6,624 results match your criteria case 34-year-old


Late mastitis after augmentation mammoplasty.

JPRAS Open 2021 Dec 18;30:13-16. Epub 2021 Jun 18.

Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund, Sweden.

Breast implant-associated infections (BIAI) occur in approximately 2% of patients after augmentation mammoplasty. In some cases, BIAI can be treated conservatively, whereas others need implant removal. Knowledge of uncommon potential pathogens in BIAI is important to ensure optimal treatment of BIAI. Read More

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December 2021

Bilateral lung transplantation during pregnancy after ECMO for influenza-A caused ARDS.

Am J Transplant 2021 Jul 31. Epub 2021 Jul 31.

Department of Obstetrics and Gynecology, Division of Obstetrics and Feto-Maternal Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.

Pregnant women with influenza-A have an increased risk of developing acute respiratory distress syndrome (ARDS). Extracorporeal membrane oxygenation (ECMO) can be used as salvage therapy, with lung transplantation as a therapeutic option. However, successful bilateral lung transplantation during pregnancy has never been reported before. Read More

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A 34-Year-Old Woman from Brazil with Pulmonary Lymphangioleiomyomatosis Diagnosed by Raised Serum Vascular Endothelial Growth Factor-D (VEGF-D) Levels and Lung Cysts on Computed Tomography Imaging Presenting with COVID-19 Pneumonia.

Am J Case Rep 2021 Jul 31;22:e932660. Epub 2021 Jul 31.

Department of Pneumology, Pedro Ernesto University Hospital, State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil.

BACKGROUND There is growing concern about the clinical course of certain diseases in patients who are simultaneously infected by SARS-CoV-2. This report is of a 34-year-old woman from Brazil with a recent diagnosis of pulmonary lymphangioleiomyomatosis (LAM) diagnosed by raised serum VEGF-D levels and the finding of lung cysts on computed tomography (CT) imaging, who presented with COVID-19 pneumonia. CASE REPORT Five months after the diagnosis of pulmonary LAM, which was based on the presence of diffuse and bilateral cystic lesions on CT scan associated with high serum VEGF-D levels, the patient presented with worsening dyspnea, drop in peripheral oxygen oxygenation, fever, and diffuse myalgia. Read More

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Hypertension as an Unusual Cause of Proliferative Retinopathy: Case Report and Literature Review.

Case Rep Ophthalmol 2021 May-Aug;12(2):594-602. Epub 2021 Jul 1.

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

Malignant hypertensive retinopathy is associated with characteristic fundus findings that typically do not include proliferative retinal vascular changes. We present the case of a 34-year-old patient who had bilateral decreased vision and was found to have malignant hypertension with hypertensive retinopathy changes along with unforeseen bilateral neovascularization and vitreous hemorrhage. Detailed history and extensive systemic and ophthalmic workup failed to reveal an alternative explanation for her proliferative retinopathy. Read More

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The serial connection of two extracorporeal membrane oxygenators for patient with refractory hypoxemia.

Heart Lung 2021 Jul 26;50(6):853-856. Epub 2021 Jul 26.

Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University College of Medicine and Gyeongsang National University Changwon Hospital, 11, Samjeongja-ro, Seongsan-gu, Changwon 51472, Republic of Korea. Electronic address:

A 34-year-old man developed severe hypoxemia and hypercapnia due to acute respiratory distress during ventilator care after surgery with acute intracranial hemorrhage. Severe hypoxemia had not been corrected even with maximum extracorporeal membrane oxygenation (ECMO) flow and full ventilator settings. We applied a novel technique for the serial connection of two veno-venous ECMO circuits for optimal oxygen delivery and CO2 removal and could wean VV ECMO. Read More

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An unusual presentation to the burn' unit - a cautionary tale.

J Burn Care Res 2021 Jul 29. Epub 2021 Jul 29.

Reconstructive Surgery and Regenerative Medicine Research Group, Institute of Life Sciences, Swansea University Medical School, Swansea.

