Medical Reports最新文献

Thalamic and dentate nuclei involvement in an infant with propofol related infusion syndrome: A case report

Medical Reports Pub Date : 2024-12-01 DOI: 10.1016/j.hmedic.2024.100141

Tomas Leng , Bowen Song , Benjamin L. Hamel , Matthew Di Giusto , Marc Patterson

引用次数: 0

Gorlin-Goltz syndrome – Report of a case with review of literature 戈林-戈尔茨综合征--一例病例报告及文献综述

Medical Reports Pub Date : 2024-11-17 DOI: 10.1016/j.hmedic.2024.100137

Snehanjan Sarangi , Basudev Mahato , Samir Mandal , Shreya S. Saha

引用次数: 0

Overlap of nephrotic syndrome with nephritic syndrome and its relation to microscopic polyangiitis in a seventeen-year-old young female 一名 17 岁年轻女性的肾病综合征与肾炎综合征的重叠及其与显微镜下多血管炎的关系

Medical Reports Pub Date : 2024-11-15 DOI: 10.1016/j.hmedic.2024.100133

Bilawal Abbas , Fiza Shafi , Muhammad Usama bin Shabbir , Sijel Husseini

{"title":"Overlap of nephrotic syndrome with nephritic syndrome and its relation to microscopic polyangiitis in a seventeen-year-old young female","authors":"Bilawal Abbas , Fiza Shafi , Muhammad Usama bin Shabbir , Sijel Husseini","doi":"10.1016/j.hmedic.2024.100133","DOIUrl":"10.1016/j.hmedic.2024.100133","url":null,"abstract":"<div><div>The medical condition termed as nephrotic syndrome (NS) is defined by excessive excretion of proteins in the urine, called proteinuria, and lack of circulating albumin, called hypoalbuminemia. The value for proteinuria in NS is more than 40 mg/m^2 per hour, and the cut-off value for albumin is less than 30 g/L. A rare form of vasculitis, called microscopic polyangiitis mainly affects the kidneys and lungs. We have an instance of a seventeen-year-old girl with the involvement of the renal and central nervous systems as a manifestation of microscopic polyangiitis on the background of overlap. Renal biopsies and perinuclear anti-neutrophil cytoplasmic antibody (p-ANCA) suggested microscopic polyangiitis. After receiving cyclophosphamide and pulse steroids, the patient's symptoms resolved, and the patient was discharged. To help with early disease detection and treatment, this case emphasizes the importance of considering ANCA-associated vasculitis during diagnostic processes and highlights the concept of nephrotic-nephritic overlap.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"8 ","pages":"Article 100133"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unmasking parvovirus B19: An atypical case of hepatitis with rash and arthralgia 揭开 parvovirus B19 的神秘面纱：伴有皮疹和关节痛的非典型肝炎病例

Medical Reports Pub Date : 2024-11-15 DOI: 10.1016/j.hmedic.2024.100138

Antonio Al Hazzouri , Christopher Sleiman , Rose-Mary Daou , Karam Karam , Elias Fiani

{"title":"Unmasking parvovirus B19: An atypical case of hepatitis with rash and arthralgia","authors":"Antonio Al Hazzouri , Christopher Sleiman , Rose-Mary Daou , Karam Karam , Elias Fiani","doi":"10.1016/j.hmedic.2024.100138","DOIUrl":"10.1016/j.hmedic.2024.100138","url":null,"abstract":"<div><div>Parvovirus B19 is a common virus, typically known for causing erythema infectiosum in children and polyarthritis in adults. In rare cases, parvovirus can cause hepatitis. We present the case of a 40-year-old previously healthy woman who presented with fever, fatigue, arthralgia, and a reticular erythematous rash. Physical examination revealed mild hepatomegaly and right upper quadrant tenderness. Further laboratory analysis was unremarkable except for elevated liver enzymes. Viral serologies for hepatotrophic viruses were negative, but parvovirus B19 IgM and IgG were positive and suggestive of parvovirus B19-induced hepatitis. In the medical literature, parvovirus B19 has been associated with acute and fulminant hepatitis, especially in immunocompromised patients. The outcomes can range from asymptomatic transaminase elevations to liver failure requiring transplantation. Nonetheless, our case highlights the possibility of atypical infection with no hematological abnormalities. It is important to recognize and treat parvovirus B19 as a potential cause of hepatitis, regardless of classic presentations or hematological results.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"8 ","pages":"Article 100138"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A rare case of neonatal measles: Reevaluating maternal immunity in the vaccination era 新生儿麻疹罕见病例：重新评估疫苗接种时代的母体免疫力

