Clinical Medicine Insights. Case Reports最新文献

Atypical Presentation of Spontaneous Bilateral Internal Carotid Artery Dissection Leading to Stroke: A Case Report.

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-04-04 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251332440

Bao Liao, Qin Yang, Dengxing Li, Chai Theam Ooi

引用次数: 0

Bilateral Renal Infarction, a Rare Consequence of Blunt Renal Artery Injury: A Case Report.

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-03-31 eCollection Date: 2025-01-01 DOI: 10.1177/11795476241297632

Ali Tavoosian, Amirreza Shamshirgaran, Seyed Mohammad Kazem Aghamir

{"title":"Bilateral Renal Infarction, a Rare Consequence of Blunt Renal Artery Injury: A Case Report.","authors":"Ali Tavoosian, Amirreza Shamshirgaran, Seyed Mohammad Kazem Aghamir","doi":"10.1177/11795476241297632","DOIUrl":"10.1177/11795476241297632","url":null,"abstract":"Background: Renal infarction is an uncommon complication of Blunt renal artery injury (BRAI) following abdominal trauma. Diagnosis of infarction is difficult and mostly delayed due to non-specific symptoms. Early diagnosis can lead to appropriate and effective treatment, which prevents further complication.Case presentation: We report a case of 21-year-old man falling from a height of 9 m. A contrast-enhanced CT scan in the nephrogram phase showed no evidence of absorption in the right kidney and significantly decreased absorption in the left kidney. The pyelogram phase showed no secretion in the right kidney and decreased secretion in the left kidney suggesting segmental renal infarction. Subsequently, heparin infusion was initiated immediately. A follow-up contrast- enhanced abdominopelvic CT scan was performed after 1 month and showed no sign of infarction, and all laboratory tests were normal.Conclusion: Contrast-enhanced abdominopelvic CT scan helps physicians diagnose the renal infarction immediately and start appropriate treatment. Treatment can vary from aggressive surgical procedures to observation and supportive care.","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"18 ","pages":"11795476241297632"},"PeriodicalIF":0.8,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763152","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

Drug-Induced Lupus in an HIV-Positive Patient Treated for Tuberculosis: A Case Report.

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-03-27 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251329232

Omar Mahmud, Arshia Jahangir, Syed Muhammad Waqas, Noreen Nasir

引用次数: 0

The Pena-Shokeir Syndrome in a Twin Pregnancy: A Rare Case Report.

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251329986

Souhaila El Gazzane, Salahiddine Saghir, Mehdi Bahous, Mohamed Sellouti, Anass Ayad, Rachid Abilkassem

{"title":"The Pena-Shokeir Syndrome in a Twin Pregnancy: A Rare Case Report.","authors":"Souhaila El Gazzane, Salahiddine Saghir, Mehdi Bahous, Mohamed Sellouti, Anass Ayad, Rachid Abilkassem","doi":"10.1177/11795476251329986","DOIUrl":"10.1177/11795476251329986","url":null,"abstract":"Pena-Shokeir Syndrome (PSS) is a rare autosomal recessive disorder characterized by dysmorphic features, camptodactyly, arthrogryposis, intrauterine growth restriction, polyhydramnios, and pulmonary hypoplasia. Two types of this syndrome have been defined, differentiated by distinct clinical and genetic features. PSS is a potentially life-threatening condition, with most cases expected to be diagnosed prenatally via ultrasound. Genetic counseling is crucial to inform parents about recurrence risks and management strategies for future pregnancies. We report a case of PSS in a dichorionic diamniotic (DCDA) twin pregnancy. Despite normal prenatal ultrasounds, 1 twin was diagnosed postnatally with severe craniofacial anomalies, limb deformities, and pulmonary complications, consistent with PSS. In contrast, the second twin exhibited normal growth and development, with no anomalies identified. To the best of our knowledge, this is the third reported case of PSS in a twin pregnancy and the second involving a normal co-twin. This case aims to contribute to the existing literature by detailing the unique dysmorphic and clinical findings associated with PSS and emphasizing the diagnostic challenges in twin pregnancies.","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"18 ","pages":"11795476251329986"},"PeriodicalIF":0.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718230","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

Crusted Scabies in a Malnourished Patient: A Rare Case Report.