We report a case of a 34-year old female with systemic lupus erythematosus (SLE) and lupus nephritis who was referred to the regional burns service with a suspected contact burn to the left flank and hypogastrium from a hot water bottle. The patient had been applying a hot-water bottle to the area at night for pain relief and after 3-days she noticed a localised area of erythema which became larger and began to blister over a period of 5-days. The blistered areas were erythematous and wet, however the capillary refill time was sluggish. Read More

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Hepatic inflammatory pseudotumor-like follicular dendritic cell tumor: a case report.

J Med Case Rep 2021 Jul 29;15(1):410. Epub 2021 Jul 29.

Department of Interventional Radiology, "Carol Davila" Central Military Emergency University Hospital, Mircea Vulcanescu Street, no.88, 010825, Bucharest, Romania.

Background: Inflammatory pseudotumor-like follicular dendritic cell sarcoma is a rare histological variant of follicular dendritic cell sarcoma involving typically the spleen and the liver, often linked to the presence of Epstein-Barr virus infection. Definite diagnosis of this type of sarcoma is difficult to make owing to nonspecific clinical and imaging findings and is based on histopathological features. Inflammatory pseudotumor-like follicular dendritic cell sarcoma is described as a low-aggressivity tumor with a favorable prognosis. Read More

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Clozapine metabolism may be affected by Gilbert's syndrome: case report and discussion.

Pharmacogenet Genomics 2021 Jul 26. Epub 2021 Jul 26.

Cumbria, Northumberland Tyne and Wear NHS Foundation Trust.

A 34-year-old man with treatment-resistant schizophrenia and Gilbert's syndrome was treated with clozapine and found to have unusually slow and fluctuating metabolism of clozapine, resulting in difficulty achieving a well-tolerated and stable plasma clozapine level. Gilbert's syndrome is a relatively common (3-10% prevalence) genetic condition which results in altered hepatic metabolism. This case report demonstrates in vivo the finding of previous in-vitro research suggesting that the UGT1A1 7/7 mutation most commonly associated with Gilbert's syndrome may result in decreased clozapine excretion. Read More

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Acute Myocarditis Revealing Adult-Onset Still's Disease.

JACC Case Rep 2021 Jul 5;3(7):1002-1006. Epub 2021 May 5.

Department of Cardiology, Saint-Antoine and Tenon Hospitals, Assistance Publique-Hôpitaux de Paris and Sorbonne University, Paris, France.

A 34-year-old man presented with fever, palpitations, maculopapular rash, pharyngitis, left cheilitis, and bilateral gonalgia. High-sensitivity troponin I concentration was 4,900 ng/l. Transthoracic echocardiogram revealed reduced global longitudinal strain. Read More

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Lipoprotein glomerulopathy associated with the Osaka/Kurashiki APOE variant: two cases identified in Latin America.

Diagn Pathol 2021 Jul 26;16(1):65. Epub 2021 Jul 26.

Division of Nephrology, University of São Paulo School of Medicine, São Paulo, Brazil.

Background: Lipoprotein glomerulopathy (LPG) is a rare autosomal dominant disease caused by mutations in APOE, the gene which encodes apolipoprotein E. LPG mainly affects Asian individuals, however occasional cases have also been described in Americans and Europeans. Herein we report two unrelated Brazilian patients with LPG in whom genetic analyses revealed the APOE-Osaka/Kurashiki variant. Read More

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Eccrine angiomatous hamartoma: First case in the cytology literature.

Ann Diagn Pathol 2021 Jul 17;54:151796. Epub 2021 Jul 17.

Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, USA. Electronic address:

A 34-year-old male presented with a swelling on the volar surface of the third digit of his right hand. This swelling was associated with pain and erythema. Ultrasound-guided needle biopsy was performed. Read More

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Transcatheter mitral valve repair using the Cardioband® system: Histopathological insights in device ingrowth and biocompatibility.

J Card Surg 2021 Jul 26. Epub 2021 Jul 26.

Pediatric Cardiology and Intensive Care Medicine, Georg-August University, Goettingen, Germany.

