Medical Reports最新文献_第6页

Single coronary artery anomaly with critical left anterior descending artery stenosis: A case of percutaneous intervention in congenital right coronary artery agenesis 单冠状动脉异常合并严重左前降支狭窄：经皮介入治疗先天性右冠状动脉发育不全1例

Medical Reports Pub Date : 2025-05-01 DOI: 10.1016/j.hmedic.2025.100229

Ofe Eugene Kwaku , Hao Luo , Cong Wen , Rongchuan Yue

{"title":"Single coronary artery anomaly with critical left anterior descending artery stenosis: A case of percutaneous intervention in congenital right coronary artery agenesis","authors":"Ofe Eugene Kwaku , Hao Luo , Cong Wen , Rongchuan Yue","doi":"10.1016/j.hmedic.2025.100229","DOIUrl":"10.1016/j.hmedic.2025.100229","url":null,"abstract":"<div><div>Congenital agenesis of the right coronary artery (RCA) is a rare coronary anomaly that may coexist with atherosclerotic disease and pose unique diagnostic and therapeutic challenges. We present the case of a 60-year-old woman with a 10-year history of hypertension who experienced refractory nocturnal angina despite optimal medical therapy. Coronary computed tomography angiography (CCTA) revealed congenital RCA agenesis and critical (70–80 %) narrowing of the proximal-to-mid left anterior descending artery (LAD). Invasive angiography confirmed a single coronary artery system (L-I type classification) with severe (80–85 %) LAD stenosis. Percutaneous coronary intervention using a drug-eluting stent was performed to resolve symptoms and restore flow. At 6-month follow-up, the patient remained asymptomatic on guideline-directed therapy. This case underscores two critical points: (1) RCA agenesis exacerbates ischemia in atherosclerotic LAD disease by forcing the left coronary system to perfuse an expanded myocardial territory without collateral compensation, and (2) PCI offers targeted revascularization in anatomically complex congenital anomalies. Noninvasive imaging (CCTA) and invasive angiography remain pivotal for delineating the coronary anatomy and guiding intervention.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"12 ","pages":"Article 100229"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143899105","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}

引用次数: 0

A stroke of bad luck: HSV-1 encephalitis in the aftermath of a cerebrovascular accident 运气不佳：脑血管事故后的HSV-1脑炎

Medical Reports Pub Date : 2025-04-30 DOI: 10.1016/j.hmedic.2025.100218

April K. Oertle , Dileep Kumar Reddy Regalla

引用次数: 0

Diffuse leptomeningeal glioneuronal tumor in a 4-year-old child with urinary tract infection: A case report 4岁儿童尿路感染并发弥漫性轻脑膜胶质细胞肿瘤1例

Medical Reports Pub Date : 2025-04-28 DOI: 10.1016/j.hmedic.2025.100224

Parsa Yousefichaijan , Mahbod Soltani , Ali Rahnama Sisakht , Negar PoorAhmadian , Zahra Tavassoli

{"title":"Diffuse leptomeningeal glioneuronal tumor in a 4-year-old child with urinary tract infection: A case report","authors":"Parsa Yousefichaijan , Mahbod Soltani , Ali Rahnama Sisakht , Negar PoorAhmadian , Zahra Tavassoli","doi":"10.1016/j.hmedic.2025.100224","DOIUrl":"10.1016/j.hmedic.2025.100224","url":null,"abstract":"<div><div>Diffuse leptomeningeal glioneuronal tumor (DLGNT) is a rare pediatric neoplasm characterized by diffuse leptomeningeal enhancement. Patients may present with a range of symptoms, including headaches, vomiting, seizures, and signs of increased intracranial pressure, such as hydrocephalus. Most of these tumors show slow progression and are usually managed through surgical resection, radiation therapy, and/or chemotherapy. Tumors located along the neural axis can interfere with the pathways that control bladder storage and voiding mechanisms. As a result, children with central nervous system (CNS) tumors may encounter different levels of bladder dysfunction. This case report describes a 4-year-old girl who was admitted due to dysuria and lower abdominal pain. Her mother reported that she had paraplegia in her lower extremities, which was accompanied by claudication for 2 days. The patient underwent an MRI following confirmation of the DLGNT diagnosis and exclusion of other etiologies, and Our patient underwent surgical resection of the mass 5 days after admission to the hospital. Remarkably, the patient experienced no complications. Follow-up MRI scans were obtained in two stages, 4 months apart, which demonstrated no evidence of contrast enhancement. Furthermore, this case highlights the possible genetic factors involved in the development of DLGNT, underscoring the need for further exploration of the genetic landscape associated with this rare tumor.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"12 ","pages":"Article 100224"},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895491","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}

