due to FB dimensions or rectum and colon anatomy, sometimes it may represent a challenge. Read More

    Severe Cholestasis and Bile Cast Nephropathy Induced by Anabolic Steroids Successfully Treated with Plasma Exchange.
    Case Rep Med 2017 17;2017:4296474. Epub 2017 Dec 17.
    Gastroenterology Division, Lebanese American University Medical Center, Beirut, Lebanon.
    We report a case of a bodybuilder who took a regimen of anabolic steroids containing stanozolol and testosterone propionate for 8 weeks which led to the development of jaundice and severe pruritus with serum total bilirubin reaching 41.22 mg/dL. Despite supportive care with fluid and albumin therapy, serum creatinine was progressively increasing. Read More

    Tuberculous Spondylitis: A Report of Different Clinical Scenarios and Literature Update.
    Case Rep Med 2017 17;2017:4165301. Epub 2017 Dec 17.
    Pulmonology Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
    Tuberculosis is still one of the most important health problems in the world. In developed countries, the proportion of extrapulmonary tuberculosis cases is increasing. Nowadays tuberculous spondylitis, also known as Pott disease, is a rare clinical condition but can cause severe vertebral and neurological sequelae that can be prevented with an early correct diagnosis. Read More

    ANA-Negative Hydralazine-Induced Pericardial Effusion.
    Case Rep Med 2017 17;2017:3521541. Epub 2017 Dec 17.
    Department of Cardiology, Maricopa Integrated Health System, Phoenix, AZ, USA.
    This case describes a patient with pericardial effusion as a phenomenon of the drug-induced lupus erythematosus (DILE) syndrome due to hydralazine. The relevance of this case report lies in the fact that although hydralazine has been a known causative agent of DILE, its presentation may involve a negative anti-nuclear antibody (ANA) study. Pericardial effusion is a documented adverse effect as a result of hydralazine use. Read More

    Kikuchi-Fujimoto Disease in an Old Italian Woman: Case Report and Review of the Literature.
    Case Rep Med 2017 14;2017:7257902. Epub 2017 Dec 14.
    Clinica Medica "Cesare Frugoni", Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", Piazza Giulio Cesare 11, 70124 Bari, Italy.
    Kikuchi-Fujimoto disease (KFD) is a rare, benign, generally self-limiting disease that has higher prevalence in Asian people with a few cases reported in European countries. It generally affects young subjects under 40 years of age and is characterized by regional lymphadenopathy. Here, we present a case of a 66-year-old Italian woman who was extensively examined for right unilateral laterocervical lymph nodes associated with fever, night sweats, fatigue, and weight loss. Read More

    Occipitocervical Hemolymphangioma in an Adult with Neck Pain and Stiffness: Case Report and Literature Review.
    Case Rep Med 2017 7;2017:7317289. Epub 2017 Dec 7.
    Department of Spinal Surgery, General Hospital of Armed Police Force, Beijing 100039, China.
    Introduction: Hemolymphangioma is an extremely rare malformation of the lymphatic and blood vessels. A limited number of hemolymphangioma cases occurring in the pancreas, extremities, spleen, and other organs have been reported until September 2017. To the best of our knowledge, no cases of hemolymphangioma in the occipitocervical region have been reported in the literature. Read More

    Neurolysis for Treatment of Infraorbital Neuropathy.
    Case Rep Med 2017 14;2017:2389354. Epub 2017 Nov 14.
    Department of Anaesthesiology and Reanimation, Gazi University Faculty of Medicine, Ankara, Turkey.
    Two patients, a woman aged 34 and a man aged 56, were included in the study. They reported the existence of pain in the areas of the infraorbital nerve, which, over the last four to five years, aggravated by the stimuli of eating, laughing, and being touched. 2 ml of 0. Read More