Surgical implantation of a complete or incomplete ring to reduce the valve annulus and improve leaflet coaptation is the mainstay of mitral valve surgery. The Cardioband® system (Edwards Lifesciences) was designed to address the pathophysiological mechanism of annular dilatation through a catheter-based approach. We present the histopathological workup of a Cardioband® device, which had been implanted 21 months earlier in a 34-year-old male with ischemic cardiomyopathy. Read More

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Management of Acute Coronary Syndrome Following Blunt Chest Trauma: A Case Report.

Bull Emerg Trauma 2021 Jul;9(3):151-154

Consultant and Honorary Senior Lecturer in Intensive Care Medicine and Anaesthesia, St Mary's Hospital, Imperial College NHS Trust, London, United Kingdom.

Blunt chest trauma is a rare cause of acute coronary syndrome and can be masked by other injuries in polytrauma patients. It can have devastating consequences due to damage to the myocardial tissue if left un-recognized. Myocardial injury can result in life-threatening arrhythmias and complications such as systolic and diastolic dysfunction. Read More

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Case Report: Post-Partum Complications of Deficiency Underscore a Need to Better Understand Primary Immunodeficiency Management During Pregnancy.

Front Pediatr 2021 7;9:648022. Epub 2021 Jul 7.

Section of Immunology, Allergy and Retrovirology, William T. Shearer Center for Human Immunobiology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, United States.

Nuclear factor κappa-B (NFκB) is a family of transcription factors involved in regulating inflammation and immunity. Mutations in the pathway are associated with primary immune defects and underlie the most common monogenic etiology of common variable immunodeficiency (CVID). However, little is known about how defects or primary immunodeficiency (PID) complicate pregnancy. Read More

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Seminal vesicle leiomyosarcoma: Case report and literature review.

Urologia 2021 Jul 25:3915603211028450. Epub 2021 Jul 25.

Department of Urology, Hospital Aleman, Buenos Aires, Argentina.

Introduction And Background: Primary leiomyosarcoma of the seminal vesicle is an extremely rare and highly malignant disease with less than 15 cases reported.

Case Description: A 34-year-old man presented with acute urinary symptoms. Imagen studies showed an abdominal mass (80 mm × 65 mm × 50 mm) with contrast enhancement, compressing the right side of the bladder but with a clear cleavage level between surrounding organs. Read More

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Acute kidney injury with partial Fanconi syndrome in a patient with leptospirosis: a case report.

J Med Case Rep 2021 Jul 23;15(1):358. Epub 2021 Jul 23.

Department of General Internal Medicine, Geneva University Hospital, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland.

Background: Leptospirosis is an underdiagnosed bacterial infection with nonspecific symptoms, hence, a diagnostic challenge. Identifying a case of leptospirosis in Switzerland is uncommon. Although kidney complications are frequent in severe forms, including tubular dysfunction, observing this complication is rare in our country. Read More

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Unusual Movement Disorders and Atypical Magnetic Resonance Imaging (MRI) Findings in Patients with West Nile Encephalitis: Case Reports of 2 Patients with Evidence of Clinical and Imaging Resolution with IVIG.

Am J Case Rep 2021 Jul 22;22:e932215. Epub 2021 Jul 22.

Department of Neurology, The University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.

BACKGROUND West Nile virus (WNv) is the leading cause of epidemic arbovirus encephalitis in the continental United States. Movement disorders (MDs) have been reported in 20% to 40% of patients with WNv and about 37% of patients with WNv encephalitis have changes on magnetic resonance imaging (MRI). We report 2 unusual cases of neuroinvasive WNv in patients with unusual MDs and unreported MRI findings. Read More

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Acute myocardial infarction in a young patient with triple valve replacement.

BMJ Case Rep 2021 Jul 20;14(7). Epub 2021 Jul 20.

