{"title":"Drug-Induced Cauda Equina Syndrome in an 8-Year-Old Boy With Acute Lymphoblastic Leukemia: An Uncommon Case Report","authors":"Marzieh Babaee, Mohsen Javadzadeh, Ali Hazeghi","doi":"10.1002/ccr3.70122","DOIUrl":"10.1002/ccr3.70122","url":null,"abstract":"<p>Intrathecal methotrexate can cause cauda equina syndrome in pediatric ALL patients, as demonstrated in this rare case of an 8-year-old boy. Symptoms included progressive limb weakness and urinary retention. Early recognition, prompt discontinuation of the offending agent, and multidisciplinary management are crucial. Vigilant neurological monitoring is essential for pediatric acute lymphoblastic leukemia patients receiving intrathecal chemotherapy.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001158","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}
Esha Thakkar, John A. Iasiello, Sunny R. Cai, Adrienne Hutton
{"title":"Pediatric Anesthetic Management of a Patient With an ALG-13 Gene Mutation, a Rare Congenital Disorder of Glycosylation","authors":"Esha Thakkar, John A. Iasiello, Sunny R. Cai, Adrienne Hutton","doi":"10.1002/ccr3.70027","DOIUrl":"10.1002/ccr3.70027","url":null,"abstract":"<p>Congenital disorders of glycosylation are rare and present a challenge in management due to interactions with intraoperative medications. We present safe and successful anesthetic management of a pediatric patient with an ALG-13 gene mutation.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11738639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001178","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}
{"title":"Concomitant Pulmonary and Biliary Manifestations of Ulcerative Colitis: A Case Report","authors":"Pritee Shrestha, Philip Shara, Babajide Adio","doi":"10.1002/ccr3.70125","DOIUrl":"10.1002/ccr3.70125","url":null,"abstract":"<p>Ulcerative colitis can present with extra-intestinal manifestations, including interstitial lung disease and primary sclerosing cholangitis. When pulmonary symptoms precede gastrointestinal, diagnosis can be challenging. Consideration of Ulcerative colitis in patients with unexplained lung and hepatic pathology is crucial, as a failure of timely intervention can lead to multiorgan complications.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001155","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}
Wenjuan He, Yudong Peng, Yan Yi, Han Hu, Jinzhi Lu, Keming Chen, Qingsong Zeng
{"title":"Aortic Periannular Abscess Missed by Transthoracic Echocardiography: A Case Report","authors":"Wenjuan He, Yudong Peng, Yan Yi, Han Hu, Jinzhi Lu, Keming Chen, Qingsong Zeng","doi":"10.1002/ccr3.70114","DOIUrl":"10.1002/ccr3.70114","url":null,"abstract":"<p>An aortic periannular abscess (PA) is a critical consequence of infective endocarditis (IE). In our case report, the patient's clinical symptoms were only fever, cough, and shortness of breath. He was then diagnosed with aortic PA, which was overlooked in the initial TTE assessment but later identified through transesophageal echocardiography (TEE). The patient underwent surgery immediately and recovered well. This case underscores the importance of TEE in revealing small, yet critical, intracardiac lesions that may be missed by TTE.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11738642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001090","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}
{"title":"Twin Reversed Arterial Perfusion Sequence Diagnosed Late in the Third Trimester: A Case Report and Literature Review","authors":"Tafese Dejene, Abdi Kebede, Getahun Fetensa, Delayehu Bekele, Telila Mesfin, Kelil Hussen","doi":"10.1002/ccr3.70052","DOIUrl":"10.1002/ccr3.70052","url":null,"abstract":"<p>The twin reversed arterial perfusion (TRAP) sequence is a rare complication associated with monochorionic twins. It is characterized by blood flow from the umbilical artery of the normal (pump) twin to the umbilical artery of the abnormal (acardiac) twin via artery-to-artery anastomosis. This condition is associated with 100% mortality in the acardiac twin and a high rate of perinatal morbidity and mortality in the pump twin, primarily due to intrauterine hypoxic injury, heart failure, and prematurity. Following delivery, the surviving pump twin may experience adverse neurodevelopmental outcomes and heart failure, necessitating ongoing follow-up care. The goal of managing pregnancies complicated by the TRAP sequence is to deliver a healthy, near-term pump twin through early detection, timely intervention, and continuous follow-up. However, in low-resource settings, such as the case presented here, the condition may progress undiagnosed into the third trimester due to a lack of experienced physicians and/or obstetric ultrasound scans. This case report serves as an entry point for a comprehensive review of the literature on management options for the TRAP sequence, specifically focusing on factors to consider when managing patients conservatively in resource-limited environments or in cases that are referred or diagnosed late.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001201","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}