引用次数: 0

Nasal epithelioid hemangioendothelioma - A rare case report and review of literature 鼻上皮样血管内皮瘤1例报告及文献复习

Medical Reports Pub Date : 2025-04-26 DOI: 10.1016/j.hmedic.2025.100212

Venkata Surabhi Rayal Akepati, Navaudhayam Ranganathan, Anu Agrawal, Raja Shekar C H T, Vikas Yadav

{"title":"Nasal epithelioid hemangioendothelioma - A rare case report and review of literature","authors":"Venkata Surabhi Rayal Akepati, Navaudhayam Ranganathan, Anu Agrawal, Raja Shekar C H T, Vikas Yadav","doi":"10.1016/j.hmedic.2025.100212","DOIUrl":"10.1016/j.hmedic.2025.100212","url":null,"abstract":"<div><h3>Aim</h3><div>To understand the complexities in diagnosing and managing a rare case of Nasal epithelioid hemangioendothelioma, which can be clinically misdiagnosed as benign inflammatory conditions.</div></div><div><h3>Background</h3><div>Epithelioid hemangioendothelioma (EHE) is a rare locally invasive vascular tumor and it is characterized by proliferation of endothelial cells with epithelioid morphology. It is slow growing tumor with borderline malignant potential and has high chances of recurrence. Mostly seen in soft tissues of extremities, lungs and very rarely seen in head and neck. There are very few cases reported of EHE in nasal cavity.</div></div><div><h3>Case Description</h3><div>The present case report describes an unusual case of EHE of nasal cavity in a 37 year old male with 2 months history of nasal mass, obstruction and intermittent epistaxis. Patient underwent wide local excision of tumor and histopathology confirmed the diagnosis.</div></div><div><h3>Conclusion</h3><div>Usually wide local excision is the treatment of choice. Routinely regular follow up is advised. In cases of multiple recurrences and incompletely excised tumors radiation therapy is considered.</div></div><div><h3>Clinical Significance</h3><div>It is an indolent tumor which has potential for recurrence that is known to appear during adult life and unlikely to metastasize.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"12 ","pages":"Article 100212"},"PeriodicalIF":0.0,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890810","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}

引用次数: 0

Remarkable recovery of a multicomplicated infective endocarditis due to Bartonella henselae a case report 一例由母鸡巴尔通体引起的多并发症感染性心内膜炎的显著恢复

Medical Reports Pub Date : 2025-04-26 DOI: 10.1016/j.hmedic.2025.100211

Eljazouli Ali, Drighil Abdenasser

{"title":"Remarkable recovery of a multicomplicated infective endocarditis due to Bartonella henselae a case report","authors":"Eljazouli Ali, Drighil Abdenasser","doi":"10.1016/j.hmedic.2025.100211","DOIUrl":"10.1016/j.hmedic.2025.100211","url":null,"abstract":"<div><h3>Background</h3><div>Culture-negative infective endocarditis poses a substantial challenge in medical practice, accounting for 75 % of infective endocarditis cases in developed countries. This condition stems from diverse causative agents, with Bartonella emerging as the most prevalent culprit. Owing to limited comprehensive studies and established guidelines, the diagnosis of this condition remains intricate and often relies on anecdotal case reports and small series.</div></div><div><h3>Case presentation</h3><div>We present a compelling case of a 60-year-old male patient who presented with severe chest pain, dyspnea, fever, and an array of additional symptoms. The clinical presentation eventually led to a diagnosis of infective endocarditis, which was unveiled through acute coronary syndrome concomitant with nephrotic syndrome, renal failure, and pancytopenia. Despite the initiation of the initial treatment regimen, the patient exhibited an inadequate response. Subsequent investigations revealed an underlying <em>Bartonella henselae</em> infection. Administration of doxycycline elicited notable improvements in both the patient's clinical status and pertinent laboratory parameters.</div></div><div><h3>Conclusion</h3><div>This case underscores the significance of broadening the scope of diagnostic considerations to encompass less common agents such as Bartonella in cases of culture-negative infective endocarditis.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"12 ","pages":"Article 100211"},"PeriodicalIF":0.0,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143883241","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}

引用次数: 0

Tackling elephantiasis neuromatosa presented as filariasis in an adult – A management dilemma: A case report 处理神经瘤象皮病在成人中表现为丝虫病-一个管理困境：一个病例报告