Department of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Rheumatic heart disease is an important cause of mortality and morbidity in developing countries, and is the leading cause of triple valve replacement. Myocardial infarction (MI) in such cases can be due to the coronary embolism from the prosthetic valves or due to atherosclerotic vascular disease. Intravascular imaging helps in delineating the cause. Read More

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Over-the-counter protein supplement resulting in impaired thyroxine absorption in a hypothyroid patient.

Endocrinol Diabetes Metab Case Rep 2021 Jul 19;2021(21-0070). Epub 2021 Jul 19.

Diabetes and Endocrinology Unit, National Hospital Kandy, Kandy, Sri Lanka.

Summary: Whey protein is a popular dietary supplement that is claimed to provide multiple health benefits. It has been shown to delay gastric emptying and impair ileal nutrient absorption. Additionally, some of the other additives like papain enzyme, soy lecithin in these protein supplements could interfere with L-thyroxine absorption. Read More

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Successful salvage treatment with paclitaxel, ifosfamide, and cisplatin in a patient with methotrexate-resistant gestational trophoblastic neoplasia who developed hypersensitivity reaction to etoposide.

J Obstet Gynaecol Res 2021 Jul 18. Epub 2021 Jul 18.

Department of Obstetrics and Gynecology, Dokkyo Medical University Saitama Medical Center, Koshigaya, Japan.

We report a 34-year-old woman with recurrent gestational trophoblastic neoplasia (GTN) who showed hypersensitivity to etoposide. Computed tomography (CT) revealed a 32-mm solid mass in the right lung and a 101-mm cystic mass with solid components in the left side of the liver. The patient's serum human chorionic gonadotropin (HCG) level was 689 439 mIU/mL. Read More

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Isolated Volar Dislocation of the Distal Radioulnar Joint Treated With Successful Closed Reduction.

Cureus 2021 Jun 15;13(6):e15656. Epub 2021 Jun 15.

Orthopedic Surgery, OhioHealth, Columbus, USA.

We report the case of A 34-year-old right-hand-dominant male who presented with an isolated left volar dislocation of the distal radioulnar joint (DRUJ) without any associated fractures. The patient had sustained the injury in an altercation in the evening prior to the presentation and had woken up the next morning with left wrist pain and restricted wrist motion. Closed reduction was successful under conscious sedation and the patient was treated conservatively with splint immobilization without needing operative intervention. Read More

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Intentional Ingestion of a Metallic Wire Causing Perforation and Retroperitoneal Abscess: A Case Report.

Clin Med Insights Case Rep 2021 30;14:11795476211025919. Epub 2021 Jun 30.

Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran.

Foreign body ingestion is a frequent condition, with the majority of foreign bodies (FBs) tending to spontaneously proceed along the gastrointestinal tract without any major complications. A wide range of procedures are available to remove FBs; however, a real challenge exists in managing sharp, rigid, and long foreign objects, which are related to higher rates of complications. A 34-year-old man who intentionally swallowed a metallic wire of 20 cm length, presented to our ED with abdominal pain 2 weeks after the ingestion. Read More

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A case of primary orbital solitary fibrous tumor with lung metastases 41 years after initial treatment.

Orbit 2021 Jul 14:1-5. Epub 2021 Jul 14.

Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Here, we report a case of an orbital solitary fibrous tumor (SFT) with multiple local recurrences, even after orbital exenteration, and lung metastases after 41 years. The report discusses the clinical and histopathological findings of this case. A 34-year-old female patient with an orbital SFT was treated with orbital exenteration after local resection failed to prevent a recurrence. Read More

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Inverted deltoid posterior cruciate ligament femoral insertion accompanied with medial synovial fold: a case of a complex posterior cruciate ligament anatomical variation recalcitrant to conservative treatment.

Surg Radiol Anat 2021 Jul 14. Epub 2021 Jul 14.

Thessaloniki Minimally Invasive Surgery (The-MIS) Orthopaedic Center, St. Luke's Hospital, 55236, Thessaloniki, Greece.

Purpose: The present study aims to report a symptomatic rare anatomical variation of the posterior cruciate ligament (PCL) that was encountered during arthroscopy.