Medical Reports Pub Date : 2024-11-14 DOI: 10.1016/j.hmedic.2024.100134

Faiqa Taj , Chitturi Sai Sujana , Jawaria Amin , Babar Naeem

{"title":"A rare case of neonatal measles: Reevaluating maternal immunity in the vaccination era","authors":"Faiqa Taj , Chitturi Sai Sujana , Jawaria Amin , Babar Naeem","doi":"10.1016/j.hmedic.2024.100134","DOIUrl":"10.1016/j.hmedic.2024.100134","url":null,"abstract":"<div><h3>Background</h3><div>Measles is a highly contagious, vaccine-preventable viral disease characterized by fever, rash, and respiratory symptoms. While measles is generally rare in neonates due to the protective effect of transplacental maternal antibodies, cases in early infancy can occur, raising concerns about the efficacy of maternal immunity.</div></div><div><h3>Case presentation</h3><div>We report a case of a 15-day-old male neonate who presented with high-grade fever, maculopapular rash, and respiratory distress. Despite the mother’s vaccination history, the infant was diagnosed with measles through serological testing. The disease progressed rapidly, leading to severe respiratory compromise and significant ocular involvement, requiring intensive care management.</div></div><div><h3>Conclusion</h3><div>This case underscores potential gaps in neonatal protection, even in infants of vaccinated mothers, suggesting that waning maternal immunity may result in insufficient antibody transfer. It highlights the need for re-evaluating vaccination strategies in women of reproductive age and emphasizes the importance of stringent infection control measures in postpartum care settings to prevent neonatal measles.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"8 ","pages":"Article 100134"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Total hip arthroplasty as a single procedure for subtrochanteric femur fracture with concurrent hip osteoarthritis: A case report 股骨转子下骨折并发髋关节骨性关节炎的全髋关节置换术：病例报告

Medical Reports Pub Date : 2024-11-14 DOI: 10.1016/j.hmedic.2024.100131

Adam Maestas , Parsa Charkhchi , Farbod Malek

{"title":"Total hip arthroplasty as a single procedure for subtrochanteric femur fracture with concurrent hip osteoarthritis: A case report","authors":"Adam Maestas , Parsa Charkhchi , Farbod Malek","doi":"10.1016/j.hmedic.2024.100131","DOIUrl":"10.1016/j.hmedic.2024.100131","url":null,"abstract":"<div><div>Femoral subtrochanteric (ST) fractures have a bimodal age distribution and often the result of high-energy trauma in young patients and minor trauma in elderly patients. Intramedullary nailing (IMN) has been the mainstay for repair and is favorable over fixed angle plating due to greater stability and decreased complications. Many elderly patients with femoral fractures also suffer from other general bone-related comorbidities such as osteoarthritis (OA). Traditionally, concurrent ST femur fractures and severe hip osteoarthritis have been treated separately, but there is growing evidence supporting the use of total hip arthroplasty (THA) as a viable treatment choice. Here the case of a 71-year-old female with a right femoral ST spiral fracture and advanced hip OA is presented. The patient was treated for her fracture and hip OA simultaneously through a THA with a long stem prosthesis and FiberTape cerclage wires. The patient followed up in good condition and was able to ambulate with the assistance of a walker then transitioned to a cane. It is proposed that patients with ST femur fractures and hip OA would significantly benefit from THA as a single procedure, and its consideration is recommended in future cases with similar presentations.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"8 ","pages":"Article 100131"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A hidden duodenal neuroendocrine tumor: A case report 隐匿性十二指肠神经内分泌肿瘤：病例报告

Medical Reports Pub Date : 2024-11-13 DOI: 10.1016/j.hmedic.2024.100135

Karam Karam , Alaa Taha , Melissa Kyriakos Saad , Khaled Soukarieh , Rafca Challita , Joseph Amara , Elias Fiani , Elias Saikaly

引用次数: 0

Hemorrhagic pre-Descemet’s membrane detachment after nonpenetrating deep sclerectomy 非穿透性深层巩膜切除术后的出血性前脱落