Medical Reports Pub Date : 2025-04-26 DOI: 10.1016/j.hmedic.2025.100221

Kelly Meza , Aurpy Das , Aakash Shah , Aparna Jotwani

引用次数: 0

Children bronchial malignancy anesthesia treatment 小儿支气管恶性肿瘤的麻醉治疗

Medical Reports Pub Date : 2025-04-25 DOI: 10.1016/j.hmedic.2025.100222

Shaojuan Chen , Yanyi Cen , Chao Yang , Dejian Chen

引用次数: 0

Stent misplacement across an esophagogastric anastomotic fistula post-ivor Lewis esophagectomy: A case report Lewis食管切除术后食管胃吻合口瘘支架错位1例报告

Medical Reports Pub Date : 2025-04-25 DOI: 10.1016/j.hmedic.2025.100213

Ihab I. El Hajj , Philippe Attieh , Karam Karam , Elias Fiani , Omar Tabbikha , Moussa Abi Ghanem , Ziad S. El Rassi

{"title":"Stent misplacement across an esophagogastric anastomotic fistula post-ivor Lewis esophagectomy: A case report","authors":"Ihab I. El Hajj , Philippe Attieh , Karam Karam , Elias Fiani , Omar Tabbikha , Moussa Abi Ghanem , Ziad S. El Rassi","doi":"10.1016/j.hmedic.2025.100213","DOIUrl":"10.1016/j.hmedic.2025.100213","url":null,"abstract":"<div><div>Ivor Lewis esophagectomy is surgically demanding technique performed by well experienced surgeons with the main goal is complete resection of cancer and lymph nodes with two important benefits for the patient postoperatively including less respiratory adverse events and less postoperative pain. We describe a case of a 72-year-old male patient with a history of esophageal adenocarcinoma. Patient underwent Ivor Lewis esophagectomy for resection of the cancer that was complicated by esophago-gastric anastomotic fistula and pleural abscess formation requiring endoscopic stent and thoracic drain placement. However, upper gastrointestinal series (UGI) showed widening of the fistula suggesting distal stent perforation into the mediastinum confirmed by gastroscopy and requiring further surgical intervention. Patient underwent liberation of the previous esophago-gastric anastomosis and the esophagus up to the level of the cervical esophagus, and removal of the in-situ stent and transection, followed by colonic interposition 3 weeks after the initial diagnosis of the esophagogastric anastomotic fistula. Patient recovered after a prolonged hospital stay.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"12 ","pages":"Article 100213"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890811","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}

引用次数: 0

Medical Reports Pub Date : 2025-04-25 DOI: 10.1016/j.hmedic.2025.100205

Leslie Kim, Hai-Yen Nguyen, Taegen Senawong, Claudia Wei

引用次数: 0

A case report of purple urine bag syndrome associated with Morganella morganii in an acute care setting 紫色尿袋综合征与莫氏摩根菌在急性护理环境的1例报告

Medical Reports Pub Date : 2025-04-24 DOI: 10.1016/j.hmedic.2025.100225

Sonia Shivde, Sreerag Kapparath, Vyom Buch Keyurkumar, Raghunandan Nadig

{"title":"A case report of purple urine bag syndrome associated with Morganella morganii in an acute care setting","authors":"Sonia Shivde, Sreerag Kapparath, Vyom Buch Keyurkumar, Raghunandan Nadig","doi":"10.1016/j.hmedic.2025.100225","DOIUrl":"10.1016/j.hmedic.2025.100225","url":null,"abstract":"<div><div>Purple urine bag syndrome (PUBS) is a rare but benign clinical condition associated with urinary tract infection (UTI), classically described in geriatric patients with immobility, dementia, prolonged indwelling urinary catheter, chronic kidney disease, and female gender. We describe a case of an elderly gentleman presenting with an acute onset delirium and newly diagnosed Parkinsonism. Two days after catheterization, the urine colour changed to an alarming bright purple. Urine examination was suggestive of significant bacteriuria with alkaline pH and culture showing growth of <em>Morganella morganii</em>. Further incubation showed additional growth of <em>Enterococcus faecalis</em>. Though known as an unusual opportunistic pathogen, <em>M. morganii</em> is associated with both prostatitis and PUBS. Our patient had moderate prostatomegaly, but no history of antibiotic exposure or prior indwelling catheter use. Culture-sensitive antibiotic treatment and changing of urinary catheter along with tube-bag set led to complete recovery of UTI in our patient. This is a rare case of PUBS with an atypical organism in a patient without a prior history of prolonged immobility or long-term indwelling catheter use.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"12 ","pages":"Article 100225"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143877493","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}

引用次数: 0