    Incidentally Discovered Extranodal Marginal Zone B-Cell Lymphoma of Mucosa-Associated Lymphoid Tissue in the Colon.
    Case Rep Med 2017 4;2017:1505706. Epub 2017 Dec 4.
    Division of Gastroenterology and Hepatobiliary Diseases, New York Medical College, Westchester Medical Center, New York, NY, USA.
    We present a case of colonic mucosa-associated lymphoid tissue (MALT) lymphoma in a 62-year-old woman diagnosed after a positive test for fecal occult blood. Read More

    Infiltrating Cardiac Synovial Sarcoma Presenting as Acute Cerebrovascular Accident.
    Case Rep Med 2017 3;2017:8539606. Epub 2017 Dec 3.
    Department of Pathology, Virginia Tech Carilion-School of Medicine and Research Institute, Roanoke, VA, USA.
    Primary cardiac sarcoma is a rare malignant myocardial neoplasm that does not exhibit gender predominance or age predilection. The classification of these tumors includes several subtypes, of which synovial sarcoma is a rare manifestation. When present, these tumors portend a poor prognosis with high morbidity and mortality that is attributable to their inherent infiltrative capacity, especially in the absence of treatment. Read More

    Effect of High-Dose Vitamin C Infusion in a Glucose-6-Phosphate Dehydrogenase-Deficient Patient.
    Case Rep Med 2017 26;2017:5202606. Epub 2017 Nov 26.
    Departments of Internal Medicine and Psychiatry, East Carolina University, Greenville, NC, USA.
    Vitamin C supplementation is generally regarded as benign. There has been a resurgence of interest in the general medical community regarding the use of vitamin C most notably in the care of sepsis. Nonetheless, caution must be taken if supraphysiologic vitamin C supplementation is being administered as it should be considered a medication just like any other. Read More

    Delayed Intraventricular Hemorrhage following a Ventriculoperitoneal Shunt Placement: Exploring the Surgical Anatomy of a Rare Complication.
    Case Rep Med 2017 8;2017:3953248. Epub 2017 Nov 8.
    Department of Neurosurgery, "K.A.T.-N.R.C." General Hospital of Attica, Nikis Street 2, Kifissia, 14561 Athens, Greece.
    Ventriculoperitoneal shunt (VPS) placement is one of the commoner neurosurgical procedures worldwide. The purpose of this article is to report a case of delayed intraventricular hemorrhage (IVH) following a VPS and to review the literature regarding anatomic factors that could potentially explain this rare complication. A 78-year-old man with normal pressure hydrocephalus, who underwent an uneventful right VPS placement, suffered from a catastrophic isolated IVH five days later. Read More

    A Case of Chronic Cough and Pneumonia Secondary to a Foreign Body.
    Case Rep Med 2017 18;2017:3092623. Epub 2017 Sep 18.
    New York Medical College, St. Michael's Medical Center, Pulmonary Department, Newark, NJ, USA.
    Foreign body aspiration occurs when a solid or semisolid object becomes lodged in the larynx or trachea. It can be a life-threatening emergency, especially if it is large enough to occlude the airway. However, small aspirated objects may go unnoticed until symptoms occur. Read More

    A Case of Nivolumab-Induced Severe Mononeuropathy Multiplex and Rhabdomyolysis.
    Case Rep Med 2017 22;2017:1093858. Epub 2017 Oct 22.
    Division of Neurology, Respirology, Endocrinology and Metabolism, Department of Internal Medicine, University of Miyazaki, Miyazaki, Japan.
    We report an 81-year-old man with multiple liver metastases after tumorectomy for primary mediastinal malignant melanoma, who experienced limb weakness and sensory disturbance after nivolumab monotherapy. He was diagnosed with nivolumab-induced mononeuropathy multiplex and rhabdomyolysis based on serologic examination, muscle biopsy, magnetic resonance imaging of the limbs, and a nerve conduction study. A course of intravenous methylprednisolone (mPSL) was initiated at 1 g/day for 3 days. Read More