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-03-19 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251326462

Lina Al-Soufi, Aya Marashli, Mohammad Adi, Zuheir Al-Shehabi

{"title":"Crusted Scabies in a Malnourished Patient: A Rare Case Report.","authors":"Lina Al-Soufi, Aya Marashli, Mohammad Adi, Zuheir Al-Shehabi","doi":"10.1177/11795476251326462","DOIUrl":"10.1177/11795476251326462","url":null,"abstract":"Introduction: Scabies is a parasitic skin condition, with crusted scabies (CS) being a severe and highly contagious variant characterized by thickened skin lesions and a high mite count. CS is typically associated with immunocompromised individuals but can also develop in those suffering from malnutrition, as malnutrition weakens immune responses and impairs skin integrity.Case presentation: We report a case of CS in a 50-year-old malnourished male with no history of scabies or systemic disease, recently incarcerated. He presented with widespread itching, hyperkeratotic papules on the palms and soles, and secondary impetigo. The patient showed signs of malnutrition, with a BMI of 15.6 kg/m² and muscle wasting. Sarcoptes scabiei mites, eggs, and scybala were identified microscopically. The case was classified as Grade 3 CS. Treatment included two doses of ivermectin (8 mg) one week apart, 10% sulfur ointment, and benzyl benzoate soap. Follow-up was incomplete, highlighting challenges in managing socially vulnerable patients.Discussion: This case emphasizes the importance of early recognition, accurate diagnosis, and effective treatment of CS, especially in settings with poor sanitation and overcrowding. The patient's malnutrition likely contributed to the severity of the condition, as compromised immunity can facilitate mite proliferation.Conclusion: A holistic approach addressing malnutrition, sanitation, and patient education is crucial in managing CS in resource-limited settings.","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"18 ","pages":"11795476251326462"},"PeriodicalIF":0.8,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11920992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662824","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

An Exceptional Case of a Supra-tentorial Streptococcus Salivarius Brain Abscess-A Case Report.

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-03-18 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251325803

Abderrahim Bourial, Wahib Lahlou, Mounir Rghioui, Sidi Mamoun Louraoui, Abdessamad El Azhari, Fadila Guessous

{"title":"An Exceptional Case of a Supra-tentorial Streptococcus Salivarius Brain Abscess-A Case Report.","authors":"Abderrahim Bourial, Wahib Lahlou, Mounir Rghioui, Sidi Mamoun Louraoui, Abdessamad El Azhari, Fadila Guessous","doi":"10.1177/11795476251325803","DOIUrl":"10.1177/11795476251325803","url":null,"abstract":"Introduction: During the COVID-19 pandemic, incidence of brain abscesses is difficult to assess. Numerous studies reported benign and severe post SARS-CoV-2 vaccine side effects, including rare cases of brain abscesses associated with COVID-19 or Anti-SARS-CoV-2 vaccines. Here in, we report what we believe to be, up to date, the fourth known case in the medical literature of a streptococcus salivarius brain abscess, the first intra parenchymatous or supra-tentorial streptococcus salivarius brain abscess and also the first that occurs following an anti-SARS-CoV-2 vaccine.Case presentation: We describe the case of a north african 63-year-old man with an unremarkable medical history except for recent anti-SARS-CoV-2 vaccinations. Following the administration of a third anti-SARS-CoV-2 booster vaccine, the patient developed neurological symptoms, including left hemiparesis, facial palsy, vertigo, and balance issues. Imaging studies revealed a right temporo-parietal lesion consistent with intracranial suppuration. Stereotaxic cerebral biopsy confirmed the presence of purulent content, indicating a brain abscess caused by multi-sensitive streptococcus salivarius.Conclusion: Sepsis-induced immunodepression appears to be a consequence of severe inflammatory state, as it dysregulates leukocytes population and results in serious infections. A plausible hypothesis is that a previous stress such as anti-SARS-CoV-2 vaccination could lead to the development of a streptococcus salivarius septicemia. In light of the available evidence and research findings, no definitive conclusion can be drawn regarding any potential link between anti-SARS-CoV-2 vaccines and the physiopathology of sepsis-induced immunodepression.","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"18 ","pages":"11795476251325803"},"PeriodicalIF":0.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656271","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