Saman Al-Zahawi, Fatemeh Saberi, Vahidesadat Azhari, Kambiz Kamyab, Kamran Balighi
{"title":"A Rare Case of Prurigo Pigmentosa in Iranian Sibling Couple","authors":"Saman Al-Zahawi, Fatemeh Saberi, Vahidesadat Azhari, Kambiz Kamyab, Kamran Balighi","doi":"10.1002/ccr3.70121","DOIUrl":"10.1002/ccr3.70121","url":null,"abstract":"<p>Prurigo Pigmentosa is a rare inflammatory skin disease of unknown origin, characterized by pruritic, erythematous papules on the chest, back, neck, and anterior abdomen. The eruption resolves with reticular hyperpigmentation that cosmetically affects the patient's quality of life. Previous reports highlighted the role of the Ketogenic diet in triggering the disease in young female patients, however, no study reported the occurrence of Prurigo Pigmentosa in siblings of one family, unrelated to a ketogenic diet. Here, we report two sisters diagnosed with Prurigo Pigmentosa without undergoing a Ketogenic diet.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11738638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001126","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}
Nabiha Khan, Muhammad Usama Ashraf, Sadia Khan, Allahdad Khan, Humna Shahzad, Mudasira Habib, Aseel Kamal
{"title":"A Rare Case of Wolfram Syndrome Presenting With Tuberculous Meningitis: A Case Report","authors":"Nabiha Khan, Muhammad Usama Ashraf, Sadia Khan, Allahdad Khan, Humna Shahzad, Mudasira Habib, Aseel Kamal","doi":"10.1002/ccr3.70116","DOIUrl":"10.1002/ccr3.70116","url":null,"abstract":"<p>Wolfram syndrome is an extremely rare condition composed of a tetrad of diabetes insipidus, diabetes mellitus, optic atrophy, and deafness. When concurrently presenting with another condition, such as tuberculous meningitis, the widespread range of resulting symptoms delays the establishment of diagnosis and treatment, which results in increased patient morbidity.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001127","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}
{"title":"A Case Report of a Pregnancy Complicated by Sigmoid Volvulus in the Extreme Preterm Gestational Age","authors":"Naghmeh Kian, Atefeh Moridi","doi":"10.1002/ccr3.70110","DOIUrl":"10.1002/ccr3.70110","url":null,"abstract":"<p>Intestinal obstruction is a rare but life-threatening incidence in pregnancy. Diagnosis can be challenging for clinicians as the symptoms might be approached as other common obstetric complications. Performing radiological and abdominal surgery are also areas of great concern in this field; since radiologic studies inevitably expose the fetus to radiation and the treatment options mostly involve surgery that is worrisome during gestation. The maternal and fetal outcomes are dependent on timely diagnosis and management; as intestinal perforation, necrosis and peritonitis can happen and lead to fetal or maternal mortality or morbidity. In this study, we present a challenging case of a 36-year-old pregnant woman with severe abdominal pain and distension that emergently underwent surgery after the diagnosis of sigmoid volvulus without the gestation being discontinued. To our knowledge, our study presents one of the rarest cases of intestinal obstruction during pregnancy that was managed surgically without pregnancy termination. Further we will discuss intestinal obstruction in pregnancy based the current literature.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001124","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}
{"title":"Association of Slender Patent Ductus Arteriosus Combined With PFO Related to the Transient Ischemic Attack: A Rare Case Report","authors":"Zhi Wen, Mingwu Tian, Zhiqiang Huang, Changxue Wu, Xin Wei","doi":"10.1002/ccr3.70117","DOIUrl":"10.1002/ccr3.70117","url":null,"abstract":"<p>It was a rare case of a 52-year-old female with a slender PDA combined with PFO related to a transient ischemic attack that did not improve with aspirin and/or clopidogrel treatment. We closed the PDA using the ADO-II occluder and closed the PFO with the occluder, resulting in symptom resolution.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001151","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}
Andrew J. Rothka, Maria Ferraro, Richard Bavier, Mohamad Saltagi, Sanica Bhele, Neerav Goyal, Guy Slonimsky
{"title":"Gigantic, Sixteen-Pound Carcinoma Ex Pleomorphic Adenoma of the Neck","authors":"Andrew J. Rothka, Maria Ferraro, Richard Bavier, Mohamad Saltagi, Sanica Bhele, Neerav Goyal, Guy Slonimsky","doi":"10.1002/ccr3.70048","DOIUrl":"10.1002/ccr3.70048","url":null,"abstract":"<p>Carcinoma ex pleomorphic adenomas are rare malignant tumors of the salivary glands, primarily seen in older adults. They originate from benign pleomorphic adenomas, are aggressive, and have poorer prognosis. This case documents an unusual presentation of a massive carcinoma ex pleomorphic adenoma.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11738647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001173","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}