    Metastatic Basal Cell Carcinoma: A Rare Manifestation of a Common Disease.
    Case Rep Med 2017 27;2017:8929745. Epub 2017 Nov 27.
    Department of Pathological Anatomy, Faculty of Medical Sciences, University of Campinas (UNICAMP), Campinas, SP, Brazil.
    Introduction: Basal cell carcinoma (BCC) is considered the most common malignancy in Caucasians. It constituted about 80% of all nonmelanoma skin tumors and, despite its high prevalence, is an extremely rare occurrence of metastases, with incidence rates varying from 0.0028% to 0. Read More

    Abdominopelvic Tuberculosis Secondary to a Nontuberculousin an Immunocompetent Patient.
    Case Rep Med 2017 13;2017:9016782. Epub 2017 Nov 13.
    Department of Obstetrics and Gynaecology, UKM Medical Centre, Kuala Lumpur, Malaysia.
    Tuberculosis (TB) remained as one of the top 10 causes of death worldwide despite an overall decline in its incidence rate globally. Extrapulmonary TB is uncommon and only accounts for 10-20% of overall TB disease burden. Abdominopelvic TB is the sixth most common location of extrapulmonary TB. Read More

    Ustekinumab and Vedolizumab Dual Biologic Therapy in the Treatment of Crohn's Disease.
    Case Rep Med 2017 8;2017:5264216. Epub 2017 Nov 8.
    University of British Columbia, Vancouver, BC, Canada.
    We present a case of refractory ileocolonic Crohn's disease in a 27-year-old female treated with dual ustekinumab and vedolizumab biologic therapy. She had mucosal healing for the first time in 13 years after a 10-month treatment of ustekinumab overlapped with 6 months of vedolizumab. No side effects were observed during the 6 months of dual biologic therapy. Read More

    Wireless Neuromodulation for Chronic Back Pain: Delivery of High-Frequency Dorsal Root Ganglion Stimulation by a Minimally Invasive Technique.
    Case Rep Med 2017 2;2017:4203271. Epub 2017 Nov 2.
    StimRelieve LLC, Fort Lauderdale, FL, USA.
    Objective: To evaluate the analgesic effect of a dorsal root ganglion (DRG) stimulation technology utilizing high-frequency pulse rates to treat intractable chronic back and leg pain.

    Methods: This case study presents the outcomes, with a novel, wireless, minimally invasive miniature neurostimulator system in a case of chronic back pain. The subject was implanted bilaterally with a Freedom 4A quadripolar electrode array at the L2 dorsal root ganglion. Read More

    Usefulness of Endoscopic Managements in Patients with Ceftriaxone-Induced Pseudolithiasis Causing Biliary Obstruction.
    Case Rep Med 2017 2;2017:3835825. Epub 2017 Nov 2.
    Department of Internal Medicine, Munakata Medical Association Hospital, Fukuoka, Japan.
    Ceftriaxone (CTRX) is known to cause reversible biliary stones/sludge, which is called biliary pseudolithiasis. We report two rare cases of biliary obstruction by pseudolithiasis shortly after completing CTRX treatment. Stones and sludge, which had not been detected before CTRX administration, appeared in the gallbladder and common bile duct and led to biliary obstruction and acute cholangitis. Read More

    Hemothorax due to Ruptured Mycotic Aneurysm of Intercostal Arteries Associated with Infective Endocarditis.
    Case Rep Med 2017 31;2017:9213514. Epub 2017 Oct 31.
    Department of Internal Medicine, University of Saskatchewan College of Medicine, Saskatoon, SK, Canada S7N 5E5.
    We present a case of hemothorax due to ruptured mycotic aneurysm in three intercostal arteries in a 40-year-old male with methicillin-resistantinfective endocarditis (IE) due to intravenous drug use. Microcoil embolization and thoracotomy successfully achieved hemostasis. Mycotic aneurysm is a rare complication of IE and is usually found in the intracranial vessels. Read More