Poorly Cohesive Carcinoma of Common Bile Duct: A Rare Histological Type of Cholangiocarcinoma.

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-03-16 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251324361

Derqaoui Sabrine, Hamid Mohamed, Ahmed Jahid, Kaoutar Znati, Fouad Zouaidia, Settaf Abdellatif, Bernoussi Zakiya

引用次数: 0

Spontaneous Coronary Artery Dissection-Different Faces of the Same Disease.

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-03-12 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251322433

Kinga Kowalik, Małgorzata Wojciechowska, Karol Momot, Izabela Poprawa, Maciej Dąbrowski, Mariusz Kruk, Maciej Zarębiński

引用次数: 0

Ewing Sarcoma Presenting as Fever of Unknown Origin (FUO) in Children: A Case Report and Brief Review of the Literature.

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-02-26 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251323164

Hasan Arafat, Zahraa Mm Zeer, Almotazbellah Mm Zeer, Mahmoud Noman, Hamza A Abdul-Hafez, Ahmad G Hammouri, Amer Zughayyer

引用次数: 0

Diagnosis and Management of Tuberous Sclerosis Complex in a Resource-Limited Setting-A Case Report of a 14-Year-Old Female Zambian Adolescent.

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251321268

Mwamba Lienda, Meek Mwila, Chilala Sichula, Chishiba Kabengele, Moses Akombwa, Christina Zulu, Chihena Hansini Banda, Hellen M'hango

{"title":"Diagnosis and Management of Tuberous Sclerosis Complex in a Resource-Limited Setting-A Case Report of a 14-Year-Old Female Zambian Adolescent.","authors":"Mwamba Lienda, Meek Mwila, Chilala Sichula, Chishiba Kabengele, Moses Akombwa, Christina Zulu, Chihena Hansini Banda, Hellen M'hango","doi":"10.1177/11795476251321268","DOIUrl":"10.1177/11795476251321268","url":null,"abstract":"Tuberous sclerosis complex (TSC) is a rare multisystemic neurocutaneous syndrome with a wide spectrum of clinical manifestations. We present a case of a 14-year-old adolescent female who presented with a history of facial angiofibromas since the age of 8 months. Physical examination was remarkable for multiple angiofibromas on the face, and other multiple cutaneous manifestations of TSC. MRI of the head, and abdomen revealed cortical tubers, multiple bilateral periventricular and subependymal nodular lesions, calcifications, and bilateral kidney enlargement with multiple bilateral renal angiomyolipomas of varying sizes in a background of bilateral polycystic kidneys, MRI of the chest was unremarkable. A diagnosis of TSC was made using the clinical diagnostic criteria which consist of major and minor features. A diagnosis using genetic studies could not be made due to a lack of resources. Management was multidisciplinary and regular monitoring every 6 months will be required to monitor disease progression and manage complications as they arise. This case illustrates the multidisciplinary approach needed to address the diverse clinical manifestations of TSC and the diagnostic challenges, treatment limitations, and psychological impact of TSC in low-resource settings like Zambia where access to advanced therapies is limited.","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"18 ","pages":"11795476251321268"},"PeriodicalIF":0.8,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457114","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