Case Presentation: A 34-year-old female suffered from dull anterior pain in the right knee, along with stiffness and the presence of an audible click and occasionally locking during deep knee flexion. Physical examination revealed only slight pain during single-leg squatting and mild knee effusion with painful limitation of the last degrees of flexion. Read More

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Lanthanum carbonate to control plasma and urinary oxalate level in type 1 primary hyperoxaluria?

IJU Case Rep 2021 Jul 13;4(4):235-238. Epub 2021 May 13.

Service des explorations fonctionnelles multidisciplinaires Tenon Hospital AP_HP Paris France.

Introduction: The therapy to reduce urinary oxalate excretion in primary hyperoxaluria type 1 is still required.

Case Presentation: A 37-year-old hemodialyzed man suffered from systemic oxalosis secondary to primary hyperoxaluria type 1 exhibited a drastic plasma oxalate decrease from 110 to 22 µmol/L two months after adjunction of lanthanum carbonate to classical treatment (intensive hemodialysis with pyridoxine). A 34-year-old woman with normal kidney function presented 10 years of bilateral kidney stones due to primary hyperoxaluria type 1 [hyperoxaluria (109. Read More

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Flexor tendon dysfunction due to a rare fracture of the proximal phalanx: A case report.

JPRAS Open 2021 Mar 22;27:44-47. Epub 2020 Oct 22.

St. Andrew's Centre for Plastic Surgery and Burns, Mid Essex Hospitals Trust, Broomfield Hospital, Chelmsford, United Kingdom.

Flexor tendon entrapment in fractures of the proximal phalanx is a rare occurrence. This complication has only been reported in association with displaced epiphyseal and diaphyseal fractures. Here we describe a case of an unusual proximal phalangeal fracture pattern with functional hindrance of the flexor mechanism. Read More

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Unique triad of shunts in a patient with paroxysmal palpitations!

BMJ Case Rep 2021 Jul 13;14(7). Epub 2021 Jul 13.

Cardiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada

We present the case of a 34-year-old woman with a rare constellation of congenital cardiovascular defects. She presented with new-onset dyspnoea on exertion and intermittent palpitations. Extensive cardiac workup revealed anomalous drainage of the inferior vena cava and a large secundum atrial septal defect. Read More

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Maternal deaths due to COVID-19 disease: The cases in a single center pandemic hospital in the south east of Turkey.

J Obstet Gynaecol Res 2021 Jul 12. Epub 2021 Jul 12.

Department of Infectious Diseases, University of Health Sciences Diyarbakir Gazi Yasargil Research and Training Hospital, Diyarbakır, Turkey.

Coronavirus-19 disease is still a pandemic health problem and uncertainty in the management of severe or critically ill pregnant women confuses continually the obstetricians. The nationwide maternal mortality rate due to covid-19 still has not been presented in any study in Turkey. The study includes four maternal mortality cases in a referral single pandemic center in our country. Read More

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Durable complete response to pembrolizumab in microsatellite stable colorectal cancer.

Daru 2021 Jul 12. Epub 2021 Jul 12.

Stem Cell and Regenerative Medicine Research Center, Iran University of Medical Sciences, Tehran, Iran.

Introduction: Immunotherapy by checkpoint inhibitors, i.e., anti-programmed death-1(PD-1) or anti-programmed death-ligand 1 (PD-L1) antibodies, has gained more attention managing solid tumors. Read More

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Prenatal diagnosis of a familial Y long-arm and chromosome 15 short-arm translocation inherited from a mother carrier.

Taiwan J Obstet Gynecol 2021 Jul;60(4):781-783

Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan.

Objective: We present prenatal diagnosis of a familial Y long-arm and chromosome 15 short-arm translocation inherited from a mother carrier.

Case Report: A 34-year-old primigravid woman underwent amniocentesis at 20 weeks of gestation because of advanced maternal age. Amniocentesis revealed a derived chromosome 15 or 15p+ with an additional material on the short arm of chromosome 15. Read More

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