Medical ReportsPub Date : 2025-06-06DOI: 10.1016/j.hmedic.2025.100280
A. Hemalatha , Gooty Shanaz , J.M. Bhavana , Mohammed Azhar Hussain , B.N. Raghavendra Prasad
{"title":"Severe byssinosis with Cor pulmonale and pulmonary arterial hypertension-textile industry: A case report","authors":"A. Hemalatha , Gooty Shanaz , J.M. Bhavana , Mohammed Azhar Hussain , B.N. Raghavendra Prasad","doi":"10.1016/j.hmedic.2025.100280","DOIUrl":"10.1016/j.hmedic.2025.100280","url":null,"abstract":"<div><div>Byssinosis is an occupational respiratory disease caused by prolonged exposure to cotton dust. It is a significant health concern in the textile industry, particularly in developing countries, and may lead to severe complications if undiagnosed and untreated. We report the case of a 47-year-old Indian male textile worker with advanced Byssinosis, presenting with progressive breathlessness, wheezing, and a two-year history of Cor-Pulmonale and Pulmonary Arterial Hypertension. Clinical findings included clubbing, bilateral pedal edema, and oxygen desaturation (75 %). Treatment involved oxygen therapy, bronchodilators, corticosteroids, and supportive care, with significant symptomatic improvement. This case discusses the severe consequences of chronic Byssinosis due to prolonged occupational exposure. It emphasizes the importance of early detection and preventive strategies, such as personal protective equipment and workplace safety regulations, to mitigate disease progression. Effective management of Byssinosis requires a multifaceted approach to occupational health. Strong preventive measures, early and accurate diagnosis, and evidence-based treatments are essential, particularly in the textile industry.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"13 ","pages":"Article 100280"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144243113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical ReportsPub Date : 2025-06-06DOI: 10.1016/j.hmedic.2025.100268
Bipneet Singh , Muhammad Zarrar Khan , Palak Patel Rodriguez , Beena Ahsan , Jason Schairer
{"title":"Gastric siderosis in the setting of oral iron intake- A Case report and literature review","authors":"Bipneet Singh , Muhammad Zarrar Khan , Palak Patel Rodriguez , Beena Ahsan , Jason Schairer","doi":"10.1016/j.hmedic.2025.100268","DOIUrl":"10.1016/j.hmedic.2025.100268","url":null,"abstract":"<div><div>In this case report, we present a 70-year-old lady with a history of progressively worsening watery diarrhea, who was found to have gastric siderosis on upper endoscopy. We explore the clinical implications of gastric siderosis, its association with oral iron supplementation, and its diverse endoscopic and histological manifestations. Through a comprehensive review of the literature and discussion of relevant clinical findings, we aim to enhance our understanding of this intriguing entity and its diagnostic and therapeutic implications in clinical practice.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"13 ","pages":"Article 100268"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical ReportsPub Date : 2025-06-06DOI: 10.1016/j.hmedic.2025.100281
S. Maragatham , Christinal Thomas , Duraisami Dhamodharan
{"title":"Adolescent HSP: A case report from a South Indian tertiary hospital","authors":"S. Maragatham , Christinal Thomas , Duraisami Dhamodharan","doi":"10.1016/j.hmedic.2025.100281","DOIUrl":"10.1016/j.hmedic.2025.100281","url":null,"abstract":"<div><div>Henoch-Schönlein purpura (HSP) is an uncommon autoimmune vasculitis that primarily affects the skin, kidneys, and joints. It is characterized by leukocytoclastic vasculopathy, often involving the skin and gastrointestinal system. Here we report the case of a 12-year-old girl who presented with a history of abdominal pain for 8 days and 7 days of vomiting, followed by the development of purpuric rashes on her legs and hands. After comprehensive investigations, the patient was diagnosed with HSP based on characteristics of Schonlein, which includes the presence of purpuric rash, arthritis, and abdominal pain. This case highlights the importance of early diagnosis and a comprehensive, interdisciplinary approach to healthcare, which can aid in effective management and reduce the risk of complications associated with HSP.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"13 ","pages":"Article 100281"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144261615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical ReportsPub Date : 2025-06-06DOI: 10.1016/j.hmedic.2025.100275
Seher Bostancı , Kübra Gündüz , Gizem Nur Öztürk , Bilge Ayça Kırmızı , Aylin Okçu Heper
{"title":"A case of cutaneous tuberculosis with two distinct types of lesions","authors":"Seher Bostancı , Kübra Gündüz , Gizem Nur Öztürk , Bilge Ayça Kırmızı , Aylin Okçu Heper","doi":"10.1016/j.hmedic.2025.100275","DOIUrl":"10.1016/j.hmedic.2025.100275","url":null,"abstract":"<div><div>Cutaneous tuberculosis (CTB) is a rare form of extrapulmonary manifestation of tuberculosis. The clinical spectrum of CTB depends on the site of infection, immune status of the patient, and previous sensitization with <em>Mycobacterium tuberculosis.</em> Simultaneous presence of two different form of CTB in an individual is uncommon. We here report a case of coexistent tuberculosis verrucosa cutis (TVC) and lupus vulgaris (LV) in a 44 year old farmer recieving anti-tumor necrosis factor-α (TNF-α) therapy. Superficial venous thrombosis of right upper extremity was also another clinical presentation in this patient and thought to be a form of tuberculids. We achived complete clinical response with anti-tuberculosis therapy. It should be kept in mind that cutaneous tuberculosis may occur more complicated than classical findings in people recieving anti-TNF-α.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"13 ","pages":"Article 100275"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144243115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical ReportsPub Date : 2025-06-06DOI: 10.1016/j.hmedic.2025.100278
