Clinical Case Reports最新文献

From Gut to Gray Matter: A Case Report of Posterior Reversible Encephalopathy Syndrome in a Pediatric Patient With Celiac Disease.

IF 0.6

Clinical Case Reports Pub Date : 2025-03-20 eCollection Date: 2025-03-01 DOI: 10.1002/ccr3.70260

Hashim Salar, Khizer Masroor Anns, Musa Salar, Faheemullah Khan, Muhammad Aman, Uffan Zafar, Izaz Ahmad, Sundas Basharat, Rehana Murad, Khizar Salar, Shayan Sirat Maheen Anwar

{"title":"From Gut to Gray Matter: A Case Report of Posterior Reversible Encephalopathy Syndrome in a Pediatric Patient With Celiac Disease.","authors":"Hashim Salar, Khizer Masroor Anns, Musa Salar, Faheemullah Khan, Muhammad Aman, Uffan Zafar, Izaz Ahmad, Sundas Basharat, Rehana Murad, Khizar Salar, Shayan Sirat Maheen Anwar","doi":"10.1002/ccr3.70260","DOIUrl":"10.1002/ccr3.70260","url":null,"abstract":"Posterior reversible encephalopathy syndrome (PRES) is a rare neurological condition characterized by vasogenic edema, primarily affecting the posterior cerebral hemispheres. Although typically reversible with prompt treatment, PRES can lead to severe complications if not recognized early. This report presents an unusual and fatal case of PRES in a pediatric patient with celiac disease, a combination that is rarely documented in medical literature. A 9-year-old child with a history of celiac disease and dermatitis herpetiformis presented to the Emergency Room with a two-month history of vomiting and loose stools, accompanied by a recent 20-min seizure. Initial examination revealed pallor, emaciation, drowsiness, and a generalized rash. The patient was tachycardic, hypertensive (blood pressure 150/100 mmHg), and had an oxygen saturation of 65%. Neurological examination showed a glasgow coma scale (GCS) score of 10/15, increased muscle tone, and heightened reflexes. CT and MRI scans revealed intraparenchymal and subarachnoid hemorrhages. Despite aggressive management including intubation, antihypertensive therapy, anticonvulsants, and broad-spectrum antibiotics, the patient's condition deteriorated rapidly. Complications included pneumoperitoneum and eventual cardiac arrest, leading to the patient's death. This case highlights the potential for severe, life-threatening complications of PRES in pediatric patients with underlying autoimmune conditions such as celiac disease. It underscores the importance of considering PRES in the differential diagnosis for children with celiac disease presenting with neurological symptoms, even in the absence of typical radiological findings. The case also illustrates the need for further research into the relationship between celiac disease and PRES to improve outcomes in similar cases.","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 3","pages":"e70260"},"PeriodicalIF":0.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11923384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669468","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

Massive Hemoptysis in a Patient With Eisenmenger Syndrome, Polysplenia and Transverse Liver.

IF 0.6

Clinical Case Reports Pub Date : 2025-03-20 eCollection Date: 2025-03-01 DOI: 10.1002/ccr3.70313

Mohsen Shafiepour, Behnam Dalfardi, Ali Nemati, Sina Bakhshaei, Elahenaz Parsi Mood

{"title":"Massive Hemoptysis in a Patient With Eisenmenger Syndrome, Polysplenia and Transverse Liver.","authors":"Mohsen Shafiepour, Behnam Dalfardi, Ali Nemati, Sina Bakhshaei, Elahenaz Parsi Mood","doi":"10.1002/ccr3.70313","DOIUrl":"10.1002/ccr3.70313","url":null,"abstract":"Hemoptysis is defined as blood-streaked sputum from the lower parts of the respiratory tract. Hemoptysis, even in small amounts, is a frightening and alarm sign for possible underlying conditions such as infections, pulmonary diseases, neoplastic conditions, cardiovascular alterations, vasculitis, traumatic events, hematological derangements, and iatrogenic or drug-induced events. The initial step in the evaluation of hemoptysis is to determine the source of bleeding. Herein, we report an unusual case of massive hemoptysis in a young patient with polysplenia and Pulmonary Artery Hypertension (PAH) in the setting of Eisenmenger syndrome. Chest radiography was suggestive of multiple lung opacities bilaterally. Chest Computed Tomography (CT) revealed a non-heterogeneous mass-like lesion measuring 4 × 5.2 × 5.6 cm in the superior segment of the inferior lobe of the left lung, concerning for an accessory spleen. The patient underwent Video bronchoscopy, which showed tracheomalacia and active bleeding in the left main bronchus. The bleeding was controlled by the Argon Plasma Coagulation (APC) technique. Bronchoalveolar lavage (BAL) was negative for acid-fast bacilli on staining and on culture. After stabilization, the patient was discharged home on medical management for PAH. On two-week follow-up, imaging revealed resolution of the pulmonary mass-like lesion. Our report highlights the importance of bronchoscopy in determining the bleeding source in patients with hemoptysis and managing it via the APC technique.","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 3","pages":"e70313"},"PeriodicalIF":0.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11923386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669470","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

Acalculous Cholecystitis: The Unexpected Mask of De Novo Heart Failure.