    Overt Lower Gastrointestinal Bleeding and Pseudotumor: A Rare Presentation of Cytomegalovirus Infection.
    Case Rep Med 2017 18;2017:9732967. Epub 2017 Oct 18.
    Department of Digestive Diseases and Transplantation, Albert Einstein Medical Center, Philadelphia, PA, USA.
    Cytomegalovirus (CMV) is a ubiquitous organism which can infect multiple organs of the body. In an immunocompromised patient, it can have a myriad of gastrointestinal manifestations. We report a case of recurrent hematochezia and concomitant pseudotumor in an AIDS (acquired immunodeficiency syndrome) patient attributable to CMV infection. Read More

    Laparoscopic Supracervical Hysterectomy with In-Bag Morcellation in Very Large Uterus.
    Case Rep Med 2017 17;2017:9410571. Epub 2017 Oct 17.
    Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University of Oldenburg, Oldenburg, Germany.
    Laparoscopic supracervical hysterectomy (LASH) is a safe and fast minimally invasive approach in hysterectomy. In order to extract the uterine body from the abdominal cavity, one condition for LASH is the morcellation of the tissue. The intra-abdominal dissemination of benign and occult malignant uterine cells is a possible risk of this method, which can be avoided by the use of special bags for laparoscopic in-bag morcellation. Read More

    Recovery from Cogwheel Rigidity and Akinesia and Improvement in Vibration Sense and Olfactory Perception following Removal of an Epoxy-Oleic Acid DNA Adduct.
    Case Rep Med 2017 18;2017:3512353. Epub 2017 Oct 18.
    Department of Medicine, Imperial College London, London, UK.
    The epoxy fatty acid-12,13-epoxy-oleic acid, which acts as a DNA adduct, may be generated during long-term storage of many seed oils, including those used in cooking, with frying oils and fried foods being a major source in the modern human diet. Removal of this epoxy fatty acid from the locus of the-formyl peptide receptors was associated with recovery from cogwheel rigidity and akinesia as well as with improvement in vibration sense and olfactory perception. Read More

    Herpes Simplex Virus and Human Papillomavirus Coinfections in Hyperimmunoglobulin E Syndrome Presenting as a Conjunctival Mass Lesion.
    Case Rep Med 2017 12;2017:1650841. Epub 2017 Oct 12.
    Legal Medicine Organization, Rasht, Guilan, Iran.
    Hyperimmunoglobulin E syndrome (HIES) or Job's syndrome is a rare immunodeficiency disease with less than 200 cases reported worldwide, among which few cases are reported with lesions due to herpes simplex virus (HSV) or human papillomavirus (HPV). This case study presents a rare case of HIES with coinfection of HSV and HPV. A 12-year-old boy, previously diagnosed with HIES, presented with a large conjunctival mass lesion. Read More

    A Case of Peripheral Ulcerative Keratitis Associated with Autoimmune Hepatitis.
    Case Rep Med 2017 9;2017:3939413. Epub 2017 Oct 9.
    Department of Ophthalmology, Rutgers New Jersey Medical School, Newark, NJ, USA.
    Purpose: To describe a case of peripheral ulcerative keratitis in the setting of autoimmune hepatitis and possible overlap syndrome with primary sclerosing cholangitis.

    Case Report: A 48-year-old African American female with autoimmune hepatitis with possible overlap syndrome with primary sclerosing cholangitis presented with tearing, irritation, and injection of the left eye that was determined to be peripheral ulcerative keratitis. The patient was treated with topical and systemic steroids, immunosuppressant drugs (azathioprine and mycophenolate mofetil), a biologic (rituximab), and surgery (conjunctival resection), and the peripheral ulcerative keratitis epithelialized but ultimately led to corneal perforation. Read More

    A Case of Polyarteritis Nodosa Presenting as Rapidly Progressing Intermittent Claudication of Right Leg.
    Case Rep Med 2017 4;2017:4219718. Epub 2017 Oct 4.
    National Hospital, Colombo, Sri Lanka.
    Background: Polyarteritis nodosa (PAN) is a medium vessel vasculitis which causes significant morbidity and mortality. Usually, it presents with constitutional symptoms with angiographic evidence of aneurysms or segmental stenosis of arteries of mesenteric or renal vasculature. It is exceedingly uncommon for PAN to present with symptomatic progressive intermittent claudication. Read More