Saja Karaja , Shahed Karaja , Khayry Al-Shami , William Borghol , Saleh Takkem
{"title":"Neonatal left ventricular non-compaction: A case with significantly elevated non-compacted to compacted myocardium ratio","authors":"Saja Karaja , Shahed Karaja , Khayry Al-Shami , William Borghol , Saleh Takkem","doi":"10.1016/j.hmedic.2025.100278","DOIUrl":"10.1016/j.hmedic.2025.100278","url":null,"abstract":"<div><h3>Background</h3><div>Non-compaction cardiomyopathy (NCCM) is a rare heart condition characterized by an abnormal structure of the left ventricle, featuring a thick, trabeculated layer. Often asymptomatic, NCCM can lead to serious complications such as thromboembolic events and sudden cardiac death.</div></div><div><h3>Case presentation</h3><div>This case report details the diagnosis of left ventricular non-compaction (LVNC) in a 2-day-old neonate, where a non-compacted to compacted myocardium ratio exceeding 2 was observed.</div></div><div><h3>Conclusion</h3><div>The report highlights the need for increased awareness and early diagnosis of NCCM in neonates. Given the absence of modifying therapies, effective management of symptoms is crucial, especially in cases with reduced left ventricular function. This case emphasizes the importance of ongoing research and clinical vigilance for signs such as unexpected heart failure symptoms or cardiomegaly to improve outcomes for affected patients.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"13 ","pages":"Article 100278"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical ReportsPub Date : 2025-06-05DOI: 10.1016/j.hmedic.2025.100279
Kartavya Kumar Verma
{"title":"Rare coinheritance of HbQ India trait and sickle cell trait (HbS): A novel co-inheritance documented in pregnancy","authors":"Kartavya Kumar Verma","doi":"10.1016/j.hmedic.2025.100279","DOIUrl":"10.1016/j.hmedic.2025.100279","url":null,"abstract":"<div><div>Globally, hemoglobinopathies are among the most widespread inherited genetic disorders affecting red blood cells. However, the co-inheritance of HbQ India and HbS is a rare occurrence and has been infrequently reported in the medical literatures. Our case study describes a 38-year-old pregnant woman with sickle cell trait along with HbQ India co-inheritance. We hypothesized that, owing to the absence of changes in charge or morphology of red blood cells, the HBQ India trait whether expressed independently or through co-inheritance does not lead to hemolytic anemia. In this case, the hemogram findings revealed pregnancy-associated iron deficiency anemia, with no severe hemolytic complications experienced during the eighth month of pregnancy. No cases have been reported involving this co-inheritance during pregnancy, making this case particularly unique and insightful regarding its implications in that context. Investigating these co-inheritances appears feasible in regions with a high incidence of sickle cell disease, such as central India, particularly in Chhattisgarh. However, to date, no significant hemolytic activity has been reported in the absence of any secondary causes related to this condition, indicating a need for further research.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"13 ","pages":"Article 100279"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical ReportsPub Date : 2025-06-05DOI: 10.1016/j.hmedic.2025.100277
Adil Ahmed , Adnan Khan , Bashir Ahmad
{"title":"Endoscope-assisted suturectomy for craniosynostosis in a resource-limited setting: A pilot case study in Peshawar","authors":"Adil Ahmed , Adnan Khan , Bashir Ahmad","doi":"10.1016/j.hmedic.2025.100277","DOIUrl":"10.1016/j.hmedic.2025.100277","url":null,"abstract":"<div><h3>Introduction</h3><div>Unicoronal craniosynostosis is a congenital condition where one of the coronal sutures in the skull fuses prematurely, leading to asymmetric head shape and facial deformities. This condition often results in a noticeable abnormality in head and facial features, which can impact both appearance and neurological development if not treated on time.</div></div><div><h3>Case</h3><div>We present a case of a 4-month-old female infant with left-sided unicoronal craniosynostosis who presented to Northwest General Hospital and Research Centre with abnormal head shape. After clinical examination showed unicoronal craniosynostosis which was investigated with a 3D CT scan that confirmed the diagnosis. She underwent endoscope-assisted suturectomy, a less invasive technique compared to traditional open surgery. A 3<!--> <!-->cm incision was made, followed by resection of a 1.5<!--> <!-->cm wide strip of bone from Anterior fontanelle down to the squamosal suture. Post-operatively, she spent 24<!--> <!-->hours in the pediatric ICU as part of protocol, received IV fluids, pain management, and antibiotics. She was discharged the next day. Two weeks following the surgery Helmet therapy was started which was continued for six months resulting in significant improvement in her head shape and facial asymmetry.</div></div><div><h3>Conclusion</h3><div>Unlike the traditional approach, which requires longer scalp incisions and results in longer operative time, longer hospital stays, higher blood loss, and increased risks of complication, the endoscopic method involves entirely the opposite of those, a smaller incision, lesser operative time, hospital stay, bleeding, and low risks of complication. This minimally invasive approach allows for quicker recovery, shorter hospital stays, and improved cosmetic outcomes and to the best of our knowledge endoscope assisted suturectomy for craniosynostosis has not been done in this region before.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"13 ","pages":"Article 100277"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical ReportsPub Date : 2025-06-05DOI: 10.1016/j.hmedic.2025.100273