Medical Reports Pub Date : 2024-11-13 DOI: 10.1016/j.hmedic.2024.100136

Anna Soldevila , Marina García , Halima Berrada Zizzi , Francisco Ruíz Tolosa

{"title":"Hemorrhagic pre-Descemet’s membrane detachment after nonpenetrating deep sclerectomy","authors":"Anna Soldevila , Marina García , Halima Berrada Zizzi , Francisco Ruíz Tolosa","doi":"10.1016/j.hmedic.2024.100136","DOIUrl":"10.1016/j.hmedic.2024.100136","url":null,"abstract":"<div><h3>Introduction</h3><div>Hemorrhagic Descemet’s membrane (DM) detachment is a rare complication after glaucoma surgery. Related to nonpenetrating deep sclerectomy (NPDS), it is postulated to be caused due to blood reflux from the Schlemm’s canal or from a hemorrhage originated under the scleral flap. Different therapeutic approaches are described: from observation to Nd:YAG laser, ab interno membranotomy or evacuation through corneal incision. This condition might compromise the patient’s visual acuity so the treatment must be done early.</div></div><div><h3>Case report</h3><div>A 69-year-old black male underwent a phacoemulsification and a NPDS without incidents. In the early postoperative period, an hemorrhagic pre- Descemet detachment associated to an hemorrhagic bleb and an uncontrolled intraocular pressure (IOP) were observed. A Nd:YAG laser endothelial puncture and a suturolysis were performed without an optimal IOP control. After 10 days, an anterior chamber lavage combined with a needling achieved a complete transparent cornea and a controlled IOP without topical treatment.</div></div><div><h3>Discussion</h3><div>The pathophysiology of the presented case could be explained by an hemorrhage originated from vessels under the scleral flap due to an elevated intrableb pressure that favored the dissection of the weakest connected site, the DM. A Nd:YAG laser puncture was capital to avoid corneal staining and to lower the pressure from the filtration bleb (FB). Nevertheless, IOP was not controlled because of hypema and fibrosis of the trabeculo-descemetic membrane. After anterior chamber lavage and a needling with piercing of the TDM the IOP normalized and the FB was functional again.</div><div>The treatment in a hemorrhagic pre-Descemet detachment is personalized and it is very important to understand the pathophysiology to approach it properly.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"8 ","pages":"Article 100136"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gallbladder glandular proliferation mimicking an adenocarcinoma – A case report 胆囊腺增生模拟腺癌--病例报告

Medical Reports Pub Date : 2024-11-12 DOI: 10.1016/j.hmedic.2024.100132

Tiziana Salviato , Stefania Caramaschi , Giuseppe Esposito , Volkan Adsay

{"title":"Gallbladder glandular proliferation mimicking an adenocarcinoma – A case report","authors":"Tiziana Salviato , Stefania Caramaschi , Giuseppe Esposito , Volkan Adsay","doi":"10.1016/j.hmedic.2024.100132","DOIUrl":"10.1016/j.hmedic.2024.100132","url":null,"abstract":"<div><div>This case report presents a 39-year-old woman with a history of abdominal discomfort, gastroesophageal reflux disease, and previous biliary colic. Radiological investigations suggested a suspicious infundibular lesion in the gallbladder, prompting further examinations including magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiopancreatography, and PET/CT scan. Despite inconclusive findings, the patient underwent robot-assisted cholecystectomy, revealing a fistula between the gallbladder infundibulum, and the common bile duct. Histological examination revealed a complex conglomerate of non-neoplastic processes, including gastric heterotopia, pseudo-pyloric glandular proliferation, and traumatic neuroma-like neural proliferation within the gallbladder wall. Discussion highlights the developmental anomalies and reactive mechanisms potentially underlying these findings, suggesting a connection between gastric heterotopia, glandular proliferation, and neural proliferation. The presence of three different 'pathological entities' in the same case represents the uniqueness of our case report, and the type of growth that sometimes appears to simulate an infiltration is an important element to consider as its misdiagnosis could lead to erroneous considerations and incorrect treatment.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"8 ","pages":"Article 100132"},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Maintenance Electroconvulsive Therapy (ECT) for the management of bipolar disorder in pregnancy and the post-partum period: A case report 维持性电休克疗法（ECT）用于治疗妊娠期和产后双相情感障碍：病例报告

Medical Reports Pub Date : 2024-11-04 DOI: 10.1016/j.hmedic.2024.100128

Matthew Batliner , Rebecca Frost , Marnie Welch , Julia Knight

{"title":"Maintenance Electroconvulsive Therapy (ECT) for the management of bipolar disorder in pregnancy and the post-partum period: A case report","authors":"Matthew Batliner , Rebecca Frost , Marnie Welch , Julia Knight","doi":"10.1016/j.hmedic.2024.100128","DOIUrl":"10.1016/j.hmedic.2024.100128","url":null,"abstract":"<div><div>The management of bipolar disorder during pregnancy and in the post-partum period can often be a challenge for psychiatrists. Psychiatrists and patients must consider both the elevated risks of break-through mood episodes during pregnancy and the post-partum period as well as the potential side effects associated with ongoing pharmacotherapy. Electroconvulsive therapy (ECT) may offer an alternative to pharmacotherapy during pregnancy, though there is very limited information on the use of ECT as a monotherapy or maintenance treatment during pregnancy and in the post-partum period. We present a case of 32 year old woman with bipolar disorder who received maintenance ECT without adjunctive mood stabilizing medications throughout her pregnancy, per patient preference. ECT was found to provide adequate mood stabilization with no adverse effects noted throughout the pregnancy. During the post-partum period which coincided with a brief hiatus of ECTs, the patient experienced a manic episode which resulted in hospitalization, an acute ECT course, and re-initiation of mood stabilizing medications. This case provides a framework for considering the role of ECT as a maintenance option for pregnant patients and emphasizes the need for further information on protocols for ECT treatment in the post-partum period.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"8 ","pages":"Article 100128"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0