    Primary Renal Lymphoma Presenting as End-Stage Renal Disease.
    Case Rep Med 2017 2;2017:9210648. Epub 2017 Oct 2.
    Section of Pediatric Hematology and Oncology, Department of Pediatrics, University of California Davis Medical Center, Sacramento, CA, USA.
    Primary renal lymphoma is a rare entity, even more so in children. Children with primary renal lymphoma present with variable clinical features such as constitutional signs and symptoms, acute kidney injury, palpable abdominal masses, and gross hematuria. Herein we report a child who presented with seemingly advanced chronic kidney disease and was eventually diagnosed with primary lymphoma. Read More

    Formation of Condyle-Like Structure after Treatment of Temporomandibular Joint Ankylosis: Literature Review and Long-Term Follow-Up of Two Patients.
    Case Rep Med 2017 2;2017:9060174. Epub 2017 Oct 2.
    Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ankara University, Ankara, Turkey.
    Treatment of ankylosis is one of the greatest challenges in temporomandibular joint (TMJ) surgery. To provide a satisfactory mouth opening, as well as normal jaw function, and to prevent reankylosis in the long term are the most important principles in the treatment of TMJ ankylosis. These functions have been attained in both of the presented patients in the long term. Read More

    Aggressive Adenoid Cystic Carcinoma of Maxillary Sinus in a 43-Year-Old Male: Rare Case Report and Review of Literature.
    Case Rep Med 2017 28;2017:2324717. Epub 2017 Sep 28.
    Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
    Adenoid cystic carcinoma (ACC) is a rare malignant tumor, mostly involving the minor salivary glands. Herein, we present a case of ACC in a 43-year-old man with symptoms of dental abscess as the initial presentation of the tumor. In spiral computed tomography (CT) scan, soft tissue mass with the erosion of maxillary sinus wall on the right side of the alveolar ridge was evident. Read More

    Systemic Cystic Angiomatosis Mimicking Metastatic Cancer: A Case Report and Review of the Literature.
    Case Rep Med 2017 11;2017:5032630. Epub 2017 Sep 11.
    Department of Hematology and Oncology, Maimonides Cancer Center, Brooklyn, NY, USA.
    Systemic cystic angiomatosis is a rare benign disorder due to the maldeveloped vascular and lymphatic system with less than 50 cases reported in literature so far. We report here a case of systemic cystic angiomatosis (SCA) with multisystem involvement affecting the neck, thyroid, thoracic cavity, and skeletal system. The patient initially presented in her 4th decade of life with isolated lymphangioma in the neck requiring surgery. Read More

    Extraintestinal Salmonellosis in the Immunocompromised: An Unusual Case of Pyomyositis.
    Case Rep Med 2017 11;2017:5030961. Epub 2017 Sep 11.
    Department of Medicine, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074.
    Salmonella infection can cause a wide range of presentations, predominantly gastrointestinal but occasionally with cardiovascular or other extraintestinal manifestations. The diagnosis of extraintestinal salmonellosis requires a high degree of clinical suspicion and should be considered in patients with deep-seated abscesses especially if they are immunocompromised. We present a case of salmonella causing gastroenteritis complicated by an intramuscular abscess of the left leg. Read More

    Necrotizing Fasciitis Secondary toInfection Presenting with Septic Shock.
    Case Rep Med 2017 31;2017:4607582. Epub 2017 Aug 31.
    Department of Internal Medicine and Department of Oncologic Sciences, H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive, Tampa, FL 33612, USA.
    This report describes a case of necrotizing fasciitis presenting with septic shock due to aninfection. The patient cut his foot while mowing the lawn and then spent time in a pool with black mold. He began feeling ill and developed swelling and a quarter-sized black area on his right lower extremity. Read More