Abdulaziz Hussein
{"title":"Rapid diagnosis of gastrointestinal perforated viscus in pediatrics: Role of point-of-care ultrasonography","authors":"Abdulaziz Hussein","doi":"10.1016/j.hmedic.2025.100273","DOIUrl":"10.1016/j.hmedic.2025.100273","url":null,"abstract":"<div><h3>Background</h3><div>Gastrointestinal perforation is a life-threatening condition that requires timely diagnosis and<!--> <!-->treatment.</div></div><div><h3>Case presentation</h3><div>Ee present a case report exploring the efficacy of point-of-care ultrasonography (POCUS) for the diagnosis of pneumoperitoneum in an 8-year-old boy with acute abdominal pain, bilious vomiting, fever,<!--> <!-->and abdominal distension. The suspected diagnosis was an acute inflammatory process, so POCUS was performed, showing several useful ultrasound findings, including free intraperitoneal air (enhanced peritoneal stripe sign), pneumatosis intestinalis, intrahepatic portal vein gases, free peritoneal fluids, small bowel obstruction (SBO) signs, and echogenic fat stranding. These sonographic findings were supported by evidence of free air under the diaphragm using an erect abdominal X-ray. An emergency surgical exploration revealed a perforated hollow viscus due to small bowel perforation.</div></div><div><h3>Conclusion</h3><div>This case highlights that POCUS is a rapid, non-invasive diagnostic tool.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"13 ","pages":"Article 100273"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical ReportsPub Date : 2025-06-04DOI: 10.1016/j.hmedic.2025.100272
Sila Mateo Faxas , Kim Yen Thi Nguyen
{"title":"Adult-onset still's disease with atypical presentation: A case report","authors":"Sila Mateo Faxas , Kim Yen Thi Nguyen","doi":"10.1016/j.hmedic.2025.100272","DOIUrl":"10.1016/j.hmedic.2025.100272","url":null,"abstract":"<div><div>Adult-Onset Still's Disease (AOSD) is a rare systemic inflammatory disorder with diagnostic challenges due to its non-specific symptoms. This case presents a rarely documented manifestation of sensorineural hearing loss, while demonstrating the utility of novel biomarker interleukin-18 (IL-18) for diagnosis and successful management with modern biologic therapy. The patient initially presented with persistent sore throat, generalized weakness, diffuse synovitis, and an atypical urticarial rash. Notably, he developed left-sided hearing loss. Laboratory findings showed elevated inflammatory markers, including white blood cell count, liver enzymes, creatine kinase, C-reactive protein, erythrocyte sedimentation rate, and ferritin. Elevated interleukin-18 (IL-18) levels played a crucial role in confirming the diagnosis. After a six-year diagnostic journey, treatment progressed from high-dose steroids to biologic therapies. While the patient showed intolerance to Anakinra, he achieved remission with Canakinumab. This case underscores the importance of recognizing uncommon AOSD manifestations such as hearing loss, and demonstrates how novel biomarkers and targeted biologic therapies can improve diagnosis and management of this complex disorder. The case also suggests potential environmental triggers in AOSD, as symptom exacerbation occurred with alcohol and marijuana use.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"13 ","pages":"Article 100272"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144243112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical ReportsPub Date : 2025-06-04DOI: 10.1016/j.hmedic.2025.100274
Syed H. Ali , Umer Khan , Youssef Abdullah , Haritha Saikumar
{"title":"Intraventricular neurocysticercosis-induced obstructive hydrocephalus: A case report of cyst migration and multidisciplinary management","authors":"Syed H. Ali , Umer Khan , Youssef Abdullah , Haritha Saikumar","doi":"10.1016/j.hmedic.2025.100274","DOIUrl":"10.1016/j.hmedic.2025.100274","url":null,"abstract":"<div><div>A 28-year-old Hispanic male, recently relocated from rural Mexico, presented with sudden-onset headaches and unconsciousness. Imaging revealed intraventricular neurocysticercosis causing obstructive hydrocephalus. Surgical cyst removal was hindered by migration, but serological confirmation guided successful multidisciplinary management with antihelminthic therapy and adjunctive medications. Despite failed surgical attempts, medical treatment led to clinical improvement. This case highlights the complexities of managing neurocysticercosis-induced hydrocephalus with intraventricular cyst migration and underscores the importance of a comprehensive approach and evolving treatment strategies to optimize patient outcomes.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"13 ","pages":"Article 100274"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144261616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}