IF 0.6

Clinical Case Reports Pub Date : 2025-03-19 eCollection Date: 2025-03-01 DOI: 10.1002/ccr3.70324

Mhd Baraa Habib, Maram Albandak, Mhd Husam Osman, Shahem Abbarh, Bisher Sawaf, Yaseen Alastal, Abdulrahman Arabi

引用次数: 0

A Case of Takotsubo Cardiomyopathy and Posterior Reversible Encephalopathy Syndrome Following Methadone Withdrawal.

IF 0.6

Clinical Case Reports Pub Date : 2025-03-19 eCollection Date: 2025-03-01 DOI: 10.1002/ccr3.70321

Sacide S Ozgur, Yezin Shamoon, M Nasr Al Rayess, Sherif Elkattawy, Abdullah Ahmad, Rachel Abboud, Fayez Shamoon

引用次数: 0

Type 2 Sialidosis: A Rare Autosomal Recessive Condition in a 13-Year-Old Male: A Case Report

IF 0.6

Clinical Case Reports Pub Date : 2025-03-17 DOI: 10.1002/ccr3.70331

Kundan Kumar Yadav, Milan Pokhrel, Geeta Bashyal, Shankar Pokharel, Santoshi Pokharel Kunwar

引用次数: 0

Management of a Complex Crown-Root Fracture in a Single Appointment Through Root Canal Therapy and Rebonding

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Clinical Case Reports Pub Date : 2025-03-17 DOI: 10.1002/ccr3.70332

Mohammed H. AbdElaziz, Meshal Alharbi, Maher O. Shahada, Roqia Abdoh, Radhwan Saleh Algabri, Ahmed Yaseen Alqutaibi

{"title":"Management of a Complex Crown-Root Fracture in a Single Appointment Through Root Canal Therapy and Rebonding","authors":"Mohammed H. AbdElaziz, Meshal Alharbi, Maher O. Shahada, Roqia Abdoh, Radhwan Saleh Algabri, Ahmed Yaseen Alqutaibi","doi":"10.1002/ccr3.70332","DOIUrl":"https://doi.org/10.1002/ccr3.70332","url":null,"abstract":"A 10-year-old male presented with a mobile and fractured maxillary right central incisor following dental trauma. Clinical and radiographic examinations revealed a chisel-type crown-root fracture with supragingival labial and subgingival palatal extensions. A direct crown reattachment was planned, emphasizing biological width preservation. After removing the coronal fragment, endodontic treatment was performed using a rotary file system and was obturated with a bioceramic sealer. A fiber post was selected and integrated into the fractured fragment, which was reattached using resin cement. Additionally, a gingivectomy was performed to enhance margin visibility and restore biological width. The adjacent left central incisor was treated for an uncomplicated crown fracture using follow-up evaluations over 12 months revealed stable fragment reattachment, good periodontal health, and restored aesthetics and function. A custom mouthguard was provided to prevent future trauma. This case highlights the efficacy of a multidisciplinary approach combining endodontic, restorative, and periodontal techniques for managing crown-root fractures, achieving favorable long-term outcomes in pediatric patients.","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 3","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ccr3.70332","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143638674","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

ST-Segment Elevation Myocardial Infarction With Right Coronary Aneurysm Successfully Treated With a Drug-Coated Balloon-Only Strategy 仅使用药物包裹球囊策略成功治疗 ST 段抬高型心肌梗死伴右冠状动脉瘤

IF 0.6

Clinical Case Reports Pub Date : 2025-03-17 DOI: 10.1002/ccr3.70333

Yu Sugawara

引用次数: 0

Mucosal Fenestration Closure: A Case Report on Regenerative Therapeutic Strategies

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Clinical Case Reports Pub Date : 2025-03-17 DOI: 10.1002/ccr3.70334

Nabin Thapa, Bibek Kattel, Abhishek Kumar, Sajeev Shrestha

引用次数: 0

Association of Bullous Lichen Sclerosus and Morphea