    Pancreatic Tuberculosis with Vascular Involvement and Peritoneal Dissemination in a Young Man.
    Case Rep Med 2017 7;2017:4396759. Epub 2017 Sep 7.
    Department of Gastroenterology, Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an, Shaanxi, China.
    Pancreatic tuberculosis (TB) is an extremely rare form of extrapulmonary tuberculosis even in endemic areas that masquerades as a mass or inflammation because of lack of typical clinical manifestations and radiologic features and therefore usually misdiagnosed as a pancreatic malignancy or pancreatitis. Here we present a 23-year-old young man with pancreatic tuberculosis mimicking pancreatic head carcinoma A man who suffered from upper abdominal pain and nausea for half a month was admitted to our hospital. Narrow band imaging (NBI) and gastroscopic imaging, together with endoscopic ultrasonography (EUS), revealed a duodenal bulb mucous prominences lesion. Read More

    Xanthogranulomatous Pyelonephritis with Incomplete Double Ureter.
    Case Rep Med 2017 18;2017:2392670. Epub 2017 Sep 18.
    Departments of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, Japan.
    Introduction: Xanthogranulomatous pyelonephritis (XGP) is a type of chronic renal inflammation that usually occurs in immunocompromised middle-aged women with chronic urinary tract infection or ureteral obstruction induced by the formation of ureteral stones. XGP with an incomplete double ureter is extremely rare.

    Case Presentation: A 76-year-old woman was referred to our department to undergo further examination for a left renal tumor that was detected by ultrasonography. Read More

    Diffuse Idiopathic Skeletal Hyperostosis: Persistent Sore Throat and Dysphagia in an Elderly Smoker Male.
    Case Rep Med 2017 14;2017:2567672. Epub 2017 Sep 14.
    Internal Medicine Department, Advocate Illinois Masonic Medical Center, Chicago, IL, USA.
    Diffuse idiopathic skeletal hyperostosis (DISH) is rarely symptomatic. However, it can present with dyspnea, hoarseness, dysphagia, and stridor. An 80-year-old chronic smoker male presented with 6-month history of sore throat and progressive dysphagia. Read More

    Delayed Presentation of Posttraumatic Diaphragmatic Hernia Masquerading as Recurrent Acute Asthmatic Attack.
    Case Rep Med 2017 19;2017:5037619. Epub 2017 Sep 19.
    Department of Surgery, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria.
    Diaphragmatic hernia following blunt abdominal injury is extremely rare and often diagnosed late. Missed diagnosis is also common with this condition. We herein present a delayed presentation of diaphragmatic hernia following blunt abdominal injury that was initially misdiagnosed as recurrent acute asthmatic attack due to repeated presentation with episodic difficulty in breathing. Read More

    Factors for a Successful Laparoscopic Hysterectomy in Very Large Uteri.
    Case Rep Med 2017 6;2017:1637472. Epub 2017 Sep 6.
    Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University of Oldenburg, Oldenburg, Niedersachsen, Germany.
    Minimally invasive hysterectomy is a standard procedure. Different approaches, as laparoscopically assisted vaginal hysterectomy, vaginal hysterectomy, and subtotal and total laparoscopic hysterectomy, have been described and evaluated by various investigations as safe and cost-effective methods. In particular, in comparison to abdominal hysterectomy, the minimally invasive methods have undoubted advantages for the patients. Read More

    Lone Hepatocellular Carcinoma: An Isolated Chest Wall Malignancy.
    Case Rep Med 2017 30;2017:3531823. Epub 2017 Aug 30.
    Department of Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX, USA.
    Herein we describe the case of an elderly diabetic gentleman presenting with a two-week history of dyspnea and nonproductive cough, found to have a large left anterolateral chest wall mass. Further characterization through computed tomography (CT) of the chest revealed a soft tissue mass in the left anterior lower hemithorax found to be hepatocellular carcinoma (HCC). The liver, spleen, and pancreas were unremarkable. Read More

    A Rare Case of Cavitary Lesion of the Lung Caused byin 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.
    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.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

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